Posts for: August, 2017

By Affiliated Foot & Ankle Care
August 24, 2017
Category: Proper Foot Care
Tags: Untagged

Is there a late summer vacation on your calendar? If so, we at Affiliated Foot & Ankle Care want to suggest some items to add to your suitcase to ensure that your feet stay pain free while you travel:

  • Mini-first aid kit. Some bandages, moleskin and antibacterial ointment will help prevent and/or treat any blisters, minor cuts and scrapes that you may get on your feet.
  • Flip flops or shower shoes. If your vacation plans include a pool or beach, or you hope to use a hotel gym to keep up your fitness routine, be sure you have a pair of shoes that you can wear to protect your feet from coming in contact with the bacteria and fungi that cause athlete’s foot, fungal toenails and other common fungal infections.
  • Water bottle. Extra walking during sightseeing excursions or shopping trips and warm temperatures can cause your feet to swell. One way to combat this is by staying hydrated with  plenty of water, which will flush excess fluid from your body.
  • Sunscreen. Even if your trip is not to a beach or resort, remember to apply sunscreen to your feet if you are wearing open shoes or sandals. Many travelers end up with bad sunburn on the tops of their feet after a whole day spent outdoors and this can make the rest of your trip miserable. If water activities are part of your vacation fun, be sure to reapply sunscreen after swimming and don’t forget the bottoms of your feet as well.
  • Nail clippers and emery board. A ragged toenail needs to be filed or trimmed to prevent it from catching on socks and tearing. Never trim nails short or in a curved shape, however, that the skin on the side can start to grow over them and cause an ingrown nail.

These few items will only take up a small amount of space in your travel bag, but will make a big difference in your comfort and enjoyment on your trip. If you find your feet are bothering you after you return, contact our Edison, Monroe or Monmouth Junction office in New Jersey so that one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah, can examine your feet and determine if you have an injury or foot disorder developing.

By Affiliated Foot & Ankle Care
August 19, 2017
Category: Proper Footwear
Tags: Untagged

As summer winds down, many families will be setting out on the age old quest for new school shoes. At Affiliated Foot & Ankle Care we know that buying good quality, properly fitting shoes are one of the best ways parents can protect the health of their children’s feet. Below are some important tips to consider:

  • If your child sustained a foot injury over the summer or you have any concerns about their feet at all, schedule a foot examination with our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah before you take your child shopping for new shoes. It’s important to be sure that any injuries have fully healed. Also, if there are any problems with your child’s feet, the foot doctor may have specific recommendations about the kinds of shoes that would be best for your child.
  • Have both of your children’s feet measured professionally before trying on shoes. It is not uncommon for one foot to be larger than the other. Always buy shoes to accommodate the larger of the two feet.
  • Make sure there’s enough room in the toe box. There should be a half an inch of space between the longest toe and the front of the shoe and your child should be able to freely wiggle their toes in the shoes.
  • Check that heels do not slip out of the back of the shoe. If this is happening, there is a greater risk of injury. Children who have sprained ankles in the past or who have weak ankles may do better with high top shoes or sneakers.
  • Don’t forget sneakers or sports shoes. At the rate that children’s feet grow, there’s a good chance that your child has outgrown the sneakers he or she was wearing in the spring. Check for wear too. If your child plays a particular sport, get shoes that are designed for that sport.
  • Have your child walk around the store with both shoes on for a while before purchasing. Take them off, remove the socks and check your child’s foot to see if there are red marks or other signs that the shoe is irritating or rubbing on a part of the foot.

If you have questions about the health of your child’s feet, contact our Edison, Monroe or Monmouth Junction offices in New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
August 04, 2017
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Psoriasis is a disease that affects the autoimmune system of the body and is most commonly recognized by red, flaky patches on the skin. At Affiliated Foot & Ankle Care, we want patients to know that this systemic disease can seriously impact your feet.

