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Posts for: December, 2017

By Affiliated Foot & Ankle Care
December 29, 2017
Category: Foot Care

Chances are you put a lot of thought into your holiday gifts this year, finding the perfect items for all the friends and family on your list. But how about a present for the part of your body that enabled you to put together all those holiday treats for everyone else? Your feet deserve a special present too and at Affiliated Foot & Ankle Care, we know that there is no better gift for your feet than good quality shoes that fit properly. Below are some tips to take with you to the shoe store:

  • First, choose a store that specializes in shoes and have your foot measured by a foot wear professional. Shoe size can change as you age. It’s also not uncommon to have your feet measure two different sizes. You should always buy shoes to fit the largest of your two feet.
  • Shop at the end of the day. After you’ve spent the day on them, your feet are at their largest, most swollen size. This is the time to shop to guarantee shoes won’t start to feel tight as the day goes on.
  • Wear the type of socks you will most likely wear with the shoes you are purchasing, which will ensure a more accurate fit.
  • If the foot doctor has prescribed an orthotic device to go inside your shoes, bring it with you and try on with the shoes you are considering.
  • Always try on both shoes and spend some time walking around the store to be sure that there are not spots on your foot where the shoes rub or pinch.
  • Check the inside of the shoe with your hand to make sure there are no rough spots or bulky fabric that could cause blisters.

If you have any existing or chronic foot conditions, make an appointment at our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050.  One of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah can check the progression of your condition and make recommendations for shoes that would best accommodate deformities such as bunions or hammertoes or make conditions like plantar fasciitis less painful. 


At Affiliated Foot & Ankle Care, we see many patients who don’t plan on coming in but find themselves experiencing foot or ankle pain. While they may be surprised, we’re not. The holiday season puts a fair amount of additional strain on your feet, partly because you are on them for more time than usual. Below are some common foot ailments to be on the lookout for:

Plantar Fasciitis—heel pain is often the result of arch problems. The plantar fascia—the long band of tissue that runs along the bottom of your foot from heel to toe—becomes inflamed and that’s what causes the pain. The more you walk, the more it hurts. You can help prevent heel pain by wearing shoes that have good arch support and taking breaks to sit and put your feet up on days when you have to be on the run from morning till night.

Varicose Veins—many people have varicose veins but don’t experience any symptoms. Veins have valves in them that open and close depending on which way the blood is flowing. To get back to your heart from your feet the blood has the biggest fight against gravity of any place in your body. When the valves in the veins weaken, some blood may leak back and pool in the vein. Standing for long periods of time (preparing meals and treats or standing on line at a store) can put extra pressure on varicose veins and cause them pain and cause your entire lower leg to feel achy and heavy. If the foot doctor has prescribed compression stockings, wear them when you are going to be on your feet all day.

Ankle Sprains—slippery conditions definitely increase the risk of twisting an ankle or missing a step. Be sure to wear low or no-heeled shoes or boots if the weather is bad, and don’t carry so many packages that you can’t see the pavement in front of you.

If you do injure your foot or begin to notice foot or ankle pain that is increasing in intensity or frequency, it’s important that our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah examine your feet promptly and start any necessary treatment to prevent the condition from developing into something worse. Contact our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050.


By Affiliated Foot & Ankle Care
December 12, 2017
Category: Diabetic Foot Care

Diabetic patients always have to take special care of their feet, but at Affiliated Foot & Ankle Care, we know that this time of the year brings some particular challenges that we want to remind our patients about. Colder weather and the holiday season can increase potential risks for patients with diabetes. Here are some do’s and don’ts to help keep your season merry and bright:

Don’t: be tempted to skip your regularly scheduled podiatric appointments. All the extra activity of the holiday season may mean less time but it also means more stress on your feet and that’s why monitoring your feet is even more important.

Do: be diligent about using a rich moisturizer on your feet and heels. As thermostats get turned up, the air and consequently our skin gets much drier. Avoid heel fissures and cracks caused by dry skin with extra applications of cream or lotion.

Do: keep feet dry. Feet that sit in damp socks allow bacteria to grow and increase the risk of fungal toenail infections and athlete’s foot. Change socks more than once a day if you sweat profusely. If snow or rain has seeped in through your shoes or boots, remove them as soon as possible and dry your feet completely, particularly between your toes.

Don’t: apply direct heat to your feet. Avoid heating pads and electric blankets. Neuropathy can make it difficult to detect when the temperature is too high and may result in burns.

Do: pay attention to where you are walking. Between slippery conditions from wintery weather and too many items on your mind, it’s easy to miss a curb or not see an icy patch on the sidewalk. Slips and falls can cause injuries that can lead to serious complications for diabetic patients. Limit the number of packages you carry at one time as well because this can prevent you from seeing what’s in front of you.

Don’t: put off contacting our Edison, Monroe or Monmouth Junction office in New Jersey if you detect any unusual symptoms in your feet. Our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah will want to be informed immediately of any changes in your feet so they can be checked in order to head off potential wounds or ulcers. Call us at: 732-662-3050.


By Affiliated Foot & Ankle Care
December 06, 2017
Category: Diabetes
Tags: Diabetes  

At Affiliated Foot & Ankle Care, we urge all of our patients (and particularly those with diabetes or autoimmune conditions) to contact our Monroe, Monmouth Junction or Edison office in New Jersey at the first sign of a wound or ulcer on the foot or lower extremity that does not seem to be healing promptly. Ulcers are wounds that are slow to heal and consequently can lead to dangerous infections. There are a number of different causes of foot ulcers and our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will diagnose your wound and prescribe the correct treatment.

In addition to following the foot doctor’s directions, you can help increase your immune response in several ways. One of them is by choosing healthy foods that contain specific elements that help fight infection and increase the effectiveness of your immune system. Below are 5 heavy hitters in the fighting of infections. With cold and flu season upon us, these items are good to add your menus even if you don’t currently have a foot infection.

  1. Kale—yes this super food makes the list for boosting your immune response too. That’s because it’s full of vitamin C. Long recognized as a powerful help in warding off colds and other common illnesses, this vitamin also helps other antioxidant levels to increase.
  2. Poultry—it’s a lean source of iron, critical to helping you deliver oxygen to your cells and also plays a role in clotting. Chicken, turkey, Cornish game hens and other fowl also contain zinc which can help regulate inflammation and grow new white blood cells.
  3. Garlic—certain chemicals in garlic have been found to actually help reduce the risk of cancer and Alzheimer’s disease. It contains power antioxidants known for defeating infections. In some cultures garlic is even applied directly to wounds as an antiseptic.
  4. Yogurt—be sure to choose the kind with live and active cultures. These cultures greatly enhance your immune system. In addition, you’ll be getting a dose of another infection fighter: vitamin D.
  5. Cauliflower—in addition to antioxidants, cauliflower contains choline, a chemical that improves cell movement and structure and also glutathione, an antioxidant which targets a number of specific infections.

If you have additional questions about foot or lower extremity wounds, contact us by calling: 732-662-3050.