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Watchung (908) 769-5337
Marlboro (732) 303-0993

September 2021

Tuesday, 28 September 2021 00:00

What Causes Foot and Ankle Swelling?

Swelling in the lower limbs is caused by a buildup of fluid in the soft tissues of the feet and ankles. Fluids may build up for a variety of reasons. When the foot or ankle is injured, bleeding into a joint may cause immediate swelling, in addition to bruising and pain. Similarly, an increase in synovial fluid in a joint, following an injury such as an ankle sprain, can cause swelling, though this type of swelling is delayed and builds up slowly over time. Certain medical conditions, such as gout, kidney disease, heart problems, arthritis, liver disease, deep vein thrombosis, venous insufficiency, cellulitis, and lymphedema also cause lower limb swelling. If you are pregnant, you are likely to experience foot and ankle swelling due to fluid retention from pregnancy hormones. If you suffer from lower limb swelling, it is suggested that you seek the care of a podiatrist, who can help you find the cause of the swelling and prescribe the appropriate treatments.  

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Ronald Sheppard from Warren-Watchung Podiatry Center. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the 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 needs.

Read more about Systemic Diseases of the Foot
Friday, 24 September 2021 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 21 September 2021 00:00

Types of Orthotics for Plantar Fasciitis

If you have plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot, then you likely deal with foot and heel pain. One way to relieve plantar fasciitis symptoms is to wear orthotics. There are several different types of orthotics used to treat plantar fasciitis. Heel cups or pads are placed in the back of your shoes. They lift up the heel slightly and cushion it, relieving tension in the Achilles tendon and plantar fascia. Shoe insoles are inserted into the shoes and run along the entire sole of the foot. They support the foot arches to reduce strain on the plantar fascia ligament. Night splints are devices that hold the foot in place while you sleep, gently stretching your ligaments and tendons to avoid heel pain in the morning. To find out if orthotics are right for you, please consult with a podiatrist. 

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please 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.

Read more about Ankle Foot Orthotics for Athletes
Tuesday, 14 September 2021 00:00

Lisfranc Injuries 101

A Lisfranc injury occurs when there is a dislocation or fracture in the Lisfranc joint complex, an area composed of the five metatarsal bones and the tendons and ligaments which connect the midfoot to the forefoot. While it is a rare injury, it is often a result of trauma from a direct force or a sudden rotation of the midfoot area. Because of this, athletes who play sports such as baseball or football are often at the highest risk for developing this injury. A Lisfranc injury is often indicated by swelling and pain at the top of the midfoot area, and there may be a visual bone deformity. Patients who believe that they may have a Lisfranc injury should consult with a podiatrist because delaying treatment can cause long-term or permanent damage.  

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. Ronald Sheppard from Warren-Watchung Podiatry 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 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.

Read more about Sports Related Foot and Ankle Injuries
Tuesday, 07 September 2021 00:00

What Is a Ganglion Cyst?

A ganglion cyst is a fluid-filled sac that originates from a tendon sheath or joint capsule and forms a knot-like lump below the surface of the skin. While they usually form on the wrists, these types of cyst are fairly common in the feet, particularly on the top of the foot. Ganglion cysts often cause no symptoms, but when they are symptomatic you may notice a tingling or burning sensation, or a dull ache or pain. You might also have difficulty wearing shoes due to friction from the lump rubbing against your shoes while you walk. If they are asymptomatic, these cysts can be left alone and monitored by your podiatrist. However, if you have a painful ganglion cyst, your podiatrist may prescribe steroid injections and draining the cyst, as well as orthotics or footwear modifications to reduce pressure on the area. For more information about ganglion cysts on the feet, please consult with a podiatrist. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Read more about Foot Pain
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