What Is Hyperhidrosis of the Feet?
Hyperhidrosis of the feet, a condition characterized by excessive sweating, can significantly impact daily life. Primary hyperhidrosis occurs without an underlying medical condition and often affects multiple areas, including the feet. Secondary hyperhidrosis stems from medical issues like hormonal imbalances or neurological disorders and may also affect the feet. Complications of hyperhidrosis include discomfort, odor, and an increased risk of skin infections like athlete's foot. Diagnosis typically involves a medical history review and physical examination. In some cases, tests like the starch-iodine test or the gravimetric test may be used to measure sweat production. Treatment options range from conservative measures to more invasive interventions. These include topical antiperspirants, iontophoresis, or using electrical currents to reduce sweat production. Additionally, oral medications like anticholinergics, botulinum toxin injections, and in severe cases, surgical procedures such as sympathectomy may be used to control hyperhidrosis. Tailored treatment plans depend on the severity of symptoms and individual patient preferences. If you have excessive sweating of the feet, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.
If you are suffering from hyperhidrosis contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to attend to all of your foot and ankle needs.
Hyperhidrosis of the Feet
Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.
Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.
Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.
In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.
A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.
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.
Who Is Most Prone to Ingrown Toenails?
Ingrown toenails, a condition where the nail grows into the skin surrounding it, can affect certain people due to a combination of genetic predispositions, lifestyle choices, and physical activities. People can inherit toenail shapes that are more susceptible to becoming ingrown, such as overly curved or thick nails. These people may also have a familial history of the condition. Additionally, athletes and those engaged in activities that place repeated pressure on the toes, such as soccer, ballet, or running, are at a heightened risk due to the constant stress and trauma to the toenails. Improper footwear that constricts the toes can further exacerbate the likelihood of developing this painful condition. Additionally, improper nail care practices, including cutting toenails too short or with rounded edges, can result in the nail growing into the surrounding skin. Recognizing these risk factors can help you prevent ingrown toenails in the future. If you are suffering from an ingrown toenail, it is suggested you visit a podiatrist. This type of doctor can effectively treat ingrown toenails and offer you suggestions for prevention based on any risk factors you may have.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
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.
Wounds That Don't Heal Need to Be Checked
Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.
The Mysteries of Orthotics
Patients often rely on podiatrists to understand how orthotics alleviate pain and prevent injuries. Determining the right orthotic type demands expertise in biomechanics, gait analysis, and understanding the patient's specific condition. Orthotics function by providing support, cushioning, and realignment to the feet, thereby correcting biomechanical abnormalities or imbalances. They distribute pressure evenly, reducing stress on vulnerable areas and promoting proper foot function. By stabilizing the foot and ankle, orthotics can correct issues such as overpronation or supination, which can lead to various foot and lower limb problems if left untreated. Additionally, orthotics can help improve posture and alleviate discomfort in other parts of the body, such as the knees, hips, and lower back. Podiatrists assess patients comprehensively to determine the most suitable orthotic design, material, and level of support to address their specific needs and enhance overall foot health and function. If you have chronic foot pain, it is suggested that you make an appointment with a podiatrist to determine if orthotics can help you.
If you are having discomfort in your feet and would like to try orthotics, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Need for Toenail Fungus Treatment
Yellowed, brittle, and unusual-looking toenails may indicate a fungal nail infection, known as onychomycosis. Experts caution that these infections persist without intervention and can easily be transmitted from person to person. These types of infections can be contracted through close contact or from barefoot walking in communal areas like locker rooms. The fungus infiltrates toenails, thriving in moist, sweaty footwear. Toenail fungus affects roughly one in ten people globally, and is more prevalent with age, affecting over half of individuals aged 70 and older. People who have diabetes or compromised immune systems are particularly vulnerable. If you notice a change in your toenails, it is suggested that you schedule an appointment with a podiatrist for an evaluation, diagnosis, and treatment.
For more information about treatment, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
The Importance of Wearing Properly Fitting Shoes
In our modern world dominated by concrete and cement, the demise of shoes seems unlikely. This reliance, however, has led to chronic back and foot pain. Podiatrists play an important role in addressing these issues. Wearing improper or ill-fitting shoes can lead to various problems, from bunions to muscle tension and even plantar fasciitis. Choosing the right shoes involves considering factors like foot swelling throughout the day and ensuring proper fit and support. Additionally, rotating shoes to engage different muscles and replacing worn out ones are important practices. A podiatrist can offer personalized advice and treatments to alleviate foot pain and prevent future issues, emphasizing the importance of footwear in maintaining healthy and pain-free feet. If you would like guidance in making sure you get the right sized shoes that fit your feet well, it is suggested that you schedule an appointment with a podiatrist for a consultation.
Getting the right shoe size is an important part of proper foot health. Seek the assistance of Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor 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.
Foot Pain Caused by Cuboid Syndrome
Cuboid syndrome is a foot condition in which the cuboid bone has been displaced due to stress on the foot. Someone with cuboid syndrome may experience pain on the outer side of the foot, particularly in the midfoot area, which can worsen with weight-bearing activities like walking or running. The patient’s foot may be swollen, tender to the touch, and difficult to stand on. Additionally, they might complain of discomfort or pain during sports and physical activity. Early recognition and intervention can help alleviate symptoms and prevent long-term complications, allowing patients to return to their normal activities. If you have any of these symptoms, it is suggested you seek medical attention from a podiatrist who can diagnose and treat the source of the pain.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
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.
