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Posts for: January, 2018

By Affiliated Foot & Ankle Care
January 24, 2018
Category: Ankle Sprain
Tags: Ankle Sprains   Shoes  

What’s the connection between your eyes and your lower extremities? Quite simply, not being able to see properly is one of the major reasons for ankles sprains, falls, and trauma to the feet. In honor of Glaucoma Awareness Month, all of us at Affiliated Foot & Ankle Care want to encourage our patients to have an eye exam and check for glaucoma.

Glaucoma is known as the “sneak thief of sight” because it could cause you to lose up to 40% of your vision without even noticing. Once it’s gone, the vision loss is usually permanent. In fact, glaucoma is the second leading cause of blindness in the world. Although people over 60 have the highest risk of getting glaucoma, it can affect people at any age.

The good news is that a comprehensive eye exam can detect glaucoma. If you do get glaucoma and have regular eye exams, it will be caught in the early stages when treatment can halt the progression of the disease.

Fall Protection

In addition to regular eye exams, podiatric exams also play a key role in preventing falls and foot injuries. Patients who put off getting foot pain evaluated tend to alter their walk and throw off their balance which greatly increases the chance of a stumble or fall. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will examine your feet and ankles and get a complete medical history as well. The correct treatment for your foot disorder will relieve pain and discomfort and help you get back to walking normally.

Other ways to prevent falls include:

  • Ensuring that there is adequate lighting inside and outside your home, particularly on stairs and pathways.
  • Don’t allow clutter to accumulate on the floor. Clear away stacks of magazines, empty water bottles and multiple pairs of shoes daily to prevent tripping.
  • Throw out your throw rugs.
  • Be sure electrical cords are safely tucked behind furniture and not in your path.
  • Wear shoes that fit properly and are not stretched or worn out.

To schedule your foot health check-up, contact our Edison, Monroe or Monmouth Junction office for an appointment today by calling: 732-662-3050.


By Affiliated Foot & Ankle Care
January 16, 2018
Category: Overuse Injuries
Tags: Turf Toe   sesamoiditis   fracture  

At the base of your big toe are two tiny bones known as sesamoids. Sesamoids are unique structures in the body in that they are bones that are embedded in tendons and not attached to other bones. When these little bones are injured or irritated, they can cause severe pain under the big toe. That’s when  Affiliated Foot & Ankle Care usually gets a call.

3 Common Sesamoid Injuries

The sesamoids can become inflamed due to excessive pressure and overuse brought about by many sports and activities, such as basketball, running, golf, tennis, ballet, and football. Acute injuries are also possible when there is a blow to that part of the foot or a sudden exertion and overstretching of the big toe joint. Common problems include:

  1. Sesamoiditis - this is an inflammation of the sesamoid bones or the tendons they are embedded in. It is characterized by a dull, aching pain beneath the toe joint that may come and go, depending on the activity or shoes you are wearing.
  2. Fracture - breaks in a sesamoid bone can be acute or chronic. Acute fractures are caused by a direct trauma or blow to the bone which causes immediate pain and swelling. A stress fracture is a crack in the surface of the bone and will produce an intermittent, aching pain.
  3. Turf Toe - the soft tissue around the big toe joint can be injured if the joint is overextended. Signs of turf toe include a sharp pain at the moment of injury (sometimes patients feel a “pop”) and swelling. The range of motion of the toe will be severely limited as well.

You can help reduce the risk of sesamoid injuries by limiting your time in high heels and avoiding repetitive stress on the big toe joint. If you feel you may have injured your sesamoids, contact our Edison, Monroe or Monmouth Junction office in New Jersey for an appointment by calling: 732-662-3050. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will examine your foot and determine the proper treatment to reduce pain and inflammation.


