December 2022

Sometimes aching feet are simply a result of standing for too long or overdoing an activity. But certain types of foot pain may indicate more serious arch and heel problems, the most common of which is plantar fasciitis. If you experience sharp pains in the feet when you first get up in the morning, it can be a sign of plantar fasciitis because the muscles in the feet tighten up overnight. Likewise, if you feel pain in the heels after exercising, and inflammation becomes chronic, plantar fasciitis may be indicated. Arthritis may be an underlying cause of plantar fasciitis and the heel pain it brings. Osteoporosis, which is a thinning of the bones, can contribute to stress fractures that may change the way you move or walk. This shifting of weight can cause foot pain to increase and add to the risk of developing plantar fasciitis. If you believe you may have plantar fasciitis, please make an appointment with a podiatrist for an examination and diagnosis.  

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

Dehydration can cause swollen feet. It can cause constriction of blood vessels, which forces fluid into spaces between cells leading to retention, especially in lower limbs. The kidneys begin to react by retaining sodium and water and fluid builds up in surrounding tissues, leading to swelling. When one is dehydrated, it can cause water weight by retaining fluids. All of this can lead to puffiness, bloating, and discomfort. Drinking more water can help. Experts suggest consuming eight to 10 glasses of water per day. Doing this may seem counter-intuitive but when the body is not hydrated enough, it holds onto the fluid it has. If your legs swell for no apparent reason, and you have leg pain, difficulty breathing, and other emergent symptoms, contact a medical professional immediately. However, if you are experiencing foot pain, chances are that you are not drinking enough water. If your feet are swollen and uncomfortable and you want to learn more about how to prevent this from happening, seek the counsel of a podiatrist, who can evaluate your situation and provide recommendations.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.

A bunion is a deformity of the joint at the base of the big toe. Bunions develop when the first metatarsal bone of the foot turns outward and the big toe points inward toward the other toes. This causes the joint to extend out from the foot. A bunion can become painful and interfere with walking and exercising as the joint becomes inflamed. It can be difficult to find shoes that accommodate a bunion, and it is best to avoid any additional pressure on the misaligned joint. Women are more likely to develop bunions because they tend to wear narrow shoes and high heels. Bunions can also be genetic and may result due to abnormal foot structures and shapes. Those with low arches and loose joints or tendons, as well as people who stand on their feet for prolonged periods, are also at increased risk for developing bunions. If you have a painful bunion, it is suggested you see a podiatrist who can provide alternative treatment options to help you live more comfortably.

If you are suffering from bunions, 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 a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• 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.

The cuboid bone is a somewhat irregularly shaped bone located in the midfoot area. The bone is one of the different tarsal bones in the foot, and it is located on the outside of the foot. Cuboid syndrome affects this bone, and it occurs when the bone has dislocated. Individuals suffering from cuboid syndrome might notice pain in the outside of the foot, as well as a pain that tends to be more poignant in the morning when one initially stands up. After visiting a trusted medical professional like a podiatrist, an individual might be able to address their cuboid syndrome in several different ways. For example, a medical professional might be able to relocate the bone for you. In addition, they might recommend that you apply ice to the affected area to ease any pain. Schedule your appointment with a podiatrist today if you think you might have cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.