Posts for tag: Varun Gujral DPM

Are you about to surrender to unbearable heel pain? Are you sometimes woken up in the middle of the night from the bottom of your heel hurting? From the bottom of your heel to the bottom of your forefoot makes up the planter fascia which when under repetitive trauma like long distance running, or wearing non supportive footwear, or being on your feet all day can cause foot discomfort. This type of trauma causes the foot to flatten out or over pronate creating stress to the planter fascia; hence for many individuals heel pain can commonly be diagnosed as plantar fasciitis. Foot X-rays will sometimes reveal bone spurs. In some of these cases where spurs are present, the pain isn't from bone spurs, but from the micro tears from the stretched plantar fascia. When you wake up in the morning if your first step out of bed is painful, it is likely you have plantar fasciitis

If you are finding yourself in a situation where you are battling Plantar Fasciitis, let us help you fight back, and get you back on your feet. We have treatment options for you here at Affiliated Foot and Ankle Care that will have you satisfied with your care. Beginning remedies like proper footwear, stretching, night splints, icing, and over the counter NSAIDs for inflammation and pain can reduce or take away heel discomfort. Proper fitted footwear with good support cannot be emphasized enough for those dealing with Plantar Fasciitis. If your pain persists you may ask your podiatrist about a custom molded orthosis, or a steroid injection. If you find yourself still dealing with heel pain, you and your podiatrist may elect to have an endoscopic plantar fasciotomy performed. Don't let the procedure name scare you away, it's a basic scope procedure that is minimally invasive that enables a portion of the Plantar Fascia to be released. The surgery allows for immediate limited weight bearing, and most people are able to resume normal activity within 3-6 weeks. 

The holiday season is busy, but don't let that stop you from getting on a walking path to a healthier you. Be ready for your 2016 resolutions. If you would like more information about Plantar Fasciitis, or would like to create a treatment plan for your Plantar Fasciitis, contact our office to make an appointment with one of our Affiliate Foot and Ankle Care podiatrist team located in Edison and Monroe, NJ.

By Varun Gujral



“But baby its cold outside...I simply must go… with Boots, Socks, and moisture wicking active wear!”

Yes, baby it’s cold outside, I know it’s turning to frightful weather out there, so whether you are a person who enjoys running in the snow, or if you head some place magical to snow ski or participate in any other winter sports, please remember what Dr. Gujral here at Affiliated Foot and Ankle Care can offer before your winter wonderland adventures begin.

When it’s wet and cold it is always important to wear waterproof boots. Becoming wet when it is cold isn’t safe and will affect your body circulation and temperature, especially to your hands and feet. UNLESS you are Elsa from Frozen and, “…the cold never bothered me anyway!” I imagine Elsa would just wear the winter boots and socks just for a fashion statement. ANYWAY, if you get wet and cold, know your limit and seek shelter and warmth. Wearing warm socks in addition to waterproof boots are a wise choice in foot care. Wool socks can fulfill this need. If you are skiing, snowboarding or ice skating only wear footwear that is specifically designed for that activity.

Cold lessens body flexibility, so take the time to stretch out good. Avoid alcohol, caffeine, and smoking where it will only provide temporary warmth, constrict blood vessels, impair judgement.  To improve cold hands and feet incorporate foods in your diet that are high in omega-3s, and iron. Invest in outdoor active wear from a sporting goods store that offer moisture wicking capabilities. You may prepare yourself for the cold so well you may end up sweaty, your feet especially wearing wool socks! When your feet become damp or moist bacterial infections are more likely to appear. Add in foot baths to improve your regular foot care. Foot powder may also be used to improve dryness and avoid infection.

Lastly, when it comes to your kids and winter footwear, it is soo tempting to buy snow boots that may be larger than needed so your child has room to “grow” into them, or have them for next year. Avoid this, proper footwear is fitting the foot now. In addition to blisters, chaffing, and discomfort, other foot and ankle injuries can occur when winter boots are not sized and fitted properly. Be safe out there this winter, but if injury occurs, let us be your choice here in Edison and Monroe.  

By Varun Gujral

Golf is a sport I feel many people underestimate for the simple fact that there isn’t any contact. However, just because there isn’t contact doesn’t mean athletes don’t get injured—there are many injuries, surprisingly. The most common injuries in golf are to the knee, back, and shoulder. That’s not the case for Michelle Wie. Wie, one of the stars of women’s golf, reinjured her ankle by stepping in a hole early in the round on Friday. Later, on the 13th hole, Wie slipped and fell to the ground and was not able to put any more weight on her foot. What preceded her injury was the development of a bone spur near her ankle last month in which she wore a protective boot to help reduce the pain and swelling.

