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Posts for: September, 2018

By Affiliated Foot & Ankle Care
September 26, 2018
Category: heel pain

At Affiliated Foot & Ankle Care we know that getting to the bottom of children’s foot pain can be tricky. Depending on the age of your child, it may be difficult to even know they have a foot problem because he or she may not be able to articulate fully the discomfort they are experiencing. In young children, parents may have to do a bit of sleuthing. If your child appears to be limping or walking in a funny way, complains that their legs are “tired,” or they seem to be avoiding physical activities and games they usually enjoy, these may be signs of foot pain. Ask your child to show you where on their foot it hurts. If they indicate the heel, here are a few potential causes:

Sever’s Disease—this is an inflammation of the growth plate which is at the back of the heel. Sever’s Disease is the most frequent cause of heel pain in children between the ages of 8 and 15. During those years the heel bone is in the process of developing. The area where new bone growth is forming is sensitive to repetitive stress and pounding. Sports activities such as soccer, basketball, gymnastics, and track can cause this area to become inflamed, which leads to severe pain that worsens with activity.

Plantar fasciitis—along the bottom of the foot, running from the heel to the toes, is a long band of tissue known as the plantar fascia. When the plantar fascia becomes inflamed, it can cause pain in the heel. Plantar fasciitis is most often caused by biomechanical dysfunction such as overly high arches or flat feet. Being overweight can increase the risk for this condition.

Poorly fitting shoes—sometimes heel pain in children is not from a medical condition but merely from shoes that don’t fit properly or are not correct for a particular activity. Too much time in cleats has been linked to Sever’s Disease. Children’s shoes should have adequate arch support and a cushioned sole that provides shock absorption for typical children’s activities. If your child has had a previous foot injury or is currently being treated for a chronic podiatric condition, check with our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah for recommendations of specific shoe designs that may best accommodate your child’s foot.

If your child is experiencing foot pain or you suspect there is a problem, contact our Edison, Monroe, Monmouth Junction or Linden office in New Jersey today for an appointment by calling: 732-662-3050.


By Affiliated Foot & Ankle Care
September 18, 2018

September is National Childhood Obesity Awareness Month and here at Affiliated Foot & Ankle Care, we have a vested interest in this cause. Why? Studies show that obese children often continue on to be obese in adulthood. Carrying excess weight is harmful to your feet and ankles. The added strain is a cause or contributing factor for many foot and ankle disorders, including plantar fasciitis, sesamoiditis, flat feet, chronic ankle instability, and more. In addition, being obese greatly increases your risk for systemic diseases—many of which also have serious consequences for your feet—like diabetes and hypertension. Below are some simple steps to take now to help prevent your child from becoming overweight:

  1. Make dietary changes. Obviously, food choices are a big factor in maintaining a healthy weight. Too many high fat and calorie snacks and processed foods are readily available and inexpensive. You don’t have to change your family’s entire diet overnight. Make small choices gradually:
  • Buy more fruit and less pre-packaged snacks and desserts.
  • Teach your children to read labels and look at sugar and fat content in the foods they eat.
  • Do away with sugary drinks and encourage your family to drink more water.
  • Decrease portion size.
  1. Step up physical activity. The other part of the calorie equation is burning more calories than you take in. Look for ways to enjoy more physical pursuits as a family: bike rides, hiking, raking leaves, and rollerblading together. Even simply taking a walk after dinner is a great way to add more active minutes to the day. If your child has had a foot or ankle injury, check with our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, before starting new fitness activities.
  2. Put limits on screen time. Constant access to phones, computers, television, and video games will naturally disincline your child to participate in more active pursuits.
  3. Set regular bedtimes. Lack of sleep is a contributing factor to obesity. Now that school is back in session, create a schedule that allows your child to get enough sleep each night.
  4. Be a role model. Children learn by watching. If you show care about what you eat, being active and living a healthy lifestyle they will follow your example.

If you have questions about your child’s weight and foot health or have other podiatry concerns for you or your children, contact our Linden, Monroe, Edison or Monmouth Junction offices in New Jersey today by calling: 732-662-3050.


