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Tuesday, 20 January 2026 00:00

Gout can lead to several foot-related complications when flares repeat over time. Ongoing inflammation in the toes and ankles can damage cartilage and bone, causing joint deformity, stiffness, and limits in motion. Painful flares can interfere with walking, balance, and daily activities, increasing strain on other areas of the foot. Skin over inflamed joints can become fragile, raising the risk of cracks, sores, or infection, especially when swelling alters shoe fit. Changes in circulation linked to gout can also slow healing in the feet and increase the risk of ulcers. Long-term joint damage can result in instability that raises the chance of falls. A podiatrist can assess joint changes and recommend treatment or surgery. If you have complications from gout, it is suggested that you make an appointment with a podiatrist for a diagnosis and options for help in managing this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.

Read more about Gout
Tuesday, 13 January 2026 00:00

Rock climbing places intense demands on the feet, especially when tight climbing shoes are worn for extended periods. These shoes are designed for precision but can lead to overstrain in the ankle and forefoot as toes are forced into unnatural positions. Common foot injuries in rock climbers include tendon strain, joint irritation, nerve compression, and pain in the ball of the foot. Repeated pressure and limited movement may also contribute to stiffness and reduced circulation. Over time, these stresses can affect balance, strength, and overall climbing performance. A podiatrist can assess foot mechanics, identify sources of strain, and recommend treatment options like activity modification, stretching, footwear guidance, or custom orthotics for support outside of climbing shoes. If foot or ankle pain is interfering with your climbing goals, it is suggested that you schedule an appointment with a podiatrist who can treat various foot and ankle injuries, and guide you on tips on how to protect your feet while rock climbing. 

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, 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.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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 Sports Related Foot and Ankle Injuries
Friday, 09 January 2026 00:00

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 06 January 2026 00:00

Bunions are a common foot condition where the tip of the big toe gradually shifts toward the smaller toes, creating a visible bump at the side of the foot. They are often caused by inherited foot structure,  wearing improper footwear, arthritis, or repeated pressure on the joint. A bunion may look red, swollen, or enlarged and can feel tender, stiff, or painful, especially when walking or wearing narrow shoes. Some people experience burning sensations or limited toe movement. A podiatrist can help from the start by evaluating foot structure, gait, and joint alignment, sometimes using imaging to confirm the diagnosis. Non-surgical treatments may include footwear recommendations, padding, custom orthotics, and targeted exercises to reduce strain and improve comfort. Early management can slow progression, ease pain, and improve daily mobility. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

If you are suffering from bunions, 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?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • 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 care needs.

Read more about Bunions
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