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Achilles tendon heel pain, medically known as Achilles tendon enthesopathy, occurs where the Achilles tendon attaches to the back of the heel bone. Patients with this condition often feel pain at the back of the heel, especially during walking or ankle movement. The condition is caused by repetitive strain on the Achilles tendon, which can result from a sedentary lifestyle, being overweight, or overuse from athletic activities. Risk factors may also include age, certain medications, or underlying arthritis. Diagnosis typically involves a podiatrist performing a physical examination to check for tenderness and flexibility of the ankle. Effective treatments include reducing strain on the tendon, such as using heel lifts, creating a personalized stretching regimen, and addressing any biomechanical issues. A podiatrist may also recommend supportive footwear or other therapeutic techniques to improve healing and alleviate discomfort. If you have heel pain caused by an Achilles tendon injury it is suggested that you schedule an appointment with a podiatrist for treatment.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Livingston Footcare. Our doctors 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
Rupture Symptoms
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:
If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Joint pain in the feet is a common symptom of rheumatoid arthritis, or RA, an autoimmune disease that causes inflammation in the joints. RA typically affects both feet and hands, often starting in the smaller joints. The pain is usually accompanied by swelling, stiffness, and redness, especially in the morning or after periods of inactivity. As the disease progresses, the inflammation can damage the cartilage and bones in the feet, leading to deformities and difficulty walking. In some cases, the pain can become chronic, limiting mobility and affecting daily activities. Early detection and treatment of RA are vital in managing symptoms and preventing further joint damage. Medications and lifestyle changes can help reduce inflammation and improve joint function. If you experience persistent foot pain, it is suggested that you consult a podiatrist to determine if RA or another condition may be the cause.
Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Livingston Footcare. Our doctors will assist you with all of your podiatric concerns.
What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.
Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.
Symptoms
Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.
If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Hammertoe is a deformity in which one or more toes bend downward at the middle joint, causing a claw-like appearance. This condition can result from a variety of causes, including muscle imbalances, poor footwear choices, or inherited traits. In some cases, hammertoe is associated with underlying health conditions such as rheumatoid arthritis, or RA, where joint inflammation can lead to deformities in the toes. Charcot-Marie-Tooth disease, a genetic disorder that affects peripheral nerves, can also cause muscle weakness and imbalance, contributing to the development of hammertoe. Another common cause is an elongated second metatarsal bone, which can lead to abnormal pressure on the toes, causing them to bend. Symptoms of hammertoe include pain, difficulty walking, and corns or calluses forming on the affected toes. If you have developed a hammertoe, it is suggested that you consult a podiatrist who may guide you toward wearing corrective footwear, splints, or, in severe cases, surgery to realign the toe.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Livingston Footcare. Our doctors will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Determining whether to pursue limb salvage or amputation for problematic diabetic feet is a critical decision that involves careful evaluation of several factors. Podiatrists assess the severity of the foot condition, considering factors such as the extent of infection, blood flow, and the overall health of the patient. Imaging tests may be conducted to understand the degree of damage and the presence of viable tissue. In cases where blood circulation is sufficient and the infection is manageable, limb salvage techniques, including surgery and advanced wound care, may be preferred to preserve the foot. If you have diabetes and your feet are severely affected, it is strongly suggested that you are under the care of a podiatrist who can discuss effective limb salvage methods.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Selecting the right running shoe is essential for enhancing performance and preventing injuries. First, consider the type of running you will be doing, whether it is road running, trail running, or track work, as each requires different features. The shoe should fit snugly but not painfully, allowing for about a thumb's width of space between the toe and the end of the shoe. Look for adequate support, especially if you have specific foot needs, such as pronation control. Flexibility is important for natural foot movement, while durability ensures that the shoe can withstand the rigors of regular use. Cushioning is vital for absorbing impact and providing comfort during longer runs. If you enjoy running and have endured a foot or ankle injury, it is suggested that you confer with a podiatrist who can offer you treatment solutions, and guide you on how to choose proper running shoes.
You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact one of our podiatrists from Livingston Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.