By Affiliated Foot & Ankle Care
September 12, 2018
Category: Ingrown Toenails
Tags: Ingrown Toenail  

Perhaps one of the more painful, common conditions that we treat at Affiliated Foot & Ankle Care is the ingrown toenail. When a nail grows into the nail bed it can become red, swollen, and very tender to the touch. It’s so painful that often patients put off coming to us (which only allows the condition to get worse) because they fear how much the treatment will hurt. When an ingrown toenail is severe, or an infection has developed, our podiatrists, Dr. Ben Gujral or Dr. Nrupa Shah can do a procedure known as a partial nail plate avulsion. First, we numb the toe with an anesthetic. Then we can cut out the ingrown portion of the nail. Patients leave the office in much less pain then they came with.

Avoiding Ingrown Nails

Of course, it’s always better to prevent a foot or nail problem in the first place. Below are some ways you can help stop an ingrown toenail before it starts:

  • Trim nails correctly—improper trimming is the number one cause of ingrown toenails. Nails should be cut straight across and with no rounded corners. It’s also important not to trim nails so short that the skin of the toe can easily flap over the nail.
  • Don’t wear shoes and socks that are tight. The constant pressing of the toes together encourages ingrown nails to form.
  • Wash your feet daily. If you think an ingrown toenail is starting, you can soak the foot in warm water several times a day and gently massage the corner of the nail out of the skin.

No “Bathroom Surgery” Please

Do not attempt to cut the nail out yourself—this can lead to serious injury and infection. Avoid home remedies such as sticking a piece of cotton under the nail or cutting a notch out of the nail. These also will not work and will damage the nail and the toe.

If you have an ingrown toenail, don’t suffer needlessly. Contact our Edison, Linden, Monroe or Monmouth Junction office in New Jersey for an appointment today by calling: 732-662-3050.


By Affiliated Foot & Ankle Care
September 05, 2018
Category: Senior Foot Care

Did you know that falls are the number one cause of both fatal and non-fatal injuries to people aged 65 and older? During the month of September, we celebrate Falls Prevention Day. At Affiliated Foot & Ankle Care in New Jersey, we are concerned about foot care at all ages. We’d like to take this opportunity to offer these tips for preventing falls among our senior patients.

  1. Don’t put off getting foot pain evaluated. If your feet hurt, it can make you walk in an abnormal way in order to avoid the pain. This can throw off your balance and result in a fall. Be sure to get any foot pain or discomfort checked by one of our podiatrists, Dr. Ben Gujral or Dr. Nrupa Shah promptly. The foot doctor will be able to diagnose the problem and prescribe the proper treatment to alleviate the pain. If it’s a chronic problem, the podiatrist may be able to help with shoe choices or orthotic inserts that will make walking less painful.
  2. Get your eyes checked regularly. Changes in vision can be subtle. Not seeing well at night or changes in depth perception will greatly increase the chance of stumbling.
  3. Declutter your home. Ask a family member to do a walk-through of your home with you. A second pair of eyes will be helpful in spotting potential tripping hazards. Be sure to take care of the following:
  • Obstacles in walking areas such as plants, electrical cords, piles of magazines, etc.
  • Throw rugs and carpeting that is becoming untacked at the edges.
  • Make sure there is adequate lighting inside and out and especially on staircases. Install night lights that will illuminate the path from your bedroom to bathroom.
  • Install safety accessories such as grab bars in the shower and near the toilet and handrails on both sides of the stairs.
  1. Review medical conditions and medications. Diseases such as arthritis or neuropathy can affect your ability to walk. Certain medications may cause dizziness or lightheadedness, especially when taken in combination with other medications. Ask your physician or pharmacist to review all of your medications.
  2. Improve your balance. There are exercise classes you can do that will help improve balance. Check your local senior center or contact the National Council on Aging for programs in your area.

If you have additional questions about how foot care can affect your fall risk, contact our Edison, Monroe, Linden or Monmouth Junction office today by calling: 732-662-3050.