Tuesday, 17 January 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 10 January 2023 00:00

Pain or No Pain From Flat Feet?

Having flat feet is a foot condition that affects groups of people from all walks of life. The majority of babies are born having little or no arch, and will generally normalize during the teenage years. Adults who retain this condition may have a genetic predisposition and may find relief in wearing custom-made orthotics. Flat feet is an ailment that is obvious. It is evident while standing on the floor, and noticing the foot lies completely flat. Some people have specific symptoms from this, including calf and shin pain, possibly limiting the type of activities that are pursued. Conversely, many people have no pain with flat feet but may realize their feet and legs can tire easily. If you have flat feet, it is strongly advised that you are under the care of a podiatrist who can regularly monitor this condition, and offer you correct relief options, if applicable.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor 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 Flat Feet
Tuesday, 03 January 2023 00:00

What Can Cause a Plantar Fibroma?

The plantar fascia is located on the sole of the foot and it connects the toes to the heels. Some patients may experience a growth that develops inside the plantar fascia, which is often benign. This is referred to as a plantar fibroma that might cause pain while walking and running. It is noticeable by the lump that forms on the bottom of the foot, generally in the center of the arch. The majority of experts agree it occurs due to genetic reasons or medical conditions like epilepsy, diabetes, and alcoholism. Other people can argue a plantar fibroma may develop after an injury occurs to the plantar fascia and the lump may be a natural reaction to the stress from the trauma. Mild relief may be found when the shoes that are worn have extra cushioning, or it may be beneficial to wear custom-made orthotics. If you have developed this condition it is advised that you are under the care of a podiatrist who can provide the treatment options that are correct for you.

A plantar fibroma may disrupt your daily activities. 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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 Plantar Fibroma

The Achilles tendon is the largest tendon in the body, and it connects the heel to the calf muscles. An Achilles tendon injury can cause severe pain and discomfort, and can happen to anyone. There are specific groups of people who may be prone to developing this type of injury. These can include runners who increase speed and mileage too quickly, or people who have tight or weak calf muscles. Additionally, patients who have feet that naturally roll inward while walking and running may develop an Achilles tendon injury more easily than others. Decreased blood supply in people who are over 30 years old may cause this type of injury to happen, and patients may develop a temporary risk of enduring this condition who frequently take certain antibiotics. If you have pain in the calf that radiates to the heel, you may have this affliction, and it is suggested that you consult with a podiatrist as quickly as possible who can effectively treat 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.

Read more about Achilles Tendon Injuries
Tuesday, 20 December 2022 00:00

How to Spot Plantar Fasciitis

Many people unfamiliar with the field of podiatry might already be familiar with the condition known as plantar fasciitis, because it is one of the most common afflictions of the foot. Plantar fasciitis is typically defined as the inflammation of the plantar fascia, the band of tissue that runs along the sole of the foot. This inflammation can occur for a variety of reasons. However, it is important to be able to recognize signs of plantar fasciitis yourself, in case you develop the condition. Generally speaking, people with plantar fasciitis will experience pains in the feet when first beginning to walk in the morning. Additionally, the pain is typically located in the heels toward the back. Plantar fasciitis also may make certain physical activities uncomfortable or painful, such as walking, running, or engaging in other weight-bearing activities. If you believe that you might have plantar fasciitis, contact a podiatrist today for more information.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 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
Sunday, 18 December 2022 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 13 December 2022 00:00

Muscles in the Foot

Anyone who wants to care for their feet properly ought to know how the foot functions. Being familiar with the biomechanics of the feet can be greatly informative and beneficial. One important thing to know about the human foot is that it contains different kinds of muscles. There are two different primary kinds of muscles in the foot, the extrinsic and intrinsic muscles. Extrinsic muscles are responsible for movements such as the eversion, plantarflexion, and dorsiflexion of the foot. By contrast, the intrinsic muscles are found on the inside of the foot. This particular kind of foot muscle is responsible for what we call fine motor movements, such as the movement of individual digits, or toes. The muscles of the feet each serve important roles in supporting the feet and protecting them. For more information, contact a podiatrist today.


 

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.

Read more about The Importance of Biomechanics in Podiatry
Tuesday, 06 December 2022 00:00

Qualifications to Become a Podiatrist

Podiatrists are medical specialists that treats any type of foot and ankle disorders. People who are interested in practicing this branch of medicine will have to go through an extensive schooling and training program. After a bachelor's degree is obtained, the residency program can begin. This will take approximately three years, and is followed by passing the American Podiatric Medical Licensing Examination. Many states require podiatrists to enroll in a continuing education program sporadically throughout their careers.  This is beneficial in keeping up with current knowledge and improved podiatry techniques. Research has shown the best candidates to enter a podiatry residency program will have additional skills in addition to their academic achievements. These can include problem-solving and time management skills, in addition to superb communication skills. This branch of medicine can be lucrative, and provide a sense of accomplishment. If you are interested in pursuing podiatry as a career choice, please seek advice from this type of doctor who can help you to determine if this is a right decision for you.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to 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 Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

  • Diagnose foot ailments such as ulcers, tumors, fractures, etc.
  • Use innovative methods to treat conditions
  • Use corrective orthotics, casts, and strappings to correct deformities
  • Correct walking patterns and balance
  • Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

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 What is a Podiatrist?
Tuesday, 29 November 2022 00:00

Foot Blisters From Running

Runners can easily develop blisters on their toes, soles, insides of their feet, and heels. Blisters are liquid-filled pockets of skin that can develop on the feet from a combination of heat, friction, and sweat. Common causes of foot blisters are poorly fitting shoes, socks that do not sufficiently protect the feet, and sweaty feet. To prevent blisters while running, wear well-fitted shoes that do not allow the foot to rub against the inside of the shoe. Break in new running shoes slowly until you know they are comfortable. When purchasing running shoes, shop for them later in the day when feet are at their largest, and wear socks you plan to wear while running. Measure both feet and buy shoes that correspond to the biggest size foot. If inserts are needed, make sure to put them in the shoes you plan to buy so you know they fit well, and you will maintain comfort. Socks worn while running should be clean and made of breathable material. Compression socks can help with circulation, toe socks can reduce friction between toes, and padded socks can help cushion the foot during runs. If a blister develops, do not pop it. Cover it with an adhesive bandage and allow it to heal. If your blister persists or worsens, contact a podiatrist who can help with treatment and provide more ideas for prevention.

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.

Read more about Blisters
Tuesday, 22 November 2022 00:00

Easing Tarsal Tunnel Syndrome Pain

If you have tarsal tunnel syndrome, then you might feel a particular kind of pain in the sole, or bottom, of the foot. This pain might be most pronounced during weight-bearing activities. Anyone with this condition ought to see a podiatrist to receive immediate medical attention and treatment. However, to relieve this pain, there are a number of different exercises that one might perform. First, you might consider performing ankle rotations. While in a seated position, lift one leg and rotate the ankle slowly. It is important to perform this exercise on the affected foot. Additionally, to relieve pain from tarsal tunnel syndrome, consider performing pencil lifts. This exercise can be performed by picking up a pencil with the toes, holding it, and then releasing it. This strengthens muscles in the feet. Tarsal tunnel syndrome is nothing to joke about.  Contact a podiatrist today for more information on easing the pain through exercises.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require 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 and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome
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