Posts for tag: NJ

By Nrupa Shah
October 21, 2015
Category: Footwear

Buying shoes for your child can be a very daunting task. Many children do not like to go shoe shopping and it can be a real challenge to try and get them to sit still long enough to try on even one pair of shoes. Despite this however, selecting the proper shoe for your child is very important for proper foot development. Many children especially young children often won’t tell you if a shoe is too tight or if it is rubbing. It is important to measure the child’s foot to ensure that the shoe is the right fit. In order to ensure that a shoe will fit properly, take out the insole of the shoe and have the child stand on it. Make sure there is enough room around the edges of the shoe and that their toes are not hanging off the front of the insole. There should be about half an inch space between the child’s toes and the edge of the shoe. Also, with growing children, one foot may be longer than the other so you should select shoes to accommodate the largest of the two feet.

Shoe shopping should be done in the afternoon or evening because like adults, a child’s foot tends to swell over the course of the day. It is important to avoid slip-ons or backless shoes and to select shoes with either laces or Velcro to prevent them from slipping off the child’s feet as they play. Try to select shoes made from breathable materials such as canvas as this will help to keep the child’s feet cooler and dryer as well as prevent the formation of blisters. With children it is always best to avoid shoes with heels. It is hard for children to walk in high heeled shoes and can lead to them tripping or hurting their ankles. Also high heeled shoes are bad for proper foot development so it is best to stick with flat shoes. Try to select shoes with textured soles as this will provide traction and prevent your child from slipping and falling.

Children’s feet tend to grow very rapidly and you will need to get them new shoes just about every six months to a year. It may be tempting to buy a shoe that is a couple sizes bigger than needed however, we caution against this because a shoe that is too big will catch on the ground as the child walks causing them to trip and fall. If you think your child’s shoes are not properly fitted to their feet or would like more information about children’s footwear, please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

For many, Corns and Calluses are an unsightly condition that most people want to keep hidden so others can’t see them. Many who develop corns and calluses will try to keep the problem hidden in their shoes and try home remedies to make them go away without realizing the potential complications that they can lead to. Calluses typically occur on areas of the skin that are placed under repeated pressure or experience repeated friction, corns are calluses that occur on the top of the toes. Corns and calluses are more than just a cosmetic issue; they change the quality of the skin damaging its elastic properties. If the skin can’t stretch, then it’s going to tear and if it tears it will quickly crack. This is especially problematic because cracks in the skin form a portal for bacteria to enter which will easily lead to an infection. Corns and calluses are especially problematic for diabetic patients because they can lead to the development of diabetic foot ulcers which are the one of the leading causes for foot amputations.

Corns and calluses can be easily prevented by wearing properly fitted shoes that minimize pressure and friction on your feet. You can also use padding to help protect areas of your feet that are susceptible to callus formation. If you do develop a callus, don’t try to remove it on your own, seek expert care from a podiatrist. They might try trimming away the dead skin composing the callus. Don’t try this on your own because if you cut too deep you could cause a serious injury to yourself or at the very least create a portal for bacteria entry. Your doctor may also try applying a keratolytic agent to the callus which is a weak acid that will eat away at the dead skin.

If you have an underlying foot deformity that is causing these problems, your doctor may make a mold of your foot in order to design a custom foot orthotic for you to offload the area and prevent the callus from returning. In very rare cases if the calluses are being caused by a boney deformity or a misalignment of the bones, your doctor may recommend surgery to remove the deformity or correct the misalignment. If you developed a corn or callus and would like to have it removed or would like more information about corns and calluses please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

By Varun Gujral
September 02, 2015
Category: Sports Injury

The regular season of the PGA Tour comes to an end in July but the FedEx Cup Championship starts in August—and it starts in Edison, NJ home of your local podiatrists of Affiliated Foot and Ankle Care. Golf is a very leisurely sport but with it can come with major problems, especially related to the foot and ankle. The most common foot and ankle problems golfers complain of are heel pain, metatarsalgia (or ball-of-the-foot pain), and tendinitis.  All of these common ailments can be treated by conservative measures and they are complaints that your local podiatrists are experts in treating.

 There is one common treatment option, which unfortunately does not require the advice of a physician and that is—REST.  Resting any injured part gives your body time to heal by reducing the amount of strain it is used to having on it. Along with rest is ice compression, and elevation…also known as, RICE. This is the go-to treatment option and it’s typically done before patients are even seen in the office. If these measures fail, more aggressive conservative treatments are warranted. Those treatments usually include, in particular order, bracing (for tendinitis), OTC orthotics, custom orthotics (both for heel and foot pain), physical therapy (for all complaints, but mainly tendinitis) and steroid injections (heel and foot pain). Steroid injections are not warranted for tendinitis due to their deleterious effects on tendon strength and healing. There are even more aggressive treatments that can be done but are not usually warranted because these treatments typically cure the pain. For completeness sake, other conservative treatments are cryosurgery and shockwave therapy, both of which are used mainly for heel pain.

