I don’t know about you, but I always enjoy watching the NBC family friendly show “America’s Got Talent (AGT.)” The variation of acts and talent America brings to the AGT stage keeps the show fresh and audience wanting more.  Being the first all-male season finale, Americas Got Talent crowned Ventriloquist Paul Zerdin of London, England winner of season 10 and 1 million dollars.  While Paul is preparing for his new show in Vegas, AGT was sad to say good bye to judge Howard Stern after 4 seasons with the show.

Becoming familiar with the emotional ride this show has you experience, we were shocked to see ladder stunt performer Uzeyer Novruzov from Russia, fall from a 15 foot ladder during his performance in week two of the semifinals. His fall occurred while performing an act that he had tried 10 years previous that left him injured and in a coma for three days. Surprisingly Uzeyer was voted through to the finale despite his fall. During the finale he was unable to maintain the previous week’s performance level due to fall and chances of further injury. Uzeyer’s 20 years’ of ladder stunts proved to be a dangerous yet exciting act but his injuries kept him from winning 1,000,000 dollars!

Traumatic events like these can also keep you from performing at your best. It is important not to ignore foot and ankle injury and to seek proper medical attention. Here at Affiliated Foot and Ankle Care we treat anything from calcaneal fractures to planter fasciitis. Not seeking proper care for the lower extremity can cause serious long term damage. Let us help you to improve your performance and health at one of offices located in Edison, and Monroe.

By Varun Gujral

For many people, their feet stay hidden away most of the time in shoes and socks and people rarely pay attention to subtle changes occurring in their feet. Some common changes that are often ignored could be an early indicator of more serious problems affecting your heart or circulation. Hairless toes are often a sign that not enough blood is being pumped to your feet. Grass requires an adequate water supply to grow and like grass if the feet are not receiving enough blood, hair will not grow either. Furthermore, if the feet are not receiving enough blood, the skin will appear discolored and thin and the nails will get thick and yellow. Together, these are common indicators of circulation problems known as peripheral arterial disease (PAD).

PAD is a circulatory problem where the arteries in the extremities become narrowed which greatly reduces blood flow through them. PAD is commonly caused by atherosclerosis which is where plaques build up within your blood vessels and limits blood flow through them. If you think of the blood vessels as tubes with liquid flowing through them you can then imagine how if there was a buildup of junk within the inside of those tubes then that would result in significant impairments in blood flowing through them. PAD is very common among smokers, people who are obese, have diabetes, high cholesterol, high blood pressure, or a family history of PAD are also at a greater risk of developing PAD. Besides the above mentioned changes occurring in the feet people with PAD commonly develop leg pain when walking that goes away with rest, cold extremities, and a lack of pulses in the extremities as well. People with PAD have a much higher risk of suffering from a heart attack or stroke so treatment is very important.

Lifestyle changes are the first thing that needs to be done in order to treat PAD. People who smoke need to quit and also people need to adopt a healthy diet and take up some form of exercise. Other than lifestyle changes your doctor may put you on medications to control blood pressure and cholesterol and in severe cases perform surgery to either open up the blood vessels or bypass the blockage. PAD is a very serious problem that needs to be caught early and by paying attention to changes in your feet you can catch the problem early enough to possibly treat it with just some simple lifestyle changes. If you think your feet are showing signs and symptoms of PAD or you would like more information about PAD please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

For many, Corns and Calluses are an unsightly condition that most people want to keep hidden so others can’t see them. Many who develop corns and calluses will try to keep the problem hidden in their shoes and try home remedies to make them go away without realizing the potential complications that they can lead to. Calluses typically occur on areas of the skin that are placed under repeated pressure or experience repeated friction, corns are calluses that occur on the top of the toes. Corns and calluses are more than just a cosmetic issue; they change the quality of the skin damaging its elastic properties. If the skin can’t stretch, then it’s going to tear and if it tears it will quickly crack. This is especially problematic because cracks in the skin form a portal for bacteria to enter which will easily lead to an infection. Corns and calluses are especially problematic for diabetic patients because they can lead to the development of diabetic foot ulcers which are the one of the leading causes for foot amputations.

Corns and calluses can be easily prevented by wearing properly fitted shoes that minimize pressure and friction on your feet. You can also use padding to help protect areas of your feet that are susceptible to callus formation. If you do develop a callus, don’t try to remove it on your own, seek expert care from a podiatrist. They might try trimming away the dead skin composing the callus. Don’t try this on your own because if you cut too deep you could cause a serious injury to yourself or at the very least create a portal for bacteria entry. Your doctor may also try applying a keratolytic agent to the callus which is a weak acid that will eat away at the dead skin.

