Posts for tag: Achilles Tendonitis

By Affiliated Foot & Ankle Care
August 08, 2018
Category: Footwear

Ask yourself these two questions: are my feet hurting more than usual? How much time do I spend in my flip-flops? At Affiliated Foot & Ankle Care we know that flip-flops are a popular footwear choice especially during the summer months, but they can pose a serious risk to your feet. Although flip-flops are a good choice around the pool or when using the shower at the gym, they can do harm to your feet if you wear them as your primary shoe. Below are several reasons to re-think wearing flip-flops on a daily basis:


Increased risk of hammertoe—have you ever noticed how your toes have to work extra hard to grip the front of the flip-flops to keep them on? That repeated bending of the toe joint can eventually affect the biomechanics of your toes, causing them to become stiff and rigid in the bent hammertoe position. Switch to sandals that have an ankle strap instead.

Slips, falls and ankle sprains—flip-flops have nothing holding your foot in place. Never run in flip-flops and if a pick-up game of volleyball starts up at the beach, change into sneakers before joining in. The lack of side support makes it easy to twist your ankle, stub or cut your toe or trip on the front of the shoe.

A pain in the lower extremities—because flip-flops have zero arch support, you may experience symptoms similar to flat feet. These include stabbing pains in your arch and heel. Your joints try to compensate for the lack of arch in the shoe and this can throw your whole lower body out of alignment and cause aches and pains in your calves (Achilles tendonitis), knees, hips, and back.

Slow burn for calories—the effort to keep flip-flops on makes you take small steps and move more slowly. That means you’re burning fewer calories when you walk than you do when wearing sneakers.

Overexposure—the skin on your feet is exposed on all sides--except the sole--to whatever dirt, bacteria, and fungi are on the ground where you are walking when wearing flip-flops, increasing your risk of fungal infections and warts.

If you still are reluctant to give up your daily use of flip-flops, at least look into purchasing styles that have an arch added to them and better support for your foot. If you are experiencing foot, ankle or calf pain or toe problems, contact our Edison, Monroe or Monmouth Junction offices in New Jersey by calling 732-662-3050 and make an appointment with one of our podiatrists, Dr. Ben (Varun) Gujral and Dr. Nrupa Shah, and get relief.

By Affiliated Foot & Ankle Care
January 31, 2018
Category: Foot Pain

As January comes to an end, we at Affiliated Foot & Ankle Care want to ask, “How are you doing with your New Year’s fitness resolutions?” If you are like many patients, you may find that foot pain or other issues are derailing your plan to get physically fit. Don’t give up! Below are some tips for fine tuning your exercise routine to make it work for you:

  1. Get any foot pain checked out. If your toes, feet or ankles hurt or you are experiencing any discomfort as a result of your new fitness routine, make an appointment at our podiatry practice in New Jersey. Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah will examine your feet and ask about previous podiatric injuries and chronic conditions. The foot doctors may also want to examine the wear pattern of your shoes and check your gait. Recommendations about the best type of activity for your feet and any special accommodations necessary for you to exercise will be given. In some cases, the podiatrist may recommend an orthotic device, brace or pads to help protect a vulnerable area and make working out more comfortable.
  2. Make sure you’ve got the right shoes. Different sports require different shoes. The action of your foot when running is different than that of playing basketball, for example. Fitness shoes are designed specifically for the type of movement and the strain placed on your foot by a particular activity.
  3. Re-evaluate your exercise plan. If after a month, you are still finding your new work out too difficult and exhausting, you may have chosen a plan that is too advanced for your current level of fitness. Plans that set the bar too high result in discouragement and, worse, injury. Achilles tendonitis, heel spurs, and shin splints are just a few of the sports injuries that result from doing too much too soon when trying to get in shape. A sound plan will call for gradual increases in the length of time and the intensity of the workout. It should also include a warm-up, cool down and stretches to properly prepare your body for physical activity.

If you have more questions about fitness and your feet, contact our Edison, Monroe or Monmouth Junction office by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
May 24, 2016

The Achilles tendon, which attaches your calf muscles to your heel bone, is the strongest tendon in your whole body. It can withstand forces of over 1,000 pounds. It is also very susceptible to injury and inflammation and often causes athletes—both professional and amateur—to sit out many a game.

What Does it Feel Like?

In most patients we see at Affiliated Foot & Ankle Care with Achilles tendonitis it starts gradually with some minor aches and pains in the tendon area a few hours after exercise. Over time, the pain gets worse and may occur while you are exercising as well. Other symptoms include swelling in the calf area, a little tenderness above the back of your heel first thing in the morning, stiffness and just an overall tired feeling in your calf and lower leg area.

What Causes It?

There are several factors that can bring on Achilles tendonitis, including:

  • Starting an exercise or sport too rapidly after a time off from activity
  • Excessive hill running or stair climbing
  • Not stretching or warming up adequately before exercising
  • Increasing the mileage or speed of your walking or running routine too quickly
  • Tight calf muscles
  • An injury caused by a sudden intense pushing off movement that involves the calf such as a sprint
  • Overpronation (feet roll inward)
  • The wrong footwear or improperly fitted footwear

What Can Be Done?

Once our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah have diagnosed Achilles tendonitis, there are several treatment options available depending on what’s causing the problem. Mostly likely, the foot doctor will ask you to rest the foot for a period of time and possibly to switch to activities that do not put strain on the tendon. Nonsteroidal anti-inflammatory medication may be recommended to relieve pain and inflammation. To protect the tendon in the future, the podiatrist may recommend a bandage to limit the motion of the tendon, orthotics to relieve pressure on the area and exercises to stretch the tendon and make injury less likely.

If you believe you may be suffering from Achilles tendonitis, contact our Edison, Monroe, or Monmouth Junction office for an appointment.


It’s that time of year again! Our favorite baseball players have started reporting for spring training and it is a little over a month until opening day! While they are back in action, these players need to take care of themselves and their feet so they are not benched for the season.  A very common injury for baseball players is Achilles Tendonitis.  Although tendonitis is commonly thought of as a “minor injury”; this injury can bench professional ball players for weeks.

So what exactly is this injury? On the back of your ankle there is a tendon connecting the muscles of the back of your leg to your heel bone, this is the Achilles tendon. Tendonitis is when this tendon becomes inflamed and irritated. If the inflammation goes on long enough the tendon can begin to degenerate or wear away, this is called tendonosis. This is also why it is so imperative to treat the tendonitis right away before the tendon can start to degrade.

The common causes of this injury are overuse and increase in repetitive activities. This results in tiny fibers of the tendon being damaged and painful because the body cannot heal them quickly enough! Players like Miguel Cabrera and Joey Votto need to make sure to properly warm up and cool down after each practice to ensure that their Achilles tendon doesn’t become too stressed so they can play this season.

The symptoms to watch for include pain on the back of the leg, ankle and heel, along with tenderness when the sides of the tendon are squeezed, and increased pain with continued activity. If any of these symptoms appear, it is important make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care to get proper treatment so the injury doesn’t progress to tendonosis. We are located in Edison and in Monroe, NJ. The usual treatment for this is rest and ice, sometimes your podiatrist will recommend a cast or walking boot to relieve stress from the tendon, and a night splint may also be recommended.  Preventing this injury is always the best option! By wearing proper fitting shoes and stretching before and after exercising, it will greatly reduce the risk of developing this injury!

By Nrupa Shah