With the NBA regular season tip-off two weeks away, teams are currently playing their exhibition games. Although it is still preseason, head coaches still want their star players on the court. While they only play limited minutes it’s important that they’re on the court in order to mentor the rookies, get a feel for how the team is playing relative to practice, and because--probably the main reason--they don’t like sitting on the bench! But there is always that risk of injury (with any sport) and that’s something coaches and players have to take into consideration. With that said, reigning MVP Kevin Durant suffered a fracture on the outside of his foot on Saturday...during practice! Of course, any professional player can sustain an injury during any point-in-time during their career it’s just very unfortunate that it had to happen while practicing. An upside to him fracturing it now is that he will be back with ample time left in the season so it shouldn’t hinder the Thunder’s chance for a playoff berth.

 The injury Durant suffered is called a Jones fracture. A Jones fracture is a fracture of the fifth metatarsal (on the outside or lateral side of the foot) approximately 3/4-inches from the base. There is a debate as to whether or not fractures should be treated conservatively or surgically and it all depends on the severity of the fracture, the “type” of patient (i.e., professional athlete vs. regular patient), and the surgeon. In Durant’s case, he is a professional athlete who needs to be back on the court as soon as possible and the Thunder’s medical staff is leaning towards surgical intervention (because that’s what they feel will get him back on the court the quickest). However, there have been other professional athletes who have sustained fractures that were treated conservatively and the results were just as good. Surgical and conservative treatment options both have positives and negatives each of which will be measured properly by medical professionals.

 The fifth metatarsal is the most common fractured metatarsal and the fracture can occur at many different points within the bone. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are highly trained surgical specialists who are able to diagnose and treat any type of fracture in the foot. So if you experience pain on the outside of your foot and there was some type of trauma associated with it, odds are it is a fracture, so please don’t hesitate to call our office and make an appointment. We wish Kevin Durant a speedy recovery and hope he returns without any complications!

 By Varun Gujral


Pedicures are very popular throughout the world. They are extremely popular before bachelorette parties, weddings, and prior to big vacation getaways. Now, when I say pedicure, you’re probably thinking of putting your feet in a warm foot bath with bubbles, the technician using a pumice stone on your foot and then caring for your toenails. Well, what if I were to tell you that’s not what I’m talking about this time. Because I’m actually referring to a ‘fish pedicure’. That’s right! No technicians needed, just a tank full of toothless carp or Gara ruffa. This not-so-popular practice hit mainstream when the Kardashian sisters had it done in Greece last year.

So what does it entail? Exactly what you think--immersing your feet in a tank full of these fish and letting them feast on your dead skin. There is, however, some controversy of this technique; the main concern being animal cruelty. The fish apparently have to be starved in order for them to be hungry enough to consume the customer’s dead skin. Second, how sanitary can this actually be? You can probably ask that question about anything, but when it comes to fish, dead skin, hot water, and the human body there definitely needs to be some talk as to whether this practice is clean or not. Your standard pedicures can be very healthy for your feet, they can also be detrimental. They have the potential to cause athlete’s foot (Tinea pedis) and even discolored nails (onychomycosis), both of which are caused by a fungus. While I am unaware of the negative results of the ‘fish pedicure’ I think it’s safe to say that they pose the same detrimental effect.

Athlete’s foot is comprised of itching and burning and your foot will look red and spotty. To fight this problem, try using and anti-fungal powder in your shoes and wash all of your bedding and clothing with bleach. If your nails appear discolored, you may need to make an appointment with your local podiatrist at Affiliated Foot and Ankle Center in Monroe and Edison, NJ. Discolored nails are harder to treat with over the counter (OTC) products and should be cared for by a podiatrist. Pedicures of all sorts are extremely popular but please be aware of the side effects associated with them. 

By Nrupa Shah

By Varun Gujral
October 01, 2014
Category: Community Service

Today marks the first day of Breast Cancer Awareness month and I would like to pay tribute to all of the cancer survivors out there by saying ‘Keep Strong and Battle On’! I could not imagine what it’s like to have to deal with breast cancer or any type of cancer for that. But I do know that the people who do deal with it are some of the strongest people I have come across. With that are the people who support these survivors. They are among the most beneficent and loyal a person can be. And that’s all cancer survivors and all of their supporters throughout the world, in my opinion.

