Posts for tag: Nrupa Shah DPM

By Nrupa Shah
December 16, 2015
Category: Foot Pain

Black Friday recently passed us by but for many, Christmas is fast approaching and you still need to find that perfect gift for someone on your list. With the temperatures dropping and people scrambling around shopping, this is the time of the year where many accidental foot injuries will occur. With icy sidewalks and slick store floors, it is very easy to slip and sprain your ankle or cause other foot injuries. We here at Affiliated Foot and Ankle Care have some tips for keeping your feet healthy this holiday season.

  • Wear shoes that fit – Before you go out and hit the stores and malls, make sure you have a good pair of shoes for walking. You definitely don’t want to hit the mall in high heeled shoes or tight narrow shoes. You want shoes that fit both the length and width of your feet and are snug but not too snug because with all the walking, your feet are bound to swell up. The shoes should have a good arch support and should provide good shock absorption.


  • Watch what you eat – Did you know that what you eat and drink can wreak havoc on your feet? Certain food and drinks such as red meats, shellfish, and red wine just to name a few, are high in purines. Purines lead to uric acid accumulation in the blood which tends to crystallize in joints. The most common joint affected by this is the big toe joint and when this happens, it is known as gout. Gout attacks are very painful and if you experience one it is best to avoid eating whatever may have triggered it.


  • Beware of Nail Salons – Many like to make their nails pretty for the holiday but remember, nail salons are an easy place to pick up bacterial infections. To reduce the risk of infection, go to salons that are state certified and make sure that the instruments are sterilized before being used on you. Also, you may consider bringing your own pedicure set and sterilizing it on your own.


  • Be careful around ice and snow – Winter brings with it a lot of snow and ice and with that comes lots of slipping and sliding both outdoors and indoors. When people track snow in from outdoors it creates wet slippery entry ways in stores so caution must be taken when entering and leaving stores not to slip in the entrance. Also, icy sidewalks and parking lots are real danger zones and easy places for slipping and falling in the winter. Also, road conditions can be less than stellar in the winter so use caution with driving and give other cars plenty of room to avoid accidents.


 We here at Affiliated Foot and Ankle Care hope that these tips will lead to a healthy and happy holiday season for you and your family. If you experience any foot problems or would like more information about foot safety tips, please make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe, NJ.

By Nrupa Shah

With summer coming to an end and fall taking its place, the weather is appearing to be more frigid and the sun seems to be dimming a lot earlier than we’re used to. Frigid temperature usually means wearing warmer clothes throughout the day and possibly more covers at night. What if I told you the latter could potentially be hindering how you sleep? Not in a bad way, but you could sleep better with less covers or by changing the way you position your legs and feet while still be covered up. There hasn’t been any real evidence conducted about this particular topic, but sleeping with your toes or your entire foot outside the covers could help improve the way you sleep at night.

According to Dr. Natalie Dautovitch, a leading researcher in chronopsychology, our hands and feet are unique such that they “contain vessels called arteriovenous anastomosis, which--coupled with the lack of hair on the bottoms of your feet--are perfectly designed to help dissipate body heat”. I think this could be viable information to tell our patients who do suffer from sleep deprivation and even those who feel fatigued in the morning. Along with sleeping with your foot (or feet) outside the blankets, it was also recommended that patients can also take a warm bath or drink a warm drink prior to going to bed. It’s said that the body feels more tired in colder environments so with getting out of a cold bath your body immediately starts to cool itself so you should feel sleepier.

Again, there is no evidence-based research to back any of this up but I feel it is definitely something we can try to employ before suggesting any kind of sleep aid. Your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are not only here to help your feet better, but to make your overall quality of life better and we will try any and every way possible to accomplish that.

By Nrupa Shah


By Nrupa Shah
September 03, 2014
Category: Diabetes

Firefighters are the type of people, in my opinion, who fear nothing. They are the type of people who put others before themselves in the midst of chaos to make sure everyone is safe. Of all the good firefighters do, though, sometimes they are the ones that need to be saved. Captain Nolan Meinardus of the Fort Smith Fire Dept. in Arkansas knows first-hand what it’s like to be the one being saved.

In March, he (31 years old) had his leg amputated--and it all started because of a minor cut on the bottom of his toe from him stepping on a toy car. If you haven’t guessed already, Capt. Nolan has diabetes. Patients with diabetes are at increased risk for ulcer formation and subsequent infection due to ulcers. This is why it is imperative that our diabetic patients get monthly, quarterly, or semi-annual check-ups (depending on the severity of their condition). The basis of a patient’s check-up is determined by a number of factors: 1) whether there is loss of protective sensation (LOPS); 2) does the patient present with neuropathy, a deformity and/or peripheral arterial disease (PAD); and 3) has the patient had a previous ulcer or amputation. These three categories are what are called a ‘Risk Categorization System’ and is used to determine how often a diabetic patient should be seen in the office.