Tips for Finding the Right Running Shoe
If you have any questions please feel free to contact our our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
Ankle sprains are common injuries in volleyball, often occurring during jumps or quick lateral movements. These sprains are classified into three grades, each reflecting the severity of the injury. A Grade 1 sprain involves mild stretching of the ligaments, typically resulting in minor pain and swelling, with recovery usually taking a few days to a week. A Grade 2 sprain indicates a partial tear of the ligaments, causing moderate pain and swelling, often requiring two to four weeks for healing. A Grade 3 sprain represents a complete tear, leading to severe pain and instability, and may take six weeks or more to recover. Stopping the activity, avoiding putting weight on the foot, and wrapping the ankle to reduce swelling may help to bring relief. If you enjoy playing volleyball, and have sustained an ankle sprain, it is suggested that you promptly schedule an appointment with a podiatrist who can guide you toward specific treatment solutions.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of Livingston Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The development of children's feet begins during pregnancy when the basic structures form in the early weeks. By the second trimester, the bones of the feet start to develop, and by birth, a newborn's feet contain approximately 26 bones, many of which are still made of cartilage. As children grow, their feet undergo significant changes, with arches developing around age two to three. To support healthy foot development, parents can make proper footwear choices, opting for shoes that provide ample room for toes to move and grow. Allowing children to walk barefoot on safe surfaces helps strengthen foot muscles and improve balance. Regularly monitoring foot growth and ensuring that shoes fit correctly can prevent issues such as flat feet or other alignment problems. If your child’s feet are not growing as expected, it is suggested that you consult a podiatrist who can monitor your child’s foot health and development and provide necessary treatment.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Livingston Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
If you have any questions, please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Diabetic neuropathy occurs when high blood sugar levels damage the nerves in the feet, leading to symptoms such as numbness, tingling, and burning sensations. A podiatrist can diagnose diabetic neuropathy through various tests. Included are checking the response of your feet to temperature, touch, and reflexes to assess nerve function. Although nerve damage cannot be reversed, a podiatrist can help reduce the risk of complications by recommending regular foot inspections, managing foot ulcers promptly, and ensuring proper foot hygiene. Choosing the right footwear and inspecting shoes for potential hazards are also key steps in preventing further complications. Regular visits to a podiatrist can help monitor foot health and provide proper treatment should infections or deformities arise. If you have diabetic neuropathy that affects your feet, it is suggested that you make a podiatrist a part of your medical team to manage this condition.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout is a form of inflammatory arthritis causing sudden and severe pain, swelling, and redness in the affected joints, most commonly the big toe. This condition occurs when uric acid builds up in the body, leading to the formation of sharp crystals in the joints. Symptoms include intense pain, often occurring at night, and lingering discomfort even after the initial attack. Risk factors for gout include obesity, high blood pressure, and certain dietary choices, such as consuming excessive purine-rich foods like red meat and shellfish. Alcohol consumption can worsen the condition. Genetics also play a role, as a family history of gout increases susceptibility. Gout attacks can be painful and can cause difficulty in completing daily activities. If you have had one or more attacks, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this painful condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Livingston Footcare. Our doctors 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.
Symptoms
Risk Factors
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 North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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!
Ever had that annoying pain in your toe and wondered what was going on? You might be dealing with an ingrown toenail. This happens when the edges of your toenail start growing into the surrounding skin, causing pain, swelling, and even an infection. Ingrown toenails often occur on the big toe and can be triggered in several ways. One common cause is cutting your toenails too short. When you trim too close, the skin can fold over the nail, making it grow inward. Rounded or torn nails are also prone to becoming ingrown, since they do not grow back with clear corners. Wearing shoes that are too tight or too short can push the skin over the nail. Injuries or repetitive activities, like soccer kicks, can worsen the issue. Keep an eye out for pain, swelling, and redness surrounding the toenail. If your toe is causing you trouble and you suspect an ingrown toenail, it is suggested you schedule an appointment with a podiatrist.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Livingston Footcare. Our doctors 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
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 North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Pediatric foot and ankle pain can arise from various factors, including skeletal maturity, minor trauma, repetitive stress, and abnormal biomechanics. As children grow, their bones and joints are still developing, which can sometimes lead to discomfort or pain due to changes in skeletal maturity. Minor trauma, such as a twist or bump, can also result in localized pain. Repetitive stress from activities like running or sports can strain growing tissues and cause discomfort. Abnormal biomechanics, including issues like flat feet or improper foot alignment, can contribute to chronic pain and discomfort. Addressing these causes with appropriate interventions, such as proper footwear and medical evaluation, is essential for managing symptoms. If your child has foot or ankle pain, it is suggested that you consult a podiatrist who can diagnose the cause and offer effective treatment solutions.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Livingston Footcare. Our doctors 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:
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 North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Healing a minor foot wound involves several important steps and visiting a podiatrist to ensure proper care and recovery. This doctor begins by gently cleaning the wound with mild soap and water to remove dirt and debris, then pats the area dry with a clean towel to avoid further irritation. He or she will guide you to use an antibiotic cream on the wound to prevent infection and promote healing. Next, the wound is covered with a sterile bandage or dressing, ensuring it fits snugly but comfortably to protect the area from dirt and bacteria. The podiatrist will explain how to change the bandage if it becomes wet or dirty, in addition to monitoring the wound for signs of infection such as increased redness, swelling, or pus. If you have a foot wound, it is strongly suggested that you are under the care of a podiatrist who can treat it effectively and safely.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
If you have any questions, please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