According to the National Breast Cancer Foundation, one in eight women will be diagnosed with breast cancer in their lifetime. It is also the most commonly diagnosed cancer in women and the second most common cause of death among women. Breast cancer, interestingly enough, can occur in men but very rarely. It’s said that each year 2,150 men will be diagnosed and 410 will die. Breast cancer also has the potential to metastasize and the most common sites are bone, brain, lung, and liver. While bone is one of the most common sites, metastatic tumors are rarely found in the foot and ankle but your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are highly trained to manage and treat metastatic tumors of the lower extremity if need be.

Breast cancer is the most commonly diagnosed cancer among women today and the second most common cause of death. You can perceive those numbers however you want, but when it comes down to it the women fighting this disease are among the strongest out there! To help these women fight it you can visit the following sites to either make a donation or to volunteer in your local area:



Like I said previously, ‘Keep Strong and Battle On’!

By Varun Gujral

With summer coming to an end and fall taking its place, the weather is appearing to be more frigid and the sun seems to be dimming a lot earlier than we’re used to. Frigid temperature usually means wearing warmer clothes throughout the day and possibly more covers at night. What if I told you the latter could potentially be hindering how you sleep? Not in a bad way, but you could sleep better with less covers or by changing the way you position your legs and feet while still be covered up. There hasn’t been any real evidence conducted about this particular topic, but sleeping with your toes or your entire foot outside the covers could help improve the way you sleep at night.

According to Dr. Natalie Dautovitch, a leading researcher in chronopsychology, our hands and feet are unique such that they “contain vessels called arteriovenous anastomosis, which--coupled with the lack of hair on the bottoms of your feet--are perfectly designed to help dissipate body heat”. I think this could be viable information to tell our patients who do suffer from sleep deprivation and even those who feel fatigued in the morning. Along with sleeping with your foot (or feet) outside the blankets, it was also recommended that patients can also take a warm bath or drink a warm drink prior to going to bed. It’s said that the body feels more tired in colder environments so with getting out of a cold bath your body immediately starts to cool itself so you should feel sleepier.

Again, there is no evidence-based research to back any of this up but I feel it is definitely something we can try to employ before suggesting any kind of sleep aid. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are not only here to help your feet better, but to make your overall quality of life better and we will try any and every way possible to accomplish that.

By Nrupa Shah


By Varun Gujral
September 17, 2014
Category: Medical Tattoos

Everyone knows tattoos are very popular among today’s generation and even past generations. You can put a tattoo virtually anywhere with the most popular of spots being the back, arm, calf, side of the rib cage and even the top of the foot. However, how does getting a tattoo on the bottom of your foot sound? Not too appealing, right, or no? No one would see it, so no one can judge you...only you know it’s there unless of course you show it to someone. And what people get tattooed on their body is a whole other topic we won’t discuss today. But for model Cara Delevinge, she took things to a different level--the bottom of her foot. What did she get a tattoo of you ask, “BACON...”.

As recently stated, tattoos are extremely popular and are usually “inked in” to resemble some form of art, but they can be used for medical reasons as well. Some examples are, but not limited to, for patients who suffer from chronic disease, as an aid in radiotherapy, during breast reconstruction after mastectomy, and for use in the military. Expanding on medical tattoos used for patients who suffer from chronic diseases, this would be an example of a patient who suffers from type 1 diabetes, patients we see quite commonly at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ. These tattoos are used to help medical responders determine the status of the patient if need be. The controversy, however, is that not all emergency personnel are trained to look all over the body for a tattoo. With that said, I think it’s very crucial for the patient if they do decide to get a medical tattoo to make it visible for anyone to see just in case an emergency situation does arise.

Medical tattoos are not as popular as your “artsy” tattoos but are definitely gaining interest especially because medical bracelets do cost quite a bit of money. However, if you are deciding to hang up the bracelet and get a medical tattoo, please make sure it’s in a place on the body where it is noticeable. My suggestion would be below the palm on the wrist, somewhere on the chest (in an emergency situation someone will most likely cut your shirt off), or on the side of your rib cage below your armpit. I don’t know, however, if it would be a good idea to put it on the bottom of your foot, as Cara Delevinge did unless of course you never wear shoes.

By Varun Gujral

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