Posts for category: Common Foot Conditions

By Affiliated Foot & Ankle Care
February 18, 2019

A condition that we at Affiliated Foot & Ankle Care find that many of our patients are unfamiliar with is a plantar fibroma. Below are some facts and how to treat this disorder.

FACT: A plantar fibroma is a lump in the arch of your foot. It is a fibrous, nonmalignant tumor which grows in the plantar fascia, the long ligament that runs the length of the bottom of your foot.

FACT: The cause of plantar fibromas is unknown.

FACT: Plantar fibromas will not usually go away or shrink without treatment. They can occur in one or both feet, and multiple fibromas may develop.

FACT: There are other possible causes of lumps in the arch, and for that reason, it’s essential that you make an appointment at our Edison, Monroe or Monmouth Junction office so that one of our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah can examine your foot and make the appropriate diagnosis. The foot doctor may order an MRI or a biopsy to confirm a diagnosis of plantar fibroma and rule out other possible problems.

FACT: Conservative treatment options are available at reducing pain from the fibroma, but they cannot remove them. These measures include:

  • Orthotic devices for your shoes designed to shift your weight away from the fibroma and relieve pressure to the arch
  • Physical therapy
  • Corticosteroid injections into the fibroma. These may reduce the size of the mass temporarily.

FACT: Surgical options are available to remove the fibroma, but some have undesirable side effects, such as nerve damage or a flattening of the arch of the foot. A newer option is cryosurgery which attempts to shrink the fibroma by freezing it.

If you have discovered a lump in the arch of your foot and suspect you may have a plantar fibroma, contact us today by calling: 732-662-3050.

At Affiliated Foot & Ankle Care, we see many patients who don’t plan on coming in but find themselves experiencing foot or ankle pain. While they may be surprised, we’re not. The holiday season puts a fair amount of additional strain on your feet, partly because you are on them for more time than usual. Below are some common foot ailments to be on the lookout for:

Plantar Fasciitis—heel pain is often the result of arch problems. The plantar fascia—the long band of tissue that runs along the bottom of your foot from heel to toe—becomes inflamed and that’s what causes the pain. The more you walk, the more it hurts. You can help prevent heel pain by wearing shoes that have good arch support and taking breaks to sit and put your feet up on days when you have to be on the run from morning till night.

Varicose Veins—many people have varicose veins but don’t experience any symptoms. Veins have valves in them that open and close depending on which way the blood is flowing. To get back to your heart from your feet the blood has the biggest fight against gravity of any place in your body. When the valves in the veins weaken, some blood may leak back and pool in the vein. Standing for long periods of time (preparing meals and treats or standing on line at a store) can put extra pressure on varicose veins and cause them pain and cause your entire lower leg to feel achy and heavy. If the foot doctor has prescribed compression stockings, wear them when you are going to be on your feet all day.

Ankle Sprains—slippery conditions definitely increase the risk of twisting an ankle or missing a step. Be sure to wear low or no-heeled shoes or boots if the weather is bad, and don’t carry so many packages that you can’t see the pavement in front of you.

If you do injure your foot or begin to notice foot or ankle pain that is increasing in intensity or frequency, it’s important that our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah examine your feet promptly and start any necessary treatment to prevent the condition from developing into something worse. Contact our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
November 01, 2017

At Affiliated Foot & Ankle Care we often discover that patients do not realize the full spectrum of services offered by our podiatrist. Yes, of course we’re here for the major foot and ankle issues such as bunions, ruptured Achilles tendons and broken toes but there are many other ways the foot doctor can help, including:

  • Deal with “common” foot problems such as ingrown toenails, athlete’s foot and fungal nails. Sometimes patients mistakenly think they should try to treat these types of conditions on their own with over-the-counter products or, worse yet, “bathroom surgery.” We would much rather you bring these seemingly minor conditions to our office where we can treat them safely and effectively before they turn into a wound or become infected.
  • Help correct gait and walking issues by prescribing and fitting custom orthotic devices. These shoe inserts can help relieve pain and also shift pressure away from a damaged or injured area of the foot.
  • Lower extremity complaints. A pain in your knee can be related to something that’s going wrong in your ankle or heel. Your foot doctor will diagnose and treat symptoms anywhere from your knees down and you shouldn’t hesitate to bring up issues that involve your lower leg as well as your feet during your appointment.
  • Diagnose systemic problems that can affect your whole body. Did you know that several diseases may first show signs in your feet? Arthritis, diabetes and peripheral arterial neuropathy, for example, may be diagnosed through symptoms that show up in your feet. If our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah suspect a disease or other problem they can order the proper testing needed for diagnosis. If a systemic problem is found, the foot doctor can refer you to specialists and also coordinate your care with other physicians.
  • Offer information to help patients be proactive in preventing foot problems. By examining your feet, the podiatrist can give suggestions about shoe design, exercise routines and daily care regimens that can help accommodate any chronic foot conditions you may have and also to help prevent injuries.

