Posts for tag: Alcoholism

By Affiliated Foot & Ankle Care
January 23, 2019
Category: Foot Health
Tags: Diabetes   Ankle Sprains   Bunions   Alcoholism   Shoes  

We’re all familiar with the sensation of “pins and needles” in our feet and it’s not uncommon to have your foot “fall asleep” when you keep it in an unusual position for too long. But, what does it mean if you have this sensation frequently, regardless of the position of your foot? At Affiliated Foot & Ankle Care, we see patients with numbness or tingling in the feet that can come from a number of different sources.

Neuropathy—one of the most common causes of burning, tingly or numbness in the feet is nerve damage, also known as neuropathy. Neuropathy is frequently associated with diabetes but can also be caused by chemotherapy, alcoholism, injuries, and infections.

Footwear—your shoes may be too tight. Did you know that by some estimates 90% of the population is wearing shoes that are too small for their feet? Feet can increase in size as you age. Get your foot professionally measured and look for shoes with roomy toe boxes made out of soft, giving materials. If you feel the tingling sensation on just the top of your foot, try loosening your laces a bit.

Bunions—as the big toe moves out of place and begins to press on the second toe, nerves can get compressed. This pressure then causes the feeling of tingling in your forefoot and toes.

Herniated disc—sometimes, sensations in your feet are caused not by a podiatric problem but rather an issue with your back. A herniated disc could be compressing nerves that run down into your feet. Additional signs that this may be the source of your odd foot sensations would most likely include lower back pain and weakness.

Tarsal Tunnel Syndrome—you’ve most likely heard of Carpal Tunnel Syndrome, which occurs when nerves in your wrist are compressed and irritated. Tarsal Tunnel is similar only it happens when nerves in the tarsal tunnel—located in a space on the inside of your ankle—get compressed. This condition can be associated with an ankle sprain.

Obviously, each of these different causes of numbness or tingling in your feet would require different treatments to correct. If you are experiencing any ongoing unusual sensations in your feet, it’s time to contact our Edison, Monroe or Monmouth Junction, NJ office for an appointment by calling: 732-662-3050. Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, will conduct a complete examination of your feet and ankles and also order any necessary imaging or lab tests to accurately diagnose the source of your tingling. 

By Ben Gujral
July 13, 2013
Category: Charcot Foot

Unless you have diabetes you have probably never heard of this syndrome before! There is a joint in the foot called Charcot’s joint, it is a weight bearing joint, meaning that when you walk a lot of your body weight goes through this joint; this syndrome develops when this joint degenerates by bone breakdown and eventually results in a deformed joint and foot. Quite frequently this breakdown goes undetected, but how can that be? It sounds so painful! But the breakdown occurs because the person has lost sensation in their foot due to nerves breaking down and not working properly, so essentially the patient cannot feel their foot and consequently can’t feel the pain of the joint breaking down! This is very common in people with diabetes mellitus, it occurs in 1/600-700 patients. Some other common pre-existing conditions that can lead to this include alcoholism, cerebral palsy, syphilis and spinal cord injuries.

Since the patient usually cannot feel pain from the joint breaking down a diagnosis isn’t made until the foot has become severely deformed. In the early stages there may be no pain with a little bit of swelling, but as the break down progresses the swelling increases, pain may develop and skin temperature around the area may increase. At any sign of swelling in the foot it is important go see your local podiatrist at Affiliated Foot and Ankle Care in Edison and Monroe NJ to have your foot looked at! It is best to catch this break down early to prevent the severe consequences of catching it in late break down. Your podiatrist will take an x-rayof the foot to determine what stage of Charcot foot is present. There are stages 1-4; 1 being the least severe and 4 being the most severe.

If the syndrome is caught early enough the foot will be casted and immobilized to allow the joint to heal, sometimes joint correction surgery will be done, and is normally very successful! However if Charcot foot is caught in the later stages the break down may be too great to repair and amputation may be required. So if you notice any strange changes in your foot go see your podiatrist to get it looked at!

By Varun Gujral