Posts for tag: Dr. Varun Gujral

Every sport typically has some sort of playoff or tournament to see who the best team really is mainly out of those teams who were their respective conferences or divisions. College football had their inaugural playoff this year as a matter of fact. NCAA College basketball, on the other hand, has had a tournament for over 75 years; first tournament was in 1939. March Madness as it’s termed today is one of the most watched sporting events in the country. It’s also a tournament where every single team lays out everything on the basketball court with no intention of leaving anything behind. With that said, players are at an increased risk for sustaining some sort of injury. Georges Niang of the Iowa State Cyclones knows about that all too well. Niang fractured a bone on the outside of his right foot and now he has to sit out the rest of the tournament. The bone he broke is the most common bone to break in the foot and it’s actually the same kind of break that OKC’s Kevin Durant is rehabbing.

Fifth metatarsal fractures are very common but are also very difficult to treat depending on the extent and location of the break. On top of that, high-level athletes make the rehab process a little more daunting too because of their need to get back to the sport as soon as possible. Your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ are highly trained foot and ankle surgeons who know just what it takes to treat these types of fractures. If the fracture is minimal and there is no displacement of the fractured piece they can usually be treated conservatively in a walking boot. However, if the fracture is large and it is displaced then surgical intervention is warranted. After surgery the patient will be non-weight bearing in a boot for about 4-6 weeks. It’s the time after surgery that is most crucial for the bone to heal properly. Any sort of motion (or micro-motion) will inhibit healing and will cause the patient to be off their feet for an extended period of time and this is why non-weight bearing is so important.  From everyone here at AFACare, we want to wish Niang a speedy recovery and to stay off his foot!

 By Varun Gujral



We’ve all had or known someone who has had an ingrown toenail. And everyone’s first reaction that hearing those words “ingrown toenail” is Eew! Let’s be honest, they are pretty gross, ugly and can be very painful. But this is a very common injury for athletes and for the average person. Some of our favorite celebrities, like Lady Gaga or Ke$ha, have probably suffered from these from all the crazy shoes they wear! This is a very common injury and it is nothing to be embarrassed about, it happens to more people than you think!

The major causes for a toenail to become ingrown include wearing too small shoes and forcing the nail to grow improperly, or by cutting the nail too short and it grows into the skin after being cut wrong. The common symptoms associated with this are a painful, tender area of the affected toe and nail, swelling, redness and possibly an infection.

Many people think this is something that they can take care of on their own, getting tweezers or nail clippers and digging it out; this is a BAD idea! This is how people get infections from ingrown nails. It may seem weird but podiatrists are trained on how to properly fix an ingrown toe nail and keep your toe from getting infected! Your local podiatrist at Affiliated Foot and Ankle Care located in Edison and Monroe NJ, can help you take care of this minor problem!

You can also make the situation a little better by soaking your foot in a warm salt water 3-4 times a day. And next time you cut your nails make sure you cut straight across, do not try to round the edges and do not cut them too short!


By Varun Gujral


What exactly is a stress fracture of the foot? This injury is tiny cracks in the weight bearing bones of your foot, which result from overuse due to running, basketball, gymnastics or other high demand sports. Football is another sport where this injury is very common and likely, Mohamed Sanu, a wide receiver for the Cincinnati Bengals was placed on the injured reserve list on December 4thfrom this injury.

These sports cause the muscles in your foot to become tired and less able to absorb the shock from the impact being placed on them, so the shock is displaced to the bones of your feet creating tiny cracks. The most common place in the foot for this to occur is on the second and third metatarsals and the calcaneus bone. Wait what…? These are the bones of your second and third toes and your heel!

Some common symptoms of foot stress fractures include pain that gets worse while bearing weight on your foot and goes away with rest, swelling on the top of foot or ankle, tenderness and bruising on the top of the foot or ankle.

Diagnosis and treatment of this injury is very important so that worse problems do not develop. Your podiatrist can diagnose the injury with a simple x-ray and examination of the foot. After the diagnosis has been made rest is very important! If you do not rest you can cause the bone to break completely and surgery will be required. Along with rest keeping weight off your foot is essential; your podiatrist will recommend either protective footwear or a cast until the cracks heal completely. In some cases surgery in required to stabilize the bones, but in a majority of cases rest and casting will heal the bones.

However after the bones heal it is important to not jump back into your normal activity level, you need to ease yourself back into the activities you did before the injury. If you jump right back into the high stress activity you were doing before you could injure yourself again and it could be worse this time.

But if you want to avoid the chance of this injury all together here are a few tips for prevention! Always gradually ease yourself into any new activity, use strength training to keep your muscles able to handle the stress you’re putting on them and also alternate your activities, repetitive motion can be stressful to your bones.

By: Varun Gujral


November is American Diabetes month! Every day we are all well aware of this disease and how it is taking over the country, but this month is dedicated to raising awareness for the disease. As obesity rates rise in America, so does the number of people at risk for obtaining this disease. Many people associate this disease with blood sugar levels, but what many people don’t know is that the earliest signs of this disease can be seen in your feet! One of the biggest signs starting in your feet is a loss of sensation/feeling. There is no ability to feel pain or temperature change, and the biggest problem associated with the loss of feeling is not being able to feel an injury, like a broken bone or tissue damage. Another sign associated with your feet is skin changes. These symptoms vary widely from dryness and cracking to open wounds called ulcers. Both of these can lead to infections and can be very harmful and could eventually lead to limb loss if left untreated.

Take the time this month to read a few articles or to talk to Dr. Gujral at your next appointment at Affiliated Foot and Ankle Care in Edison and Monroe, NJ to become more educated on this disease. Even if you don’t have diabetes, someone you know may have the disease or could be at risk for developing it, so take advantage of this special month and learn as much as you can! The best prevention is education.

By Varun Gujral