Posts for tag: heel pain

By Affiliated Foot & Ankle Care
March 08, 2017
Tags: heel pain  

Have you ever thought about how big a part your heels play in your everyday life? Walking, standing, running, jumping, bending and climbing would all be impossible without the work of your heels. When our heels hurt it definitely gets our attention and that’s often when we hear from patients at Affiliated Foot & Ankle Care.

The most common cause of heel pain is plantar fasciitis. The plantar fascia is a long band of tissue that runs along the bottom of your foot from your toes to your heel. When this ligament gets irritated it becomes inflamed. Signs of this inflammation include:

  • Pain in the heel that is often particularly bad with the first steps you take in the morning
  • Arch pain
  • Swelling  in the heel

What Causes Heel Inflammation

Most often plantar fasciitis is the result of a defect in the structure of the foot. Patients with overly high arches or flat feet, for example, are more prone to developing this disorder. Other causes of plantar fasciitis include wearing nonsupportive shoes, radically ramping up your exercise routine, overuse, obesity and work or activities that have you on your feet for many hours at a time.


Our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah, will examine your feet and ask questions about your work, fitness and other activities. X-rays or other imaging studies may be ordered. There are other sources of heel pain such as arthritis and nerve issues that the foot doctor will need to rule out. Once a diagnosis of plantar fasciitis is confirmed, there are several conservative treatment options the foot doctor may recommend including:

  • Rest
  • Immobilization in the form of a removable walking cast
  • Physical therapy and stretching exercises
  • Shoe modifications and/or custom orthotic inserts
  • Night splint to help keep the plantar fascia stretched overnight while you sleep

If you have been suffering from heel pain, contact our Edison, Monroe or Monmouth Junction office for an appointment by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
March 23, 2016
Tags: heel pain   tendonitis   blisters   calluses   corns  

Spring is in the air and that means more people are going to be looking to bring their exercise routines out of hibernation and start getting in shape. Often overlooked, however, are prepping your feet for your fitness routine. According to the American Podiatric Medical Association, not properly caring for your feet during fitness activities is a contributing factor in more than 300 foot ailments. These include common and not so common conditions, such as: blisters, calluses, corns, heel pain, Achilles tendonitis, sesamoiditis, stress fractures and many more.

Getting Fit Without Hurting Your Feet

At Affiliated Foot & Ankle Care, we recommend that patients come in for a podiatric check up before beginning a new exercise routine. After examining your feet and ankles, our podiatrist, Dr. Varun Gujral and Dr. Nrupa Shah will be able to diagnose new conditions and checking on previously existing ones. Knowing certain “weak spots” in your feet will help you make informed decisions on the type of activity best suited to your body as well as special shoe needs. If you have flat feet, for example, you will need athletic shoes that have strong arch support to prevent injury.  Some other ways that you can ensure good health for your feet when you exercise are:

  • Buy shoes specifically designed for the sport or activity you are doing. It’s worth investing a little extra and buying good quality shoes from a specialty store that understands fitness needs for your feet.
  • Always take the time to warm up properly before beginning your workout. This means stretching your calf, Achilles tendon and toes.
  • Listen to your feet while you are working out. If they start to hurt, stop. Pain is never normal!

If you would like more information about fitness and your feet, make an appointment at our Edison, Monroe or Monmouth Junction office by calling: 732-662-3050.

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



Shakira’s Newborn Son Has Daddy’s Soccer Feet

 On January 29th Shakira and her husband, Gerard Pique, had their second child together. Not only are mom and baby doing well, Shakira actually had the time to take a snapshot of her son’s foot. Shakira captioned the snapshot saying, “I have Daddy’s feet; it looks like I’ve played football my whole life”. As you can probably guess, her son was born with some pretty large feet (for a newborn). It was not revealed how large her baby’s feet were but an average full-term newborn’s foot size is approximately 7.6 centimeters (~3 inches). From the looks of the picture, though, they look closer to 3.5-4.0 inches. 

Children’s feet can be very deceiving at times. Meaning, as a child matures sometimes their feet take a while to catch up and parents suddenly think their child has something wrong with their feet when, in essence, they are perfectly normal. The most common complaints your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ treat are in-toeing/out-toeing, bunions, and heel pain. Each of these conditions more often than not resolve by themselves. However, sometimes more aggressive treatment must be done in order to “fix” what is going on.  The more aggressive—but conservative—treatments for in/out toeing are mainly bracing techniques and this can be in the form of custom made braces or shoes to plaster casting (depending on the physician). Bunions in children (or juvenile bunion) are relatively rare and are mainly treated conservatively with injections and physical therapy to help strengthen the ligaments and tendons. Heel pain can be a little trickier. The heel of a child has a growth plate at the very back of it that doesn’t fuse until about 16 years of age and this can become problematic for them. Most of the time the pain is secondary to growing pains and resolves on its own. Other times heel pain can be a result of plantar fasciitis or stress fractures. Overall, foot pain in children can be treated conservatively and, unless a traumatic event caused their pain, they will not have to have surgery. If you are concerned whatsoever about your child’s feet please do not hesitate to give our office a call and schedule an appointment.

And Congratulations to Shakira and her family on their new addition!

 By Nrupa Shah



It’s no secret that President Barack Obama has a passion for basketball. For example, every election day he hosts a pick-up game of basketball in his hometown of Chicago. He is also frequently playing on his court that he had installed at the White House with numerous political figures and friends. So, with how avid a basketball player he is and with all of the walking/traveling/standing he does on a day-to-day basis, it’s probably not another secret that his feet hurt. According to the presidential health exam conducted in May of this year, President Obama was diagnosed with plantar fasciitis. It’s more commonly referred to as “heel pain”, or in this case, “basketball heel”.

 Plantar fasciitis is inflammation of the ligament on the bottom of your foot and it is one of the, if not the most common complaints your podiatrists at Affiliated Foot and Ankle Care deal with. Plantar fasciitis can be caused by numerous things, the most common being improper shoe gear. It is very important, especially for athletes, that proper shoe gear is worn at all times. Athletes do a lot of jumping, running, cutting, landing, and falling so their feet take a beating. If they are wearing shoes that don’t fit them, that beating will actually be worse than expected. There are a couple things you want to keep in mind when buying your next pair of shoes. First, when trying them on, make sure you have at least a thumb’s width from your big toe to the end of the shoe. Second, and probably one of the most common mistakes, is making sure the width of the shoe is appropriate. The last thing you want is your feet to be crammed in your shoes. Lastly, make sure the heel of the shoe is solid or stiff. You really want to have good ankle support, and if not, your heel will continuously move around in your shoe and increase the chances of future heel pain.

 Naturally, if none of these tips work, please make an appointment with your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ. We can properly measure the length and width of your feet and make the proper recommendations for shoe gear. 

By Varun Gujral