By Varun Gujarl
February 25, 2015
Category: Bunions

Usually when you hear the word ‘bunion’ you think of painful feet that don’t look normal. Well this time it is a whole different story. This time, the story is about [Deshawne] Bunion. Bunion, of Rahway High School in New Jersey, won the Group-II 400 meter final at the Bennett Center in Toms River on Friday to reclaim his state title. Not only did he win the race but he ran a personal best 49.58! That’s not to say Mr. Bunion doesn’t have a bunion but if he did, how much of a coincidence would that be? I’m intrigued to see how fast a person could run a 400 with a bunion—it probably wouldn’t be as easy as one would think.

Bunions can be pretty painful, especially if one is trying to train for any kind of running event. Actually, over-training can be cause of a bunion due to overuse and breakdown of the tendons and ligaments. Why this is a rare cause of bunion formation it can surely happen. Bunions are usually caused by poor foot mechanics, wearing narrow-toed shoes, and being female. So if you put the aforementioned risk factors together, you see bunions mostly in females who wear high heels or narrow shoes. Men, however, do get them but it is not as common. Treatment varies depending on the physician and the severity of your pain/deformity. Conservatively, we will start by padding the enlarged area to prevent rubbing on the shoes, advising a change in shoe gear (to a shoe with a wider toe-box), splints to wear at nighttime to assure proper alignment, and custom orthotics. If conservative treatment fails (usually after about 6 months) surgery is the next step. There are a number of procedures that can be done and it all depends on, again, the severity of the bunion and your activity level and when you want to be back on your feet. That is something your local podiatrists at Affiliate Foot and Ankle Care located in Monroe and Edison, NJ would discuss with you when the time comes. So if you are noticing a “bump” at the big toe joint, please do not hesitate to give our office a call and schedule an appointment so we can get your feet in tip-top shape before the warm weather gets here!

Bunion will be showcasing his talents again at the Meet of Champions next Saturday at the same venue. We would like to extend a congratulations and good luck to the New Jersey track star in hopes he can bring home the gold!

By Varun Gujral


Shakira’s Newborn Son Has Daddy’s Soccer Feet

 On January 29th Shakira and her husband, Gerard Pique, had their second child together. Not only are mom and baby doing well, Shakira actually had the time to take a snapshot of her son’s foot. Shakira captioned the snapshot saying, “I have Daddy’s feet; it looks like I’ve played football my whole life”. As you can probably guess, her son was born with some pretty large feet (for a newborn). It was not revealed how large her baby’s feet were but an average full-term newborn’s foot size is approximately 7.6 centimeters (~3 inches). From the looks of the picture, though, they look closer to 3.5-4.0 inches. 

Children’s feet can be very deceiving at times. Meaning, as a child matures sometimes their feet take a while to catch up and parents suddenly think their child has something wrong with their feet when, in essence, they are perfectly normal. The most common complaints your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ treat are in-toeing/out-toeing, bunions, and heel pain. Each of these conditions more often than not resolve by themselves. However, sometimes more aggressive treatment must be done in order to “fix” what is going on.  The more aggressive—but conservative—treatments for in/out toeing are mainly bracing techniques and this can be in the form of custom made braces or shoes to plaster casting (depending on the physician). Bunions in children (or juvenile bunion) are relatively rare and are mainly treated conservatively with injections and physical therapy to help strengthen the ligaments and tendons. Heel pain can be a little trickier. The heel of a child has a growth plate at the very back of it that doesn’t fuse until about 16 years of age and this can become problematic for them. Most of the time the pain is secondary to growing pains and resolves on its own. Other times heel pain can be a result of plantar fasciitis or stress fractures. Overall, foot pain in children can be treated conservatively and, unless a traumatic event caused their pain, they will not have to have surgery. If you are concerned whatsoever about your child’s feet please do not hesitate to give our office a call and schedule an appointment.

And Congratulations to Shakira and her family on their new addition!

 By Nrupa Shah



Many people watched the “Big Game” because they are diehard football fans—some even say it should be a national holiday—while others watch it for a much different reason; the commercials! It is no surprise that commercials during the “Big Game” are always the “funniest” but there is always that one commercial that you think to yourself “Why?”. According to AOL.com, that commercial was the one about toenail fungus…yes, toenail fungus. AOL claims the “Toenail fungus commercial was the least sexy ad…ever” and I think that statement may have some truth to it. Although, I’m sure many of us out there (who probably have had our bouts with toenail fungus) are now curious about what Jublia has to offer.

Jublia (efinaconazole) is a new topical medication that is used to treat Distal Lateral Subungual Onychomycosis or fungal toenails. There are many medications on the market ranging from topical applications to oral medications. Many of the medications, however, are dependent on a lot of factors with the main being the severity of the fungus. If the entire nail is thick and covered in fungus not many medications can get rid of it and more invasive measures need to be taken with the most likely being removal of the nail. But, like Jublia is indicated for, if the fungus is just at the tips of the toenails I’d like to think that it would work just fine. The main thing behind treating toenail fungus is trying to prevent it from the beginning and there are numerous ways this can be done. To start, try and keep your feet as dry as possible. Since fungi like warm, moist places, sweaty feet are a prime target. This can be avoided by sprinkling some Gold Bond powder in your shoes or wearing thinner socks. Next, if you’re a person that likes to work out you may find yourself showering in public bathrooms. If so, try and make it a habit to wear your own shower shoes in the shower. This is probably the most common place to pick up fungus. Lastly, UV light is a fungi’s worst enemy so if you have some extra money in the savings, investing in a UV tree might not be a bad idea, especially if toenail fungus is common in your household.

As always, if none of these efforts seem to work please don’t hesitate to call your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ. Toenail fungus is an extremely common condition and we are very knowledgeable about treating and getting rid of it. It would be nice to give it a one-two punch and knock it out and it be gone forever, but keep in mind it does take quite a long time to completely remove the fungus so it’s safe to say the patience is a virtue.

By Varun Gujral

By Nrupa Shah
January 28, 2015
Category: Sports Injury

Every time your star player is sidelined it diminishes your team’s chances of moving forward. Fortunately for the Oklahoma City Thunder they have a deep bench and an even better starting five. One of those starters is 2014 MVP Kevin Durant. KD suffered a sprain to his big toe yesterday. A toe sprain, also known as ‘turf toe’ can actually be very debilitating to any athlete at any level.

Turf toe is caused by forced dorsiflexion of the big toe joint. Dorsiflexion is movement of the big toe in an upward fashion. When this happens to the toe, the tendons and the ligaments get strained which is where the majority of the pain comes from. Treatment options are fairly limited, however, so it needs to be instilled quickly. Treatments consist of the typical rest, ice, compression, and elevation or RICE. RICE is of utmost importance in these types on injuries. Additionally, anti-inflammatory medications (i.e., Motrin) can be used to help relieve some of the inflammation that may be associated with the injury. If all else fails, surgery is warranted. Surgery for turf toe is typically not needed but it depends on the severity of the injury at hand. If you have sustained this type of injury and don’t know whether or not you need surgery please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ.

Kevin Durant is one of the most versatile basketball players in the NBA so with him being out is detrimental to the team and to the entire NBA organization. Turf toe can be very detrimental but can also heal very quickly given the proper treatment. Again, please don’t hesitate to call our office if you have any questions or concerns.

 By Nrupa Shah


For an athlete, it’s one thing to injure yourself in the offseason of your particular sport. But it’s another thing to injure yourself again during the season…with the exact same injury! Right now, that’s exactly what University of Michigan junior guard Caris LeVert is going through. LeVert has reportedly suffered a complete fracture of his 5th metatarsal on his left foot. The 5th metatarsal bone is one of the most commonly fractured bones in the foot and recurrence of this injury is also fairly common—especially in high-level athletes.


Your metatarsal bones are the longest bones in your foot and are found more-or-less in the middle of your foot. Your 5th metatarsal bone is on the outside—far left or far right—of your foot. You can find it by feeling the outside of your foot for a bone that “sticks out” more-so than the rest of that part of your foot. This is termed the ‘styloid process’ of the bone and this as well as other parts of the bone close to it are often where fractures occur. Treatment for these types of fractures range anywhere from conservative therapy by immobilization in a CAM walker for six weeks or surgical intervention. A lot of the treatment is dependent upon the patient and the surgeon. Whether you’re a normal, everyday person or a college athlete, your local podiatrists at Affiliated for and Ankle Care located in Monroe and Edison, NJ are highly trained specialists and can diagnose and treat any fracture of the foot or ankle. Signs to look for if you think you have fractured your foot are: bruising, swelling, pain, redness, and warmth around the area. If you notice any of these signs and have experienced a traumatic event (such as twisting your ankle), please do not hesitate to call our office.


Caris LeVert is a projected first round draft pick and we hope this does not hinder his chances of going to the NBA. He is expected to have a full recovery so we do wish him the best.


By Varun Gujral


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