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By contactus@footandanklenj.com
February 23, 2017
Tags: Untagged

After many hours of standing or walking a long distance, it’s not unusual for your feet to feel like they’re on fire. If, however, you find that you are experiencing a burning sensation in your feet on a regular basis, regardless of activity or time of day, the foot doctors at Affiliated Foot & Ankle Care will need to see you for a podiatric examination, particularly if you are over the age of 50. Burning feet may be a sign of a serious health problem, such as:

  • Diabetes
  • Thyroid dysfunction
  • Nerve problems (i.e., Neuroma or tarsal tunnel syndrome)

Heavy alcohol use and gastric restriction in people who are extremely obese can also be the root of a burning sensation in the feet.

Our foot doctors, Dr. Varun Gujral and Dr. Nrupa Shah will want to get a complete medical history in addition to examining your feet. If the podiatrist suspects a systemic disorder you may be referred to your general physician or a specialist for further testing and consultation.

If no significant health issues are diagnosed, there are several ways you can try to reduce the burning sensation. These include:

  • Take foot baths daily to soothe hot and sweaty feet.
  • Choose cotton socks and those made of lighter fibers. Synthetic materials tend to make it difficult for feet to breathe and may cause irritation and the burning feeling.
  • Be sure that your shoes fit properly and provide the necessary support. Remember that your foot size can change as you age and you should have your foot professionally measured periodically to be sure you are wearing the correct size.
  • Put shock-absorbing or cushioned insoles in your shoes.
  • Try to avoid standing for long periods of time

Sometimes a mechanical imbalance in your feet can be the cause of the burning sensation. The podiatrist may recommend orthotics to help correct the position of the foot. The bottom line is that if you persistently experience burning feet, you need to contact our Monroe, Edison or Monmouth Junction office to make an appointment and get it checked. 

By Affiliated Foot & Ankle Care
February 19, 2017
Category: Proper Footwear
Tags: Untagged

Although many women wear high heels to make them look taller, more stylish or professional, at Affiliated Foot & Ankle Care we know that heels contribute to several serious and potentially debilitating problems. High heels put your feet in an unnatural position. The downward sloping of the foot forces toes to be squeezed together and shortens your calf muscles. Some conditions that can result from too much time in high heels include:

  1. Falls. Shoes with high heels, especially narrow ones, make you unstable and more likely to twist an ankle or fracture a bone. If you have weak ankles, high heels provide no support to them and invite repeated sprains.
  2. Knee and back problems. High heels alter your normal standing and walking position and that means the rest of your lower body also has to move in an unnatural way to compensate. This results in strain to your knees and lower back which, if you spend enough time in heels, can become a chronic problem.
  3. Bunions and hammertoes. When your toes are squeezed together and forced up against the front of a shoe for long periods of time, the alignment of the bones can be altered and an existing structural defect can be aggravated. In the case of both bunions and hammertoes, the toes are forced out of their normal position into one that causes pain from footwear, walking and corns and calluses may form as a secondary issue.
  4. Ingrown toenails. That same forcing of the toes up against one another can create the perfect environment for a toenail to start to grow back into the skin surrounding the nail bed. Not only is this condition extremely painful, it can be the gateway for harmful bacteria to enter the body and cause an infection.

Try to limit heel height to two inches and choose shoes with a wide (rather than narrow) heel. If you must wear heels, try to keep your time in them to a minimum and consider keeping flats at your office to wear for at least part of the day or to wear in transit to an event where you plan to wear high heels.

If you are noticing any symptoms of the above problems, make an appointment at our Edison, Monroe or Monmouth Junction office by calling: 732-662-3050 to have your feet examined by one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah. Don’t sacrifice the health of your feet for fashion!

By Affiliated Foot & Ankle Care
February 08, 2017
Category: Uncategorized
Tags: Untagged

February is National Heart Month and at Affiliated Foot & Ankle Care Center our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah want to encourage our patients to practice a healthy lifestyle. Your feet can play a large role in keeping you active, an important component of good heart health. Another avenue to improving your cardiovascular system (and the health of the rest of your body as well) is through a nutrient-rich diet that includes lots of fruits and vegetables.

