Posts for tag: othotics

That moment when you get out of bed in the morning and the pain on the bottom of your foot immediately makes you jump back in, is one of the most common complaints our podiatrists at Affiliated Foot and Ankle Care treat. Now pain on the bottom of the foot can be a number of things but it is mostly heel pain; and of all the causes of heel pain that it could possibly be, plantar fasciitis is usually the culprit.

Plantar fasciitis is an extremely common complaint and it arises from numerous causes. One of the most common causes is the type of shoe gear. Normally, people with plantar fasciitis wear very flat shoes which provide no arch support. If there is no arch support, your plantar fascia (the structure in the foot that is actually causing your heel pain) is stretching and pulling on your heel bone. There are, however, many people who wear flat shoes but don’t get heel pain. Needless-to-say everyone’s foot type is different so if you are one of the many people who do get arch/heel pain by wearing flat shoes, there are a few things your local podiatrists are able to do to relieve the pain.

First, if the pain is severe and you want it to go away as soon as possible or while you’re in the office, the podiatrist can make a temporary arch fill out of padding and place it directly on your foot. Again, this is only temporary but it is useful to relieve the pain for a short period of time. Second, we can cast your foot for custom orthotics which are placed inside your shoes and they act as the insole of your shoe to give you better, more stable arch support. Lastly, and probably a last resort of conservative care, is steroid injections.

Heel pain can be very detrimental to patients but at the same time it is very treatable, especially if caught early. If after trying and failing with the insoles you bought at your local pharmacy, please call and make an appointment at Affiliated Foot and Ankle Care located in Monroe and Edison NJ. We are here to serve you and make sure you can get out of bed pain free!

By Varun Gujral



This injury got its interesting name because it is common to football players who play on turf or fake grass fields. James Starks, of the Green Bay Packers, battled with this injury leading into the 2012-2013 season, and it threatened to keep him from playing. I know you’re wondering how something so minor can keep a star NFL player from playing. This injury is more severe than one would think. Turf toe is caused by the ligaments around your big toe joint being sprained. This injury is most common on turf fields because the hard surface causes the toe to lie flat instead of bending while the player is running or getting hit. Even though this injury is named after football players it is common in other sports such as gymnastics, basketball and soccer.

The common symptoms of this injury include pain, swelling and limited movement of the toe joint. If the injury results over time the pain and swelling develop gradually and get worse over time. If the injury occurs suddenly the pain is immediate and gets worse over the first 24 hours. Sometimes a popping noise will be heard. A podiatrist will examine the toe joint and usually order and X-ray to rule out any other injuries. After turf toe has been diagnosed the recommended treatment is rest, ice, compression and elevation. Your podiatrist may also tape the toe to the toe next to it to relieve pressure and strain off of the big toe. This is recommended for two to three weeks, and sometimes physical therapy is required to help regain proper movement of the joint.

There are a few ways to help prevent this injury! One of the best ways is to wear supportive shoes, or you can have special inserts made to prevent the toe from extreme bending or force. Dr. Gujral of  Affiliated Foot and Ankle Care can help you in either of his offices in Edison or in Monroe, NJ.  He can help you with prevention and treatment of this injury!

By Varun Gujral