Posts for tag: ankle sprain

By Affiliated Foot & Ankle Care
July 25, 2018
Category: Foot injury
Tags: ankle sprain  

The hot spells we’ve been having here in Edison and Monroe have our patients at Affiliated Foot & Ankle Care flocking to the Jersey shore to cool off. Going to the beach is a great way to spend a summer day but it can be quickly ruined if you injure your foot. Below are some common foot problems that can occur at the shore and how to avoid them:

Burns—there’s more than one way to burn your feet at the beach. Blacktop, boardwalks and sand can all reach high enough temperatures to burn the soles of your feet. When the thermometer reads 90 degrees the sand can heat up to over 120 degrees and this is high enough to cause second and even third-degree burns. If the sand feels hot, don’t try to make it to the water. Stop and put on flip-flops or water shoes. If you do burn your feet, soak them in cool water. If the burn is bad enough to blister, wrap loosely in a towel. Then call our Edison, Monroe or Monmouth Junction office at 732-662-3050 and come in so that one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah can provide the proper care. Your feet are also susceptible to sunburn and require a water-resistant sunscreen with an SPF of at least 30. Remember to reapply sunscreen after you’ve been in the water.

Ankle injuries—since the sand gives, creating an unstable surface to walk on there’s an increased risk of spraining your ankle. If you like to take long walks on the beach, go closer to the water where the sand is firmer. If beach volleyball or frisbee is your preferred pastime, pack a pair of sneakers in your beach bag which will at least provide some support for your ankles.

Cuts and wounds—hidden in the sand are sharp shells, glass and can and bottle tops, all of which can puncture or cut your foot. Washed up jellyfish are also a hazard because their stingers still work and can injure your foot if you step on them. Water shoes or flip-flops will help keep your feet safe from these potential dangers. If you do get a cut, clean and bandage it immediately. Don’t go in the water because bacteria that are present can enter the wound and cause an infection.

We hope you enjoy your beach days but if you do sustain an injury, contact us for an appointment promptly so that we can treat it promptly and help you get back to having fun in the sun.

By Affiliated Foot & Ankle Care
March 17, 2017

As the thermometer begins to creep up into the 60’s and fields begin to thaw your children’s minds may be turning to spring sports. At Affiliated Foot & Ankle Care we applaud children being active but at the same time want to see them make the transition from winter activities (or inactivity) to spring sports without injuring their feet.

Caution: Potential Injuries Ahead

If your child has been participating in a winter sport, chances are the spring will bring workouts on very different types of surfaces. If, on the other hand, your child has spent the cold months indoors in front of a screen they will most likely be out of shape. In either case, the solution is the same. Start conditioning slowly and gradually increase practice and playing time. There are many injuries associated with overuse or increasing activity too quickly. Conditions such as Achilles tendon rupture or tendonitis, stress fractures and shin splints can be avoided if young athletes take time to stretch properly before and after exercise and if they follow a sensible program that doesn’t go from “0 to 60” in the first couple of weeks.

Pre-Sport Checklist

Before starting a spring sport, there are a few steps to take to insure a safe season:

  • Make an appointment for a pre-season podiatric check up. Our podiatrists, , Dr. Varun Gujral and Dr. Nrupa Shah will examine your child’s feet to make sure there are no existing injuries or conditions. The foot doctor can also make recommendations about types of shoes that will be most comfortable based on whether your child has a tendency to overpronate or has any foot or toe deformities. The podiatrist may want to take a look at your child’s current sports shoes to evaluate the wear pattern for clues to biomechanical issues.
  • Do a shoe inventory. Chances are if it’s been a year since your child played a spring sport they will need new shoes. Even for teens whose size may be stable it’s important to inspect sports shoes for wear. If new shoes are needed, get your child fitted at a professional sports shoe store.
  • Have a pain agreement. Be clear with your child that his or her foot health is more important to you than winning the game. Insist that they tell you if they are in pain and watch for signs in their technique and play that something is hurting.

If you have additional concerns about your child’s feet and sports activities, contact our Edison, Monroe or Monmouth Junction office by calling: 732-662-3050.

Not only is walking in high heels difficult, but walking in stilettos is even worse. Why? Stilettos, by definition, are thin, high, tapering heels on a woman’s shoe. The keyword is tapering, meaning the tip gets smaller as you travel down the heel itself. Now, it’s not abnormal to see celebrities flaunting these types of shoes and it’s definitely not abnormal to see Kim Kardashian (West) wearing them. In fact, Kim is known to wear high-heeled sandals! A Few days back Kim was seen wearing stilettos—probably 6-7 inches high. As I’ve stated before, these shoes can cause havoc to those with history of lateral ankle sprains or in those patients who have yet to find out what one feels like. I assure you, you do not want to find out wearing these shoes.

