October 2025

Tuesday, 28 October 2025 00:00

Sesamoiditis

Sesamoiditis is a condition in which the sesamoid bones in the forefoot become inflamed from physical activity. Sesamoid bones are bones that are not connected to other bones but are located in tendons or muscle. Two of these sesamoid bones are very small and located on the underside of the foot near the big toe. Athletes such as runners, baseball and football players, and dancers are likely to experience sesamoiditis. Those with high arched feet, flat feet, or runners who run on the ball of their foot are also prone to suffer from sesamoiditis.

Symptoms include pain or throbbing on the ball of the foot near the big toe. The pain generally starts with a mild throbbing but gradually builds up to shooting pain. Bruising, swelling, and redness are possible, but in most cases, these symptoms are not present. However, moving the big toe can result in pain and difficulty.

To conduct a diagnosis, the podiatrist will examine the ball of the foot and big toe. They will look for any outliers and check the movement of the toe. X-rays will be taken to rule out any other conditions and ensure that it is sesamoiditis.

Treatment for sesamoiditis is generally mild and includes rest, anti-inflammatory and pain medication, and ice treatments to deal with the swelling and pain. Orthotics may be needed with people who have flat or high arched feet to relieve pressure off the bones. In some cases the toe will be taped and immobilized to allow healing. The podiatrist may also decide to use a steroid injection to help with swelling as well. If you have sesamoiditis, you shouldn’t engage in any intensive activity, as it may inflame the area and worsen your pain. If the sesamoid bone has fractured, surgery may be required to remove the sesamoid bone.

If you are suffering from sesamoiditis or are experiencing symptoms similar to sesamoiditis, you should stop all physical activity that puts strain on the area. Furthermore you should see a podiatrist for a diagnosis to see if you have sesamoiditis.

Tuesday, 28 October 2025 00:00

Ball of the Foot Pain Could Be Sesamoiditis

Sesamoiditis is a painful condition that affects the ball of the foot, specifically around the big toe joint, where two small bones called sesamoids are located. These bones act like pulleys to help the tendons move smoothly, but they can become irritated or inflamed due to overuse, repetitive pressure, or high-impact activities like running or dancing. Symptoms include a dull or sharp pain beneath the big toe, swelling, bruising, and difficulty bending or bearing weight on the toe. The area may feel tender to the touch and may worsen with certain shoes or prolonged activity. A podiatrist can diagnose sesamoiditis through a physical exam and imaging, such as X-rays or an MRI scans to rule out fractures. Treatment often includes custom orthotics, padding, anti-inflammatory medications, and footwear changes. In more severe cases, immobilization or injections may be necessary. It is suggested that you schedule an appointment with a podiatrist to address persistent foot pain.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

Sudden increase in activity
Increase in physically strenuous movement without a proper warm up or build up
Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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.

Tuesday, 21 October 2025 00:00

Building a Strong Foundation Through Children’s Foot Health

Healthy feet are essential for a child’s growth, balance, and overall development. Because children’s bones and muscles are still forming, even minor issues can affect posture, gait, and coordination, over time. Flat feet, in-toeing, or toe-walking are common concerns that often improve as a child grows, but persistent problems may signal the need for evaluation. Wearing supportive, properly fitted shoes plays an important role in protecting developing feet, allowing natural movement while offering stability. Regular foot checks help parents notice any changes in shape, alignment, or walking patterns early on. Encouraging barefoot play on safe surfaces also strengthens muscles and improves balance. A podiatrist can identify structural or developmental concerns and recommend age-appropriate treatment, if needed. It is suggested that you invest in your child’s foot health by scheduling an appointment with a podiatrist for an evaluation and treating any foot and ankle problems that may arise.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

Make sure their shoes fit properly
Look for any signs of in-toeing or out-toeing
Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
Cut toenails straight across to avoid ingrown toenails
Keep your child’s foot clean and dry
Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

Tuesday, 21 October 2025 00:00

How to Care for Your Child's Feet

It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.

A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.

It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.

Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.

As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.

