732-662-3050

 




 
 

 

By Affiliated Foot & Ankle Care
September 18, 2018

September is National Childhood Obesity Awareness Month and here at Affiliated Foot & Ankle Care, we have a vested interest in this cause. Why? Studies show that obese children often continue on to be obese in adulthood. Carrying excess weight is harmful to your feet and ankles. The added strain is a cause or contributing factor for many foot and ankle disorders, including plantar fasciitis, sesamoiditis, flat feet, chronic ankle instability, and more. In addition, being obese greatly increases your risk for systemic diseases—many of which also have serious consequences for your feet—like diabetes and hypertension. Below are some simple steps to take now to help prevent your child from becoming overweight:

  1. Make dietary changes. Obviously, food choices are a big factor in maintaining a healthy weight. Too many high fat and calorie snacks and processed foods are readily available and inexpensive. You don’t have to change your family’s entire diet overnight. Make small choices gradually:
  • Buy more fruit and less pre-packaged snacks and desserts.
  • Teach your children to read labels and look at sugar and fat content in the foods they eat.
  • Do away with sugary drinks and encourage your family to drink more water.
  • Decrease portion size.
  1. Step up physical activity. The other part of the calorie equation is burning more calories than you take in. Look for ways to enjoy more physical pursuits as a family: bike rides, hiking, raking leaves, and rollerblading together. Even simply taking a walk after dinner is a great way to add more active minutes to the day. If your child has had a foot or ankle injury, check with our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, before starting new fitness activities.
  2. Put limits on screen time. Constant access to phones, computers, television, and video games will naturally disincline your child to participate in more active pursuits.
  3. Set regular bedtimes. Lack of sleep is a contributing factor to obesity. Now that school is back in session, create a schedule that allows your child to get enough sleep each night.
  4. Be a role model. Children learn by watching. If you show care about what you eat, being active and living a healthy lifestyle they will follow your example.

If you have questions about your child’s weight and foot health or have other podiatry concerns for you or your children, contact our Linden, Monroe, Edison or Monmouth Junction offices in New Jersey today by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
September 12, 2018
Category: Ingrown Toenails
Tags: Ingrown Toenail  

Perhaps one of the more painful, common conditions that we treat at Affiliated Foot & Ankle Care is the ingrown toenail. When a nail grows into the nail bed it can become red, swollen, and very tender to the touch. It’s so painful that often patients put off coming to us (which only allows the condition to get worse) because they fear how much the treatment will hurt. When an ingrown toenail is severe, or an infection has developed, our podiatrists, Dr. Ben Gujral or Dr. Nrupa Shah can do a procedure known as a partial nail plate avulsion. First, we numb the toe with an anesthetic. Then we can cut out the ingrown portion of the nail. Patients leave the office in much less pain then they came with.

Avoiding Ingrown Nails

Of course, it’s always better to prevent a foot or nail problem in the first place. Below are some ways you can help stop an ingrown toenail before it starts:

  • Trim nails correctly—improper trimming is the number one cause of ingrown toenails. Nails should be cut straight across and with no rounded corners. It’s also important not to trim nails so short that the skin of the toe can easily flap over the nail.
  • Don’t wear shoes and socks that are tight. The constant pressing of the toes together encourages ingrown nails to form.
  • Wash your feet daily. If you think an ingrown toenail is starting, you can soak the foot in warm water several times a day and gently massage the corner of the nail out of the skin.

No “Bathroom Surgery” Please

Do not attempt to cut the nail out yourself—this can lead to serious injury and infection. Avoid home remedies such as sticking a piece of cotton under the nail or cutting a notch out of the nail. These also will not work and will damage the nail and the toe.

If you have an ingrown toenail, don’t suffer needlessly. Contact our Edison, Linden, Monroe or Monmouth Junction office in New Jersey for an appointment today by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
September 05, 2018
Category: Senior Foot Care

Did you know that falls are the number one cause of both fatal and non-fatal injuries to people aged 65 and older? During the month of September, we celebrate Falls Prevention Day. At Affiliated Foot & Ankle Care in New Jersey, we are concerned about foot care at all ages. We’d like to take this opportunity to offer these tips for preventing falls among our senior patients.

