February 2026

Peripheral neuropathy affects the nerves that carry sensation from the feet and legs to the brain. In older adults, this condition often reduces the ability to feel the ground, notice uneven surfaces, or sense pressure changes. When balance feedback is dulled, walking becomes less stable, and the risk of falls rises. Falls in the elderly can lead to fractures, loss of independence, and long recovery periods. Neuropathy may be caused by diabetes, vitamin deficiencies, circulation problems, or certain medications. Symptoms can include numbness, tingling, burning pain, or weakness that worsens over time. Wearing supportive footwear, balance training, and early treatment may help lower fall risk. When numbness, frequent stumbles, or unexplained foot changes appear, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then 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.

Morton’s neuroma is a painful condition that affects the nerves between the toes, most commonly between the third and fourth toes. It occurs when the nerve becomes thickened or compressed, often due to repetitive stress, wearing tight footwear, or abnormal foot mechanics. Symptoms typically include sharp or burning pain, tingling, numbness, and a feeling of something being stuck in the shoe. Risk factors include wearing high heels or narrow shoes, participating in high-impact activities, and having certain foot structures like flat feet or high arches. A podiatrist can evaluate the foot, provide orthotic support, recommend footwear modifications, and offer treatment to reduce pain and prevent progression. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

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.

The biomechanics of the feet change significantly when wearing high heels, shifting body weight forward, and increasing pressure on the forefoot, while limiting natural ankle motion. This altered alignment can strain muscles, tendons, and joints, leading to fatigue, pain, and imbalance during standing and walking. Risk factors include prolonged high heel wear, narrow toe boxes, elevated heel height, and existing foot structure concerns. Common foot conditions linked to high heels include bunions, hammertoes, and neuromas, in addition to plantar fasciitis, Achilles tendon tightness, stress fractures, and ankle instability. A podiatrist can evaluate gait, address pain, recommend supportive footwear, custom orthotics, and provide medical treatment to reduce damage. If you frequently wear high heels and have developed foot pain, it is suggested that you consult a podiatrist who can treat various foot and ankle conditions, and guide you on what type of heels to wear.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Ganglion cysts are fluid filled lumps that often form near joints or tendons in the foot or ankle. They develop when joint fluid leaks out and becomes trapped in a small sac, often due to irritation, overuse, injury, or changes in joint mechanics. Some cysts cause no symptoms, while others lead to aching pain, pressure, or nerve irritation, especially when shoes rub against the area. Treatment depends on discomfort and location. Options include monitoring the cyst, modifying footwear, or using padding to reduce pressure. If symptoms persist, a podiatrist may drain the cyst or recommend a minor procedure to remove it and reduce recurrence. A podiatrist can also evaluate foot structure and movement patterns that may contribute to cyst formation, helping improve comfort, mobility, and long-term foot health. If you think you might have a ganglion cyst, it is suggested that you see a podiatrist for a proper diagnosis and treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.