Tuesday, 14 October 2025 00:00

Various Causes of Ankle Pain

Ankles are joints that connect bones in the feet with bones in the lower leg. They are comprised of bones, ligaments, muscles, tendons, blood vessels, and nerves. The ankle joint allows the foot to move side-to-side, as well as up-and-down.

Ankle pain can be caused by a variety of conditions, but is most commonly due to soft tissue injuries such as ankle sprains and strains.

An ankle sprain occurs when one or more of the strong ligaments that support and stabilize the ankle become overly stretched or even torn if the ankle rolls, turns, or twists awkwardly. Depending on the grade of sprain (mild-moderate-severe), there will be varying degrees of pain, swelling, and restricted range of motion, along with tenderness, bruising, and ankle instability. There may even be an audible popping noise at the moment of injury.

Ankle strains can sometimes produce similar symptoms of pain, swelling, and loss of motion, however, they are due to overly stretched muscles and tendons—not ligaments. Ankle strains may also cause muscle cramps in the feet, calves and shins.

Ankle fractures are another common source of ankle pain and occur one or more of the three bones in the ankle become fractured (broken). These breaks can be stress fractures (due to repetitive stress) or traumatic fractures (due to an acute injury). Depending on where and how severe the fracture is, symptoms can include pain and swelling that can sometimes spread up to the knee, bruising or discoloration, and an inability to bear weight. A visible deformity or exposed bone may occur in severe fractures.

Various forms of arthritis may also cause ankle pain. Rheumatoid arthritis (RA) causes the immune system to attack healthy joints, like the ankle joint, by mistake, causing stiffness and swelling in both ankles. Osteoarthritis occurs when cartilage covering the ends of bones wears down, causing the bones to rub against each other. This results in pain, stiffness, and reduced range of motion in the ankle. Gout is a form of arthritis where excess amounts of uric acid in the bloodstream crystallize and build up on joints, causing severe pain and swelling. Reactive arthritis causes joint pain and swelling in the ankle in response to an infection in another part of the body.

Other forms of ankle pain include bursitis (an inflammation of a cushioning bursa sac between tendons and bone), scleroderma (a thickening of connective tissues), chronic ankle instability (caused by improperly healed ankle sprains), Achilles tendon injuries, flat feet, or an infection in the ankle.

Tuesday, 14 October 2025 00:00

Ankle Injuries Are Common in Athletes

Ankle injuries are common in athletes and can range from mild sprains to severe ligament tears or fractures. They often result from sudden twists, awkward landings, or collisions during sports activities. Risk factors include inadequate warmups, wearing poor footwear, previous injuries, and playing on uneven surfaces. These injuries can lead to swelling, pain, instability, and reduced performance, if not treated properly. A podiatrist can provide an expert diagnosis, develop personalized treatment plans, and recommend braces, orthotics, or rehabilitation exercises to promote recovery and prevent reinjury. If ankle pain or instability is affecting your activity, it is suggested that you schedule an appointment with a podiatrist to receive professional care, restore strength, and return to athletic activities with confidence and safety.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

Types of arthritis (rheumatoid, osteoarthritis, and gout)
Ankle sprains
Broken ankles
Achilles tendonitis
Achilles tendon rupture
Stress fractures
Bursitis
Tarsal tunnel syndrome
Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.

Friday, 10 October 2025 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 07 October 2025 00:00

Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries.

Tuesday, 07 October 2025 00:00

Types of Toe Surgery

A common form of foot surgery is performed on the toes. It can be done to improve a toe deformity, remove joint pain originating from the toes, or to repair a broken toe. The surgery technique may involve lengthening the tendons that may have become shorter if hammertoe has developed, or the shape of the bone may be changed to a correct position. The recovery process may consist of resting and elevating the foot to reduce existing swelling, and practicing a gentle stretching and exercise regime may accelerate the healing process and allow you to resume everyday activities. If you are interested in learning more about toe surgery, it is suggested that you consult with a podiatrist who can help you to make the correct decision for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

Removing foot deformities like bunions and bone spurs
Severe arthritis that has caused bone issues
Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

Bunionectomy for painful bunions
Surgical fusion for realignment of bones
Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.