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Wednesday, 16 August 2023 00:00

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.

Tuesday, 15 August 2023 00:00

Managing Toe Fractures

Common symptoms of a broken, or fractured, toe include pain, swelling, and a change in skin color due to bruising or bleeding under the skin. If these symptoms persist for more than a few days or hinder walking and wearing shoes, it is advisable to seek help from a podiatrist. The causes of a broken toe are typically related to accidents and injuries. Dropping something heavy on the foot or stubbing the toe against a hard object are the most common causes. A broken toe may include the risk of infection if the skin is cut near the injured toe, possibly leading to a chance of bone infection. Additionally, there' is a possibility of developing osteoarthritis, a wear and tear type of arthritis, particularly if the break affects one of the toe joints. Despite the discomfort and potential complications associated with toe fractures, the most common treatment for a toe fracture is buddy taping, where the injured toe is taped to the one next to it. Wearing rigid soled shoes can help by limiting joint movement.  For anyone who is experiencing extreme symptoms of a broken toe or is concerned about potential complications, it is suggested that you make an appointment with a podiatrist.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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.

Read more about What to Know About a Broken Toe
Tuesday, 15 August 2023 00:00

What to Know About a Broken Toe

The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.

Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.

Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.

If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more. 

The ankle, a vital joint in our body, plays a significant role in our movements and stability. However, some individuals may notice that their ankles are large or swollen, raising concerns. In most cases, the size and shape of our ankles are determined by genetics, and having larger ankles is not inherently unhealthy. However, certain health conditions can cause enlarged ankles, warranting attention and further investigation. One such condition is lipedema, a painful disorder where fat accumulates beneath the skin of the legs. Lipedema predominantly affects women, and its symptoms include easy bruising, sensitivity to pressure, and difficulty walking. Genetic factors and hormonal changes trigger this condition, and treatments involve dietary changes, exercise, and specialized therapy. Another condition that can lead to swollen ankles is lymphedema, which involves abnormal swelling due to a compromised lymphatic system. Damaged lymph nodes or cancer treatments can be contributing factors. Managing lymphedema includes gentle exercises, compression techniques, and massages. Furthermore, edema, or generalized swelling, can cause puffy ankles as can heat, venous insufficiency, deep vein thrombosis, congestive heart failure, liver disease, kidney disease, medications, and pregnancy. For those seeking to reduce ankle swelling, lifestyle changes such as exercises, reducing sodium intake, elevating feet, and staying active can be beneficial. If you are generally concerned about the size of your ankles and they are causing you discomfort, it is suggested that you make an appointment with a podiatrist who can examine them and provide you with relief options.

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 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 Swelling of the Feet
Tuesday, 08 August 2023 00:00

Swelling of the Feet

There are many reasons why patients experience swelling of the feet. It is rather common and may be a side effect of pregnancy or from sitting and standing for most of the day. Gravity could also play a role in the development of swollen feet. It is known that the weight of blood volume in our bodies is exerted on the veins in the legs and feet. The veins may not work as efficiently during the aging process, and this could make the blood flow backward causing swollen feet. Relief may be found when obese patients lose weight, and it may help to engage in compression therapy by wearing compression socks, stockings, or athletic sleeves. This method can release pressure on the feet and ankles which may help to reduce existing swelling. There are patients who have controlled their swollen feet by implementing healthy lifestyle changes. These can consist of reducing salt intake, incorporating a gentle exercise regime into the daily routine, and drinking plenty of fresh water. Swollen feet may be a temporary condition that affects people who travel via airplane or automobile, so it is beneficial to walk as frequently as possible even though it can be difficult. Swelling of the feet can also be indicative of other health issues so it is important to pay attention to any type of chest pain, mental confusion, dizziness, or fever. If you consistently have swollen feet, it is strongly suggested that you consult with a podiatrist who can help determine the cause and how to effectively treat it.

Many diabetic patients realize the importance of maintaining proper foot care. This can be an overwhelming task to accomplish, and it is beneficial that small steps are taken that can simplify the process. It is important to engage in a gentle exercise program frequently, and this can help to improve blood circulation to the feet, as well as the overall body. Eating healthy foods that can comprise a healthy diet may help to monitor glucose levels, and existing nerve damage may be controlled. Stress can raise blood pressure, and elevating the feet at the end of the day may give them a needed rest and may help to reduce existing stress. Additionally, inspecting the feet daily can reveal any cuts and scrapes that have developed. Many people who are diabetic experience neuropathy, which is the inability to feel sensation in the feet. Family members or caregivers may help patients to see the soles of their feet by helping them to use a mirror. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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 Diabetic Foot Conditions
Tuesday, 01 August 2023 00:00

Diabetic Foot Conditions

According to the American Diabetes Association (ADA), diabetes is a condition that affects approximately 23.6 million Americans.  Around 750,000 new cases are diagnosed each year, and the disease’s most common form, Type 2 diabetes, makes up for 90 to 95 percent of these cases.  Type 2 diabetes is especially prevalent among older Americans, those who are obese, and those who lead sedentary lifestyles.

Complications of the disease may lead to several foot and ankle-related conditions.  The loss of nerve sensation, or neuropathy, can cause diabetics to lose feeling at the bottom of the feet and therefore leave them unaware of pain, pressure, and heat.  Decreased circulation is another complication of diabetes that can slow down the healing of wounds and injuries; this can lead to the development of foot ulcers.

