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Posts for: November, 2018

By Affiliated Foot & Ankle Care
November 27, 2018
Category: Gout
Tags: Arthritis   Gout  

At Affiliated Foot & Ankle Care we start to see more cases of gout at this time of the year. The reason? One of the most common triggers of gout attacks is related to the rich food patients enjoy during this festive season.

What is Gout?

Gout is actually a form of arthritis. This is not surprising when you consider the symptoms: extreme pain in the joint accompanied by swelling, inflammation, and heat. Gout occurs when an excessive amount of uric acid accumulates in a joint and crystallizes. Cold temperatures increase the likelihood of crystallization and that is why the big toe joint—being the part of the body furthest from the heart—is the most common location for gout to develop (although it can happen in any joint in your body). The big toe joint is also subject to much pressure when you walk, and this may be another reason for it being a frequent site of gout.

Uric acid is a byproduct of purines—chemicals that occur naturally in the body and are also found in certain foods. People who get gout may either overproduce uric acid or have difficulty eliminating it from the body. The tendency for gout can also be inherited.

Steps Toward Prevention

Anyone who has ever suffered a gout attack will want to be proactive in avoiding future attacks. Gout is very painful and will often wake a patient up out of a sound sleep in the middle of the night. The pain may last for several hours or even days before subsiding. Once you’ve had gout, there is a good chance of it recurring. Some ways to prevent future attacks include:

  • Avoiding foods high in purines. On this list is: red meat, red wine, beer, shellfish, rich sauces, brandy, lentils, and beans.
  • Doing an assessment of the vitamins and medications you are currently taking with your physician or pharmacist. Certain ones have been associated with an increased risk of gout.
  • Maintaining a healthy weight and taking good care of your feet. In some cases, special shoes may be prescribed to help relieve gout symptoms. If you have questions about gout and your feet, contact our Edison, Monroe, Linden or Monmouth Junction office in New Jersey by calling: 732-662-3050. Our expert podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, will be happy to evaluate your feet and advise you of your best options.

By Affiliated Foot & Ankle Care
November 19, 2018
Category: Foot Pain

If you’re one of those people whose turkey is barely in the fridge before you’re off and running for those Black Friday bargains, we at Affiliated Foot & Ankle Care want to give you a few tips to save your feet. Running from store to store to score the best prices on holiday gifts can cost your feet dearly if you don’t take a few precautions.

  1. Shoe Savvy—your shoes are the biggest factor in how your feet will survive the super shopping day. This is not a day to wear a new pair! Go with a tried and true comfortable pair of shoes that has a wide toe box and a low heel. Sneakers or athletic shoes with good arch and ankle support are your best choice. This is definitely a function over fashion event. If our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah have prescribed a custom orthotic device for you, be sure to wear it for your marathon shopping trip.
  2. Blister Proofing—even trusty shoes can start to rub your feet the wrong way, especially if being on the move makes your feet sweaty. Carry moleskin with you and apply a piece to any place that starts to feel sore to prevent a blister from forming.
  3. Drink Up—you may not think there is a connection between your water bottle and your feet, but there is. Staying hydrated is one way to avoid uncomfortable swelling of the feet and ankles which can end up cutting your shopping day short.
  4. Break for Relief—in the long run, taking breaks to sit down and get off your feet for a few minutes will save your lower extremities way more than it will cost you in bargains. If possible, put your feet up on another chair. Even a short rest can reduce the risk of inflammation and fatigue and ultimately enable you to go on longer than if you go full speed ahead without any stops.

A little soreness after a day of Black Friday shopping is to be expected, but if your feet or ankles are really in pain even a day or two later, you may have sustained an injury that needs treatment. Contact Affiliated Foot & Ankle Care at our Edison, Linden, Monmouth Junction or Monroe offices in New Jersey for an appointment by calling: 732-662-3050.


By Affiliated Foot & Ankle Care
November 13, 2018
Category: foot deformity
Tags: Flat Feet   orthotic device  

At Affiliated Foot & Ankle Care we often see patients with flat feet who are not experiencing any pain or discomfort. For others, however, that is not the case.  Flat feet is a somewhat complex disorder because there are multiple types and several different causes. For some patients, flat feet are the result of a developmental problem that started during childhood and has gotten progressively worse. For others, it is part of the aging process or is caused by weight gain through pregnancy or obesity. Many patients with flat feet also overpronate or roll their ankle inward when they walk. At the end of the day, however, all cases of flat feet have one thing in common: the partial or total collapse of the arch of the foot.

The deformity of flat feet can lead to all kinds of foot, leg, and lower extremity distress. Pain in the heel, arch, and shins are common and it can even extend to the knee, hip, and lower back. Fortunately, there are several conservative treatment approaches that can be used to relieve symptoms. These include:

  • Medications—nonsteroidal anti-inflammatory drugs like ibuprofen can relieve inflammation and pain
  • Rest—the foot doctor may recommend that you reduce or eliminate activities that cause pain and cut down on prolonged periods of walking or standing. That way your arches can rest and inflammation will have a chance to subside. In extreme cases, a walking cast may help immobilize the foot.
  • Weight loss—if you are overweight, even slightly, it increases the strain on your arches and can increase pain.
  • Footwear modifications—wearing shoes that have good arch support is essential for patients with flat feet. An orthotic device may also be prescribed to increase that support and position feet properly.
  • Physical therapy—exercises can reduce pain and strengthen muscles.

The first step, however, is getting your feet evaluated. If you suspect you have problems with your arches, make an appointment at our New Jersey offices in Edison, Linden, Monmouth Junction or Monroe today by calling: 732-662-3050. Let our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, diagnose your condition and come up with a tailored treatment plan.


By Affiliated Foot & Ankle Care
November 06, 2018
Category: Diabetic Foot Care
Tags: Diabetes   calluses   corns   warts   ingrown toenails  

At Affiliated Foot & Ankle Care we know that our patients with diabetes are at increased risk for dangerous foot issues. That’s because the disease delivers a one, two punch. Neuropathy makes it difficult to detect foot problems and injuries in the first place so that often, by the time they are discovered, they are at an advanced stage. Then poor circulation impedes the healing process, causing even commonplace conditions such as ingrown toenails to become a potentially serious problem.

Fortunately, there are lots of ways to reduce your risk. Below are simple tips for preventing foot problems if you have diabetes:

  1. Trim toenails straight across. Don’t cut the corners and avoid round edges.
  2. Keep feet dry at all times. If you sweat profusely, change socks throughout the day if necessary.
  3. Wash feet daily with warm water and mild soap.
  4. Dry between your toes.
  5. No bathroom surgery! Do not attempt to dig out ingrown nails or trim calluses, corns or warts with sharp instruments.
  6. Keep feet warm.
  7. Don’t put your feet on radiators or directly in front of a fireplace or woodstove.
  8. Don’t smoke—it impedes circulation.
  9. Keep feet moisturized. Apply a good quality lotion to your feet daily but avoid the area between your toes.
  10. Do not wear socks with tight elastic tops.
  11. Choose shoes that have roomy toe boxes and keep heels to a height of 2 inches or less.
  12. Wear loose socks to bed.
  13. Inspect your feet daily. Look for cuts, bruises and swelling. Report any unusual changes in color, shape or appearance of skin or toes to our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah immediately.
  14. Keep your blood sugar under control and follow all of your doctor’s instructions for managing your diabetes.

If you have additional questions about diabetes and your feet, contact our podiatry offices in Edison, Monroe, Monmouth Junction or Linden, New Jersey by calling: 732-662-3050.