Items filtered by date: May 2025

Peripheral arterial disease, or PAD, is a condition that affects blood flow to the legs and feet due to narrowed or blocked arteries. Reduced circulation can lead to pain, numbness, cold feet, or slow-healing wounds, especially during walking or activity. Some people may feel cramping in the calves or feet that improves with rest. PAD is more common in older adults and those with diabetes, high blood pressure, or a history of smoking. It may also cause changes in skin color or hair loss on the legs. Left untreated, PAD increases the risk of serious complications such as foot ulcers or infections. Lifestyle changes, medications, and sometimes surgical options are used to improve circulation. If you notice pain in your feet during activity or other signs of poor circulation, it is suggested that you see a podiatrist who can assess your symptoms and recommend appropriate care.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Intoeing, sometimes called pigeon toes, is when a child’s feet point inward instead of straight ahead when they walk. Intoeing  in young children is common but usually goes away as they grow. In most cases, intoeing does not cause pain or keep a child from walking, running, or playing. This condition can be caused by a twist in the lower leg bone, a rotation in the thigh bone, or a curved shape of the foot itself. A podiatrist can examine your child’s legs and feet, watch how they walk, and decide if the bones are still developing normally. Most children do not need treatment, but if bone positioning is severe or does not improve over time, special casts or surgery may be needed to correct alignment. If your child is intoeing, it is suggested that you schedule an appointment with a podiatrist for guidance and appropriate treatment.

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

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 one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A painful bump on your big toe can make walking uncomfortable and limit your mobility. Common causes include bone spurs, bunions, bursitis, corns, and gout. Many of these are made worse by wearing poor footwear, arthritis, or excess weight. Bone spurs and bunions develop when bone or joint structures change, often due to pressure or misalignment. Bursitis is inflammation of the fluid-filled sac near joints, and corns are thickened skin from friction. Gout is a form of arthritis caused by uric acid buildup and can strike suddenly with intense pain and swelling. Symptoms may include tenderness, swelling, redness, and difficulty wearing shoes. The pain can range from dull and aching to sharp and throbbing. A podiatrist can diagnose the exact cause of your toe pain and create a treatment plan. Options may include custom orthotics, anti-inflammatory treatments, footwear changes, or, in severe cases, surgical correction. If you are have a painful bump on your big toe, it is suggested that you schedule an appointment to see a podiatrist.

Toe pain can disrupt your daily activities. If you have any concerns, 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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 tools and technology to treat your foot and ankle needs.

Sever's disease, also known as calcaneal apophysitis, is an inflammatory condition that affects the growth plate in the heel bone. It is typically seen in children and adolescents who are experiencing growth spurts and engaging in repetitive physical activity. The causes in young patients include overuse, excessive running or jumping, and wearing poor footwear. In adults, Symptoms often involve heel pain, tenderness, and stiffness, especially after activity. Sever's disease is extremely rare because the growth plates close after puberty. When heel pain occurs in adults, it is usually caused by other conditions, such as plantar fasciitis or Achilles tendinitis, rather than true Sever's disease. It is suggested that adults with similar heel pain symptoms consult a podiatrist to determine the correct diagnosis and begin an appropriate treatment plan.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Ronald Sheppard from Warren-Watchung Podiatry Center. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.