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Tuesday, 09 August 2022 00:00

Reasons for Wearing Custom Orthotics

The marketplace is filled with shoe inserts of every description, but if they cannot address what is troubling your feet, it may be time to consider getting custom orthotics. These inserts will be designed and manufactured specifically to fit your foot and correct the issues that may be causing problems. For example, custom orthotics can be made to adjust how you walk (gait), reduce pain, and provide support (in the arch, for instance). They can reduce pressure to a certain part of the foot and improve foot alignment. To begin the process, please consult a podiatrist who will assess your foot mechanics to determine the cause of the problem. Next, an X-ray or ultrasound test may be administered. Finally, an impression of your foot will be made to create a mold that mirrors the precise shape and configuration of your foot. The result will be a shoe insert that addresses the specific needs of your foot. 


 

If you are having discomfort in your feet and would like to try orthotics, contact the podiatrists from Associated Podiatric Physicians, PA. Our doctors 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.

Read more about Ankle Foot Orthotics for Athletes

There are several different kinds of warts that an individual may develop on their body. Plantar warts and common warts are among the most familiar. Usually, children and young adults are more susceptible to developing these kinds of warts. Both plantar and common warts occur when an individual is exposed to a certain strain of human papillomavirus, or HPV. This can happen when an individual touches someone else’s wart. What makes these two kinds of warts different is where they are typically located. Common warts can develop on any part of the body, although they are most typically found on the hands and knees. They are small, oval-like, rough patches of skin. On the other hand, plantar warts are found primarily on the bottoms of the feet, also known as the soles. Plantar warts will manipulate the natural lines that are located on the soles of the feet. If you have plantar warts, you might even see clogged blood vessels in the plantar wart that are of a black color. Plantar warts also differ from common warts because there are different potential treatments for each kind of wart. If you suspect that you have plantar warts, you should consider seeing a podiatrist who can help you treat warts.

Plantar warts can be very uncomfortable. If you need your feet checked, contact the podiatrists from Associated Podiatric Physicians, PA. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate 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 and ankle needs.

Read more about Plantar Warts
Tuesday, 26 July 2022 00:00

Causes of Overlapping Toes

Of the many possible congenital foot problems that may manifest at some point during your life, overlapping toes are among the most common. This condition can occur when one or more toes overlap others in a seemingly permanent way. This condition most commonly involves the pinky toe, but in some cases, the big toe and the second toe might also be affected. There are several potential causes of overlapping toes to be aware of. Frequently, overlapping toes can be caused by hereditary issues. For example, you may have inherited a bone structure in your feet that makes overlapping toes more likely. Additionally, overlapping toes may be caused by the wearing of certain kinds of footwear. For instance, wearing high heels or pointy-toe shoes for prolonged periods can twist the toes into unnatural positions that may eventually lead to this condition. Other shoes that have small toe boxes can produce a similar effect. Lastly, aging can be a cause of overlapping toes. As an individual ages, their toes naturally roll in more which can lead to overlapping toes. If you believe you have overlapping toes or are at risk of developing this condition, reach out to a podiatrist. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact the podiatrists of Associated Podiatric Physicians, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.

Read more about Congenital Foot Problems

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 19 July 2022 00:00

Conditions That May Cause Swollen Ankles

Many people use the term “cankle” to describe their swollen calves and ankles, despite the fact that this is not a true medical term. It is the area where the calf and ankle connect and it may be hard to tell the difference between the two. Existing medical conditions may cause the ankles to swell excessively, including congestive heart failure, cellulitis, and pregnant women may experience preeclampsia. Additionally, sitting for extended periods of time may cause the blood to pool in the ankles and the warmer temperatures may cause swollen ankles. Some patients go through hormonal changes or may be taking certain medications that may lead to swollen ankles. When medical issues are ruled out, many people would like to know how swelling can be reduced in the ankles. This can consist of eating foods that have reduced saturated fat and sodium, in addition to increasing exercise. Walking is suggested for patients with ankle swelling as this can help to improve circulation in the legs. If you have swollen feet or ankles, please speak with a podiatrist who can guide you toward proper treatment options.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact the podiatrists of Associated Podiatric Physicians, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.