Understanding Toe Walking in Toddlers
Understanding toe walking in toddlers is important for parents to discern normal development from potential issues. It's common for children under two years old to exhibit toe walking as they learn to walk. Toe walking is defined as the absence of heel strike during initial contact. It typically resolves as the child grows older, with most children demonstrating ankle dorsiflexion by age of five. However, toe walking can also be associated with specific conditions like cerebral palsy, muscular dystrophy, or autism spectrum disorders. For that reason, it's important to distinguish idiopathic toe walking, or ITW, where no pathology exists, from toe walking caused by underlying conditions. Recent studies suggest that more than half of young toe walkers will not face significant developmental or neuropsychiatric issues. While parents should monitor their child's development closely, toe walking alone isn't always indicative of a serious problem. If your child continues to toe walk past the age of five, it is suggested that you consult a podiatrist who can conduct a thorough exam and suggest the next course of action.
If you have any concerns about your feet, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
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.
It's Time for Beautiful Feet
You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.
The Anatomy of a Foot Stress Fracture
A foot stress fracture is a common injury resulting from repetitive strain and overuse of the bones in the foot. Unlike acute fractures caused by sudden trauma, stress fractures develop gradually due to the cumulative effect of repetitive stress on the bones, often stemming from activities like running, jumping, or prolonged standing. These microcracks typically occur in weight-bearing bones, such as the metatarsals, and can lead to localized pain, swelling, and tenderness. Foot stress fractures are particularly prevalent among athletes and individuals engaged in high-impact activities. Recognizing the symptoms, which may mimic other foot conditions, is essential for an accurate diagnosis and timely intervention. Rest, along with wearing proper footwear and a gradual return to activity, forms the cornerstone of treatment. If you have endured a foot stress fracture, it is suggested that you consult a podiatrist who can confirm the diagnosis and offer the treatment method that is best for you.
Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain free and on your feet.
How Are They Caused?
Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.
Risk Factors
- Gender – They are more commonly found in women compared to men.
- Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
- Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
- Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
- Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures
Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.
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.
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The Link Between Increased Body Mass and Foot Discomfort
Exploring the correlation between elevated body mass and foot pain unveils a compelling relationship. Excess weight places additional stress on the feet, leading to discomfort and various conditions. The arches, heels, and joints bear the brunt of this burden, potentially resulting in ailments such as plantar fasciitis and osteoarthritis. The arch of the foot may collapse under the strain, causing pain and instability. Additionally, increased body mass may contribute to the degradation of joints, accelerating wear and tear. Overpronation, an inward rolling motion of the foot, becomes more prevalent, exacerbating discomfort. Recognizing this connection is pivotal for those grappling with foot pain, as shedding excess weight through a balanced diet and exercise regimen can significantly alleviate symptoms. If you are overweight and have foot pain, it is suggested that you confer with a podiatrist for treatment..
Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Obesity and Your Feet
Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.
Problems & Complications
Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.
Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.
Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot.
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.
Causes and Diagnostic Avenues for Gout
Gout, a form of arthritis, develops when uric acid accumulates in the joints, leading to inflammation and intense pain. The primary cause is an overproduction or underexcretion of uric acid, resulting in crystalline deposits that settle in the joints. Dietary factors, such as excessive consumption of purine-rich foods, can contribute to elevated uric acid levels. Diagnosis involves a comprehensive examination of symptoms that include sudden, severe joint pain, swelling, and redness. Podiatrists may conduct blood tests to measure uric acid levels and analyze joint fluid for crystal presence. Imaging studies, such as X-rays or ultrasounds, aid in assessing joint damage. A meticulous evaluation helps differentiate gout from other forms of arthritis, enabling podiatrists to devise an effective treatment plan. If you have joint pain in your feet and believe it might be caused by gout, it is suggested that you are under the care of a podiatrist who can successfully treat this condition and offer preventive tips.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
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.
Treatment Options for Achilles Tendon Pain
Injuries to the Achilles tendon, which connects the calf muscle to the heel bone, commonly lead to Achilles tendonitis or Achilles tendonosis. Both cause pain, stiffness, and discomfort in the lower leg. Differentiating between the two is necessary for effective treatment. Achilles tendonitis results from overuse or sudden activity increase. If left untreated, it may progress to Achilles tendonosis, where the inflamed tendon degenerates, develops microscopic tears, and possibly ruptures. Treatment options vary based on severity, including immobilization with casts, walking boots, or night splints. Recovery typically takes two to three months, but if nonsurgical approaches fail, surgical options like gastrocnemius recession, debridement, and repair, or debridement with tendon transfer may be considered. Surgical intervention is a last resort, emphasizing the importance of early diagnosis and tailored treatment by a podiatrist to prevent further progression of Achilles tendon conditions. For an exam and treatment options, it is suggested that you schedule an appointment with a podiatrist who can discuss the treatment method that is best for you.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Heel Pain Can Be Treated!
Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.