Of course, it goes without saying that the foot doctor is here to deal with any pain, discomfort or unusual symptoms that develop in your toes, feet or ankles. When in doubt, don’t wait. It’s better to be reassured that your symptoms are nothing serious rather than wait until a major problem develops. Contact our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050. 

By Affiliated Foot & Ankle Care
October 13, 2017
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Autumn is a beautiful time of the year and draws many people out onto our state’s hiking trails. At Affiliated Foot & Ankle Care, however, we often see patients after hikes with injuries and foot conditions that are a result of what should have been an enjoyable afternoon of fitness and fun. In many instances, the problem could have been avoided. To promote hiking without pain, we would like to offer the following do’s and don’ts:

Do: choose a hiking trail that is appropriate for your ability and current level of fitness. Overuse injuries such as Achilles tendonitis are likely to occur when a patient “overdoes it” while exercising. Overstretching the tendon, particularly climbing uphill, is easy to do if you choose a strenuous trail when the most exercise you’ve had all summer is walking back and forth to the grill. Pay attention to whether the hike you are considering is a loop (circle) or if it’s in and out. If you have to turn back because of foot pain you need to know where you are on the trail and the fastest way back.

Don’t: hit the trail with a pre-existing foot condition without talking to a foot doctor first. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will be able to advise you on the best type of hiking boots to get to accommodate your foot issue. In some cases, the foot doctor may prescribe an orthotic device to wear inside the book or padding to protect a vulnerable area.

Do: inspect your hiking boots before setting out. Check for signs of wear such as worn down heels or soles, loose stitching or any damaged spots. If you need to purchase a new pair of boots, visit an outdoor gear store and get professional advice on the best kind of boots for the type of terrain and level of hiking you plan to do.

Do: pack moleskin in your daypack. This self adhesive covering should be applied to any spot on your foot at the first sign of friction or irritation to head off the development of a blister.

Don’t: forget to make stops on your hike to drink water (which will help prevent swelling of your feet) and give your feet (and the rest of your body) a short rest. Listen to your feet—when they’ve had enough, call it a day!

For an appointment, contact our Monmouth Junction, Edison or Monroe  office in New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
September 29, 2017
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With nearly a quarter of all the bones in your body being in your feet, it’s not surprising that fractures are a common foot problem that we at Affiliated Foot & Ankle Care treat. Although a fracture means a break in the bone, there are two distinct kinds of bone fractures.

General Bone Fracture—the best known type of a break to a bone in the foot is the kind that goes all the way through the bone. This type of break is most often caused by a trauma, such as having a heavy object dropped onto your foot or jamming it in a car accident or sports activity. Within this category of fractures there are other sub-categories that offer more details about a break: stable means there is a break but the bones still are in alignment as opposed to displaced, which is where the ends no longer match up properly. A bone fracture that breaks through the skin is called an open fracture; one that does not is classified as a closed fracture.

Stress Fractures—this second type of break is a little trickier to diagnose. A stress fracture does not go all the way through the bone. It consists of one or more tiny cracks in the surface of the bone. The symptoms of a stress fracture may come and go, causing patients to delay seeking treatment. Common causes of stress fractures are a sudden increase in exercise (either in intensity or time), repetitive pounding pressure on one area of the foot, changing surfaces for a sport or improper training techniques.


Regardless of the type of fracture, symptoms of a break include pain, swelling and sometimes bruising. If you sustained an acute injury or you experience these symptoms from time to time, contact our Edison, Monroe or Monmouth Junction office in New Jersey for an appointment by calling: 732-662-3050 at your soonest convenience. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will want to examine your foot and will have questions for you about your injury or your symptoms. X-rays or other diagnostic imaging studies may be ordered to further aid in the diagnosis of a fracture. Once the type and severity of a fracture is ascertained, the foot doctor will be able to prescribe the correct treatment to allow the bone to heal properly.