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Posts for: December, 2014

By Nrupa Shah
December 30, 2014
Category: Athletic Shoes

The title may seem a bit contradictory; the rising of something falling. But that is exactly what is happening to young basketball phenom, Tacko Fall. Tacko is a 7’6” (and growing) high school senior in central Florida. He has committed to the University of Central Florida next year on a full ride scholarship, which, let’s face it, was bound to happen. He has an 8 foot wingspan and wears a monstrous size 22 shoe! To shed some perspective on that, that’s the same shoe size as already grown Shaquille O’Neal. It hasn’t been easy for Tacko to find clothing—especially shoes—that fit him properly. In his birthplace of Dakar, Senegal he wore only one pair of sandals throughout most of his teenage life because his family couldn’t find shoes that fit him. He kept growing out of and breaking them and all his family could do is patch them up. So, aside from being great at basketball, being tall definitely has its limitations.

For someone as tall as Tacko Fall, it is imperative that he has shoes which fit him properly. Especially if he plans on playing college basketball and quite possibly professional. Now there are companies out there such as Nike and Adidas who make such a shoe, but because of Tacko’s age I would make it my duty to get him fitted and casted for custom basketball shoes. Outside of having big feet, he is still growing which means his mechanics are always changing and that’s something that definitely needs to be taken into consideration for this young athlete.

Not only does being tall effect mechanics and foot structure, but so does pregnancy, obesity, and even surgery and all of these things can be addressed with the appropriate treatment by your healthcare provider. We wish Tacko Fall the best next year at UCF!

Lastly, from all of us here at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ we hope you all had a great holiday and wish you a Happy New Year!

By Nrupa Shah


By Nrupa Shah
December 17, 2014

Pregnant women endure a lot more hardship than men can probably imagine. The birthing process alone (from induction to final birth) tops any pain a male feels at any given time. But we also have to think about the nine months leading up to that. What kind of pain do women experience then? Do they experience pain? In actuality, they experience lots of pain mainly in the joints—feet, knees, hips, and back are the most common areas. But if we’re able to treat the feet and educate patients on proper footwear during pregnancy, the other painful joints have the potential to be pain-free as well. 37 year-old Grammy award singer, Shakira, was caught wearing high-heels at a proposed 8 months pregnant. This is not something your podiatrists at Affiliate Foot and Ankle Care located in Monroe and Edison, NJ would condone by any means. Wearing the proper footwear during pregnancy is crucial to pain-free joints.

 Usually pregnant patients complain of a painful arch because the joints in their feet tend to compress and pronate causing their arches to collapse and that’s where the term “flat feet” comes in to context. If shoes alone do not fix the problem, patients can be casted for custom foot orthotics. These orthotics will bring the arch back to its original position which will in turn cause the lower leg to align itself properly with the remaining joints all doing the same as well.

Moral of this story—do not wear high heels when you’re pregnant. Women’s feet are already at a higher risk for pain and deformity when they’re pregnant and wearing high heels only increases that risk. Again, if you were told to buy new shoes give them a try for at least a month before deciding they work or not. Lastly, if shoes alone don’t work please do not hesitate to give our office a call so we can properly assess your pain and foot function and get you in the proper orthotics to get you walking pain-free again.

 By Nrupa Shah


There are many different types of athletes in the world--runners, swimmers, basketball and football players, ballerinas and the list goes on and on. But running can be incorporated into ANY sport; for the most part. Your every day runner may disagree by saying it is its own sport, but that’s for another discussion. Alan Webb, world record holder of the 1-mile run (at 3:46.91) recently stated that he is going to transition from track and field to triathlon running.

A triathlon competition consists of the athlete completing three tasks in succession of one another and it usually starts with a swim followed by cycling and is completed by a long-distance run. As podiatrists, we are highly concerned with the long-distance running. Any type of running over long periods of time always puts athletes at higher risk for such things as shin splints, ankle sprains, and even more commonly stress fractures. Stress fractures are seen mostly in the metatarsal bones of the foot. There are many things; however, the athlete can do to prevent any of these from occurring with the most important being proper training. It’s extremely important that an athlete gradually increases their training (or mileage) rather than starting off running a triathlon for their first part of training. Many athletes sadly do this and can sustain the aforementioned injuries. If any of these injuries have happened to you please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ. Treatment of these conditions consists mainly of rest, ice, compression, and elevation. Sometimes athletes may need to be put in a walking boot for an extended period of time to make sure the fracture is healed completely. Very rarely will surgery be performed as these injuries prove to be fairly benign.

The first modern triathlon event was the Hawaiian Ironman Triathlon which consists of a 2.4-mile swim, a 112-mile bike, and a marathon run of 26.219 miles. While Mr. Webb did not say in his interview which type of triathlon (sprint, intermediate, long, or ultra) he is planning on doing, I’m sure either of them will be extremely challenging.

By Varun Gujral


By Nrupa Shah
December 03, 2014
Category: Footwear

‘Tis the Season! It is always a great feeling reading about people helping the community--it’s an even better feeling when you’re the one doing it. Regardless, I truly don’t think it is done enough. There are many people out there who are less fortunate than most and they deserve to be cared for. And that is exactly what Andre McDonnell is doing. McDonnell is chief retail associate at Atrium clothing in New York. He founded a non-profit organization called “It’s From The Sole”. It’s astonishing what his foundation does--”We refurbish the sneaker, clean the sneaker, take the inner soles out, wash them...We go around New York City and give homeless people sneakers”, said McDonnell in an interview.

The quality of the shoes a person wears is extremely important in overall foot health; and that stems to how the foot works on a biomechanical level to making sure the foot is off-loaded or protected in the proper areas. It’s probably evident that homeless people lack the resources to obtain new shoes so they are at a higher risk of developing abnormal foot mechanics, possible ulcers which could eventually lead to infections. With that said, it’s crucial that our patients are in the correct shoe gear--especially our diabetic patients. So, the next time you visit your local podiatrist at Affiliated Foot and Ankle Care in Monroe and Edison, NJ make sure you have them take a look at your shoes so they can tell you if you are wearing what you should be wearing.

McDonnell said in an interview, he once saw a homeless person without shoes near a park where he was playing basketball. McDonnell took his sneakers off and gave them to the homeless person, whom smiled at him and accepted his shoes. It’s gestures like these that need to happen more and all it takes is one person--I think McDonnell has started something big! To find out how to donate your sneakers or money, visit www.facebook.com/itsfromthesole for more information.

By Nrupa Shah