Poor circulation can indicate a variety of problems throughout the body including high cholesterol and diabetes. Poor circulation is often noticed in the feet first, and there are a few signs that you should consult with a podiatrist. If your toes are red, purple, or blue, this unhealthy coloring may be a clear indication of poor circulation. Because blood encourages hair growth, lack of hair on the feet or lower legs may also be an indicator. Poor circulation can also cause the feet to be excessively cool (maybe even ice cold), and can cause the feet to fall asleep easily. If you notice any of these signs in your feet, consulting with a podiatrist is strongly suggested.  

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. 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

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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.

If you are a runner, then you are likely familiar with the multitude of injuries that runners may incur. These can include muscle strains, ankle sprains, plantar fasciitis, Achilles tendon injuries, foot or ankle fractures, as well as many others. It is important to take steps to prevent running injuries. While running, make sure that you are wearing comfortable, properly-fitted shoes that are appropriate for your gait and the type of running that you do. Replace your running shoes if they become worn out or damaged. Prior to running, warm up with a jog. Strength training and stretching can help maintain the strength and flexibility of your lower limbs, reducing the risk of injury. For more information about how to prevent running injuries, please consult with a podiatrist.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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.

Diabetic foot ulcers are slow healing wounds that appear on the feet of individuals with diabetes and can become a very serious health issue. Almost a quarter of all individuals diagnosed with diabetes will develop a foot ulcer at some point in their life. There are several types of diabetic foot ulcers, and knowing which type you have can help determine the most effective treatment. Neuropathic ulcers occur when nerve damage from diabetic neuropathy prevents the patient with diabetes from feeling pain from an injury. This allows the wound to progress before you are even aware of it, increasing the risk of infection. Ischemic ulcers may be caused by a lack of blood flow to the feet. These types of ulcers are often difficult to heal. Neuroischemic ulcers are the most difficult to heal and occur in individuals who have both neuropathy and poor circulation. Infected wounds occur in half of diabetic patients with foot ulcers, and require close medical attention. If you have diabetic foot ulcers, it is highly recommended that you are under the care of a podiatrist who can help you look after your wounds and prevent severe complications.  

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.

Psoriatic arthritis is a type of arthritis that affects people who have a skin condition called psoriasis. Like other types of arthritis, psoriatic arthritis is characterized by joint pain, stiffness, and swelling. It can affect nearly any joint in the body, but often affects the joints of the feet and ankles. In addition to joint pain, symptoms of psoriatic arthritis in the feet can include pain in the heel and arch of the foot due to enthesitis, an inflammation of the points where tendons and ligaments attach to bones. People with this type of arthritis are also more likely to have nail problems, such as nail pitting and thickening, pain, and lifting of the nail from the nailbed. If you have psoriatic arthritis that affects your feet, a podiatrist can help by prescribing treatments and orthotics that can reduce symptoms and improve mobility. To learn more, please consult with a podiatrist.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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.

Tarsal tunnel syndrome is a condition in which the posterior tibial nerve located at the back of the ankle becomes compressed. This leads to symptoms such as pain, burning, tingling, or numbness in the sole and heel of the foot. In about 40-50% of cases, the cause of tarsal tunnel syndrome is unknown, and it appears to arise spontaneously. In other cases, tarsal tunnel syndrome may occur due to a ganglion cyst, bone deformity, twisted and enlarged veins, tenosynovitis, and flat feet, among other causes. Tarsal tunnel syndrome can be diagnosed through ultrasound and MRI and usually responds well to conservative treatments, such as anti-inflammatory medications and orthotics. To learn more about this condition, please consult with a podiatrist.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require 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 and ankle needs.