If you have an underlying foot deformity that is causing these problems, your doctor may make a mold of your foot in order to design a custom foot orthotic for you to offload the area and prevent the callus from returning. In very rare cases if the calluses are being caused by a boney deformity or a misalignment of the bones, your doctor may recommend surgery to remove the deformity or correct the misalignment. If you developed a corn or callus and would like to have it removed or would like more information about corns and calluses please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

By Varun Gujral
September 02, 2015
Category: Sports Injury

The regular season of the PGA Tour comes to an end in July but the FedEx Cup Championship starts in August—and it starts in Edison, NJ home of your local podiatrists of Affiliated Foot and Ankle Care. Golf is a very leisurely sport but with it can come with major problems, especially related to the foot and ankle. The most common foot and ankle problems golfers complain of are heel pain, metatarsalgia (or ball-of-the-foot pain), and tendinitis.  All of these common ailments can be treated by conservative measures and they are complaints that your local podiatrists are experts in treating.

 There is one common treatment option, which unfortunately does not require the advice of a physician and that is—REST.  Resting any injured part gives your body time to heal by reducing the amount of strain it is used to having on it. Along with rest is ice compression, and elevation…also known as, RICE. This is the go-to treatment option and it’s typically done before patients are even seen in the office. If these measures fail, more aggressive conservative treatments are warranted. Those treatments usually include, in particular order, bracing (for tendinitis), OTC orthotics, custom orthotics (both for heel and foot pain), physical therapy (for all complaints, but mainly tendinitis) and steroid injections (heel and foot pain). Steroid injections are not warranted for tendinitis due to their deleterious effects on tendon strength and healing. There are even more aggressive treatments that can be done but are not usually warranted because these treatments typically cure the pain. For completeness sake, other conservative treatments are cryosurgery and shockwave therapy, both of which are used mainly for heel pain.

The conditions mentioned above are not only experienced by golfers. These are conditions we see every day and are experts in treating them. If you or anyone you know has experienced any of these pains or discomforts, please do not hesitate to call our office and make an appointment. We also have an office in Monroe, NJ as well. Good luck to the golfers as they finish up the start of the FedEx Cup!

 By Varun Gujral


By Nrupa Shah
August 27, 2015
Category: Foot Odor

Do smelly feet hold you back from doing certain activities with friends or family? If so, you are not alone, many people experience the problems of foot odor at some point throughout their life and try real hard to hide it. Foot Odor can be caused by a vast number of things; some of the most common factors include overusing one pair of shoes, excessive sweating in the shoes, and a lack of ventilation. A warm and moist environment creates the perfect breeding ground for bacteria and fungi which over time will multiply and accumulate and eventually create that awful smell that’s stinking up your favorite pair of shoes. If foot odor is a problem for you there are some simple tips you can do to stop foot odor from controlling your life.

  • Deodorize the Shoe: You can easily deodorize the inside of your shoes by placing baking soda inside your shoes every night and then dump it out the next day. Also, cedar chips have anti-fungal properties which can be placed in your shoes overnight as well.


  • Freeze your shoes: You can kill much of the bacteria and fungi in your shoes by freezing them. Place your shoes in a plastic bag and stick them in the freezer overnight and you’ll notice a dramatic decrease in the smell of your shoes. Just remember to let them thaw out before you put them on.


  • Wash your shoes: If you have shoes that are machine washable it would be a good idea to wash your shoes in detergent at least once a month to get rid of any dirt and grime in your shoes. Just remember to let them dry out real good before wearing them again.


  • Use baby powder on your feet: If your feet sweat a lot, this could attract bacteria to them and cause them to smell bad. To prevent this from happening, you need to keep them dry by using baby powder or something similar to it on your feet. You can put a layer of baby powder on your feet and then put socks on and then another layer in your shoes before wearing them. This will not only keep your feet dry but they will smell like baby powder which is much better than the other alternatives.


  • Manage your foot hygiene: Probably the most important tip for preventing foot odor is to maintain good foot hygiene. One should clean their feet daily by cleaning them in the shower with soap making sure to clean in between the toes. Alternatively, one could soak their feet in a vinegar solution or Epsom Salt solution. Whichever method you choose, make sure to dry your feet well afterwards. You can also put deodorant on your feet just make sure to keep a stick that is meant only for your feet.


  • Have more than one pair of shoes: Try not to wear the same shoe more than two days in a row. Have an extra pair that you could switch out and wear the next day. Also allow the other pair of shoes a chance to dry out.


If you’re suffering from foot odor and would like to discuss topic with a podiatrist or would like more information about foot odor please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah



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