Posts for tag: Fractures

By Affiliated Foot & Ankle Care
April 11, 2018
Category: Foot Health

In April we celebrate Foot Health Awareness Month. At Affiliated Foot & Ankle Care, we thought this would be a good opportunity to dispel some myths that can hurt your feet. Many times, patients act on erroneous information that can lead to serious harm to the feet and ankles. Below are some of the more common myths we hear:

MYTH: Sticking cotton under the toenail is a good way to treat an ingrown nail. Wrong! Neither is cutting a notch in the nail or trying to dig out the ingrown nail with a sharp instrument. “Bathroom surgery” can lead to serious bacterial infection and disfiguring injuries. Have one of our podiatrists, Dr. Varun (Ben) Gujral and Dr. Nrupa Shah examine and treat any foot problems you are experiencing. Forget folk remedies when it comes to caring for foot conditions.

MYTH: Once you know your shoe size you can save time and buy shoes without trying them on. Unfortunately, shoe sizes are not standard across brands. If you buy shoes without trying them on and they are uncomfortable, many people just end up keeping them, which can greatly harm your feet. Shoes that are too tight in the toe box or rub in the wrong spot at the back of your heel hasten the development of crippling deformities, such as bunions and Haglund’s deformity (pump bump). In addition, your shoe size can change as you age or if you are pregnant. It’s best to have your foot professionally measured when you shop for shoes and then take your time trying them on and walking around to ensure comfort and proper fit.

MYTH: If you can walk on it, your foot or ankle is not sprained or broken. This myth has caused the worsening of many feet and ankle injuries. Being able to bear weight on an injured foot does not at all mean that it is not damaged. Sprains and fractures, particularly stress fractures, can hurt off and on after the initial injury. If you believe you have injured your foot or ankle, it’s important that you contact our Monmouth Junction, Edison or Monroe office in New Jersey as soon as possible and allow one of our foot doctors to evaluate your injury. Chronic conditions such as weak ankles and arthritis are often the result of not promptly treating and fully rehabilitating foot and ankle injuries.

Contact us at 732-662-3050 for any foot pain, injury or questions about your foot and ankle health.

The Chicago Air and Water Show is an event put on every year for millions of people to watch. It gives people of all ages the opportunity to see acrobatic jets, loud bombers, and even people jumping out of planes. What most people probably don’t know is that even though most—if not all—of the people who perform in the event are military trained. Not only that, but they have to train for this particular show. Hours and hours of rehearsing must be dedicated towards this event to ensure everything is perfect. However, we all know that no one is perfect and mistakes happen and unfortunately a mistake happened.

Two men, one from the Army Golden Knights and the other from the Navy Leap Frogs, were performing a stunt called the “bomb burst”—parachutists jump with red smoke attached to their back and eventually separate creating a colorful visual in the sky. Everything was going according to plan until their chutes got tangled up. One man, from the Army Golden Knights, is a 20 year old who is still in critical condition and underwent surgery the day of the accident. The other, from the Navy Leap Frogs, broke his leg and was expected to be released Saturday. It is unknown whether or not he had or is going to have surgery or not. The most difficult part about performing surgery on a traumatic patient is the amount of swelling they may have. IF the swelling is too extensive, the surgery must be postponed until the swelling resides unless the surgery far outweighs the risks involved. A way that is typically done, especially if the bones are completely out of place, is to put an external fixator around the broken bones in order to keep them in line while the swelling subsides. The patient must also be monitored for the risk of compartment syndrome. While in the hospital, if this is a concern, the compartment pressures of the leg are usually monitored with a Wicks catheter.

Any traumatic event is devastating but it is even more devastating when it happens to those who serve and protect our country. From everyone here at Affiliated Foot and Ankle Care in Monroe and Edison, NJ, we wish both divers a speedy recovery and thank them both for their service.

By Varun Gujral


By Varun Gujral
August 27, 2014
Category: Orthotics

The leaves are changing color, the weather is getting cooler, and the days are getting shorter. This could mean only one thing...football season is here! This is the time of year where families get together every Sunday, put on their favorite team sweatshirt, and watch their team play. This is the time of year where family rivalries really come to surface. This is also the time of year, though, in which most of the sports-related injuries occur.

Three-time Pro-Bowler, John Beason, of the New York Giants sustained a ligament tear and fracture to his right big toe joint and is currently working with team physicians to get him back to where he needs to be for opening day. He is in the process of being fit for orthoses and proper cleats. Having the proper shoe gear and orthoses after a fracture is imperative, especially for professional athletes and even more so for football players. With that said, however, orthoses can be made for practically any purpose deemed necessary. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ prescribe many different types of orthoses for many different types of conditions from minor calluses and stiff toes to severe bunion deformities and flat feet. Although there are many conditions in which orthoses are prescribed, there are other factors that the clinician needs to consider prior to casting your foot. Age, weight, and activity level are of the most common that need to be considered before making the proper orthoses. They can be made to help your feet function better, to accommodate a painful neuroma or heel spur, and even aid in relieving pain from plantar fasciitis.

