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Painful Nerves in the Foot

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.

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Ankle Sprains in Active Children

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.

Read more about Three Grades of Ankle Sprains

Reasons for Foot and Ankle Pain While Running

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.

Read more about Preventing Running Injuries

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Foot Wound Healing and How to Support It

Foot wounds can heal well with the right care and attention. Healing happens in stages. First is inflammation, when the body works to stop bleeding and prevent infection. Next is the rebuilding phase, where new tissue and blood vessels form. The final stage is remodeling, when the skin strengthens and returns closer to normal. Several factors can slow healing. Poor circulation, diabetes, infection, and pressure on the wound can all interfere. Smoking and poor nutrition may also delay progress. Keeping the wound clean, protected, and offloaded is important for recovery. Early care and checkups can help prevent complications and support healing. Watch for signs like increased redness, swelling, drainage, or pain. If healing seems slow or symptoms worsen, it is suggested you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Wound Care
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