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Posts for: February, 2019

Winter brings many opportunities for outdoor fun and sports you can only do in snow and ice like skating, sledding, skiing, and snowboarding. At Affiliated Foot & Ankle Care, we want our patients to enjoy these activities but know that there are also risks that come along with them. Common podiatric injuries related to winter sports are sprains, fractures, and dislocations. Fortunately, you can prevent many winter sports injuries. Below are some tips for keeping your feet and ankles safe while enjoying cold-weather fun.

  • Know your sport. Improper technique can lead to injuries. If you are new to a skiing, snowboarding, skating or another winter sport, consider taking a lesson from a qualified instructor. Professionals can teach you basics about a sport, including something as important as how to fall to prevent fractures.
  • Know your limits. Choose an activity and intensity level that suits your current level of physical fitness. If you’ve been inactive for a long period, your muscles are likely to be unconditioned, and shin splints, ankle sprains and other damage to your lower extremities are more likely to occur.
  • Know how to prepare. Warming up is just as essential for cold weather sports as it is for indoor activities. Stretch and try a couple of slow runs or an easy skate or sled before tackling more rigorous activity.
  • Know what to wear. The right gear is important for comfort and safety. In particular, your footwear needs to be specifically designed for the sport you are doing and also properly fitted. You’ll want your feet to stay warm and dry and also to have good support for your ankles. If you have a chronic problem or deformities such as Achilles tendonitis or Haglund’s deformity, have one of our podiatrists, Dr. Varun Gujral, and Dr. Nrupa Shah conduct an examination of your feet and ankles. Ask the foot doctor for suggestions on how to best accommodate your foot problem in your sport.
  • Know what to do if you are injured. Always have a buddy with you and seek help promptly if you do sustain an injury. Contact our Edison, Monmouth Junction or Monroe office for non-emergent injuries or follow-ups by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
February 18, 2019

A condition that we at Affiliated Foot & Ankle Care find that many of our patients are unfamiliar with is a plantar fibroma. Below are some facts and how to treat this disorder.

FACT: A plantar fibroma is a lump in the arch of your foot. It is a fibrous, nonmalignant tumor which grows in the plantar fascia, the long ligament that runs the length of the bottom of your foot.

FACT: The cause of plantar fibromas is unknown.

FACT: Plantar fibromas will not usually go away or shrink without treatment. They can occur in one or both feet, and multiple fibromas may develop.

FACT: There are other possible causes of lumps in the arch, and for that reason, it’s essential that you make an appointment at our Edison, Monroe or Monmouth Junction office so that one of our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah can examine your foot and make the appropriate diagnosis. The foot doctor may order an MRI or a biopsy to confirm a diagnosis of plantar fibroma and rule out other possible problems.

FACT: Conservative treatment options are available at reducing pain from the fibroma, but they cannot remove them. These measures include:

  • Orthotic devices for your shoes designed to shift your weight away from the fibroma and relieve pressure to the arch
  • Physical therapy
  • Corticosteroid injections into the fibroma. These may reduce the size of the mass temporarily.

FACT: Surgical options are available to remove the fibroma, but some have undesirable side effects, such as nerve damage or a flattening of the arch of the foot. A newer option is cryosurgery which attempts to shrink the fibroma by freezing it.

If you have discovered a lump in the arch of your foot and suspect you may have a plantar fibroma, contact us today by calling: 732-662-3050.


By Affiliated Foot & Ankle Care
February 12, 2019
Category: Footwear

Winter isn’t letting NJ out of its grip any time soon, and here at Affiliated Foot & Ankle Care, we hope some of our patients are planning to get away to where it’s warmer. If this is you, we want to give you a few reminders to help keep your feet safe and healthy while you’re away.

Be Savvy about Your Shoes

The right footwear can make or break your vacation. It’s best to pack shoes that are tried and true—ones that you’ve already worn plenty and know fit comfortably. If you do have a new pair you want to bring, wear them around the house for a number of hours before you leave. You don’t want to be stuck with a pair that gives you painful blisters or hurts your feet. In addition:

  • Pack shoes that suit your activities—if you plan to take a day hike in the rain forest, flip-flops aren’t going to cut it.
  • Do bring flip-flops or other easy to slip on shoes if your vacation includes time at a resort pool or spa. Places where people tend to walk barefoot are high-risk zones for contracting fungal infections and athlete’s foot.
  • Be sure to plan to wear sneakers or low-heeled, comfortable shoes for your travel days. Making connections at the airport, transferring to your hotel, etc. can involve ample amounts of walking.

Pack Foot Essentials

There are a few items that will only take a small amount of space in your suitcase but can make a big difference in the health and comfort of your feet. Consider bringing the following:

  • Moleskin—placed over a sore spot when you’re out for the day can prevent a painful blister from forming.
  • Bandages—helpful if you do develop a blister or if you get a minor cut or scrape on your foot. Bring a small tube or individual packets of antibacterial ointment as well.
  • Emory board and nail clippers—to take care of any jagged or broken toenails to prevent them from catching and tearing or becoming ingrown.

Use Good Sun Sense

It’s been a while since your feet have seen the sun! Apply sunscreen to your feet that protect against UVA and UVB rays and is waterproof several times throughout the day. This goes for times when you are out shopping or site seeing as well as when you are sitting by the pool. Always reapply after swimming.

If you injure your foot while you’re away or notice any unusual skin rashes or toenail symptoms when you return, make an appointment at our Edison, Monroe or Monmouth Junction office promptly by calling: 732-662-3050 so that our podiatrists, Dr. Varun Gujral, and Dr. Nrupa Shah, can examine your feet and diagnose any problems.


By Affiliated Foot & Ankle Care
February 06, 2019
Category: Heart Health
Tags: Diabetes   Plantar Fasciitis   orthotic   bunion  

February is National Heart Month. You may be wondering what that’s got to do with your feet, but at Affiliated Foot & Ankle Care we want our patients to recognize that the health of your heart does affect your feet and vice versa.

Know Your Risk

Heart disease is the leading cause of death in men and women. There are several factors that raise your risk for heart disease—some we can control and others we cannot:

  • Family history of heart disease
  • Being overweight
  • Having diabetes
  • High cholesterol
  • High blood pressure
  • Smoking
  • Lack of physical activity
  • Poor diet

Take Control

Fortunately, there is much you can do to prevent heart disease and live a long and active life. Start by being proactive and informed about your health. Talk to your physician about your risk factors and know your cholesterol and blood pressure numbers. Then, take steps to reduce your risk and develop a healthier lifestyle. Make small changes over time rather than dramatic ones that will be too difficult to maintain. Some examples:

  • Get moving. Talk to our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah about any recommendations for fitness activities based on your individual feet. If you have a bunion, plantar fasciitis or other chronic foot condition, the podiatrist may recommend a custom orthotic device to make exercise more comfortable.
  • Drink alcohol only in moderation.
  • Reduce stress. Exercise, meditation, seeing friends regularly or spending time doing a hobby or activity you enjoy can all be stress relievers. Make sure to put your stress relievers on your calendar just the same as you do other appointments and events.
  • Make healthy changes in your diet. Reduce portion sizes, substitute fruit, yogurt and healthy snacks for chips, cookies and other less healthy choices.
  • If you have diabetes, follow all of your doctor’s instructions for keeping it under control.
  • If you are a smoker, find a program to help you quit.

Keeping your heart healthy will enable you to stay active and do the things you love. The health of your feet is an integral part of your healthy lifestyle. If you have questions or concerns about podiatric conditions, contact our Monroe, Monmouth Junction or Edison office by calling: 732-662-3050.