Posts for: March, 2013


Have you ever heard of something called Hallux Rigidus? No?  Although I am sure you have had or known someone who has the symptoms of this condition. Hallux Rigidus is the fancy medical name for a stiff big toe!  The common symptoms of this are pain and stiffness of the big toe when taking a step. Swelling may also be present at the base of the big toe. There is usually a loss of motion in the big toe, pain even while not walking, tender to touch and a limp when walking.

There are many causes to this condition which include rheumatoid arthritis, gout, stubbing your big toe or rolling your foot. This is commonly seen in athletes who roll their foot or stub their toe while running and don’t seek proper treatment. Soccer is a very common sport to see this injury in, for all you soccer fans I’m sure you’re familiar with Thierry Henry, imagine if he was dribbling the ball down the field and accidently stubbed his toe on the ground when trying to kick the ball; something this simple could cause this injury and bench him for weeks while it healed!

The treatment for this injury includes rest, ice and Tylenol, but an x-ray is needed to diagnose this condition. Your local podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ can diagnose and treat this condition if you are experiencing these symptoms! After an x-ray has confirmed “stiff big toe” as the condition causing your pain, your doctor will prescribe the proper treatment depending on how bad it is. In mild to moderate cases a steroid injection may be given to help with pain and in severe cases surgery may be required.

by Varun Gujral


What exactly is a bunion? This is a deformity of the big toe. When the bone of the big toe becomes enlarged, and the soft tissue swells it causes the big toe to bend inwards towards to other toes, it can lie across the top or go underneath the toes if it bends in enough. This will create what looks like a large bump sticking out from the side of the big toe. The common symptoms of this deformity include pain of the big toe and not being able to fit your foot into shoes because of the toe bending inward.

There are certain biomechanical factors that can cause this to happen. These biomechanical factors are about how your foot moves, your foot rolling inwards or being flat excessively can cause this problem. This is a common problem in women who wear high heels frequently. Sarah Jessica Parker recently released a statement saying that she went and saw a podiatrist because the high heels she was wearing were deforming her feet. When the heel is raised up it puts more pressure on the front of your foot which can cause the big toe to move inward.

If you are experiencing any of these symptoms you can go see your local podiatrists at Affiliated Foot and Ankle Care, located in Edison and Monroe NJ,  who can fix the problems associated with bunions. The treatments for this include a bunion splint, which separates the first and second toes, a bunion tapings, which supports the tissues of the big toe, specially made shoe inserts to provide support for your foot or in very severe cases bunion surgery to set the bones back into their original place. The surgery is normally a last resort option when the nonsurgical treatments don’t work.

By Nrupa Shah



The Jones’ always have everything, they even have a foot fracture named after them! This is when the bone of your pinky toe breaks, but not at the toe, the fracture is at the end of the toe bone near the ankle. You can fracture this bone by your ankle being above your foot, while your foot is facing inward and downward. Seems like a weird and unimaginable position, but it is common for athletes to manage to get their foot into this position and break this bone. One sport this is very common in is soccer, if you talked to Mia Hamm she would tell you that getting your foot into this position isn’t as difficult as you would think, and the resulting fracture can bench a player for months.

What are the specific symptoms of a Jones fracture? There will be sudden pain in the fifth toe near the ankle, with possibly deformities seen through the skin. There will be an inability to wear shoes and put any pressure on the foot. This is a serious injury and will require treatment from a podiatrist to fix the fracture. 

It can be fixed with a technique called immediate fixation, which is when the foot is set and casted for 6-8 weeks, with no weight bearing. This is the preferred fix for athletes because it allows a quicker return to the sport; however re-fracture is a lot more likely with this than with the surgical fix. The surgical fix for this injury includes going in and placing plates and screws to heal and stabilize the fracture, so the chances of a re-fracture are far less than with the immobilization. After both the surgery and immobilization fix physical therapy is required to rebuild the muscle strength in the foot.

If you injure yourself playing sports, do not hesitate to call one of offices located in Monroe and Edison, NJ and make an appointment for a complete evaluation

By: Varun Gujral

Affiliated Foot & Ankle Care is eager to have a positive impact the community that surrounds us.  “People do not think about foot and ankle pain until it interferes with their quality of life.” says Dr. Nrupa Shah.  “Our mission along with providing top quality foot and ankle care, is to educate people on how to prevent pain in their lower extremities whenever possible.”  On Tuesday, 3/19/13 from 9:00am – 10:00am at the South Plainfield Senior Center located at 90 Maple Avenue in South Plainfield, Dr. Shah will be providing a presentation on preventative steps that can be taken to protect the foot and ankles.  Following this, Dr. Shah will be providing free foot and ankle screenings for those who are interested from 10:00am – 11:00am.  This educational event will cover the most basic of foot and ankle care such as cutting toenails or what creams are safe to use, to the more serious aspects of foot and ankle care such as those with diabetes or arthritis.  “The goal of this presentation and providing the foot screenings is to educate our community on how to avoid serious complication of the foot and ankle.  People tend not the think of their feet until there is a problem, but your feet are like the tires on a car; if you get a flat tire, you cannot get anywhere you want to go”, says Dr. Nrupa Shah.  This free event will be taking place at the South Plainfield Senior Center on Tuesday, 3/19/13 from 9:00am – 11:00am.  If you plan to attend, please RSVP by calling the South Plainfield Senior Center at (908) 754-1047 and make sure to reserve a space if you would like a free foot and ankle screening by the doctor.  For more information about Affiliated Foot & Ankle Care, they can be contacted at (732) 662-3050 or by visiting www.FootandAnkleNj.com.  Affiliated Foot & Ankle Care is located at 2163 Oak Tree Road, Suite 108 in Edison and have a second location at 294 Applegarth Road in Monroe, NJ.