
Common Causes of Foot Blisters

Foot blisters are a frequent and often painful condition caused by friction, moisture, and heat. They occur when the skin is repeatedly rubbed, typically due to wearing ill-fitting shoes or prolonged walking and running. This constant rubbing causes the layers of skin to separate, allowing fluid to collect in the gap. Moisture from sweat or wet environments softens the skin, making it more vulnerable to damage. Heat generated during activity can also contribute to blister formation. Wearing new shoes, especially those not broken in, or going sockless can increase the risk. Additionally, certain skin conditions or allergies may make some individuals more susceptible. If you have developed a foot blister that is bothersome or has become infected, it is suggested that you contact a podiatrist who can offer safe and effective treatment along with prevention tips.
Blisters are prone to making everyday activities extremely uncomfortable. 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 develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often 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.
How Do Blisters Form?
Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.
Prevention & Treatment
It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.
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.
Blisters
Blisters are small pockets of fluid that occur on the top layers of the skin for several reasons. Friction, burns, and diseases are all known causes of blisters. Smaller blisters are known as vesicles, while larger blisters are referred to as bulla. The fluid inside the bubble can be blood, pus, or serum; which is a clear liquid that protects the skin. In most cases, blisters are not a major health issue, but they can be an indicator of a more serious condition.
Causes of blisters vary. Blisters are commonly caused by wearing poorly fitted shoes that rub against the foot. However, there are many other causes besides from friction; including burns, sunburn, insect bites, frostbite, poison ivy/oak, chemical exposure, impetigo, eczema, viral infections, and more.
Most blisters heal by themselves and do not require immediate medical care. If you have a blister, do not pop it since this may cause infection; it is advised to put a bandage over the blister to protect it. If the blister is large, causes pain, or if you have a fever, it is recommended that you see a doctor who can provide proper care. Blisters are easy to diagnose, and if considered prudent by the doctor, can easily be drained of fluid with a sterile needle as well.
To prevent blisters on the feet, wear shoes that fit properly and don’t cause rubbing. Socks can help prevent friction and it is recommended that you wear them if you are wearing shoes. Hand blisters can be avoided by wearing gloves during activities that cause friction against the hand. If you have a blister that pops, do not remove the dead skin, wash the area, apply antibiotic ointment, and cover with a bandage. It is okay in most cases to not seek immediate medical care for a blister if it was just caused by friction. However, if the blister causes pain or does not go away, it is suggested that you see a doctor for a diagnosis.
Signs Your Feet May Reveal a Thyroid Problem

The feet can offer important clues about thyroid health, often showing symptoms that are easy to overlook. Cracked heels may be one of the earliest signs, especially when dryness persists despite moisturizing. Itchy feet can also occur due to slowed skin cell turnover, commonly seen with low thyroid function. Cold feet are another frequent symptom, as the thyroid helps regulate body temperature and poor circulation may result from an underactive thyroid. Additionally, swollen feet can develop due to fluid retention, which sometimes accompanies hormonal imbalances linked to thyroid conditions. These foot-related signs should not be ignored, especially when they appear together or persist. If you have any of the above foot symptoms, it is suggested that you consult a podiatrist who can treat various foot conditions, and discuss the connection regarding possible thyroid disease.
When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly. If you have any concerns about your feet and ankles contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will assist you with all of your podiatric needs.
Systemic Diseases of the Feet
Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.
Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.
Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.
Diabetes of the Feet
Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.
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.
Systemic Diseases of the Foot
There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.
In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.
Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.
There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.
Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.
All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.
Toe Fractures and the Different Ways They Happen

A broken toe might seem minor, but it can be surprisingly painful and disruptive. Toe fractures happen from direct impact, like stubbing a toe on furniture, dropping something heavy on it, or even excessive stress from repetitive movements. There are different types of toe fractures. A stress fracture develops over time from repeated strain, common in runners and athletes. A non-displaced fracture means the bone has cracked but remains aligned, while a displaced fracture occurs when the bone shifts out of place. A comminuted fracture involves multiple breaks in the same bone, and an open fracture means the bone has pierced the skin, requiring immediate medical attention. Treatment depends on severity, ranging from taping the injured toe to its neighbor for stability to wearing a stiff-soled shoe. Severe cases may require a splint or even surgery to ensure proper healing. If you have severe pain from a broken toe, it is strongly suggested that you schedule an appointment with a podiatrist for appropriate treatment.
A broken toe can be very painful and lead to complications if not properly fixed. 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 to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
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.
What to Know About a Broken Toe
Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.
Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.
Generally, a minor toe break will heal without long-term complications. However, it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any more additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it. Then, tape the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery, especially when the big toe has been broken. Due to its position and the pressure the big toe endures with daily activity, future complications can occur if it is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications. Prescription pain killers may be necessary for severe toe fractures.
The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma. They will be able to diagnose the injury and recommend the appropriate treatment options.
Why Live with Pain and Numbness in Your Feet?
Debridement of Foot Wounds and Ulcers

Debridement is the process of removing dead or infected tissue from foot wounds or ulcers to help the body restart the healing process. When unhealthy tissue is present, it can delay healing and increase the risk of infection. By clearing out this tissue, debridement encourages the growth of healthy skin, reduces the chance of complications, and may minimize long-term scarring. There are several types of debridement, including enzymatic, autolytic, mechanical, and sharp methods. The method chosen often depends on the severity and condition of the wound, as well as a patient’s overall health. In some cases, surgery may be required, particularly for deep or severely infected wounds that do not respond to conservative options. A podiatrist can evaluate the wound and determine the most effective way to promote healing. Podiatrists are trained to manage foot, toe, and ankle wounds safely and effectively, and they provide continued monitoring throughout recovery to help prevent further issues. If you have foot wounds or ulcers that are not healing properly, it is suggested that you schedule an appointment with a podiatrist for an exam and ongoing wound care.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
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.
Wound Care
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
Causes and Symptoms of Broken Blood Vessels in Feet

Broken blood vessels in the foot, also known as petechiae or bruising, occur when small blood vessels beneath the skin rupture. This can happen due to trauma or injury, such as stubbing the foot or wearing tight footwear. Other causes include excessive pressure on the foot, certain medical conditions that affect blood clotting, or even prolonged standing. Symptoms of broken blood vessels include visible red, purple, or blue spots on the skin, which may expand or change color over time as the blood is reabsorbed. In some cases, swelling, pain, or tenderness may accompany the bruising. If you have any of the above symptoms, it is suggested that you consult a podiatrist who can determine what the cause is and offer appropriate 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.
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