To prevent foot ulcers from forming, diabetics should examine their feet every day for small cuts and wear shoes that curtail pressure.  Constant monitoring for the risk factors associated with ulcer formation can allow for early detection and therefore lessen the possibility of ulcers or, even worse, amputation.  The removal of calluses and ingrown toenails should be left to the podiatrist to avoid improper removal and possible infection.

Diabetic patients may also experience foot deformities due to complications in their feet, such as limited joint mobility, muscle atrophy, and decreased fat padding.  These complications can increase pressure in certain areas of the foot, which in turn can cause certain deformities, such as hammertoe, to form.  Another deformity, Charcot foot, develops due to the collapsing of microfractures in the bones of the feet.  The resulting deformity is a foot that is flattened and wider in appearance.

To help minimize pressure and prevent the development of these diabetes-related foot and ankle conditions, your podiatrist may consider using orthotics or special shoes.  Charcot foot may be treated using walkers, custom orthotic insoles, or non-weight-bearing or rigid weight-bearing casts or braces.  In more serious cases, surgery may be considered to treat more developed deformities.  Ulcers can be further cared for with the help of proper diet, medication to control glucose, intensive wound care, and infection treatment.

Symptoms that are associated with poor circulation can include cold or discolored feet, and there may be numbness or a tingling sensation. Poor circulation can come from closed, hardened, or narrowed blood vessels that can prevent adequate blood, oxygen, and nutrients from being transported through the body. There may be underlying reasons that can lead to poor circulation. These can include Raynaud’s disease, which can limit blood flow to the fingers and toes, and acrocyanosis, causing the toes to turn blue from constricting blood vessels. Additionally, poor circulation is common among diabetic patients as a result of damaged blood vessels. Poor circulation may also affect people who smoke, are inactive, or who have high cholesterol or blood pressure. Mild relief may be found when the feet are massaged, relaxation techniques are practiced, and physical activity is increased. If you have symptoms of poor circulation, it is suggested that you confer with a podiatrist who can offer you the correct treatment options.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness 
  • Numbness or cramping in the legs
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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 Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet

Poor blood circulation in the feet and legs is often caused by peripheral artery disease (PAD), which is usually the result of a buildup of plaque in the arteries. Plaque buildup, or atherosclerosis, can be the result of excess calcium and cholesterol in the bloodstream. This restricts how much blood can flow through arteries. Reduced blood flow to a certain area of the body severely limits the amount of oxygen and nutrients that part of the body receives. This leads to degeneration in the muscles and other tissues. Sometimes, poor blood circulation in the feet and legs can be caused by other conditions, such as the damaging or inflammation of blood vessels, known as vasculitis.

The lack of oxygen and nutrients caused by poor blood circulation can restrict muscle growth and development, as well as cause muscle pain and cramps, weakness, and stiffness. Other common symptoms include numbness in the legs and feet, skin discoloration in the affected limbs, slower nail and hair growth, and erectile dysfunction in men. In more severe cases of PAD, pain can be present even when a person isn't exercising, and may range from mildly uncomfortable to completely debilitating.

Poor blood circulation in the feet and legs is more common in those who are overweight or obese, have diabetes, high blood pressure, high cholesterol, who smoke, or who have a family history of PAD or related conditions such as a heart attack, stroke, etc. Diabetes and smoking place a person at greatest risk for developing poor blood circulation, although advanced age, over 50, can also increase risk.

If you are experiencing poor blood circulation in the feet and legs caused by PAD, it is important to make changes to your lifestyle in order to reduce your risk of experiencing a heart attack or stroke caused by this condition. If you smoke, quit completely. This will increase the amount of oxygen in your bloodstream. Exercising and reducing the saturated fats in your diet. Saturated fats come from fatty meats, fried foods, whole milk, etc., can make a difference in improving blood circulation in feet. It is also important to avoid developing influenza and to carefully control your blood sugar if you have diabetes.

Your doctor may recommend combining lifestyle changes with a prescription medication regimen to improve blood circulation. The most commonly-used medications for PAD are called statins and work by blocking the amount of enzymes in your body that produce cholesterol. They are known by the brand names Zocor, Lipitor, Crestor, and others.

Tuesday, 18 July 2023 00:00

Dealing With Blisters While Running

One of the main issues that runners face is dealing with blisters. These are bubbles of fluid that develop on the feet and toes as a result of friction between your socks or shoes and the skin. Blisters can develop from running long distances, breaking in new running shoes, or wearing shoes and socks that are unsuitable for the terrain or weather. While blisters are not a serious health threat, they can cause a great deal of pain and discomfort if not properly treated. It is never a good idea to pop a blister, because the open skin can easily become infected. The best ways to prevent blisters while running are to make sure your shoes fit properly and that your socks wick moisture away from the skin. Many runners tape their feet before a run as a preventative measure. Precautions taken before a run include breaking in a new pair of shoes as well as increasing mileage and intensity gradually. Others coat their feet and toes with petroleum jelly before starting. If you are a runner who has continued problems with blisters, or who has a blister that has become infected, it is suggested that you visit a podiatrist for help.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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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