 Lateral ankle sprains are among one of the commonest foot problems that your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ deal with throughout the practice. They seem to occur more often in women than men and I think a lot has to do with wearing of high heels. It’s also known that women tend to have more mobile joints than many again, owing to increase incidence of ankle sprains. Aside from ankle sprains, wearing high heels increases the chance of bunion formation, metatarsalgia—or generalized pain in the balls of your feet, and even hammer toes. Many of these disorders can be avoided or at least controlled by either limiting the wearing of high heels or decreasing the height of the heel. Obviously, if you just quit wearing high heels altogether that would be ideal. However, as foot and ankle surgeons we know that that’s not possible since high heels are part of a women’s wardrobe for work.

In summary, limiting the amount of time one wears high heels, wearing high heels with a shorter heel, or even cutting out high heels will drastically decrease your chances of suffering an ankle sprain, or forming hammertoes and bunions. We know it’s not the easiest thing to do but it’s definitely something we stress to our patients.

 By Varun Gujral


By Varun Gujral
March 11, 2015
Category: Ankle Sprain

Music award shows are a time for musicians to showcase their talents, introduce new songs, and put on a great performance. Sometimes though, that is not always the case. Music artists practice hours on hours for their show but that doesn’t mean everything will go as planned. That said, I think it is safe to say Madonna knows a thing or two about practice not making performances perfect. At the 2015 Brit Music Awards Madonna got to know the stage all too well. She was dressed in high heels, a dress, and a long cape—which of those do you think caused the fall? Believe it or not, nothing she did caused the fall—one of the backstage dancers was supposed to remove Madonna’s cape and in doing so, the cape got stuck to her and the dancer pulled her down. So, with the accumulation of high heels and a faulty cape-unraveling Madonna took a tumble.

High heels are definitely not the easiest shoes to walk in let alone perform in. It’s amazing to me when I see musicians on stage doing what they do in high heels. What I think really catches my attention is that we don’t hear a lot about injuries of performers. That could be because they want to keep it private or it just doesn’t happen that often because they are that good! Who knows?! What I do know is that I wouldn’t condone any random person off the streets to do it without proper training. Those who wear high heeled shoes are at a high risk of breaking or spraining their ankle. If you have had a bad bout with high heels please don’t hesitate to call your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ. We are highly trained foot and ankle surgeons who manage and treat any problem associated with your lower extremity. Most of these injuries are treated conservatively, meaning with rest, ice, compression, and elevation—or RICE. If that does not seem to do the trick you might need to wear a brace for added support while still doing RICE treatment. If these treatments don’t work over a period of about 4 months, surgery may be the next option. However, this is rarely the case.

Musicians are professionals and have been dancing on stage for most of their lives—with and without bizarre shoes—so they know what to do while up there. That’s not to say nothing will happen, as what happened in Madonna’s case. Even though it wasn’t all her fault, she still took a spill for the whole world to see.

By Varun Gujral

Our blood carries out a multitude of functions, the most important being to carry oxygen throughout our body via a molecule called hemoglobin. But, it also transports nutrients, regulates body temperature, and when injured, protects the body from bleeding too much--this is called clotting. Even though clotting is a protective function of blood it can also cause problems; sometimes fatal.

American Idol star, Michael Johns twisted his ankle which is a form of trauma that possibly caused his blood vessels to rupture. As previously stated, when the body becomes injured the blood’s job is to wall off or clot so the body won’t lose large amounts of blood. However, if the clot isn’t broken down efficiently it will remain in the blood vessel, increasing the chance for an embolus--a broken piece of clot that travels in the blood stream. There are many risk factors involved for developing a deep vein thrombosis (DVT) including recent trauma or surgery, pregnancy, and being sedentary--to name a few.

Clots can arise anywhere in the body, but are most commonly found in the large veins of the lower extremity. Most people are unaware of the signs and symptoms so if you have any doubts your local podiatrists at Affiliated Foot and Ankle located in Monroe and Edison, NJ, along with your primary care physician, can provide the proper diagnostic and therapeutic treatments to help make sure a clot doesn’t turn into anything worse.

By Nrupa Shah