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Posts for tag: orthotic

By Affiliated Foot & Ankle Care
October 30, 2018
Category: Haglunds Deformity

Do you have a painful bump on the back of your heel? Is it red and sometimes swollen? Does the pain get worse when you wear shoes with rigid backs? If yes, you may have Haglund’s Deformity, a condition we treat fairly often at Affiliated Foot & Ankle Care. Although wearing pumps may make the symptoms of Haglund’s Deformity worse (hence the nickname of this condition, “pump bump”), it doesn’t actually cause the problem. Haglund’s Deformity develops as a result of faulty foot structure issues including:

  • Tight Achilles tendon
  • High arches
  • The tendency to walk on the outside of your heel

These structural defects can be genetic.

Treatment Options

Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, will first want to confirm the diagnosis of Haglund’s Deformity and rule out other possible conditions. To do this, the foot doctor will examine your heel and the rest of your feet and also order an x-ray, MRI, ultrasound or other diagnostic imaging tests. The type of treatment prescribed will have to do with the cause behind the deformity. Some possible options include:

  • Changes in footwear—wearing shoes made of soft materials and those with no backs will lessen pressure and pain on the bony enlargement.
  • Custom orthotics—the foot doctor may prescribe an orthotic to reposition the foot and help correct for a structural problem.
  • Immobilization—if the inflammation is severe, a soft case or walking boot may be used to allow time for healing to occur.
  • Heel pads—to cushion the bony protrusion and decrease pain
  • Heel lifts—if you have high arches, heel pads can help compensate.
  • Physical therapy
  • Stretching exercises—to loosen the Achilles tendon

If none of these options are successful, surgery may be recommended which can eliminate Haglund’s Deformity. Need more information on how to treat Haglund’s Deformity? Contact Affiliated Foot & Ankle Care at our Edison, Monroe, Linden or Monmouth Junction office in New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
July 11, 2018
Category: toe deformities
Tags: hammertoe   corns   orthotic  

At Affiliated Foot & Ankle Care, when a patient comes in with the early signs of a hammertoe we sometimes have to convince them that this is not merely a cosmetic issue. Hammertoe is a progressive condition most often caused by a muscle/tendon imbalance. As time goes on, the bend in the toe becomes more severe and increasingly rigid. Pain, inflammation and a burning sensation may develop in the affected toe. In addition, wearing shoes becomes difficult due to the fact that the bent toe is constantly being pressed up against the front of the shoe. Secondary conditions, such as corns, calluses and even open sores on the hammertoe are also a possibility.

Creating a Treatment Plan

Our podiatrists, Dr. Varun (Ben) Gujral and Dr. Nrupa Shah, will want to monitor the progression of your hammertoe. As part of the initial diagnosis, the foot doctor will most likely take an x-ray of the hammertoe. This can be used as a reference point going forward that will show when and how the deformity is changing. Depending on the severity and rate of progression, the foot doctor will determine the best treatment options for you.

If you are in pain, getting relief will be a top priority. The podiatrist may recommend using a nonsteroidal anti-inflammatory medication such as ibuprofen or undergoing corticosteroid injections. If you’re suffering from corns or calluses, padding can help protect those areas and prevent them from worsening.

Modifying your footwear can also relieve pain and help correct the muscle/tendon problem. Avoiding high heels (over two inches) and choosing styles that have roomy toe boxes will definitely be more comfortable. The foot doctor may also order a custom orthotic device to wear inside your shoe.

Another approach to correcting a hammertoe is trying to straighten out the toe and properly realign it. The can be done with splints or straps that help move and keep the toe in the correct position.

It’s important to realize that hammertoe will only get worse and not better without some treatment measures. If you have noticed a bend in one of your toes, contact our New Jersey offices in Edison, Monroe or Monmouth Junction by calling 732-662-3050 to learn if you have a hammertoe and what is the best way to proceed.

By Affiliated Foot & Ankle Care
December 29, 2017
Category: Foot Care

Chances are you put a lot of thought into your holiday gifts this year, finding the perfect items for all the friends and family on your list. But how about a present for the part of your body that enabled you to put together all those holiday treats for everyone else? Your feet deserve a special present too and at Affiliated Foot & Ankle Care, we know that there is no better gift for your feet than good quality shoes that fit properly. Below are some tips to take with you to the shoe store:

  • First, choose a store that specializes in shoes and have your foot measured by a foot wear professional. Shoe size can change as you age. It’s also not uncommon to have your feet measure two different sizes. You should always buy shoes to fit the largest of your two feet.
  • Shop at the end of the day. After you’ve spent the day on them, your feet are at their largest, most swollen size. This is the time to shop to guarantee shoes won’t start to feel tight as the day goes on.
  • Wear the type of socks you will most likely wear with the shoes you are purchasing, which will ensure a more accurate fit.
  • If the foot doctor has prescribed an orthotic device to go inside your shoes, bring it with you and try on with the shoes you are considering.
  • Always try on both shoes and spend some time walking around the store to be sure that there are not spots on your foot where the shoes rub or pinch.
  • Check the inside of the shoe with your hand to make sure there are no rough spots or bulky fabric that could cause blisters.

If you have any existing or chronic foot conditions, make an appointment at our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050.  One of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah can check the progression of your condition and make recommendations for shoes that would best accommodate deformities such as bunions or hammertoes or make conditions like plantar fasciitis less painful.