May 2021

The Achilles tendon is a strong band of fibrous tissue that runs along the back of the leg, connecting the calf muscles to the heel bone. An Achilles tendon rupture can occur when this tendon is injured and fully torn. Achilles tendon ruptures have become increasingly common in recent years, and are seen particularly often as a sports-related injury. It is most common in men in their 40s and 50s due to the wear and tear on the tendon that occurs naturally with age. As we age, blood flow to the Achilles tendon decreases and stiffness increases, thereby raising the risk of injury. Participating in strenuous running, jumping, and agility activities can lead to an Achilles tendon rupture if preventive measures such as wearing the appropriate footwear and increasing intensity and duration of physical activity slowly are not taken. If you notice sudden pain and swelling in the back of your leg and have difficulty walking, you may have sustained an Achilles tendon injury and should seek the care of a podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Ankle swelling can be painful and a cause for concern. There are many reasons that your ankle may be swollen. An injury to the foot or ankle, such as a sprain, can cause swelling, as well as pain, tenderness, bruising, and difficulty walking or bearing weight on the affected leg. Infections can also cause swelling, and should be treated immediately to avoid serious complications. Venous insufficiency, a circulatory problem in which the veins don’t transport an adequate amount of blood from the legs back to the heart, may cause swelling and skin discoloration, and make infections and ulcers more likely. Other possible reasons that your ankles may be swollen include pregnancy, blood clots, systemic conditions such as liver and kidney disease, and taking certain medications. If you have swollen ankles and are unsure of the cause or are experiencing pain and discomfort, please seek the care of a podiatrist. 

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.

Flip-flops are easy to slip on and look great with your summer wardrobe. While they do have their place on the beach, around the pool, inside public locker rooms and showers, or outside getting the mail or letting the dog out, wearing them as regular footwear on a daily basis can ultimately be harmful to your body. Since flip-flops offer absolutely no arch support, over time you could develop pain in your arches, ankles, and knees. Flip-flops also offer scant cushioning and little support from the hard surface of the ground below which may eventually lead to heel pain and even plantar fasciitis—when the tissue connecting the bottom of your heel with your toes becomes stressed and damaged. Also, in order to keep the flip-flop on your feet, you instinctively curl your toes which changes how you walk and puts undue strain on your feet and lower back. A podiatrist can offer additional information on proper footwear and also treat any foot and ankle pain you may be experiencing.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

• They Slow You Down
• May Cause Blisters and Calluses
• Expose Your Feet to Bacteria

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.

Gout is a type of arthritis that often affects the big toe joint. It is caused by excess uric acid in the bloodstream. When uric acid builds up, it can lodge in the joints of the foot and crystallize, leading to sudden and painful gout flare ups. Certain factors can increase your risk of developing gout. These include being male, having a family member with gout, being overweight, drinking alcohol, and eating foods that are high in purines. Purines are a chemical substance found in many foods, such as red meat and shellfish, which get converted into uric acid. Because of this, dietary modifications are often suggested to lower your risk of gout. For more information about gout, please consult with a podiatrist.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 and ankle needs.