Skin and Nail Conditions

There are several types of psoriasis that can affect your feet. The kind that is seen most often is the plaque type of psoriasis that can also appear on the skin on other parts of your body. The patches, or plaques, that form on the skin are thick and scaly. They can crack and bleed and be quite painful, especially if they develop on the bottoms of your feet where they receive constant pressure from standing and walking.

Other types of psoriasis that can be found on the feet are pustular varieties, which mean that little, fluid-filled pustules (think small blisters) form on the skin. These can be yellowish or white and will eventually dry out, sometimes leaving a brown stain behind.

Your toenails are technically part of your skin and so it’s not a surprise that nail psoriasis often occurs in patients who have this disease. Pitting and discoloration are signs of psoriatic nails, as is thickening of the nail and separation from the nail bed.

The tricky part of diagnosing psoriasis on the skin and nails of your feet is that the symptoms are similar to those of athlete’s foot and fungal toenails. That’s why it’s important to let one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah, examine your foot if you have any new or unusual skin or nail conditions to get an accurate diagnosis, which will then determine the correct treatment.


All types of psoriasis have two components: genes and triggers. In people who have the genetic predisposition to the disease, a trigger is needed to cause a flare up, which basically kicks the production of new skin cells into overdrive, resulting in the plaque and/or pustules. Known triggers include:

  • Stress
  • Injury or trauma to the skin
  • Certain medications
  • Infection

If you are wondering if a skin or nail condition that you are experiencing could be a sign of psoriasis, or if you already know you have the disease and are seeing changes in your feet, contact our Edison, Monroe or Monmouth Junction office for an appointment at your earliest convenience by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
August 01, 2017
Category: Proper Footwear
Tags: Untagged

During the summer months, many people make a choice that they think is easy on their feet but can actually cause several short and long term problems: the constant wearing of flip flops. At Affiliated Foot & Ankle Care, we want to remind patients that these easy-to-wear summer shoes have one excellent use: keeping your feet from coming in contact with bacteria and fungi when walking in damp, warm places like the town pool, gym locker room or beach changing area. Wearing them every day, however, can be hazardous. Here’s why:

1.People wearing flip flops are more prone to cuts, scrapes and blisters. Most flip flops are made of rubber, which tends to create a high amount of friction between the skin and the strap  between your toes when feet sweat. This means an increased chance of blisters. In addition, the openness of the shoe combined with the total lack of sides means the foot is not stable, resulting in more stubbed toes, scrapes and cuts on your feet.

2.Flip flops increase the risk of stress fractures. Flip flops offer zero shock absorption. The repeated pounding of your feet on hard surfaces with very little to cushion the impact greatly increases the chance of stress fractures, especially in the forefoot. These tiny, hairline cracks develop as a result of repetitive pressure and are characterized by ongoing pain which can be dull or sharp.

3.A high number of ankle sprains occur to people wearing flip flops. In flip flops, your feet easily slip from side to side, making twisting an ankle an easy feat. People who have had a previous sprain are more likely to overstretch the ankle ligaments again, especially if the sprain was not fully rehabilitated initially. With no ankle support whatsoever, flip flops do nothing to protect ankles or hold them in position and prevent twisting when walking or stepping off stairs, curbs or other uneven surfaces.

4.Patients who make flip flops as their go-to summer shoes are more likely to end up with heel pain and plantar fasciitis. If you have flat feet, you are more likely to experience heel pain or to develop plantar fasciitis—a condition where the long band of tissue that stretches along the bottom of the foot, the plantar fascia, becomes inflamed. When you wear flips flops, which have no arch support, on a regular basis, you are encouraging your feet to become “flat.”

If these easy going shoes leave you with stressed out feet and you find yourself experiencing pain as the summer wears on, don’t wait to contact our Edison, Monroe or Monmouth Junction offices by calling: 732-662-3050. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will get you the pain relief you seek, although you will most likely have to put away your flip flops!