Items filtered by date: December 2017
Symptoms of Plantar Fasciitis
Plantar fasciitis causes distinct symptoms centered on the sole of the foot, particularly near the heel and arch. Individuals often experience sharp pain or discomfort along the bottom of the foot, radiating from the heel toward the toes. The pain tends to be most intense during the initial steps after waking up or following prolonged periods of rest, known as post-static dyskinesia. Throughout the day, the pain may lessen with movement but can intensify after long periods of standing or walking. Some describe the pain from plantar fasciitis as a dull ache or burning sensation. The arch of the foot may also feel tender to the touch, especially near the heel where the plantar fascia attaches to the bone. If you are experiencing heel pain, it is strongly suggested that you make an appointment with a podiatrist sooner rather than later. This foot doctor can accurately diagnose plantar fasciitis and begin an effective relief and treatment plan.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Ronald Sheppard from Warren-Watchung Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown Toenail Care
An ingrown toenail is a nail that has curved downward and grows into the skin. This typically occurs at the nail borders, or the sides of the nail. As a result, pain, redness, swelling, and warmth may occur in the toe. If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.
Ingrown toenails have multiple reasons for developing. In many instances, the condition is a result of genetics and is inherited. The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over. An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running. Wearing shoes that are too tight or too short can also cause ingrown toenails.
Treatment for an ingrown toenail varies between patients and the severity of the condition. Milder cases that don’t involve infection or other medical conditions can benefit from soaking the feet in room-temperature water and gently massaging the side of the nail. In most cases, however, it is best to see your podiatrist for thorough and proper treatment. After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present. Surgical removal of either a portion of the nail or the entire nail may also be considered. In some cases, complete removal or destruction of the nail root may be required. Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.
Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes. When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short. Shoes should not be too short or tight in the toe box.
Definition and Complications of Ingrown Toenails
An ingrown toenail occurs when the edge or corner of a toenail grows into the surrounding skin, leading to pain, redness, and swelling. Causes can include improper nail trimming, wearing tight-fitting shoes, or sustaining foot trauma. If left untreated, ingrown toenails can escalate, causing infection. Bacteria can enter through the broken skin, leading to pus formation and further inflammation. In severe cases, untreated infections may spread beyond the toe, causing cellulitis or even a bone infection. Chronic ingrown toenails can also lead to recurrent pain and discomfort, affecting daily activities. Proper toenail care, including trimming nails straight across and wearing well-fitted shoes, can help to prevent ingrown toenails. If you have developed an ingrown toenail, it is suggested that you consult a podiatrist who can offer safe and effective treatment.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
How to Get a Proper Shoe Fit
Many people suffer from foot problems because their shoes are poorly fitted. When shopping for a new pair of shoes, fashion usually triumphs over comfortability. A pair of well fitted shoes is essential in preventing foot problems and potential injuries.
Poorly fitted shoes can cause foot issues such as plantar fasciitis, bunions, hammertoes, ingrown toenails, and foot pain. Shoes such as high heels and sandals may cause problems for your feet. These shoes put the foot in an unnatural position for long periods and fail to provide good foot support. It is recommended to not wear either one for an extended period.
When you are trying on shoes, make sure they have enough space for your toes to move around. Shoes shouldn’t be cramped but also shouldn’t have too much room that your foot moves around in them. A snug shoe is a good choice. They should also provide good arch support and cushioning. Athletic shoes tend to offer both good support and cushioning. A degree of flexibility is necessary so they aren’t too stiff or too unsupportive.
If you can wear your shoes for a long period of time without experiencing any discomfort, this is a sign that your shoes fit properly. Do not be too dismayed if the shoe isn’t a perfect fit at first; many shoes take a few days to weeks to properly break in. However don’t expect an uncomfortable shoe to become fitted to your foot.
For those with foot conditions such as flat feet or pronation, orthotics may be helpful or even necessary to prevent foot pain. Orthotics are inserts that are placed in the shoe and provide support and cushioning for the foot. While there are many types of orthotics out there, custom-made orthotics may be necessary depending upon your foot and foot conditions.
Feet change in size over time. It is important to check your foot size over time so that you can make sure you have the perfect fit for your feet. A podiatrist can provide more information on proper shoe fitting and foot orthotics.
Why Properly Fitted Shoes Are Important
Wearing the right shoes is essential for maintaining foot health and preventing various foot problems. Ill-fitting shoes can lead to or worsen conditions such as bunions, calluses, corns, and deformities like hammer, claw, or mallet toes. These issues not only cause discomfort but can become more problematic if not addressed. Properly fitted footwear plays a significant role in relieving pain caused by foot deformities and joint problems. It also helps prevent these issues from progressing and can aid in the recovery process post-surgery. When selecting new shoes, try them on later in the day when your feet are the largest. It is important to measure both feet and choose the larger size if they differ. Shoes should have a wide, deep-toe box, a low heel, and a supportive sole. They should also allow your toes to move freely and fit snugly in the widest part of the shoe. If you have problems that may be the result of wearing ill-fitting shoes, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Dr. Ronald Sheppard from Warren-Watchung Podiatry Center. Our doctor will treat your foot and ankle needs.
Proper Shoe Fitting
A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:
- Be sure the shoes fit correctly right away
- Ensure the ball of your foot fits comfortably in the widest portion of the shoes
- Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
- Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity
Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.
If you have any questions please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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.
Causes of a Broken Toe and When to See a Podiatrist
A broken toe can result from various causes, including direct trauma, stubbing the toe against a hard surface, or dropping a heavy object on the foot. Sports injuries, accidents, and even sudden, forceful movements can also lead to a toe fracture. Common symptoms include severe pain, swelling, bruising, and difficulty walking. While minor fractures may heal with rest and home care, it is important to know when to call a podiatrist. Seek medical attention if there is intense pain, visible deformity, numbness, or if the toe is cold or pale, indicating poor blood flow. Persistent swelling and an inability to move the toe also warrant a professional evaluation. Early diagnosis and appropriate treatment is vital to prevent complications and ensure proper healing of a broken toe. If you have any of the above symptoms and believe you may have fractured your toe, it is suggested that you seek prompt attention from a podiatrist who can diagnose and treat broken toes.
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. Ronald Sheppard from Warren-Watchung Podiatry 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 one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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.
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.
Explaining Ulcers on the Feet
Foot ulcers, particularly common among individuals with diabetes or neuropathy, can have serious consequences if left untreated. These ulcers often start with calluses formed from repeated pressure or friction on the foot. As the skin thickens, the callus can press into the foot, killing healthy tissue and causing pain. However, neuropathy may prevent you from feeling this pain, making it harder to detect the problem early. Red, hot spots are initial signs of pressure or ill-fitting footwear. If not addressed, these can develop into blisters, corns, or calluses. Once a callus digs into the foot, it can create open wounds or ulcers, which serve as entry points for infection. Infected ulcers might discharge fluids, bleed, or emit a bad odor, and the surrounding skin may become red and warm. It's of extreme importance to address these issues promptly to prevent gangrene or limb loss. A podiatrist plays a key role in managing and preventing foot ulcers by providing specialized wound care, such as removing dead tissue. If you have developed foot ulcers, it is suggested that you make an appointment with a podiatrist for an exam and wound care options.
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. Ronald Sheppard from Warren-Watchung Podiatry 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 one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