By Affiliated Foot & Ankle Care
January 10, 2018
Category: Foot Care

If you’re like many people, you may have watched the ball drop on New Year’s Eve. At Affiliated Foot & Ankle Care, it inspired us to think about a countdown to better foot care. It’s a resolution we think should be on all of our patients’ lists. Let these 10 tips put you on the path to healthier, happier feet:

10: Don’t smoke. Smoking not only increases your risk of several major diseases and is bad for your lungs, but it can also harm your feet because it impedes your circulation and slows healing if you injure your feet, ankles, or other lower extremity.

9: Avoid going barefoot. When your feet are exposed, you have a much greater chance of stepping on a sharp object or banging into something that could cause an injury to your foot. Bare feet are also vulnerable to fungal infections, which are spread through direct contact.

8: Wash your feet every day. This simple act can prevent infections and reduce foot odor.

7: Eat healthy. Choosing a well balanced diet can help you get to and/or maintain an appropriate weight. Being overweight increases the risk and severity of several foot problems. Your food choices can also affect joint pain and other inflammatory conditions. Talk to our foot doctor about foods that trigger or decrease inflammation.

6: Exercise regularly. This goes hand in hand with a healthy diet. In addition to helping with weight control, however, exercise also improves circulation and keeps muscles and tendons in the foot flexible and healthy.

5: Alternate your shoes. Allow shoes to air out between wearings. This will lower your risk of fungal infection and reduce foot odor.

4: No Bathroom Surgery. Don’t attempt to cut out warts, or fix ingrown toenails, blisters, calluses and corns. Leave these treatments to the professionals: our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah. The foot care specialists will take care of even minor foot problems with less pain and without the risk of infection incurred by “do it yourself” care.

3: Inspect feet regularly. Report any changes in color, shape, or temperature of your feet, as well as growths, redness, swelling, bruising or wounds that seem slow to heal.

2: Buy high quality, properly fitting shoes. This will go a long way in preventing many chronic ankle and foot disorders.

1: Don’t put off seeking medical care for foot pain. Delaying treatment often leads to worsening pain and disability. If you are experiencing any pain or discomfort in your toes, feet or ankles contact our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050 today.


By Affiliated Foot & Ankle Care
January 03, 2018
Category: Gout
Tags: Diabetes   Gout  

During the holiday season, Affiliated Foot & Ankle Care often sees an increase in the number of treatment for gout cases. Why? One of the most common triggers of gout attacks are eating foods high in a chemical called purines. Purines increase the amount of uric acid in your body. Excess uric acid that builds up in a joint can crystallize, which can cause the extreme pain that is characteristic of a gout attack. Foods that contain large amounts of purines include many holiday favorites, such as red meat, shellfish, rich sauces, red wine, beer and alcoholic beverages. In addition, overindulging over the holidays can lead to weight gain, which is also associated with gout. Other factors that can increase your risk for this painful condition include:

  • Genetics
  • Diseases such as: high blood pressure, leukemia, thyroid disorders, kidney disease, blood vessel diseases and diabetes
  • Taking certain medications and vitamins
  • Stress
  • Chemotherapy
  • Surgery

Diagnosis and Treatment

The symptoms of gout are fairly straightforward: excruciating joint pain accompanied by redness and swelling around the joint. Gout frequently strikes in the big toe joint, perhaps because it is subject to excessive amounts of pressure from walking and is the farthest joint from the heart (uric acid responds to cooler temperatures). Gout is also more likely to strike men than women, especially men between 40 and 60 years of age.

Our foot doctors, Dr. Varun Gujral and Dr. Nrupa Shah will want to get a complete medical history if you believe you may have gout. Our podiatrists will then examine the affected joint and may order x-rays or laboratory tests to rule out other possible conditions. Treatments for gout include medications, icing the affected joint, resting and elevating your foot at or above the level of your heart. Gout can become a recurring problem and the foot doctor may prescribe maintenance medication to avoid future attacks.  The doctor may also recommend modifications to your diet such as increasing your fluid intake to help the kidneys flush excess uric acid from your body. For more information, contact our New Jersey offices in Edison, Monroe or Monmouth Junction by calling: 732-662-3050.