Items filtered by date: January 2024

Exploring the correlation between elevated body mass and foot pain unveils a compelling relationship. Excess weight places additional stress on the feet, leading to discomfort and various conditions. The arches, heels, and joints bear the brunt of this burden, potentially resulting in ailments such as plantar fasciitis and osteoarthritis. The arch of the foot may collapse under the strain, causing pain and instability. Additionally, increased body mass may contribute to the degradation of joints, accelerating wear and tear. Overpronation, an inward rolling motion of the foot, becomes more prevalent, exacerbating discomfort. Recognizing this connection is pivotal for those grappling with foot pain, as shedding excess weight through a balanced diet and exercise regimen can significantly alleviate symptoms. If you are overweight and have foot pain, it is suggested that you confer with a podiatrist for treatment..

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom 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 and ankle needs.

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Tuesday, 23 January 2024 00:00

Causes and Diagnostic Avenues for Gout

Gout, a form of arthritis, develops when uric acid accumulates in the joints, leading to inflammation and intense pain. The primary cause is an overproduction or underexcretion of uric acid, resulting in crystalline deposits that settle in the joints. Dietary factors, such as excessive consumption of purine-rich foods, can contribute to elevated uric acid levels. Diagnosis involves a comprehensive examination of symptoms that include sudden, severe joint pain, swelling, and redness. Podiatrists may conduct blood tests to measure uric acid levels and analyze joint fluid for crystal presence. Imaging studies, such as X-rays or ultrasounds, aid in assessing joint damage. A meticulous evaluation helps differentiate gout from other forms of arthritis, enabling podiatrists to devise an effective treatment plan. If you have joint pain in your feet and believe it might be caused by gout, it is suggested that you are under the care of a podiatrist who can successfully treat this condition and offer preventive tips.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.


  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of 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 care needs.

Read more about Everything You Need to Know About Gout
Tuesday, 16 January 2024 00:00

Treatment Options for Achilles Tendon Pain

Injuries to the Achilles tendon, which connects the calf muscle to the heel bone, commonly lead to Achilles tendonitis or Achilles tendonosis. Both cause pain, stiffness, and discomfort in the lower leg. Differentiating between the two is necessary for effective treatment. Achilles tendonitis results from overuse or sudden activity increase. If left untreated, it may progress to Achilles tendonosis, where the inflamed tendon degenerates, develops microscopic tears, and possibly ruptures. Treatment options vary based on severity, including immobilization with casts, walking boots, or night splints. Recovery typically takes two to three months, but if nonsurgical approaches fail, surgical options like gastrocnemius recession, debridement, and repair, or debridement with tendon transfer may be considered. Surgical intervention is a last resort, emphasizing the importance of early diagnosis and tailored treatment by a podiatrist to prevent further progression of Achilles tendon conditions. For an exam and treatment options, it is suggested that you schedule an appointment with a podiatrist who can discuss the treatment method that is best for 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.

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Saturday, 13 January 2024 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Flat feet, or pes planus, can benefit from targeted exercises that aim to strengthen the muscles surrounding the arches. Toe curls, a simple yet effective exercise, involve gripping a towel with your toes and lifting it off the ground. This helps engage the muscles along the arch and promotes better support. Arch lifts, where you lift the inner edge of your foot while keeping the outer edge on the ground, target the muscles responsible for maintaining the foot's arch structure. Heel cord stretches alleviate tension in the Achilles tendon and calf muscles, supporting overall foot flexibility. Additionally, ankle circles, rotating your ankles in both directions, enhance mobility and contribute to improved arch function. Incorporating these exercises into your routine gradually can contribute to the development of stronger foot muscles, providing better arch support and potentially aiding in the correction of flat feet over time. Consistency is key as you work toward building strength and stability in the intricate network of muscles that shape the foundation of your feet. If you have flat feet, it is suggested that you confer with a podiatrist who can offer you effective stretches and other relief techniques.

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.  


  • 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


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.

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Creating a safe environment within each room of your house is vital to preventing falls and promoting overall well-being. In the bathroom, install non-slip mats and grab bars near the shower and toilet to enhance stability. Keep pathways clear in the living room, securing loose rugs and removing clutter that might pose a tripping hazard. Adequate lighting in the bedroom is essential for visibility, reducing the risk of stumbling in the dark. In the kitchen, ensure spills are promptly cleaned, and arrange commonly used items within easy reach to avoid unnecessary stretching or bending. Staircases demand sturdy handrails and proper lighting to facilitate safe navigation. Regularly inspect and maintain flooring in all rooms, addressing any uneven surfaces promptly. By incorporating these preventive measures throughout your home, you create a secure living space that minimizes the likelihood of falls, allowing you to move confidently and enjoy every room without the worry of potential accidents. If you require additional information about implementing fall prevention techniques which may help to protect the feet, it is suggested that you speak with a podiatrist.

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.

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