Posts for: November, 2015

“But baby its cold outside...I simply must go… with Boots, Socks, and moisture wicking active wear!”

Yes, baby it’s cold outside, I know it’s turning to frightful weather out there, so whether you are a person who enjoys running in the snow, or if you head some place magical to snow ski or participate in any other winter sports, please remember what Dr. Gujral here at Affiliated Foot and Ankle Care can offer before your winter wonderland adventures begin.

When it’s wet and cold it is always important to wear waterproof boots. Becoming wet when it is cold isn’t safe and will affect your body circulation and temperature, especially to your hands and feet. UNLESS you are Elsa from Frozen and, “…the cold never bothered me anyway!” I imagine Elsa would just wear the winter boots and socks just for a fashion statement. ANYWAY, if you get wet and cold, know your limit and seek shelter and warmth. Wearing warm socks in addition to waterproof boots are a wise choice in foot care. Wool socks can fulfill this need. If you are skiing, snowboarding or ice skating only wear footwear that is specifically designed for that activity.

Cold lessens body flexibility, so take the time to stretch out good. Avoid alcohol, caffeine, and smoking where it will only provide temporary warmth, constrict blood vessels, impair judgement.  To improve cold hands and feet incorporate foods in your diet that are high in omega-3s, and iron. Invest in outdoor active wear from a sporting goods store that offer moisture wicking capabilities. You may prepare yourself for the cold so well you may end up sweaty, your feet especially wearing wool socks! When your feet become damp or moist bacterial infections are more likely to appear. Add in foot baths to improve your regular foot care. Foot powder may also be used to improve dryness and avoid infection.

Lastly, when it comes to your kids and winter footwear, it is soo tempting to buy snow boots that may be larger than needed so your child has room to “grow” into them, or have them for next year. Avoid this, proper footwear is fitting the foot now. In addition to blisters, chaffing, and discomfort, other foot and ankle injuries can occur when winter boots are not sized and fitted properly. Be safe out there this winter, but if injury occurs, let us be your choice here in Edison and Monroe.  

By Varun Gujral

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

Holiday DIY Feet painting craft is here again! It’s time to crank out the acrylic paint, construction or Scrap paper to make a festive Thanksgiving Turkey with your toddler.


Brown, dark brown, red, white, pink, black, Acrylic Paint.

Canvas: 9x12 inch white canvas if you want to go all out, or a white piece of paper will work fine too (if it turns out you really like your craft and you had chosen the white piece of paper option, you can always cut it out and put it in a picture frame, or laminate it and turn it into a decorative placemat). 

Small and Medium round Paint Brushes


Construction and/or Scrapbook paper


  1. Decide if you want to put your turkey on a canvas or paper. Whichever choice you made, set aside for later use.
  2. Give your child a few choices of construction or scrapbook paper to create the feathers. After 5 papers are selected and decorated, draw and cut the desired feather shape on the back of each paper. Set aside to later place on final paper or canvas.  
  3. Get your paints out and squeeze paint onto a paper plate (nickel to quarter size for each.)
  4. Have your child sit on a surface where you can paint their feet. Accessible to somewhere you can rinse their feet is always a perk. Easy clean up always makes for a good project.
  5. Paint your child’s foot. Special note: You are creating the body of the turkey. Do not place the footprint (turkey body) on your canvas or final piece of paper. You will cut your footprint out and place it on top of the feathers, on top of your canvas or final paper.  Press paper against your child’s painted foot creating your desired shape. Be sure to wiggle and press each toe onto the paper so nothing is missed. If you feel you need to practice on a plain sheet of paper first, do so.
  6. Set the footprint paper somewhere safe and go and wash your kid’s feet. You can do partial clean up at this point while you wait for paint to dry.
  7. After the paint on the turkey body has dried, you can move to part two of the project. Complete the feet design as pictured. Create the eyes, cheeks, gobble, beak, turkey legs, and feather placement on canvas. Drawing lightly with a pencil first is a good policy to allow for redo’s. Include highlights around feathers by using acrylic colors and the small paint brush. 
  8. Add a background and/or phrase to canvas. EX: trees, sun, dirt, grass EX: “Gobble ‘Till You Wobble!”  “Happy Turkey Day,” or “My Little Turkey”.
  9. Finalize your craft by writing your child’s name or initials, year, and age on the front or back of canvas.

Cooking up a toddler DIY craft turkey is no small FEET! Best of luck this Thanksgiving with your turkey cooking endeavors from your podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe NJ.


If you’re a runner you are probably familiar with the numerous types of insoles for your running shoes that claim to improve your performance and prevent injuries. You may have even experienced a shoe store associate launch into a sales pitch about how a certain insole will provide greater comfort, boost efficiency, and prevent injury while you are shopping for a new pair of shoes. While you are listening to this and looking at shoes you may be wondering, “if I am going to spend a hundred dollars or more on a new pair of shoes, do I really need to spend more on inserts?” The answer is maybe, everyone’s feet are created differently and everyone has a different running style so the benefits of a “universal insole” will be different for everyone.

One of the reasons often used for needing a pair of insoles is that your feet over-pronate when you run and the new insoles will prevent that. However, pronation is a natural part of the running stride and the degree to which a person is over-pronating is going to vary with each individual. Some running stores will have a basic gait analysis lab where someone will watch you run on a treadmill and then tell you your running stride style. Based on your running style the store associate may advise you to buy a pair of insoles to go with the new shoes you are going to get. Despite this however, you may want to hold off on getting those inserts and see how the shoe works for you without the inserts. You want to determine if shoe works with your running style on its own or if you need to add insoles to the shoe. If you are experiencing pain and discomfort during your runs then you may want to try a pair of insoles recommended based on your running style and see if they relieve your pain and discomfort during your run.

Research on the benefits of insoles is mixed. Some studies show that insoles decrease chronic running pain as well as stress forces on the foot. Other studies have found the opposite results and even indicate that insoles may actually promote the development of running injuries. So why are there such polar differences in the research on running insoles? Probably the biggest reason for the variability is due to the fact that people’s feet are different and their running styles are going to be different as well. For some people an insole will provide no benefits to their running performance. For others, an insole may provide the comfort and stability they need to improve their performance. If you have questions about running shoes or running insoles or would like more information about running shoes and insoles, please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah