Posts for: April, 2014

By Nrupa Shah
April 23, 2014
Category: Pedicures

Hallelujah it’s finally warming up!  As the weather improves and people prep for summer, many women are prepping their feet for sandals.  Sandals are more than a fashion statement, they are cool, comfortable, and allow you to show off your new pedicure!

It seems like some women have their work cut out for them when it comes to sandals. They have soaks, scrubs, massages, clipping, filing, grinding, moisturizing, and finally painting.  The work never ends.  Fortunately, taking care of your feet pays off.  Some opt to take the easy way out and get a pedicure, which is not such a bad thing! I for one am a big believer in pedicures.  As the weather warms up pedicurists will have their work cut out for them and the lines will be long.  Are they worth it?

Pedicurists are experts at cutting nails and they know how to do it properly.  Cutting your nails correctly can prevent ingrown toenails and even fungal infections.  In addition, some patients have very difficult toenails that get thick and difficult to cut.  Without proper instrumentation, people can do serious damage to their feet.  Pedicurists will often work out the calluses and dead skin which gives the skin a healthy boost and can prevent ulcers. Having a pedicurist work on your feet can also help to save your back.  The older we get and the more pounds we pack on, the more difficult it can be to reach our feet.  Proper foot care is particularly important for diabetics who can often not feel their feet and need to keep their feet clean, trimmed and healthy to prevent ulcers, infections, and amputations down the road. 

A yearly podiatric foot inspection is essential for all diabetic patients.  In the meantime, I encourage you to get a pedicure to take care of your feet.  In fact, many podiatrists offer pedicure services right in their office.  I must give one piece of advice when it comes to picking your pedicurist.  Make sure they clean their instruments after every use.  If they start working on your feet with dirty instruments they can spread fungal infections which most definitely do not look good in sandals.  And remember, if you think you have a fungal infection, go see your podiatrist right away.  Time is of the essence when it comes to fungal nails.

If you have any questions about your shoe gear, feet, or nails, make an appointment with your local podiatrist at Affiliated Foot and Ankle Care located in Edison and Monroe NJ.

Nrupa Shah

                Our feet are one of the easiest places on our bodies to cover up – yet they are one of the most important! Typically, if we get a rash on our face or break one of our arms, we would go into the doctor’s office immediately. Why is it then that when we see a problem with our feet, we just put on socks and pretend it isn’t there? Just like with any other more visible ailment we might acquire, getting the proper medical attention as soon as possible is paramount to a quick and full recovery.

                You know exactly what I mean, don’t you? Your toenails might be yellowing, or you might have a wound on your foot that refuses to close. It’s so easy to cover up our feet and think, “Out of sight, out of mind!” The fact of the matter is: just because our feet are the furthest away from our eyes, they can be the most important to examine. As scary as it may sound, if not treated in a timely manner, a festering diabetic wound can quickly lead to a limb amputation. And don’t forget, just because you don’t feel any pain associated with a visible foot problem does not mean that you can let it slide for a few weeks or months – oftentimes this can be indicative of a more serious peripheral neuropathy.

                We just learned that this last week that Canadian hockey star Haley Wickenheiser won the gold medal at the Sochi Olympics playing on a  broken foot. According to the Associated Press, Wickenheiser admits that she knew her foot was broken, but only just realized how serious of a break it was. Just like Haley not realizing how serious her condition is, you won’t know your true condition until you make an appointment with a podiatrist. You might have a stress fracture, Lisfranc injury, Jones Fracture, or even a calcaneal (heel-bone) fracture. Even though the hockey star was still able to grab the gold, many times we aren’t that lucky! She likely had the added benefit of being strapped into a hockey skate that immobilized her feet and ankles to avoid repetitive injury to her fracture site. So, unless you are about to play for the gold medal in the Olympics on hockey skates, make an appointment with your local podiatrist at Affiliated Foot and Ankle Care in Edison and Monroe NJ today!

Varun Gujral

Even though it has been rainy the past few weeks here in New Jersey, springtime weather will be here before we know it! Memories of spring remind us of blooming flowers, farmers’ markets, and… you guessed it! New shoes! Ok, so it might not have been the first thing that comes to mind, but it’s true. We replace our heavier, warmer winter shoes for lighter springtime sneakers. As the weather transitions, so does what we put on our feet! While it is certainly exciting to be wearing those new heels, we can’t forget that what we put on our feet’s main job isn’t just to look stylish, but to provide the necessary support as well.

Too often, our shoes simply cannot support our feet. This is where a podiatrist can help. Custom orthotics in your new springtime shoes will help you keep the spring in your step this spring. Many common foot problems can be alleviated with the help of a custom fit orthotic. Some examples of where an orthotic can help are: plantar fasciitis, tendonitis, diabetic foot ulcers, bursitis, or many different types of foot, ankle, and heel pain!

Frequently, we wear shoes that don’t provide the support that our feet desperately need to function painlessly. It’s easy to be tempted to buy the cheap shoe inserts we see at the drugstore. The problem is that everyone’s feet are different and these shoe inserts do not properly address your foot’s specific needs.  Your podiatrist can determine if custom orthotics are right for you before you waste your money buying cheap shoe-inserts at the big-box store. Here at Affiliated Foot and Ankle Care, we examine your feet and the way that you walk thoroughly to insure you are made the perfect orthotic to fit your needs. We talk to you about your unique needs to design a custom orthotic that is perfect for you. So, keep the spring in your step this spring, and make an appointment with your local podiatrist at Affiliated Foot and Ankle Care in Edison and Monroe NJ today!

Nrupa Shah

By Varun Gujral
April 03, 2014
Category: Melanoma

We've all had that moment when we see a new little brown spot on our skin.  "What is that?” we ask.  In the back of your mind, you're wondering, "is that cancer? Do I need to go to the doctor?"  The answer to these questions is simple and difficult. 

As summer approaches, outdoor activity explodes.  This is a great thing but also brings about increased sun exposure.  A tan is something that has a high value to many and laying out in the sun is both relaxing and gives you a beautiful glow.  But, beware of melanoma, the most dangerous of skin cancers

Thousands of people are diagnosed with melanoma every year.  A melanoma is a growth of the cells in your skin that produce the melanin pigment.  These cells are called melanocytes and they give your skin the color that you enjoy.  When exposed to rays of the sun they can become damaged and grow out of control.  Melanomas are so dangerous because when they start to grow out of control, they spread very quickly and can become invasive without proper removal.

So how do you know if that spot is cancer?  The first warning sign is new growth.  If you notice something that wasn't there previously then it means that something new is growing there.  If it is getting larger then it is worrisome and you should head to the doc ASAP.  If you can't remember if it’s new or how big it is then use the tried and true ABCDE evaluation method.  If the spot has two or more of the qualities below then it needs to be checked by a professional.

A – asymmetry: if it has an irregular shape                                                                                                                          

B – borders: irregular, variable, unsmooth, or jagged borders

C – color: the color is variable and changes throughout the lesion

D – diameter: greater than 6mm in diameter

E – enlarging or evolving: changing over time

Because melanoma can spread rapidly it is important to check your body often.  The longer a tumor has to grow the more dangerous it becomes.  A month can make the difference between life and death.

Lastly, I must urge you to pay attention to your feet.  Cancers commonly develop on your feet because for some reason people often forget to put sunscreen on their feet.  This summer, don't be afraid to smear on the sunscreen and smear it often.  Your skin will thank you.

If you notice any lesions on your feet then please bring them to the attention of your local podiatrist.  Don't wait; make an appointment with your local podiatrist at Affiliated Foot and Ankle Care in Edison and Monroe NJ today.


By Varun Gujral