 

Read more about Swelling of the Feet
Tuesday, 12 July 2022 00:00

Plantar Fasciitis in Dancers

Although almost anyone can develop plantar fasciitis, some individuals are at a greater risk of exhibiting this foot ailment. One such higher risk group includes dancers. Plantar fasciitis is a foot condition that causes heel pain. It is caused by the inflammation of the plantar fascia that runs from the toes to the heel. Those suffering from plantar fasciitis typically experience sharp pain in the heel, tight Achilles tendons, and pronounced pain when beginning to walk after extended periods of rest. Dancers can be at a higher risk of experiencing plantar fasciitis because they engage in large amounts of physical activity wearing high heels and often exert themselves without taking adequate breaks. If dancers do not properly stretch their feet before dancing, they are more susceptible to developing plantar fasciitis. There are a number of steps that dancers can take to reduce their chances of experiencing plantar fasciitis. Namely, dancers can focus on stretching the Achilles tendon before and after dancing. Dancers might opt for the runner’s stretch, heel drops, or the downward facing dog. If you are a dancer, you might want to be proactive in protecting the health of your feet by consulting a podiatrist. 

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact the podiatrists  from Associated Podiatric Physicians, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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 Plantar Fasciitis

If you are researching running shoes online you may have encountered some confusing footwear terminology. The basic components of a running shoe include the upper, the midsole, the outsole, the tongue, the heel counter, the toe box, and the last. Let’s start with the LAST, first. The LAST is the 3D model which forms the shape of the shoe. It can be straight, curved, or semi-curved. The UPPER covers the foot and holds the shoe together. The TONGUE is part of the UPPER and is a strip of material that sits under the laces. It helps put on and remove the shoe. The HEEL COUNTER is a sturdy form at the back of the shoe which surrounds and secures the heel. The TOE BOX provides the space where the toes reside and is the widest part of the shoe. The OUTSOLE is the bottom part of the shoe. It makes contact with the ground while providing traction and durability. The MIDSOLE sits on top of the outsole and provides cushioning and shock absorption. The INNERSOLE is above that and makes contact with the feet and attaches to the upper. Consult with your podiatrist for advice on the best type of running shoe and features for your particular feet and running stride.


 

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact the podiatrists from Associated Podiatric Physicians, PA. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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 How to Get a Proper Shoe Fit

Patients who have arthritis in their big toe may find relief by having toe surgery performed. A big toe fusion can help relieve stiffness, swelling, and inflammation that often accompanies arthritis. Some of the benefits that are associated with this type of surgery include a general feeling of well-being, permanent reduction in big toe pain, and stability due to the use of screws, wires, pins, and metals. Additionally, wearing shoes will gradually become a comfortable experience. Some patients refrain from having this type of surgery performed. This may be because of the inability to push off with the big toe while taking a step and the nerves can be affected which may cause numbness. A condition that is referred to as a malunion occurs when the toe heals in the wrong position. Despite the cons of having this type of joint replacement surgery performed, many patients are satisfied with the result. If you have arthritis in your big toe, please confer with a podiatrist who can determine if this surgery is right for you.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with the podiatrists from Associated Podiatric Physicians, PA. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint 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 care needs.

Read more about Joint Replacement Surgery
Tuesday, 21 June 2022 00:00

Ankle Pain That Is Not From an Injury

If your ankle hurts and you cannot recall doing anything that might have caused it, it could be a result of a type of arthritis, an autoimmune condition, or an infection. Obviously, the best treatment will depend on the root cause of the pain. Osteoarthritis is when the cartilage cushion between two bones gradually wears away, causing the bones to rub against each other. This might be painful, particularly upon arising, and it can come on suddenly. Rheumatoid arthritis is a chronic autoimmune disease when your body’s immune system begins attacking healthy tissue, including the lining of your ankle joints. This type of arthritis also causes pain, in addition to swelling and stiffness that begin in the toes and move toward the ankles. Fallen arches are when the tendons supporting the arches of the feet get damaged, the arches lose support and fall. An infection starting in a different part of your body may settle in the ankle joint. Any one of these ailments can cause ankle pain. If you feel such pain and believe you have not sustained an ankle injury, it is important to consult with a podiatrist for a proper diagnosis and treatment for the underlying cause.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with the podiatrists from Associated Podiatric Physicians, PA. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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 Ankle Pain
Tuesday, 21 June 2022 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

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