Posts for category: Fractures

By Affiliated Foot & Ankle Care
December 18, 2018
Category: Fractures
Tags: stress fracture   fracture  

Broken toes are an injury that we at Affiliated Foot & Ankle Care find patients may not fully understand. There is misinformation about toe fractures that can actually lead those with this injury to a much longer and more painful road to recovery. Below are some questions and answers to help clear up falsehoods about toe fractures.

Is there anything the foot doctor can really do for a broken toe?

This is a common question because many people believe there’s nothing that can be done for a broken toe so there’s no point going to the podiatrist. This is incorrect! In fact, not treating a fractured toe can lead to chronic pain and permanent deformity or surgery to correct a toe that heals incompletely.

If I can still walk my toe isn’t broken, right?

Wrong! It is possible to walk with a broken toe. Sometimes a stress fracture occurs in a toe bone. This is a hairline break in the surface of the bone. A stress fracture comes about gradually as the result of excessive and repeated pressure on one part of the bone. The pain may come with activity and subside with rest.

What are the signs of a broken toe?

In the case of an acute fracture when trauma occurs to the toe you may hear a cracking or popping sound at the time of the injury. There will most likely be pain at the fracture site, but it may go away after several hours. Don’t be fooled, however. The break is still there. The toe may have a crooked or bent appearance. You may also see bruising or swelling the day after the injury.

What’s the treatment for a broken toe?

That will depend on the extent of the break. Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, have several options from splinting and taping a broken toe to surgery. After examining your toe and doing x-rays or other imaging studies, they will determine the best treatment for you.

If you suspect you may have a broken toe, contact our New Jersey offices in Edison, Monroe, Monmouth Junction or Linden office today for an appointment by calling: 732-662-3050. 

Tuomo Ruutu a winger for the New Jersey Devils ice hockey team fractured his right foot and will not be able to play again for approximately 4-6 weeks. John Hynes, the head coach for the New Jersey Devils initially thought that Ruttu’s injury was just a bruise but x-rays revealed a far more serious fracture. Fractures of the feet are fairly common, a simple misstep or a fall can lead to a fracture in the foot. The severity of fractures can very quite significantly from minor cracks in the bones to full breaks that poke through the skin. The signs and symptoms of a fracture in the foot are going to vary from person to person and depend on what caused the injury. Common symptoms include pain and tenderness at the fracture site, swelling, deformity, pain that worsens with activity, and difficulty bearing weight on the affected foot. Many often report hearing a loud snapping or popping sound at the time the injury occurs. Often, a fracture in the foot often first shows up as and is mistaken for a bruise as in Ruutu’s case.

 Fractures in the foot need to be taken very serious because early diagnosis and treatment can prevent the development of more serious complications. Complications that can result from stress fractures include arthritis, bone infections, or damage to the nerves and blood vessels in the area of the fracture. In order to diagnose a fracture in the foot your doctor will first check for points of tenderness in your foot and depending on what they find, imaging tests may be needed. Usually an x-ray will confirm the presence or absence of a fracture but other tests could include a bone scan, a CT scan or an MRI. Treatment for fractures in the foot is going to vary depending on the severity of the fracture. If you have a small stress fracture, it can heal on its own with rest. More serious fractures are going to require surgery to realign the bones and immobilize them to prevent them from moving. In all cases, adequate rest and therapy will help the injury to heal faster.

Foot fractures are fairly common especially among people who play sports like hockey but they are serious and require immediate attention. We here at Affiliated Foot and Ankle Care in Edison and Monroe, NJ wish Tuomo Ruutu of the New Jersey Devils a speedy recovery and hope to see him back on the ice soon. If you think you are suffering from a foot fracture or would like more information about foot fractures please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

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

The Chicago Air and Water Show is an event put on every year for millions of people to watch. It gives people of all ages the opportunity to see acrobatic jets, loud bombers, and even people jumping out of planes. What most people probably don’t know is that even though most—if not all—of the people who perform in the event are military trained. Not only that, but they have to train for this particular show. Hours and hours of rehearsing must be dedicated towards this event to ensure everything is perfect. However, we all know that no one is perfect and mistakes happen and unfortunately a mistake happened.

Two men, one from the Army Golden Knights and the other from the Navy Leap Frogs, were performing a stunt called the “bomb burst”—parachutists jump with red smoke attached to their back and eventually separate creating a colorful visual in the sky. Everything was going according to plan until their chutes got tangled up. One man, from the Army Golden Knights, is a 20 year old who is still in critical condition and underwent surgery the day of the accident. The other, from the Navy Leap Frogs, broke his leg and was expected to be released Saturday. It is unknown whether or not he had or is going to have surgery or not. The most difficult part about performing surgery on a traumatic patient is the amount of swelling they may have. IF the swelling is too extensive, the surgery must be postponed until the swelling resides unless the surgery far outweighs the risks involved. A way that is typically done, especially if the bones are completely out of place, is to put an external fixator around the broken bones in order to keep them in line while the swelling subsides. The patient must also be monitored for the risk of compartment syndrome. While in the hospital, if this is a concern, the compartment pressures of the leg are usually monitored with a Wicks catheter.

Any traumatic event is devastating but it is even more devastating when it happens to those who serve and protect our country. From everyone here at Affiliated Foot and Ankle Care in Monroe and Edison, NJ, we wish both divers a speedy recovery and thank them both for their service.

By Varun Gujral


NBA big men have recently been touted as being “injury-prone” secondary to current and past players being injured so often. From Greg Oden to Bill Walton, forwards and centers just can’t seem to catch a break. And now, the number 3 overall pick in the 2014 NBA draft, Joel Embiid is projected to miss his second straight season due to a stress fracture he suffered prior to draft day in his right foot. Embiid is scheduled to have surgery which will cause him to be sidelined for the 2015-16 season.

Usually, foot surgeries do not sideline players for an entire season. However, the Philadelphia 76’s want to make sure Embiid is 100% for the following season. Stress fractures can be caused my numerous things but most commonly they’re caused by overuse. It’s unknown what part of the foot Embiid injured, but the most common bones injured by stress fractures are the 2nd and 5th metatarsal bones. The metatarsal bones are the bones that attach to your toes and are essentially in the middle of your foot. Lots of force is transmitted through this area and that is the reason why stress fractures are commonly found here. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ see and treat many stress fractures. Depending on the severity of the fracture they can sometimes be treated conservatively with proper offloading and RICE. However, for displaced, intra-articular fractures surgery is definitely warranted and depending on the type of patient, the recovery period is at the discretion of the surgeon. In Embiid’s case it will be at the discretion of his contract AND surgeon.

Fractures of the foot are common and can be extremely difficult to heal mainly because it’s hard to keep the patient off their injured foot.  Typically patients are off their foot for 6-8 weeks because that’s how long it takes bone to fully heal. Embiid is unfortunate that this is the second time he is having surgery and that he will be out for a second consecutive season. The 76’s are in dire need of Joel’s presence seeing as how he was the Pac 12 defensive player of the year.

By Varun Gujral