The conditions mentioned above are not only experienced by golfers. These are conditions we see every day and are experts in treating them. If you or anyone you know has experienced any of these pains or discomforts, please do not hesitate to call our office and make an appointment. We also have an office in Monroe, NJ as well. Good luck to the golfers as they finish up the start of the FedEx Cup!

 By Varun Gujral


By Nrupa Shah
July 29, 2015
Category: Footwear

Many people have experienced the detrimental effects that a bad pair of shoes can have on one’s health. After a day of wearing a bad pair of shoes one might complain of various pains throughout their body such as in the arch of their foot, their heel, ankle, knees, lower back, and even headaches in some extreme cases. Summer time is notoriously known as being a season for wearing poorly supporting footwear in the form of flip-flops and sandals. While sandals and flip-flops may seem fashionable and comfortable to wear in the summer, they don’t provide much support or protection for your feet. Wearing sandals or flip-flops for short periods while at the beach is okay but if you are planning to walk long distances or do any type of work then it would be a wise idea to change into something more supportive for your feet. Due to the lack of support flip-flops and sandals offer, wearing them for long period’s time will put tremendous stress on your feet which can lead to or exacerbate several foot deformities.

While the list of foot problems caused by poor footwear is a long one, some of the more common conditions include plantar fasciitis, bunions, hammer toes, heel pain, and a whole host of others. With the various styles and types of shoes available, one may be wondering how they should go about picking out a shoe in order to prevent any foot pain or foot deformities. While each individual is going to require a slightly different style of shoe, there are things to look for in a shoe. First off, you want to select a shoe the matches the shape of your foot. Some people have wide feet, others have narrow feet. Some people have straight feet, and some have feet that look curved from above. Second, you want a shoe that is properly fitted for your foot. Make sure to measure the length and width of your foot each time before buying a new pair of shoes. You also want a shoe with just the right amount of arch support because the arch of your foot is where most of the shock absorption occurs so you want that area well supported. You’ll want a shoe with a good broad based heel no more than one and a half inches thick. Finally you want to make sure the shoe has an appropriately sized toe box (the part of the shoe that houses the toes) so that your toes aren’t crushed together or rubbing on the top and that there is at least a half inch of space between the end of your longest toe and the front of the shoe.

While these are some the basic things to consider when selecting a shoe, one may need to consider other factors as well such as any foot deformities, type of work they will be performing in them, and also medical conditions such as diabetes. If you would like to discuss your footwear with a podiatrist or would like more information about selecting a shoe that’s right for you please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

Nrupa Shah

By Nrupa Shah
June 18, 2015
Category: Fractures

It seems the more and more I talk about how rare I think it is that performers injure themselves on stage, the more and more they are doing it. Recently, the lead singer of the Foo Fighters, David Grohl, fell off the stage and broke his leg. The extent of his injury, however is still being decided. With that said, though, taking a spill from a concert stage can cause real damage to your leg and often times “a broken leg” can also mean an injury to the ankle as well.

Traumatic ankle fractures often involve fractures of the lower leg as well. Depending on the way the foot is planted and the direction the leg turns will decide that fate but the most traumatic position the foot and leg can be in is a pronated foot with an externally rotated leg. However, the most common combination is a supinated foot with an externally rotated leg. In any event, treatment for these types of injuries usually involves surgical intervention. Main reason being is because with this type of injury, developing arthritis is already high, but if the fracture is not reduced the chances for arthritis is increased dramatically. These types of injuries are emergent but swelling of the leg and ankle is the deciding factor in these types of injuries. Swelling needs to subside before surgery can be considered due to the fact that if skin that is tense because of the swelling is cut into, it will filet open and will not be able to be closed back up. So, patients are usually told to ice and elevate their injured leg for about 7 days before they see the surgeon and undergo surgery. After surgery patients are usually non weight bearing for four-to-six weeks in a cast.

Whether it’s a fall from 3 feet or 10 feet, a broken leg is a broken leg and it needs to be fixed. If you have experienced a fall that resulted in what you think may be a broken leg/foot/ankle, please go to the ER as soon as possible! From everybody here at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ we hope Mr. Grohl an uneventful recovery in hopes he can get back on stage.

By Nrupa Shah