By Affiliated Foot & Ankle Care
August 19, 2017
Category: Proper Footwear
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As summer winds down, many families will be setting out on the age old quest for new school shoes. At Affiliated Foot & Ankle Care we know that buying good quality, properly fitting shoes are one of the best ways parents can protect the health of their children’s feet. Below are some important tips to consider:

  • If your child sustained a foot injury over the summer or you have any concerns about their feet at all, schedule a foot examination with our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah before you take your child shopping for new shoes. It’s important to be sure that any injuries have fully healed. Also, if there are any problems with your child’s feet, the foot doctor may have specific recommendations about the kinds of shoes that would be best for your child.
  • Have both of your children’s feet measured professionally before trying on shoes. It is not uncommon for one foot to be larger than the other. Always buy shoes to accommodate the larger of the two feet.
  • Make sure there’s enough room in the toe box. There should be a half an inch of space between the longest toe and the front of the shoe and your child should be able to freely wiggle their toes in the shoes.
  • Check that heels do not slip out of the back of the shoe. If this is happening, there is a greater risk of injury. Children who have sprained ankles in the past or who have weak ankles may do better with high top shoes or sneakers.
  • Don’t forget sneakers or sports shoes. At the rate that children’s feet grow, there’s a good chance that your child has outgrown the sneakers he or she was wearing in the spring. Check for wear too. If your child plays a particular sport, get shoes that are designed for that sport.
  • Have your child walk around the store with both shoes on for a while before purchasing. Take them off, remove the socks and check your child’s foot to see if there are red marks or other signs that the shoe is irritating or rubbing on a part of the foot.

If you have questions about the health of your child’s feet, contact our Edison, Monroe or Monmouth Junction offices in New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
August 04, 2017
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Psoriasis is a disease that affects the autoimmune system of the body and is most commonly recognized by red, flaky patches on the skin. At Affiliated Foot & Ankle Care, we want patients to know that this systemic disease can seriously impact your feet.

Skin and Nail Conditions

There are several types of psoriasis that can affect your feet. The kind that is seen most often is the plaque type of psoriasis that can also appear on the skin on other parts of your body. The patches, or plaques, that form on the skin are thick and scaly. They can crack and bleed and be quite painful, especially if they develop on the bottoms of your feet where they receive constant pressure from standing and walking.

Other types of psoriasis that can be found on the feet are pustular varieties, which mean that little, fluid-filled pustules (think small blisters) form on the skin. These can be yellowish or white and will eventually dry out, sometimes leaving a brown stain behind.

Your toenails are technically part of your skin and so it’s not a surprise that nail psoriasis often occurs in patients who have this disease. Pitting and discoloration are signs of psoriatic nails, as is thickening of the nail and separation from the nail bed.

The tricky part of diagnosing psoriasis on the skin and nails of your feet is that the symptoms are similar to those of athlete’s foot and fungal toenails. That’s why it’s important to let one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah, examine your foot if you have any new or unusual skin or nail conditions to get an accurate diagnosis, which will then determine the correct treatment.


All types of psoriasis have two components: genes and triggers. In people who have the genetic predisposition to the disease, a trigger is needed to cause a flare up, which basically kicks the production of new skin cells into overdrive, resulting in the plaque and/or pustules. Known triggers include:

  • Stress
  • Injury or trauma to the skin
  • Certain medications
  • Infection

If you are wondering if a skin or nail condition that you are experiencing could be a sign of psoriasis, or if you already know you have the disease and are seeing changes in your feet, contact our Edison, Monroe or Monmouth Junction office for an appointment at your earliest convenience by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
August 01, 2017
Category: Proper Footwear
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During the summer months, many people make a choice that they think is easy on their feet but can actually cause several short and long term problems: the constant wearing of flip flops. At Affiliated Foot & Ankle Care, we want to remind patients that these easy-to-wear summer shoes have one excellent use: keeping your feet from coming in contact with bacteria and fungi when walking in damp, warm places like the town pool, gym locker room or beach changing area. Wearing them every day, however, can be hazardous. Here’s why:

1.People wearing flip flops are more prone to cuts, scrapes and blisters. Most flip flops are made of rubber, which tends to create a high amount of friction between the skin and the strap  between your toes when feet sweat. This means an increased chance of blisters. In addition, the openness of the shoe combined with the total lack of sides means the foot is not stable, resulting in more stubbed toes, scrapes and cuts on your feet.

2.Flip flops increase the risk of stress fractures. Flip flops offer zero shock absorption. The repeated pounding of your feet on hard surfaces with very little to cushion the impact greatly increases the chance of stress fractures, especially in the forefoot. These tiny, hairline cracks develop as a result of repetitive pressure and are characterized by ongoing pain which can be dull or sharp.

3.A high number of ankle sprains occur to people wearing flip flops. In flip flops, your feet easily slip from side to side, making twisting an ankle an easy feat. People who have had a previous sprain are more likely to overstretch the ankle ligaments again, especially if the sprain was not fully rehabilitated initially. With no ankle support whatsoever, flip flops do nothing to protect ankles or hold them in position and prevent twisting when walking or stepping off stairs, curbs or other uneven surfaces.

4.Patients who make flip flops as their go-to summer shoes are more likely to end up with heel pain and plantar fasciitis. If you have flat feet, you are more likely to experience heel pain or to develop plantar fasciitis—a condition where the long band of tissue that stretches along the bottom of the foot, the plantar fascia, becomes inflamed. When you wear flips flops, which have no arch support, on a regular basis, you are encouraging your feet to become “flat.”

If these easy going shoes leave you with stressed out feet and you find yourself experiencing pain as the summer wears on, don’t wait to contact our Edison, Monroe or Monmouth Junction offices by calling: 732-662-3050. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will get you the pain relief you seek, although you will most likely have to put away your flip flops!

By Affiliated Foot & Ankle Care
July 26, 2017
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Have you been experiencing pain in your calf on a consistent basis? At Affiliated Foot & Ankle Care we find that there are a wide variety of possible causes of calf pain in patients we treat. Below are some questions to ask that may help lead to the source of the pain:

Have you changed your fitness routine? If you’ve made a sudden increase in the intensity or duration of your exercise program, you may experience calf pain. While a certain amount of muscles soreness is normal—particularly if you are starting a sport that uses the calf muscles, or if you’ve been inactive for awhile—lasting or severe pain is not. A ruptured Achilles tendon or inflammation of the tendon (Achilles tendonitis) are possible causes of the pain.

Did you have surgery recently and/or fly on a plane? A very serious cause of calf pain is a Deep Vein Thrombosis. This is a blood clot that forms deep in the calf and can be extremely dangerous if it breaks free and travels to the heart, lungs or other organs. If you have any reason to believe that Deep Vein Thrombosis is a possibility, contact your doctor immediately.

Are you drinking enough water and eating a balanced diet? Current guidelines recommend that you drink half your bodyweight in ounces of water every day to stay fully hydrated. Calf cramps, particularly when they occur during the night, can be a sign of dehydration. Also, if you are deficient in certain vitamins and minerals you may experience pain in your calf.

Do you have diabetes? Circulatory problems are often associated with diabetes. Poor blood flow to the lower extremities is another possible source of calf pain. Other diseases such as Peripheral Vascular Disease are characterized by decreased blood flow to the legs, resulting in pain in the calf area.

In some cases, calf pain may be a sign of other podiatric problems such as flat feet or an ankle issue. The only way to find out for sure what’s causing the pain and how to relieve it is to make an appointment to see one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah. Our foot doctor will conduct a physical examination of your feet and ankles and also ask questions about your medical history and lifestyle to track down the cause of your calf pain and then prescribe the correct treatment. Contact our Edison, Monroe or Monmouth Junction office in New Jersey today by calling 732-662-3050.

By Affiliated Foot & Ankle Care
July 21, 2017
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Are you expecting? Congratulations! You are probably well aware that this happy event will bring many changes to your body and at Affiliated Foot & Ankle Care, we know that there are some that will particularly affect your feet. While not the focus of your pregnancy, the health of your feet can play a large part in how comfortable you feel. Below are some do’s and don’ts to help you take care of your feet so they can take care of you and the baby you are carrying:

Do: drink plenty of water, especially if you are pregnant during the hot and humid summer months. However, staying hydrated helps with a pregnancy issue that can occur in any season: swelling, or edema. Your feet and ankles are likely to become the repository for much of the extra fluid your body will be producing. Drinking water actually helps flush the excess fluid out of your system.

Do: buy a bigger size shoe if your feet start to feel cramped and pinched in the last trimester of your pregnancy. Your body releases a hormone known as relaxin, which will loosen ligaments in your body. The purpose is to relax the birth canal to make delivery easier. In your feet, however, the loosening ligaments may allow your feet to spread a bit and actually become larger.

Don’t: wear high or spiky heels. Your center of gravity will shift as your pregnancy progresses and this makes it easier to lose your balance.  In addition, the relaxin hormone mentioned above will also loosen your ankle ligaments, making sprains and other injuries more likely.

Do: put your feet up periodically throughout the day if possible, and definitely at the end of the day. This will help ease swelling and foot pain issues and is just a good idea for moms to be.

If you have unusual podiatric symptoms while you are pregnant, or are experiencing foot or ankle pain, contact our Edison, Monroe or Monmouth Junction office for an appointment by calling: 732-662-3050. Our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah will examine your feet and prescribe any necessary treatment for foot conditions that develop during this time. 

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