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By Affiliated Foot & Ankle Care
February 12, 2019
Category: Footwear

Winter isn’t letting NJ out of its grip any time soon, and here at Affiliated Foot & Ankle Care, we hope some of our patients are planning to get away to where it’s warmer. If this is you, we want to give you a few reminders to help keep your feet safe and healthy while you’re away.

Be Savvy about Your Shoes

The right footwear can make or break your vacation. It’s best to pack shoes that are tried and true—ones that you’ve already worn plenty and know fit comfortably. If you do have a new pair you want to bring, wear them around the house for a number of hours before you leave. You don’t want to be stuck with a pair that gives you painful blisters or hurts your feet. In addition:

  • Pack shoes that suit your activities—if you plan to take a day hike in the rain forest, flip-flops aren’t going to cut it.
  • Do bring flip-flops or other easy to slip on shoes if your vacation includes time at a resort pool or spa. Places where people tend to walk barefoot are high-risk zones for contracting fungal infections and athlete’s foot.
  • Be sure to plan to wear sneakers or low-heeled, comfortable shoes for your travel days. Making connections at the airport, transferring to your hotel, etc. can involve ample amounts of walking.

Pack Foot Essentials

There are a few items that will only take a small amount of space in your suitcase but can make a big difference in the health and comfort of your feet. Consider bringing the following:

  • Moleskin—placed over a sore spot when you’re out for the day can prevent a painful blister from forming.
  • Bandages—helpful if you do develop a blister or if you get a minor cut or scrape on your foot. Bring a small tube or individual packets of antibacterial ointment as well.
  • Emory board and nail clippers—to take care of any jagged or broken toenails to prevent them from catching and tearing or becoming ingrown.

Use Good Sun Sense

It’s been a while since your feet have seen the sun! Apply sunscreen to your feet that protect against UVA and UVB rays and is waterproof several times throughout the day. This goes for times when you are out shopping or site seeing as well as when you are sitting by the pool. Always reapply after swimming.

If you injure your foot while you’re away or notice any unusual skin rashes or toenail symptoms when you return, make an appointment at our Edison, Monroe or Monmouth Junction office promptly by calling: 732-662-3050 so that our podiatrists, Dr. Varun Gujral, and Dr. Nrupa Shah, can examine your feet and diagnose any problems.

By Affiliated Foot & Ankle Care
February 06, 2019
Category: Heart Health
Tags: Diabetes   Plantar Fasciitis   orthotic   bunion  

February is National Heart Month. You may be wondering what that’s got to do with your feet, but at Affiliated Foot & Ankle Care we want our patients to recognize that the health of your heart does affect your feet and vice versa.

Know Your Risk

Heart disease is the leading cause of death in men and women. There are several factors that raise your risk for heart disease—some we can control and others we cannot:

  • Family history of heart disease
  • Being overweight
  • Having diabetes
  • High cholesterol
  • High blood pressure
  • Smoking
  • Lack of physical activity
  • Poor diet

Take Control

Fortunately, there is much you can do to prevent heart disease and live a long and active life. Start by being proactive and informed about your health. Talk to your physician about your risk factors and know your cholesterol and blood pressure numbers. Then, take steps to reduce your risk and develop a healthier lifestyle. Make small changes over time rather than dramatic ones that will be too difficult to maintain. Some examples:

  • Get moving. Talk to our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah about any recommendations for fitness activities based on your individual feet. If you have a bunion, plantar fasciitis or other chronic foot condition, the podiatrist may recommend a custom orthotic device to make exercise more comfortable.
  • Drink alcohol only in moderation.
  • Reduce stress. Exercise, meditation, seeing friends regularly or spending time doing a hobby or activity you enjoy can all be stress relievers. Make sure to put your stress relievers on your calendar just the same as you do other appointments and events.
  • Make healthy changes in your diet. Reduce portion sizes, substitute fruit, yogurt and healthy snacks for chips, cookies and other less healthy choices.
  • If you have diabetes, follow all of your doctor’s instructions for keeping it under control.
  • If you are a smoker, find a program to help you quit.

Keeping your heart healthy will enable you to stay active and do the things you love. The health of your feet is an integral part of your healthy lifestyle. If you have questions or concerns about podiatric conditions, contact our Monroe, Monmouth Junction or Edison office by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
January 30, 2019
Category: Fitness

Patients who make New Year’s resolutions to get in shape usually start very enthusiastically. However, often by the end of January, the sneakers are shoved in the back of the closet and dreams of getting fit have faded. At Affiliated Foot & Ankle Care, we have seen some common reasons why this occurs. Here are 3 reasons exercise plans fail and what to do to ensure that doesn’t happen:

  1. You chose the wrong program. It’s important to choose an exercise program that syncs up not only with your fitness goals but also with your current physical condition. If you’ve been inactive for a while, you need a program that starts slow and easy and then gradually increases in intensity and duration. Trying to go from zero to sixty in an exercise program is a fast track to burning out before you even get started.
  2. You didn’t get the proper footwear. Having the right shoes for the activity, you are doing can mean the difference between exercise success and failure. Today’s fitness shoes are designed to support your feet for the specific movement of a sport. Also, if you have a chronic podiatric condition or a toe deformity such as a bunion or hammertoe, you may need a special orthotic device to wear in your shoes to make exercise comfortable.
  3. You injured yourself. Not knowing how to execute a specific exercise, failure to stretch before and after working out or just doing too much too soon can result in injuries such as Achilles tendonitis, shin splints, and even stress fractures. Not only can an injury bring your exercise plan to a halt, it may make you nervous to try again, even after the injury has healed.

