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Monday, 18 February 2019 00:00

Understanding Rheumatoid Arthritis

Rheumatoid arthritis affects about 1.5 million people in the United States and is a very serious disease. It is an autoimmune disease that causes the body’s immune system to mistakenly attack joints. This attack creates inflammation that causes the tissue lining on the joints to thicken, which causes pain and swelling. It is important to catch this inflammation early, because over time it can damage cartilage, elastic tissue that covers bones in the joint, and the bones themselves. This damage can lead to the joint spacing between bones to shrink, which causes joints to become loose, unstable and painful. Joint deformity is also a possibility, and this cannot be reversed. Rheumatoid arthritis usually occurs symmetrically, so if one foot or ankle is affected then the other one most likely will be too. If you feel that you have any symptoms of Rheumatoid arthritis, it is highly recommended that you speak with a podiatrist to start treatment as soon as possible.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Rheumatoid Arthritis in the Feet
Monday, 11 February 2019 00:00

Symptoms and Causes of a Broken Toe

The majority of broken toes may occur from stubbing the toe, or if a heavy object is dropped on it.  Many patients suffer from toe stress fractures, which may be a result of consistent impact the toe endures. There are noticeable symptoms of a broken toe, and these may include immediate pain, or a possible cracking sound as the fracture occurs. Additionally, bruising and swelling may accompany this condition, and in more severe cases, the toe may appear deformed. If the break is mild, typical treatment may begin with resting, elevating,and splinting the toe. This is often accomplished by taping the toe to the one next to it, and this may help to provide the support that it needs. Many broken toes may require the expertise of a podiatrist, and this may become evident if the nail falls off, or if the nail bed has become infected. If you have broken your toe, and you are experiencing severe pain, it is suggested to schedule a consultation with a podiatrist who can properly assist you with the correct treatment.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will treat your foot and ankle needs.

What is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What to Know About a Broken Toe
Monday, 04 February 2019 00:00

Diagnosing Sesamoiditis

Sesamoiditis is a result of inflammation of the tendons in the foot that attach to the sesamoid bones. The main symptom associated with this condition is pain under the ball of the foot, which can lead to swelling or bruising. A physical examination is necessary in order to diagnose sesamoiditis. First, your doctor will check for tenderness and move your toe into various angles. While the doctor is moving your toe, they are gauging your flexibility and pain level. If the doctor suspects sesamoiditis, then they will most likely recommend you get an X-ray. An X-ray will help determine whether the foot pain is a result of a fracture or sesamoiditis, by illustrating whether the bones have smooth or jagged edges. In certain cases, bone scans may be required in order to make a proper diagnosis. A bone scan uses a small amount of dye to create special imaging that is more detailed than an X-ray. If you believe you may have sesamoiditis, then it is highly recommended that you consult with a podiatrist to properly diagnose and treat your condition.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If think you’re struggling with sesamoiditis, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sesamoiditis
Monday, 28 January 2019 00:00

Benefits of Stretching the Feet

The act of stretching your feet may have beneficial effects on the overall body. The feet are in motion for the majority of the day, and painful foot conditions may be prevented if proper foot stretches are frequently performed. Issues concerning the Achilles tendon may be avoided when the calf muscles are stretched and loosened. This may aid in helping the surrounding muscles to withstand stress the Achilles tendon endures, in addition to having easier mobility and flexibility. An easy and simple stretch to perform while sitting down is referred to as pointing and flexing the foot. This will aid in benefiting the many muscles, ligaments, and tendons that are located in the feet and legs, and can make it easier to perform daily activities. If you would like additional information about the importance of frequently stretching your feet, please consult with a podiatrist who can properly guide you to correct stretching techniques.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Stretching Your Feet
Monday, 21 January 2019 00:00

How to Care for Corns

If you have developed a corn, it has most likely formed to protect the skin that may have been affected from wearing shoes that fit improperly. These types of shoes may cause the skin on one toe to rub together with the toe that is next to it. The body’s natural defense mechanism is to form a corn, which may help to shelter the skin of the affected toe. Moderate relief may be found in wearing a protective pad or cushion, which may aid in alleviating a portion of the pain and discomfort that is often associated with corns. If you experience any swelling, redness, or warmth surrounding the corn, it is suggested to speak to a podiatrist who can properly guide you in determining a correct diagnosis.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Understanding Corns and Calluses

