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Hamilton, NJ 08610

July 2022

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 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.

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.

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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 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.

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.


 

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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 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.

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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 Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor 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.

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