Orthoses are very beneficial and when made properly can relieve pain almost instantly although this may not always be the case. Making them is an art and may take a few modifications for the device to work/fit properly. But don’t let that deter you from wearing them because properly functioning; pain free feet are what we strive for. “You don’t realize how important your feet are...But it’s really everything, right?” These are the words of one of the Giants’ most prominent and important players, John Beason. I couldn’t agree with him more!

 By Varun Gujral


While for some, cold weather means bunkering down next to the fireplace with a warm beverage, many of my active acquaintances hit the slopes this time of year.  Recently in the news, German Chancellor Angela Merkel suffered a fall during a cross-country skiing accident causing a partial pelvic fracture.  The German Chancellor was forced to cancel many of her meetings and engagements following the incident that occurred over her Christmas vacation.  Don't let injuries slow you down this year by following 4 simple tips to prevent injuries.

1.  Don't hit the slopes cold.  Before you fly down the mountain be sure that you are warmed up and stretched out.  When your body is cold and tight you are more likely to tear, strain, and rip your muscles, tendons and ligaments.   You may look funny doing calisthenics in your snow gear but it certainly beats sitting at the bottom of the hill while your friends tear up the powder. 

2.  Get in shape.  In addition to warming up, the best shield for warding off injury would be athleticism and conditioning.  If you know in advance that you are going skiing, make sure you're ready to handle it physically.  You are much more likely to sustain an injury if fatigue sets in as you aren't able to control your body or protect yourself.  A simple exercise to try would be holding a squat for 40-60 seconds.  Boost your cardio with an intense stationary bike session and then do another squat hold.  Hopefully you're already exercising, but if you aren't then your ski-cation could be the perfect reason to start. 

3.  Find the right footgear.  Whether you're strapping on skis or going for a leisurely stroll in the park, make sure you have properly fitting shoe gear.  For skiing you want boots that fit snugly around the sides of your feet and ankle.  Your lateral or outer ankle ligaments are the weakest so make sure they feel secure in the boot.  The one part of the boot that you don't want too snug is the toe box.  Make sure you can wiggle your toes in your boots.  In a pinch, if you find yourself stuck in boots that aren't tight enough, then throw on a couple pairs of thick wool socks to keep your feet locked in place. 

4.  Lastly, don't ski with an injury.  If you find yourself worn out or in pain then call it a day and head down the mountain for some beverages and relaxation.  Pushing through the pain can cause more serious damage to your ankle and take you out of the game.  Rest your injuries and if they feel better you can try to ease back onto the bunny slopes.  While skiing is a blast there is often plenty to do at the bottom of the hill.

Stay warm out there and remember to take care of your body.  If you have any questions about your shoe gear or your feet, make an appointment with your local podiatrist at Affiliated Foot and Ankle Care located in Edison and Monroe NJ today.

By Varun Gujral


It’s almost that time of year again; time to head back to school! For any of you that have a daughter you know that going back to school is all about having the latest fashion, and having the newest and coolest shoes. A lot of girls are trying to be like famous girls they look up to like Selena Gomez and Miley Cyrus. However, in all the photos we see of these girls that our daughters look up to they are wearing high heels, so of course middle school and high school girls insist on having a cute pair of heels for back to school. But is this good for your daughter’s feet?

The answer is simple, no! As a child or young adult, girls’ feet are still growing and are very susceptible to being deformed as they grow. There are many problems that can arise in your daughter’s feet from wearing heels; some of these problems include developing hammertoes, stress fractures and being more prone to sprained ankles. A majority of people with hammertoes are in older women who squish their toes into heels frequently; in a growing child’s foot the tendons that can create hammertoe are more likely to be moved into the position that creates this deformity. For any woman who has worn heels you know how easy it is step in a hole or just shift your balance and fall off the heel and sprain your ankle. In children the ankle ligaments are still growing and aren’t as strong as yours or mine so if they wear heels and twist their ankle in a weird way they are more likely to do serious damage to their ankle ligaments.

We all want our daughters to be happy when they go back to school, but high heels aren’t safe for young girls’ feet; however there are many types of flat shoes that are really cute and cool for your daughter to get ready for back to school! If you or your daughter needs more advice on the right shoes for back to school you can make an appointment with your local podiatrist at Affiliated Foot and Ankle Care in Edison and Monroe NJ today!

By Nrupa Shah