Posts for: December, 2015

When I think of plantar warts, the first thing coming to mind is, plantar warts are more common than you think.  If you haven’t dealt with them yourself, it’s likely you know someone or family members who have tried self-treatment or have actually gone to their local podiatrist for removal treatment. Plantar warts are usually located in areas of pressure and friction, they manifest themselves as hard fleshy growths on the bottom of the foot and sometimes they can be irritating or painful. Unfortunately plantar warts easily spread as it is a subtype of human papillomavirus (HPV).  Plantar warts are no respecter of age, although they are most commonly found among 12-16 year olds. People with weakened immune systems, skin trauma, or exposure to public showers are more likely to be afflicted with foot warts.

The scope of treatment here at Affiliated Foot and Ankle Care for plantar warts is enough to comprehensibly meet the variation and degree of the wart you may have. Some plantar warts are taken care of in a one stop shop so to speak, where a mild acid is applied topically to burn off the plantar wart, where other cases may require surgery, or follow up appointments. Laser treatment, cryotherapy (freezing wart with liquid nitrogen) or leucoplast tape and prescription Upton paste. Tape and paste is applied on a daily basis for a week, followed by a shaving procedure, and then concluded with one more series of tape and paste until wart is gone. Sometimes warts return and one single treatment has not become the end all, fix all.  Individual immunities, the body’s ability to identify the wart virus as problematic, and then the body’s ability create an immune response to the virus are all factors to the effectiveness of Plantar wart virus elimination. If you have any questions about Plantar Warts or would like more information please make an appointment to see one of our podiatrist at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Varun Gujral

By Nrupa Shah
December 16, 2015
Category: Foot Pain

Black Friday recently passed us by but for many, Christmas is fast approaching and you still need to find that perfect gift for someone on your list. With the temperatures dropping and people scrambling around shopping, this is the time of the year where many accidental foot injuries will occur. With icy sidewalks and slick store floors, it is very easy to slip and sprain your ankle or cause other foot injuries. We here at Affiliated Foot and Ankle Care have some tips for keeping your feet healthy this holiday season.

  • Wear shoes that fit – Before you go out and hit the stores and malls, make sure you have a good pair of shoes for walking. You definitely don’t want to hit the mall in high heeled shoes or tight narrow shoes. You want shoes that fit both the length and width of your feet and are snug but not too snug because with all the walking, your feet are bound to swell up. The shoes should have a good arch support and should provide good shock absorption.


  • Watch what you eat – Did you know that what you eat and drink can wreak havoc on your feet? Certain food and drinks such as red meats, shellfish, and red wine just to name a few, are high in purines. Purines lead to uric acid accumulation in the blood which tends to crystallize in joints. The most common joint affected by this is the big toe joint and when this happens, it is known as gout. Gout attacks are very painful and if you experience one it is best to avoid eating whatever may have triggered it.


  • Beware of Nail Salons – Many like to make their nails pretty for the holiday but remember, nail salons are an easy place to pick up bacterial infections. To reduce the risk of infection, go to salons that are state certified and make sure that the instruments are sterilized before being used on you. Also, you may consider bringing your own pedicure set and sterilizing it on your own.


  • Be careful around ice and snow – Winter brings with it a lot of snow and ice and with that comes lots of slipping and sliding both outdoors and indoors. When people track snow in from outdoors it creates wet slippery entry ways in stores so caution must be taken when entering and leaving stores not to slip in the entrance. Also, icy sidewalks and parking lots are real danger zones and easy places for slipping and falling in the winter. Also, road conditions can be less than stellar in the winter so use caution with driving and give other cars plenty of room to avoid accidents.