  1. Don’t put off getting foot pain evaluated. If your feet hurt, it can make you walk in an abnormal way in order to avoid the pain. This can throw off your balance and result in a fall. Be sure to get any foot pain or discomfort checked by one of our podiatrists, Dr. Ben Gujral or Dr. Nrupa Shah promptly. The foot doctor will be able to diagnose the problem and prescribe the proper treatment to alleviate the pain. If it’s a chronic problem, the podiatrist may be able to help with shoe choices or orthotic inserts that will make walking less painful.
  2. Get your eyes checked regularly. Changes in vision can be subtle. Not seeing well at night or changes in depth perception will greatly increase the chance of stumbling.
  3. Declutter your home. Ask a family member to do a walk-through of your home with you. A second pair of eyes will be helpful in spotting potential tripping hazards. Be sure to take care of the following:
  • Obstacles in walking areas such as plants, electrical cords, piles of magazines, etc.
  • Throw rugs and carpeting that is becoming untacked at the edges.
  • Make sure there is adequate lighting inside and out and especially on staircases. Install night lights that will illuminate the path from your bedroom to bathroom.
  • Install safety accessories such as grab bars in the shower and near the toilet and handrails on both sides of the stairs.
  1. Review medical conditions and medications. Diseases such as arthritis or neuropathy can affect your ability to walk. Certain medications may cause dizziness or lightheadedness, especially when taken in combination with other medications. Ask your physician or pharmacist to review all of your medications.
  2. Improve your balance. There are exercise classes you can do that will help improve balance. Check your local senior center or contact the National Council on Aging for programs in your area.

If you have additional questions about how foot care can affect your fall risk, contact our Edison, Monroe, Linden or Monmouth Junction office today by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
August 29, 2018
Category: Bunions

That’s a question that we at Affiliated Foot & Ankle Care hear frequently during when summer comes to an end. The reason is that many women spend the warmer months in sandals and flip-flops. These open shoes don’t put pressure on a bunion. Once fall arrives and foot fashions switch to closed shoes the pain seems worse than ever. And, it may well be more painful. Bunions, the bony protrusion at the base of the big toe, are deformities that occur because the toe begins to drift toward the second toe. It’s a progressive condition and one that will only get more pronounced and painful as time goes on.

Non-Surgical Options

As soon as you suspect that you may have a bunion forming, it’s important that you make an appointment at our Edison, Monroe or Monmouth Junction office in New Jersey. Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah will conduct a complete examination of your feet. We will most likely take x-rays or do other imaging studies to determine the extent of the bunion. Our foot doctors will use those images to monitor the progression of your bunion. In the early stages, bunions can be treated with conservative measures including:

  • Protective padding to reduce friction and pain
  • Footwear that will accommodate the bunion and not accelerate its growth
  • Orthotic inserts for your shoes to correctly position your foot and stabilize the toe joint
  • Exercises to promote joint mobility and range of motion
  • Night splints to help properly align the joint

Bunion Surgery

Although non-invasive measures may slow the progression of a bunion and help increase your comfort, they will not eliminate it. The only way to correct a bunion deformity is through surgery. There are several types of bunionectomies. The foot doctor will choose the one that best suits your joint deformity. Bunion surgeries have a high rate of success. Many patients choose to have this surgery in the fall when they know summer vacation is over and they have some down time before the busy holiday season arrives.

If your bunion pain is becoming unbearable, contact us for an appointment today by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
August 22, 2018

Here at Affiliated Foot & Ankle Care, we know that parents in the Monroe, Edison, and Monmouth Junction, NJ areas will all soon be making that annual pilgrimage in search of shoes for their children to wear for the new school year. The shoes you choose for your children can have a big impact on the health of their feet now and in the future. Below are 10 suggestions to help you get the best shoes and the proper fit for your child:

  1. Don’t skimp on quality. Yes, we know there are many expenses associated with this time of the year, but footwear is not a place to cut corners. Shoes should be made of durable, high-quality materials and well-designed with plenty of cushioning on the sole and heel.
  2. Laces will provide better support and fit compared to slip-on shoes. These reduce the likelihood of ankle sprains and falls.
  3. Get feet measured professionally. Children’s feet can increase up to 2 sizes in 6 months. If one foot measures larger than the other (not uncommon), shop for shoes to fit the larger foot.
  4. Give toes some wiggle room! There should be ½ an inch space between the longest toe and the front of the shoe. Avoid narrow toe boxes and pointy styles which squeeze toes together. This can encourage ingrown toenails.
  5. Late afternoon is the best time for children’s shoe shopping. That’s when feet are at their most swollen.
  6. Have your child wear the type of socks they plan to wear with the shoes you will be buying.
  7. Make sure the heel counter fits snugly. If the heel is slipping out of the shoe when your child walks, it’s too loose.
  8. Children should try on both shoes and walk around the store for several minutes to make sure they are comfortable.
  9. Check feet afterward for red spots which may indicate points of excessive pressure or friction.
  10. Run your hand around the inside of the shoes to make sure there are no rough patches or rigid stitching that could rub the skin of the foot and cause a blister.

If you have additional questions about the best shoes for your child, don’t hesitate to contact Affiliated Foot & Ankle Care. Our podiatrists, Dr. Varun (Ben) Gujral or Dr. Nrupa Shah. This is particularly important if your child has a previous foot injury. Call us for an appointment at 732-662-3050.





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.