Items filtered by date: August 2022

Tuesday, 30 August 2022 00:00

Iselin Disease

Iselin disease is an overuse injury resulting from repetitive pressure or tension on the growth center at the base of the 5th metatarsal. Running and jumping can put a great amount of pressure on the forefoot. This disease affects children and usually resolves itself once the growth plate fuses, which generally occurs around age 12 for girls and 14 for boys. It cannot occur in adults because the growth plate closes over and turns into the bone with skeletal maturity at approximately 16 years of age. If your child has foot pain and you think it might be Iselin disease, consult with a podiatrist for proper management of discomfort associated with this condition. A pediatric immobilization brace may be used to offload the growth plate and allow for healing so that your child may maintain their activity level.

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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, 23 August 2022 00:00

Exercises for Morton’s Neuroma

There are a number of foot conditions that can cause an individual pain and discomfort in the affected area. Morton’s neuroma is one of these conditions. Primarily affecting the ball of the feet, Morton’s neuroma occurs when the tissue around a toe nerve thickens, which can ultimately cause sharp pain and burning. It is most common for Morton’s neuroma to affect the nerve that is located between the third and fourth toes. Performing various exercises and stretches might potentially help you manage or mitigate pain from Morton’s neuroma. You might try an exercise known as the bottle roll, for instance. When in a seated position, slowly and gently roll a cool water bottle underneath one foot at a time. When the water bottle is cold, this can cool the foot and reduce any inflammation. Instead of using a water bottle, you might even consider using a ball that is about the size of a golf ball. Additionally, you might try what is known as the big toe stretch. When you are sitting, put an exercise band over the big toe and extend the leg outward. After pulling the band toward you, use the big toe to repeatedly push the toes forward, working against the pressure of the exercise band. Please contact a podiatrist if you have Morton’s neuroma. Such a professional will be best able to help you manage and treat your condition.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different 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 care needs.

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Saturday, 20 August 2022 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 16 August 2022 00:00

Stretching Your Feet and Ankles

The feet and ankles are the foundation for stability and balance, and keeping them mobile and stable is imperative for proper functioning of the body. If we exercise our feet and ankles, we can help to prevent foot and ankle injuries and conditions. Strengthening and improving flexibility in the feet and ankles can provide a good foundation for stronger muscles and avoidance of pain. If overdone or pushed to discomfort, the opposite can happen. Exercise done wrong or pushed too far can create inflammation and torn tissues, which can restrict joint movement. Pain is an important sign to pay attention to when exercising the feet and ankles. It can let us know when we are doing something wrong or unsafe. One way of exercising the lower extremities is called Active Isolated Stretching, or AIS. This type of stretching focuses on active-assisted movements, where one moves into a stretch until the first sign of tension. With rhythmic, relaxed repetitions, there is increased blood flow and sedation of the nerves. For healthy feet and ankles, it is important to stretch the calves, ankles, and toes. As you practice exercising your feet and ankles, be gentle with yourself and ease into it. Never push so hard that you find you are holding your breath, and simply pay attention to how you feel. If you would like more information about proper exercise for your feet and ankles, consult with a podiatrist who is an expert in this area.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet 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.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

  • Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
  • Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
  • Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

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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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 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.

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


  • 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


  • 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.

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