Plantar Heel Pain
Plantar heel pain, often referred to as plantar fasciitis, can cause discomfort and interfere with daily activities. It typically occurs when the band of tissue that supports the arch of the foot, called the plantar fascia, becomes irritated or inflamed. This condition often brings sharp pain in the heel, especially when taking the first steps in the morning or after prolonged periods of rest. Plantar heel pain can be triggered by various factors, including overuse, improper footwear, obesity, or certain foot structures. A podiatrist, or foot doctor, may recommend treatments such as stretching exercises, orthotic inserts, or in severe cases, corticosteroid injections and possibly surgery. With proper care and treatment, most people can find relief from plantar heel pain and get back to enjoying their daily activities without discomfort. If you are suffering from heel pain, it is suggested that you make an appointment with a podiatrist.
Many people suffer from bouts of heel pain. For more information, 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.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
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.
Risk Factors for Falling
As people age, the risk of a fall increases, but it should not be seen as inevitable. Falls can be caused by various factors, including weak muscles, poor balance, and dizziness. Foot problems like pain or deformities, and cognitive issues such as memory loss, and vision and hearing impairments, can also contribute to the risk of falls in seniors. Medications that induce drowsiness, excessive alcohol consumption, and certain bladder or bowel conditions can increase the likelihood of falling. Falls often result from an interaction of these factors, with a higher number of risk factors further elevating the potential for falls. In addition, falls can sometimes signal underlying health issues like constipation, infections, dehydration, or sudden confusion. A podiatrist can provide expert advice and interventions to address foot-related problems, improve balance, and reduce the risk of future falls. If instability causes you to lose your balance or fall frequently, it is suggested that you schedule an appointment with a podiatrist for a thorough exam and options for treatment.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
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.
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.
How Shoe Choice Can Cause Hind-Foot Pain
Wearing improper footwear, particularly shoes that lack adequate support or fit poorly, can significantly contribute to hind-foot pain. High heels and narrow-toed shoes, while fashionable, can place excessive stress on the structures of the hind-foot. The heel and ankle are two particularly susceptible areas for pain. Wearing these kinds of shoes can also lead to conditions like plantar fasciitis, Achilles tendonitis, and bursitis. These styles force the foot into an unnatural position, disrupting alignment and increasing pressure on the back of the foot. Stress on the foot over time not only leads to pain and discomfort but also can significantly affect mobility and quality of life. It is important to choose shoes with proper support, cushioning, and a fit that accommodates the natural shape of the foot to prevent hind-foot pain. Podiatrists often stress the importance of wearing shoes that complement one's lifestyle as well as provide the foundation for healthy foot posture and function. If you are experiencing pain in the back of the foot, it is suggested that you visit a podiatrist for a full diagnosis and proper shoe recommendations to support your recovery.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot 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.
Complications From Blisters on the Feet
Blisters on the feet, though seemingly minor, can lead to more serious complications if not treated properly. These small pockets of fluid form as a result of friction or pressure, commonly from wearing ill-fitting shoes or increased physical activity. While they often heal on their own, blisters can become infected. Infections are indicated by increased pain, redness, swelling, or the presence of pus. It is important to seek medical attention if there are signs of infection, which can escalate into cellulitis, a deeper, more serious skin infection that can spread quickly. For individuals with diabetes or compromised immune systems, the risk of complications from foot blisters is significantly higher. These conditions can impair blood circulation and wound healing, making even small blisters potential gateways to severe infections. If you have a blister that is showing signs of infection, especially if a blister is not healing as expected, it is suggested that you schedule an appointment with a podiatrist as quickly as possible.
Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.
Foot Blisters
Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
Symptoms
(Blister symptoms may vary depending on what is causing them)
- Bubble of skin filled with fluid
- Redness
- Moderate to severe pain
- Itching
Prevention & Treatment
In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.
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.
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.
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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.