Learning about and remembering what nutrient comes from which fruit or vegetable is an overwhelming task. The American Heart Association has found a way to make it easy: eat a rainbow of fruit and vegetables daily and you’ll get the vitamins, minerals and nutrients you need. If your plate is too brown or beige add some color. Here are some tips to help:

  • Add vegetables to some of your tried and true favorites: broccoli to mac and cheese, red peppers to rice.
  • Buy what’s in season. Take advantage of what’s growing now in your area. Buy in bulk and prepare and freeze favorite greens, vegetables and berries.
  • Make ‘em tasty. Instead of heavy sauces or sugar, try different ways of preparing fruits and vegetables that brings out their natural good flavors: grilling fruits unlocks their sweetness, roasting vegetables in high heat caramelizes them and takes away bitterness, a quick sauté leaves vegetables crisp and full of flavor.
  • Use canned or frozen when fresh is not practical. You can get the same nutrients but be sure to avoid unwanted extra calories and fat. Choose vegetables without sauces and added salt. Look for fruits packed in water or their own juice.
  • Sneak in the good stuff. Add shredded veggies to soup or a casserole, mashed banana to pancakes or muffins. Search cake recipes that have beets, zucchini or carrots as an ingredient.

Enlist your whole family to get on the colorful plate bandwagon and let children choose some of the vegetables and fruits for your menus.

A healthy heart is a goal all doctors share for their patients. To learn more about the healthy heart, healthy feet connection, contact our Edison, Monroe or Monmouth Junction office at: 732-662-3050.

By Affiliated Foot & Ankle Care
February 02, 2017
Tags: Arthritis  

Did you know that each of your feet has 33 joints? That makes them a prime target for arthritis, a disease that causes inflammation of the joints and joint linings. Arthritis currently affects nearly 40 million Americans, with those over the age of 50 having the greatest risk. Arthritis can be extremely debilitating and keep a person from enjoying an active lifestyle. At Affiliated Foot & Ankle Care we know that early detection of arthritis and getting the necessary medical treatment can greatly limit the damage to joints and slow the progression of the disease. The problem, however, is that many arthritis symptoms can also point to other common podiatric issues. These are some signs to look for in your toes, feet and ankles:

  • Recurring pain and/or tenderness in a joint
  • Stiffness, particularly first thing in the morning
  • A decrease in your range of motion of a particular joint
  • Heat or redness around a joint
  • Swelling
  • Skin changes, such as redness, rashes or abnormal growths

Diagnosis and Treatment

If you notice any of these symptoms occurring consistently, make an appointment at our Edison, Monroe or Monmouth Junction office. Our foot and ankle surgeons, Dr. Varun Gujral or Dr. Nrupa Shah will do a complete examination of your foot and check joints for swelling as well as your current range of motion. X-rays will likely be ordered as they can be very helpful in revealing arthritis and showing how far it has progressed.

There are two main types of arthritis: osteoarthritis—this is the “wear and tear” type that occurs as a result of cartilage and joints breaking down over time, and rheumatoid arthritis—a more complex, group of chronic inflammatory diseases that can have a debilitating affect throughout your body.

If the doctor does confirm that you have arthritis, there are many treatment options available, including physical therapy, bracing and orthotics as well as anti-inflammatory medications that can help reduce pain and swelling. For more information on arthritis in your feet and ankles, contact us at: 732-662-3050.

By Affiliated Foot & Ankle Care
January 26, 2017
Tags: Untagged

We’ve all had one—those annoying painful, fluid-filled spots on our feet that sting with every step we take. Although blisters are a minor condition that don’t usually require the treatment of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah, at Affiliated Foot & Ankle Care we do want to remind patients that blisters can become infected, especially if you try to pop them (which you shouldn’t!). A yellow or white discharge or foul odor coming from the blister may indicate an infection and requires an appointment at our Edison, Monmouth Junction or Monroe office ASAP. An open blister can be particularly dangerous for patients with diabetes or other diseases that compromise the immune system or cause circulation difficulties.

Normally, the fluid from the blister will get reabsorbed into the body once new skin has developed under the irritated area. While this healing occurs, you should keep the area clean and covered with a bandage or some moleskin to prevent further rubbing and irritation.

Of course the best way to get relief from a blister is to avoid getting one in the first place!

Here are a few tips on how to prevent blisters:

  1. Only wear shoes that fit properly and are not worn out. As many as 9 out of 10 women and 1 out of 4 men are wearing shoes that are too small for them. Your foot may get larger as you age. Have your foot professionally measured and be sure shoes feel comfortable from day one—there’s no such thing as a “breaking in” period.
  2. Look for socks that wick moisture away from your feet and use a foot powder if you tend to have sweaty feet. That moisture creates more friction and increases the chances of a blister forming.
  3. Avoid tube socks or styles without heels because they tend to bunch up uncomfortably and can lead to blisters.
  4. If renting ski boots, ice skates, bowling or other sports related shoes take a few extra minutes and be sure the shoes are a good fit before beginning the activity.




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