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April 2022

Tuesday, 26 April 2022 00:00

What to Do for Bunions

Bunions, also referred to as “hallux valgus” can become painful. A bunion is a bump on the side of the big toe that comes from an inherited structural problem with the foot or changes in the bones in the front part of the foot from wearing shoes that crowd the toes. When one develops a bunion, it means that the big toe starts leaning towards the second toe rather than pointing straight forward. Though symptoms such as pain, inflammation and redness, a burning sensation, and numbness can come in later stages of bunion development, sometimes there are never symptoms other than the bump. Dealing with a bunion may be as simple as changing shoes to ones that have more room in the toe box and don’t put the foot at an unnatural angle, such as when wearing high heels. Other ways of helping with a bunion include placing padding over the bump, spending less time on your feet, modifying activities, getting cortisone shots, or possibly having surgery. A visit to a podiatrist will confirm a diagnosis of a bunion and appropriate treatment will be suggested.

If you are suffering from bunion pain, 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?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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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Friday, 22 April 2022 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Wednesday, 20 April 2022 00:00

Understanding an Achilles Tendon Rupture

An Achilles tendon rupture is an injury that happens when there is sudden and overwhelming pressure put on the Achilles tendon – the band of fibrous tissue that links the muscles of the calf to the heel. There will usually be a popping noise and intense pain with this injury and the area may burn and become swollen and stiff. You will have trouble standing and pushing off from that leg. Rest, cold compresses, physical therapy, and attention to a proper diet can all help, but this condition is slow to heal. A podiatrist can perform what is known as the Thompson Test to determine if you have ruptured your Achilles tendon. This test consists of a simple manipulation of the back of the calf, specifically, your soleus complex muscle group. If the area does not tense up and bend (a natural reflex of the manipulation), you may have ruptured this major tendon or there has been a detachment of the tendon from the muscle or bone. A consultation with a podiatrist is suggested if you suspect you have injured or ruptured your Achilles tendon for a proper treatment plan.

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.

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Flat feet are also referred to as “fallen arches.” As the name suggests, this condition results from collapsed arches or when the feet lay flat against the floor while walking. Babies and toddlers do not have arches at first, but they develop them as they grow. Flat feet can develop if arches do not mature normally. This may happen because of shoes that do not provide adequate arch support, wearing high heels, or overpronation (rolling inward) of the feet. While flat feet should not interfere with the usability of a person’s feet, the pain might be felt in the feet or calves since the feet must work harder to compensate for the lack of arches. If you suspect you have flat feet it is suggested that you see a podiatrist for proper evaluation, customized creation of arch supports, and any other treatment that may be required.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

Read more about What is Flexible Flat Foot?
Tuesday, 05 April 2022 00:00

Aftereffects of a Sprained Ankle

Sometimes after a sprained ankle begins to heal, the ankle joint may still hurt and become swollen. It also may click or lock and become stiff. The pain worsens when bearing weight. The cause may be an overlooked fracture of the cartilage that sits just under the lower leg bone (tibia) and the top ankle bone (talus). The fancy name for this condition is osteochondral lesions of the talus, and another bone scan or MRI may be necessary to properly diagnose it. The injury is likely to occur when the tibia lands directly on the talus, thereby compressing the cartilage in between the two bones. In some cases a bit of cartilage breaks off but remains in place. There are five levels of severity and treatment, ranging from non-surgical methods to arthroscopic surgery. If left untreated, osteochondral lesions of the talus may cause chronic pain and swelling, limit joint motion, or result in bone damage. If such ankle problems continue following a sprain, it is a good idea to see a podiatrist for in-depth investigation and diagnosis of the injured site.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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.

Read more about Sports Related Foot And Ankle Injuries
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