
An ingrown toenail develops when the edge of a nail grows into the surrounding skin, often causing pain, redness, and swelling. Common causes include improper toenail trimming, wearing tight shoes, and repeated pressure on the toes. Risk factors include curved nails, injury, and poor foot-care habits. When conservative care is not effective, a minor surgical procedure may be recommended. This procedure involves gently removing part of the nail and treating the nail root to prevent it from growing inward again. Recovery time is usually short, with most people returning to normal activities within a few days while keeping the area clean and protected. A podiatrist can diagnose the condition, provide treatment, and help prevent recurrence. If you have symptoms of an ingrown toenail, it is suggested that you consult a podiatrist who can offer effective treatment solutions, which may include minor surgery.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions, please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton’s neuroma and traumatic neuromas are painful nerve conditions that can affect the feet in different ways. Morton’s neuroma develops when a nerve becomes thickened from repeated pressure or irritation, usually between the third and fourth toes. Many people describe burning pain, tingling, numbness, or the feeling of standing on a pebble while walking. A traumatic neuroma forms after a nerve has been injured by surgery, a deep cut, or direct trauma to the foot. As the nerve heals abnormally, it may create sharp pain, sensitivity, or electric shock sensations. Although these conditions involve different causes, both can interfere with walking and daily activity. A podiatrist can examine the foot, identify the affected nerve, and use imaging studies or diagnostic testing to confirm the condition. Treatment may include orthotics, footwear changes, injections, medication, or surgery, when symptoms become severe. If nerve pain in the foot continues to worsen, it is suggested that you visit a podiatrist for evaluation and appropriate treatment.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle sprains can occur when active children twist or roll the ankle during sports, running, or jumping. An ankle sprain affects the ligaments, which are strong bands that hold the joint together. A sprain can cause pain, swelling, bruising, and difficulty walking. Some children may feel that the ankle is unstable or weak after the injury. Proper care is important because repeated sprains can lead to long-term joint problems. A podiatrist can examine the ankle, check how the joint moves, and order imaging to confirm the diagnosis. Treatment plans focus on restoring strength, flexibility, and balance, which helps support the ankle and reduce the risk of future injury. Guided exercises may be prescribed to improve coordination and safe return to activity. If your child has symptoms of an ankle sprain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

While running is a popular fitness exercise, it places repeated stress on the feet and ankles that can lead to pain. Common reasons for running pain include overuse, weak or tight muscles, and wearing shoes that no longer provide enough support. Previous injuries, such as ankle sprains, can also cause lasting weakness and make new injuries more likely. Running pain also may develop from Achilles tendon problems, plantar fasciitis, or stress fractures. Some runners feel pain in the heel, while others notice it in the arch, ankle, or along the side of the foot. A podiatrist can examine the foot and ankle to find the source of the pain. Treatment includes custom orthotics, bracing, and guidance on better running shoes. Surgery may be needed if the injury is severe. If you have foot or ankle pain while running, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.
More Tips for Preventing Injury
- Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
- Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
- “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
- Cross-Training is Crucial
- Wear Proper Running Shoes
- Have a Formal Gait Analysis – Poor biomechanics can easily cause injury
If you have any questions, please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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