At the first sign of pain or discomfort when starting a new exercise routine, you should make an appointment at our Edison, Monroe ore Monmouth Junction office. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah will examine your feet and help you pinpoint the problem before it derails your exercise plan. Contact us today by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
January 23, 2019
Category: Foot Health
Tags: Diabetes   Ankle Sprains   Bunions   Alcoholism   Shoes  

We’re all familiar with the sensation of “pins and needles” in our feet and it’s not uncommon to have your foot “fall asleep” when you keep it in an unusual position for too long. But, what does it mean if you have this sensation frequently, regardless of the position of your foot? At Affiliated Foot & Ankle Care, we see patients with numbness or tingling in the feet that can come from a number of different sources.

Neuropathy—one of the most common causes of burning, tingly or numbness in the feet is nerve damage, also known as neuropathy. Neuropathy is frequently associated with diabetes but can also be caused by chemotherapy, alcoholism, injuries, and infections.

Footwear—your shoes may be too tight. Did you know that by some estimates 90% of the population is wearing shoes that are too small for their feet? Feet can increase in size as you age. Get your foot professionally measured and look for shoes with roomy toe boxes made out of soft, giving materials. If you feel the tingling sensation on just the top of your foot, try loosening your laces a bit.

Bunions—as the big toe moves out of place and begins to press on the second toe, nerves can get compressed. This pressure then causes the feeling of tingling in your forefoot and toes.

Herniated disc—sometimes, sensations in your feet are caused not by a podiatric problem but rather an issue with your back. A herniated disc could be compressing nerves that run down into your feet. Additional signs that this may be the source of your odd foot sensations would most likely include lower back pain and weakness.

Tarsal Tunnel Syndrome—you’ve most likely heard of Carpal Tunnel Syndrome, which occurs when nerves in your wrist are compressed and irritated. Tarsal Tunnel is similar only it happens when nerves in the tarsal tunnel—located in a space on the inside of your ankle—get compressed. This condition can be associated with an ankle sprain.

Obviously, each of these different causes of numbness or tingling in your feet would require different treatments to correct. If you are experiencing any ongoing unusual sensations in your feet, it’s time to contact our Edison, Monroe or Monmouth Junction, NJ office for an appointment by calling: 732-662-3050. Our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah, will conduct a complete examination of your feet and ankles and also order any necessary imaging or lab tests to accurately diagnose the source of your tingling. 

By Affiliated Foot & Ankle Care
January 16, 2019
Category: Diabetic Foot Care

Are you one of 29 million Americans that have diabetes? If so, all of us at Affiliated Foot & Ankle Care want you to know that you have significant power in controlling this disease and how it affects your feet. Diabetes deals your feet a double blow: first, it can cause neuropathy or nerve damage to the feet which makes it difficult to detect cuts or injuries to the feet. Second, diabetes can impede circulation which restricts the flow of oxygen-rich blood that can speed healing to the extremities.

There are steps you can take, however, to help protect your feet if you have diabetes:

  • Keep your sugar levels under control. Following all your doctor’s instructions for managing your diabetes will lower your risk for complications significantly.
  • Get in the habit of doing self-exams. Check your feet daily for cuts, open sores, blisters, swelling, bruising, changes in skin color or nail condition. Report anything unusual to our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah so that they can examine your feet and adjust your treatment accordingly.
  • Choose shoes wisely. Get your foot professionally measured and choose shoes that have a roomy toe box and are made out of soft, flexible materials. Look over your feet for red marks, blisters or other signs of friction from your footwear.
  • Keep feet dry. Wear socks made of moisture-wicking materials that help feet stay dry. Change socks as soon as your feet feel damp. If you tend to sweat profusely, use an anti-fungal foot powder before putting on socks.
  • Avoid going barefoot. Even at home, bare feet are more likely to sustain a puncture wound or cut from stepping on a sharp object. Your risk for athlete’s foot or fungal infections decreases if you keep your feet covered when walking in public places.
  • Don’t practice “bathroom surgery.” Attempting to remove warts, corns or calluses or dig out ingrown toenails is likely to result in injury and infection which could pose a significant medical threat.
  • Schedule regular podiatric checkups. Your foot doctor is your partner in managing your diabetes. If you have questions about your feet and diabetes, contact our New Jersey locations in Edison, Monroe, Linden or Monmouth Junction by calling: 732-662-3050.




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