 We here at Affiliated Foot and Ankle Care hope that these tips will lead to a healthy and happy holiday season for you and your family. If you experience any foot problems or would like more information about foot safety tips, please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

Are you about to surrender to unbearable heel pain? Are you sometimes woken up in the middle of the night from the bottom of your heel hurting? From the bottom of your heel to the bottom of your forefoot makes up the planter fascia which when under repetitive trauma like long distance running, or wearing non supportive footwear, or being on your feet all day can cause foot discomfort. This type of trauma causes the foot to flatten out or over pronate creating stress to the planter fascia; hence for many individuals heel pain can commonly be diagnosed as plantar fasciitis. Foot X-rays will sometimes reveal bone spurs. In some of these cases where spurs are present, the pain isn't from bone spurs, but from the micro tears from the stretched plantar fascia. When you wake up in the morning if your first step out of bed is painful, it is likely you have plantar fasciitis

If you are finding yourself in a situation where you are battling Plantar Fasciitis, let us help you fight back, and get you back on your feet. We have treatment options for you here at Affiliated Foot and Ankle Care that will have you satisfied with your care. Beginning remedies like proper footwear, stretching, night splints, icing, and over the counter NSAIDs for inflammation and pain can reduce or take away heel discomfort. Proper fitted footwear with good support cannot be emphasized enough for those dealing with Plantar Fasciitis. If your pain persists you may ask your podiatrist about a custom molded orthosis, or a steroid injection. If you find yourself still dealing with heel pain, you and your podiatrist may elect to have an endoscopic plantar fasciotomy performed. Don't let the procedure name scare you away, it's a basic scope procedure that is minimally invasive that enables a portion of the Plantar Fascia to be released. The surgery allows for immediate limited weight bearing, and most people are able to resume normal activity within 3-6 weeks. 

The holiday season is busy, but don't let that stop you from getting on a walking path to a healthier you. Be ready for your 2016 resolutions. If you would like more information about Plantar Fasciitis, or would like to create a treatment plan for your Plantar Fasciitis, contact our office to make an appointment with one of our Affiliate Foot and Ankle Care podiatrist team located in Edison and Monroe, NJ.

By Varun Gujral



Do your feet feel cold all the time especially at night? Well this could simply be due to temperatures dropping outside or it could be a sign that you may have peripheral neuropathy. Many people who often have a chronic case of cold feet often attribute it to the weather or sometimes vascular problems. If it was due to the weather then your feet should warm up when indoors or if you put some socks on. Vascular problems usually don’t manifest as cold feet, it will often appear as pain that gets worse when walking and goes away with rest. Peripheral neuropathy is when nerves in your peripheral limbs (such as hands and feet) get damaged and depending on the type of nerve fibers that are damaged, it could manifest as cold feet. If sensory nerves are damaged, then you may experience the sensation of cold feet. It could also manifest as a pins and needles feeling like when your foot falls asleep (but doesn’t go away) or a jabbing pain. If nerves that control your muscles are damaged then you may experience weakness and if nerves that control automatic functions such as your heart rate or blood pressure are damaged then you may experience changes in blood pressure which could cause lightheadedness or dizziness.

There are many causes of peripheral neuropathy but the most common cause by far is uncontrolled diabetes. Over half of all people with diabetes do end up developing some form of neuropathy at some point in their lifetime. Other causes of peripheral neuropathy include trauma, B vitamin deficiency, medications, autoimmune diseases, and alcoholism just to name a few. Peripheral neuropathy is a very serious problem. Due to the fact that it often affects sensory nerves, people are often unable to feel pain to their limbs. So if someone has peripheral neuropathy in their feet and they are walking around with a small pebble in their shoe that they can’t feel, then that pebble will grind a hole in their foot creating a wound that could potentially get infected and lead to amputation of the foot.

In order to diagnosis peripheral neuropathy, your physician will need to take a complete history and physical exam of you as well as complete a neurological examination and perform tests to assess the functioning of the nerves. Damage to the nerves is often permanent but your doctor may recommend some changes to keep the disease from getting worse.  If you are diabetic, it is very important that you keep your blood glucose levels under control. If your neuropathy is caused by other factors then your doctor will recommend steps to get those under control. Your doctor may also prescribe medication to help reduce diabetic nerve pain. If you are suffering from peripheral neuropathy or would like more information about peripheral neuropathy please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah