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By Affiliated Foot & Ankle Care
November 13, 2018
Category: foot deformity
Tags: Flat Feet   orthotic device  

At Affiliated Foot & Ankle Care we often see patients with flat feet who are not experiencing any pain or discomfort. For others, however, that is not the case.  Flat feet is a somewhat complex disorder because there are multiple types and several different causes. For some patients, flat feet are the result of a developmental problem that started during childhood and has gotten progressively worse. For others, it is part of the aging process or is caused by weight gain through pregnancy or obesity. Many patients with flat feet also overpronate or roll their ankle inward when they walk. At the end of the day, however, all cases of flat feet have one thing in common: the partial or total collapse of the arch of the foot.

The deformity of flat feet can lead to all kinds of foot, leg, and lower extremity distress. Pain in the heel, arch, and shins are common and it can even extend to the knee, hip, and lower back. Fortunately, there are several conservative treatment approaches that can be used to relieve symptoms. These include:

  • Medications—nonsteroidal anti-inflammatory drugs like ibuprofen can relieve inflammation and pain
  • Rest—the foot doctor may recommend that you reduce or eliminate activities that cause pain and cut down on prolonged periods of walking or standing. That way your arches can rest and inflammation will have a chance to subside. In extreme cases, a walking cast may help immobilize the foot.
  • Weight loss—if you are overweight, even slightly, it increases the strain on your arches and can increase pain.
  • Footwear modifications—wearing shoes that have good arch support is essential for patients with flat feet. An orthotic device may also be prescribed to increase that support and position feet properly.
  • Physical therapy—exercises can reduce pain and strengthen muscles.

The first step, however, is getting your feet evaluated. If you suspect you have problems with your arches, make an appointment at our New Jersey offices in Edison, Linden, Monmouth Junction or Monroe today by calling: 732-662-3050. Let our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, diagnose your condition and come up with a tailored treatment plan.

By Affiliated Foot & Ankle Care
November 06, 2018
Category: Diabetic Foot Care
Tags: Diabetes   calluses   corns   warts   ingrown toenails  

At Affiliated Foot & Ankle Care we know that our patients with diabetes are at increased risk for dangerous foot issues. That’s because the disease delivers a one, two punch. Neuropathy makes it difficult to detect foot problems and injuries in the first place so that often, by the time they are discovered, they are at an advanced stage. Then poor circulation impedes the healing process, causing even commonplace conditions such as ingrown toenails to become a potentially serious problem.

Fortunately, there are lots of ways to reduce your risk. Below are simple tips for preventing foot problems if you have diabetes:

  1. Trim toenails straight across. Don’t cut the corners and avoid round edges.
  2. Keep feet dry at all times. If you sweat profusely, change socks throughout the day if necessary.
  3. Wash feet daily with warm water and mild soap.
  4. Dry between your toes.
  5. No bathroom surgery! Do not attempt to dig out ingrown nails or trim calluses, corns or warts with sharp instruments.
  6. Keep feet warm.
  7. Don’t put your feet on radiators or directly in front of a fireplace or woodstove.
  8. Don’t smoke—it impedes circulation.
  9. Keep feet moisturized. Apply a good quality lotion to your feet daily but avoid the area between your toes.
  10. Do not wear socks with tight elastic tops.
  11. Choose shoes that have roomy toe boxes and keep heels to a height of 2 inches or less.
  12. Wear loose socks to bed.
  13. Inspect your feet daily. Look for cuts, bruises and swelling. Report any unusual changes in color, shape or appearance of skin or toes to our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah immediately.
  14. Keep your blood sugar under control and follow all of your doctor’s instructions for managing your diabetes.

If you have additional questions about diabetes and your feet, contact our podiatry offices in Edison, Monroe, Monmouth Junction or Linden, New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
October 30, 2018
Category: Haglunds Deformity

Do you have a painful bump on the back of your heel? Is it red and sometimes swollen? Does the pain get worse when you wear shoes with rigid backs? If yes, you may have Haglund’s Deformity, a condition we treat fairly often at Affiliated Foot & Ankle Care. Although wearing pumps may make the symptoms of Haglund’s Deformity worse (hence the nickname of this condition, “pump bump”), it doesn’t actually cause the problem. Haglund’s Deformity develops as a result of faulty foot structure issues including:

  • Tight Achilles tendon
  • High arches
  • The tendency to walk on the outside of your heel

These structural defects can be genetic.