Capt. Meinardus acquired the cut on his foot nine years ago and was battling with a severe ulcer/infection until March of this year when he decided to have his leg amputated. The choices were to amputate and live a healthy life or risk fighting an infection and potentially die. Firefighters do fear nothing, but nothing is more fearful than the thought of losing your family and friends especially from a little cut on the bottom of your foot. Diabetes, although very manageable, is a serious issue that needs to be cared for appropriately by the proper team of health care providers at proper time intervals.

If you think you may have one or more of these conditions, please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ. Controlling your sugar and diet are two extremely important--if not, most important--aspects of managing diabetes, but patients often neglect to see their podiatrist for routine therapeutic foot care which may also be one of the most important aspects of diabetes management.

By Nrupa Shah


“I do!” are the two words you will start to hear a lot this time of season. Why? Everyone seems to be getting married. And it’s definitely the prime time to do so; perfect weather, kids are out of school, and you’ve been working on that beach-bod. But, with weddings come bridal parties and with bridal parties come...you guessed it...high heels! They are a podiatrist’s “arch” enemy (no pun intended). Okay, maybe not our enemy, but they certainly are causes to a lot of foot problems which are addressed by your local podiatrists at Affiliated Foot and Ankle Care located in Edison and Monroe NJ. One of the most common injuries seen in patients who wear high heels is lateral ankle sprains. It doesn’t take much for that shoe to come out from underneath you and down you go.

There are a few different ways to help combat this problem. First, try toning the height of the heel down. It is recommend something as high as 1.5-2.5 inches. While this may look more conservative, it will decrease your chances of rolling your ankle. Second, if possible, try wearing a stiff, sturdy shoe. The more compact and rigid the shoe is, the greater amount of support your ankle will receive in return.

However, if you think you did sprain you ankle there are a couple of “signs” to look for. If you see any discoloration (red, blue, purple) of the skin, that might be indicative of a ruptured ligament. It also means your body is trying to repair itself. During the repair process your foot will look and feel red, hot, and swollen. These are some typical signs of any sprain and should be cared for appropriately. RICE--Rest, Ice, Compression, Elevation--is the treatment for minor ankle sprains. But, if your swelling doesn’t go down within a day or two by applying the RICE principle, do not hesitate to make an appointment with one of our podiatrists at Affiliated Foot and Ankle Care.

Weddings are supposed to be fun! But there isn’t any fun in spraining your ankle while walking down the aisle or dancing on the dance floor. Remember, try to wear a more rigid shoe with a smaller heel and this should help reduce your chances of having to RICE!

By Nrupa Shah

By Nrupa Shah
April 23, 2014
Category: Pedicures

Hallelujah it’s finally warming up!  As the weather improves and people prep for summer, many women are prepping their feet for sandals.  Sandals are more than a fashion statement, they are cool, comfortable, and allow you to show off your new pedicure!

It seems like some women have their work cut out for them when it comes to sandals. They have soaks, scrubs, massages, clipping, filing, grinding, moisturizing, and finally painting.  The work never ends.  Fortunately, taking care of your feet pays off.  Some opt to take the easy way out and get a pedicure, which is not such a bad thing! I for one am a big believer in pedicures.  As the weather warms up pedicurists will have their work cut out for them and the lines will be long.  Are they worth it?

Pedicurists are experts at cutting nails and they know how to do it properly.  Cutting your nails correctly can prevent ingrown toenails and even fungal infections.  In addition, some patients have very difficult toenails that get thick and difficult to cut.  Without proper instrumentation, people can do serious damage to their feet.  Pedicurists will often work out the calluses and dead skin which gives the skin a healthy boost and can prevent ulcers. Having a pedicurist work on your feet can also help to save your back.  The older we get and the more pounds we pack on, the more difficult it can be to reach our feet.  Proper foot care is particularly important for diabetics who can often not feel their feet and need to keep their feet clean, trimmed and healthy to prevent ulcers, infections, and amputations down the road. 

A yearly podiatric foot inspection is essential for all diabetic patients.  In the meantime, I encourage you to get a pedicure to take care of your feet.  In fact, many podiatrists offer pedicure services right in their office.  I must give one piece of advice when it comes to picking your pedicurist.  Make sure they clean their instruments after every use.  If they start working on your feet with dirty instruments they can spread fungal infections which most definitely do not look good in sandals.  And remember, if you think you have a fungal infection, go see your podiatrist right away.  Time is of the essence when it comes to fungal nails.

If you have any questions about your shoe gear, feet, or nails, make an appointment with your local podiatrist at Affiliated Foot and Ankle Care located in Edison and Monroe NJ.

Nrupa Shah