If you are experiencing pain and discomfort on the sole of your foot, you may have what is referred to as Morton’s neuroma. It is an inflammation and thickening of the nerve near one of the toes, and may be caused by wearing shoes that do not have adequate room for the toes to move freely in. Some patients have foot conditions, which may include bunions, hammer toes, and flat or high arches, and this may lead to the development of Morton’s neuroma. If you feel you may have this ailment, it is important to obtain a proper diagnosis, which may include having an X-ray, MRI, or ultrasound performed. Treatment options, which may be considered may include performing gently stretching exercises that may be helpful in loosening the ligaments and tendons, in addition to resting and massaging the bottom of the foot. It is strongly suggested to consult with a podiatrist who can perform the correct tests that are needed for a proper diagnosis, in addition to discussing treatment techniques.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will attend to all of your foot and ankle needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What is Morton's Neuroma?

Research has shown the feet may change sizes as the aging process occurs. Many people may select shoes by the size that is indicated, despite the fact they may not fit properly. It’s important to try both shoes on, which may aid in determining if these are the correct shoes to purchase. Adequate space up to a half inch above the longest toe should be present for maximum comfort while standing up. It’s important to consider the material of the shoe, which may consist of a soft and flexible consistency that ideally should match the shape of the foot. Many people try shoes on that may fit too tightly, and their expectation may be that the shoes will stretch over time. This is considered to an erroneous method of buying shoes and a properly fitted shoe will feel good at the time it is tried on. If you would like additional information on how to buy shoes that fit properly, please consult with a podiatrist who can properly guide you.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Getting the Right Shoe Size
Wednesday, 02 January 2019 00:00

Flat Feet May Gradually Disappear with Age

The medical term that is referred to as flat feet is indicative of the arches in the foot appearing lower than what is classified as normal. Most babies are born with flat feet, and the arches will gradually develop as the aging process occurs. Some patients will have flat feet, or fallen arches throughout their lives, and this may be a result of improper development of the arches during childhood. Noticeable symptoms of this condition may be discomfort and pain in the area where the arch should be, in addition to possible heel pain. Patients whose arches have not properly developed may experience frequent falling or tripping or may notice considerable weakness or pain in the feet. Research has indicated that wearing shoes, which are more supportive may aid in living with flat feet, in addition to performing gentle stretches, which may improve overall flexibility of the foot. If you have this condition, it is important to consult with a podiatrist, who can properly guide you to implement correct treatment techniques.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flatfoot
Wednesday, 26 December 2018 00:00

Two Types of Heel Spurs

A condition that is known as a heel spur may present itself in two different categories. One of them is often referred to as heel spur syndrome and is characterized by bony protrusions that form on the bottom of the heel. They may look like a small hook and will grow toward the plantar fascia. This may develop as a result of repeated tearing of the heel bone lining, in addition to straining the ligaments and muscles of the foot. Patients may develop insertional Achilles tendonitis as a form of a heel spur, and this will typically occur where the heel bone connects to the Achilles tendon. If the Achilles tendon becomes irritated and inflamed, severe pain and discomfort may often accompany this condition. This type of heel spur may form as a result of decreased ankle motion and is known to develop gradually. If you are experiencing a heel spur, it is advised to seek the expert knowledge of a podiatrist who can properly treat this condition.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Hamilton Township, NJ. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Heel Spurs
Monday, 17 December 2018 00:00

How to Prevent Foot Injuries

People who enjoy the sport of running or who participate in jumping activities may know the importance of preventing injuries that may occur to the foot and ankle. Research has shown when the muscles are properly stretched and warmed up prior to engaging in sporting activities, the possibility of incurring this type of injury may be diminished. It is generally beneficial to wear shoes that are designed for your foot structure, and this may aid in maintaining stability and comfort. When the heels of the shoes wear out from frequent running, replacement should occur as quickly as possible, and this may prevent unwanted injuries from occurring. If a minor injury should happen, resting the foot for the proper amount of time may aid in resuming your sport of choice. If you have endured an injury to the foot or ankle, it is suggested to speak with a podiatrist, so proper treatment options can be discussed.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot and Ankle Trauma
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