Treatment Options

Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, will first want to confirm the diagnosis of Haglund’s Deformity and rule out other possible conditions. To do this, the foot doctor will examine your heel and the rest of your feet and also order an x-ray, MRI, ultrasound or other diagnostic imaging tests. The type of treatment prescribed will have to do with the cause behind the deformity. Some possible options include:

  • Changes in footwear—wearing shoes made of soft materials and those with no backs will lessen pressure and pain on the bony enlargement.
  • Custom orthotics—the foot doctor may prescribe an orthotic to reposition the foot and help correct for a structural problem.
  • Immobilization—if the inflammation is severe, a soft case or walking boot may be used to allow time for healing to occur.
  • Heel pads—to cushion the bony protrusion and decrease pain
  • Heel lifts—if you have high arches, heel pads can help compensate.
  • Physical therapy
  • Stretching exercises—to loosen the Achilles tendon

If none of these options are successful, surgery may be recommended which can eliminate Haglund’s Deformity. Need more information on how to treat Haglund’s Deformity? Contact Affiliated Foot & Ankle Care at our Edison, Monroe, Linden or Monmouth Junction office in New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
October 24, 2018
Category: Fitness

The hills and trails of New Jersey are ablaze with color and many of our patients at Affiliated Foot & Ankle Care are taking advantage of the beautiful fall weather by hitting the hiking trails. While this can be a great way to get some exercise and enjoy the outdoors, it can also be hard on your feet if you don’t plan appropriately. Below are some tips to ensure your hike is fun without hurting your feet.

Do Your Homework

Before setting out, research your trails. Remember that a 5-mile hike is very different from a 5-mile walk around your neighborhood. In addition to the length of the trail, also check the elevation and degree of difficulty. Choose a hike that suits your current level of fitness.

Check Your Boots

Hiking boots are specifically designed to support and protect your feet on rocky and uneven surfaces. Sneakers won’t cut it! If you have weak ankles, you should get a high-top style to help prevent twisting injuries. Boots should be roomy enough to accommodate thick socks. If your boots are new, be sure to wear them around for several hours before going out on the trail.

Pack a Bag

Bring a few small but essential items can make the difference between a good day on the trail and a disaster. Moleskin should be applied to any spot on your foot or ankle that starts to feel sore. This will prevent a blister from forming. Include an elastic bandage in case of a sprain and an extra pair of socks. Don’t forget your water bottle and sip throughout your hike. Not only is it essential to stay hydrated but doing so will prevent swelling in your feet and ankles.

Listen to Your Feet

If your feet or ankles start to feel tired or sore, rest for a while. If you feel pain, end the hike as soon as possible. Pain that’s more than muscle aches should be evaluated promptly by our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah.  Contact our Edison, Monroe, Linden or Monmouth Junction office by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
October 16, 2018
Category: Foot Health
Tags: ingrown toenails  

At Affiliated Foot & Ankle Care we want our patients to recognize that your feet are amazing structures! They are made up of 56 bones, 60 joints, and over 200 muscles, ligaments, and tendons between the pair of them. They also take you where you want to go and enable you to walk, stand, run and do pretty much all your daily activities. Don’t they deserve the best treatment possible? Being proactive about podiatric health means adopting good habits that will help keep your feet and ankles at their best. Below are 5 suggestions for good foot health:

  1. Take good care daily. Be sure to wash your feet every day with soap and water. Apply a good quality moisturizer if your feet tend to be dry. Use a foot powder if your sweat excessively.
  2. Keep nails trimmed properly. Toenails should be cut straight across (no curved edges) and not too short to prevent ingrown toenails from developing.
  3. Wear flip-flops or shower shoes when you are walking in public places. This will protect your feet from fungal infections which thrive in warm, moist places like community pools, nail salons, and gym locker rooms.
  4. Choose good shoes. One of the biggest ways to ensure lifelong foot health is to buy good quality shoes that fit properly. Get your feet professionally measured periodically because your size can change as you age. Shoes should have good arch support and tread to help prevent slips and falls. Avoid heels over two inches high and narrow toes boxes that squeeze toes together.
  5. Check feet regularly. Look your feet over for changes in shape, toes moving out of position, skin color discoloration, bruises, blisters or other abnormalities. Make an appointment at our New Jersey offices in Edison, Monroe, Linden or Monmouth Junction. Call 732-662-3050 to get any unusual symptoms checked out by our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah.  In most cases, foot problems that are not treated in their early stages will only get worse and require more invasive treatment.




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