Bone spurs can occur for a number of reasons but the main cause of them developing in the ankle is arthritis. As joints become narrowed their range of motion decreases which can eventually cause impingement and ultimately lead to spur formation. Immobilization is the first line of treatment for spur formation near or at a joint. The main reason for this is to help reduce the amount of motion because motion at a narrowed joint with a spur is what causes the pain. Sometimes, though, complete immobilization isn’t enough and the spur needs to be surgically excised. I highly doubt that will be the case for Wie, but it’s something that may be considered in the future.

Although golf is not a demanding sport, per se, it is still a sport that can cause a lot of havoc on certain areas of the body. Being that golfers have to walk the entirety of the course, a lot of stress is applied to the lower extremity so the ankle and knees can become injured more often than one would imagine. As for Michelle Wie, she had an unfortunate accident which may have exacerbated the pain caused by her bone spur. If you or someone you know has slipped and injured the ankle, please do not hesitate to make an appointment with your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ.

By Varun Gujral

By Varun Gujral
January 07, 2015
Category: High Heels

When you think of women wearing high heels you think of places like New York, San Francisco, Los Angeles and Miami—places where self-image is a major influence relative to one’s character. This, however, is not the case. A study conducted by Gilt, an online discount fashion store, concluded that the “highest of heels” are found in none other than, Puerto Rico. This survey is flawed, however, in that it only takes into account Gilt customers only but it still gives a pretty good idea of what consumers are looking for and where they are looking for it.

Puerto Rico topped the survey with an average heel height of 2.87 inches. The states with the lowest heel height were Nebraska, Kansas, Maine, and Vermont (between 1.80-1.97 inches).  The importance of this study isn’t to narrow down where to find the highest heeled shoes. It’s important because high heels are a definitive cause of lateral ankle instability and ankle sprains among women and this survey points out that consumers will go to extreme heights to look fashionable—in other words, fashion trumps health. I would venture to guess that podiatrists in the aforementioned states with the highest heel heights recorded are pretty busy when it comes to treating those conditions. The most practical height for a heel is approximately 1.50 inches and those heels are termed “kitten heels” although your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ wouldn’t condone any of our patients to wear high heels unless they needed to for their job. To reiterate, they put patients at higher risk for ankle problems and can even cause hammertoes and bunions due to increase force and pressure in those particular areas.

Now we’re not saying do not ever wear high heel shoes. We just want you to be aware of the potential problems associated with wearing them. By-all-means, if you must wear them, then do so appropriately. Try and wear a heel that is no higher than 2.00 inches to try and minimize the forces put on the front of the foot. There isn’t any real evidence on this topic and that is why I think it is interesting to talk about. Likewise, because high heels are such a popular element of fashion in today’s society I think there needs to be more research conducted in this area.

From everyone at Affiliated Foot and Ankle Care, we hope everyone has an excellent New Year and that it brings you all much success and happiness!

By Varun Gujral

There are many different types of athletes in the world--runners, swimmers, basketball and football players, ballerinas and the list goes on and on. But running can be incorporated into ANY sport; for the most part. Your every day runner may disagree by saying it is its own sport, but that’s for another discussion. Alan Webb, world record holder of the 1-mile run (at 3:46.91) recently stated that he is going to transition from track and field to triathlon running.

A triathlon competition consists of the athlete completing three tasks in succession of one another and it usually starts with a swim followed by cycling and is completed by a long-distance run. As podiatrists, we are highly concerned with the long-distance running. Any type of running over long periods of time always puts athletes at higher risk for such things as shin splints, ankle sprains, and even more commonly stress fractures. Stress fractures are seen mostly in the metatarsal bones of the foot. There are many things; however, the athlete can do to prevent any of these from occurring with the most important being proper training. It’s extremely important that an athlete gradually increases their training (or mileage) rather than starting off running a triathlon for their first part of training. Many athletes sadly do this and can sustain the aforementioned injuries. If any of these injuries have happened to you please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ. Treatment of these conditions consists mainly of rest, ice, compression, and elevation. Sometimes athletes may need to be put in a walking boot for an extended period of time to make sure the fracture is healed completely. Very rarely will surgery be performed as these injuries prove to be fairly benign.

The first modern triathlon event was the Hawaiian Ironman Triathlon which consists of a 2.4-mile swim, a 112-mile bike, and a marathon run of 26.219 miles. While Mr. Webb did not say in his interview which type of triathlon (sprint, intermediate, long, or ultra) he is planning on doing, I’m sure either of them will be extremely challenging.

By Varun Gujral