Posts for: January, 2015

By Nrupa Shah
January 28, 2015
Category: Sports Injury

Every time your star player is sidelined it diminishes your team’s chances of moving forward. Fortunately for the Oklahoma City Thunder they have a deep bench and an even better starting five. One of those starters is 2014 MVP Kevin Durant. KD suffered a sprain to his big toe yesterday. A toe sprain, also known as ‘turf toe’ can actually be very debilitating to any athlete at any level.

Turf toe is caused by forced dorsiflexion of the big toe joint. Dorsiflexion is movement of the big toe in an upward fashion. When this happens to the toe, the tendons and the ligaments get strained which is where the majority of the pain comes from. Treatment options are fairly limited, however, so it needs to be instilled quickly. Treatments consist of the typical rest, ice, compression, and elevation or RICE. RICE is of utmost importance in these types on injuries. Additionally, anti-inflammatory medications (i.e., Motrin) can be used to help relieve some of the inflammation that may be associated with the injury. If all else fails, surgery is warranted. Surgery for turf toe is typically not needed but it depends on the severity of the injury at hand. If you have sustained this type of injury and don’t know whether or not you need surgery please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ.

Kevin Durant is one of the most versatile basketball players in the NBA so with him being out is detrimental to the team and to the entire NBA organization. Turf toe can be very detrimental but can also heal very quickly given the proper treatment. Again, please don’t hesitate to call our office if you have any questions or concerns.

 By Nrupa Shah


For an athlete, it’s one thing to injure yourself in the offseason of your particular sport. But it’s another thing to injure yourself again during the season…with the exact same injury! Right now, that’s exactly what University of Michigan junior guard Caris LeVert is going through. LeVert has reportedly suffered a complete fracture of his 5th metatarsal on his left foot. The 5th metatarsal bone is one of the most commonly fractured bones in the foot and recurrence of this injury is also fairly common—especially in high-level athletes.


Your metatarsal bones are the longest bones in your foot and are found more-or-less in the middle of your foot. Your 5th metatarsal bone is on the outside—far left or far right—of your foot. You can find it by feeling the outside of your foot for a bone that “sticks out” more-so than the rest of that part of your foot. This is termed the ‘styloid process’ of the bone and this as well as other parts of the bone close to it are often where fractures occur. Treatment for these types of fractures range anywhere from conservative therapy by immobilization in a CAM walker for six weeks or surgical intervention. A lot of the treatment is dependent upon the patient and the surgeon. Whether you’re a normal, everyday person or a college athlete, your local podiatrists at Affiliated for and Ankle Care located in Monroe and Edison, NJ are highly trained specialists and can diagnose and treat any fracture of the foot or ankle. Signs to look for if you think you have fractured your foot are: bruising, swelling, pain, redness, and warmth around the area. If you notice any of these signs and have experienced a traumatic event (such as twisting your ankle), please do not hesitate to call our office.


Caris LeVert is a projected first round draft pick and we hope this does not hinder his chances of going to the NBA. He is expected to have a full recovery so we do wish him the best.


By Varun Gujral


By Nrupa Shah
January 14, 2015
Category: Fractures

Justin Beiber started off the New Year on the wrong foot! While vacationing in Turks and Caicos, Beiber apparently broke his foot while playing soccer. There is no more information about how the 20-year old pop star is doing but he was witnessed going into the gym and working out (while on crutches of course) so appears to be doing fine. Furthermore, there is no relation as to what part of the foot he broke nor the complexity of the break.

Breaking your foot, although extremely painful, can almost be better than spraining your foot. Why? A broken bone can be “fixed”, say, through surgery. A sprain, on the other hand, can’t necessarily be fixed right away. A sprain is more of a self-limiting condition that takes a lot of ice, compression, and conservative treatment before being fully healed. Although both a sprain and a break take about 4-6 weeks to fully heal, a sprain can tend to be more bothersome to patients because of the extra work that goes into caring for them. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are exceptionally skilled at treating lower extremity injuries such as sprain and breaks. Foot and ankle surgeons are able to use radiographic imaging (or x-rays) to help track the progress of the patients who have broken any part of their foot. Depending on the severity of the break, surgery may or may not be considered. In some cases, conservative treatment such as casting will work just fine. As mentioned earlier, sprains are usually treated with RICE (rest, ice, compression, elevation) for a period of 2-4 weeks and then the patient is re-evaluated.

Whether you have a sprain or a break, your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison NJ are exceptionally trained to treat either. Please do not hesitate to call our office and make an appointment because the sooner these conditions are treated the better results you will have in the future. Maybe you can be like Justin Beiber and workout the next day, who knows?!

By Nrupa Shah

By Varun Gujral
January 07, 2015
Category: High Heels

When you think of women wearing high heels you think of places like New York, San Francisco, Los Angeles and Miami—places where self-image is a major influence relative to one’s character. This, however, is not the case. A study conducted by Gilt, an online discount fashion store, concluded that the “highest of heels” are found in none other than, Puerto Rico. This survey is flawed, however, in that it only takes into account Gilt customers only but it still gives a pretty good idea of what consumers are looking for and where they are looking for it.

Puerto Rico topped the survey with an average heel height of 2.87 inches. The states with the lowest heel height were Nebraska, Kansas, Maine, and Vermont (between 1.80-1.97 inches).  The importance of this study isn’t to narrow down where to find the highest heeled shoes. It’s important because high heels are a definitive cause of lateral ankle instability and ankle sprains among women and this survey points out that consumers will go to extreme heights to look fashionable—in other words, fashion trumps health. I would venture to guess that podiatrists in the aforementioned states with the highest heel heights recorded are pretty busy when it comes to treating those conditions. The most practical height for a heel is approximately 1.50 inches and those heels are termed “kitten heels” although your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ wouldn’t condone any of our patients to wear high heels unless they needed to for their job. To reiterate, they put patients at higher risk for ankle problems and can even cause hammertoes and bunions due to increase force and pressure in those particular areas.

Now we’re not saying do not ever wear high heel shoes. We just want you to be aware of the potential problems associated with wearing them. By-all-means, if you must wear them, then do so appropriately. Try and wear a heel that is no higher than 2.00 inches to try and minimize the forces put on the front of the foot. There isn’t any real evidence on this topic and that is why I think it is interesting to talk about. Likewise, because high heels are such a popular element of fashion in today’s society I think there needs to be more research conducted in this area.

From everyone at Affiliated Foot and Ankle Care, we hope everyone has an excellent New Year and that it brings you all much success and happiness!

By Varun Gujral