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Meghan Markle, Duchess of Sussex, has been walking around in heeled shoes that are noticeably bigger than the size of her feet. However, the reason for this is because she believes wearing slightly bigger shoes may prevent foot pain. Women who wear high heeled shoes are more prone to developing painful conditions such as swollen feet and blisters. Other celebrities, such as Lea Michele have been seen following this method during major events such as walking the red carpet. However, the best way to avoid foot pain from heels, is to avoid wearing them entirely. If you are experiencing pain in your feet, you should consult with your podiatrist for treatment.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which parts of my body will be affected by high heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What kinds of foot problems can develop from wearing high heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How can I still wear high heels and maintain foot health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Inflammation of the nerve, which runs along the inside of the foot and ankle, is often referred to as tarsal tunnel syndrome. It is typically a result of  overuse of the entire ankle and may often occur because walking or running is practiced for extended periods of time. Occasionally, a sudden injury may be a cause of this condition, often producing similar symptoms. These include pain and discomfort in the ankle and surrounding areas, and may be tender to the touch. To alleviate the pain, rest is typically suggested in addition to elevating the affected foot above heart level, which can help to reduce blood flow to the ankle. Recent research has suggested that when ankle exercises are performed, the foot generally becomes stronger when repeated frequently. These exercises may include gently rolling the ankle in a circular motion, and moving the ankle up and down. If you feel you are affected by tarsal tunnel syndrome, please consult with a podiatrist for additional information about how this condition is treated.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome
- Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
- Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
- At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome
- Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
- The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
- If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 02 July 2018 00:00

What Causes Gout?

Gout is commonly known to be a very painful condition that affects the big toe and the surrounding areas. It is considered to be a form of arthritis and may often occur as an acute attack. The specific cause of gout is the formation of excess crystals, which collect in the blood stream and commonly develop in the joints of the feet. This may often be the result of ingesting foods that have excess purines, which are often responsible for the production of uric crystals. These types of foods may include indulging in an overabundance of alcohol, red meat, and shellfish. The pain that is associated with this ailment is typically a result of stiff joints, and is often accompanied by tenderness, swelling, and redness. Gout attacks may be avoided by implementing dietary and lifestyle changes, which may lower the level of uric acid in the blood. If you are experiencing a gout attack, it’s suggested to schedule a consultation with a podiatrist for additional information and a proper diagnosis.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger 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 Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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If you have suffered a broken toe, it is typically a result of an injury that has occurred or from a heavy object falling on the foot. Often, people may stub or jam their toe which may lead to the toe becoming fractured. There are several symptoms that are easily identifiable, including bruising, pain while walking, or a deformed look to the toe. In more severe fractures, the bone may protrude from the skin and the nail may become injured which may cause a subungual hematoma, often referred to as an open fracture. Typical treatment methods may consist of the toe being placed in a splint which prevents mobility to ensure proper healing. A simple fracture generally will heal completely in approximately six weeks but complications may develop such as arthritis, pain, and stiffness from a more severely broken toe. A podiatrist can properly diagnose a broken toe and it’s advised to schedule a consultation when the injury occurs.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 18 June 2018 00:00

How to Care For Your Feet

It is easy to forget to take care of your feet in the warmer weather. In the summer, your feet are more likely to be exposed to the sun and hot surfaces, which may cause them to become dry and rough. One of the best things you can do for your feet is to eliminate the dry skin cells. This can be achieved by exfoliating your feet once a week. This process will leave you with feet that are soft and renewed. Afterward, you should use a moisturizer on your feet to make sure they stay hydrated throughout the day. There are several types of pumice stones available for sale, and it’s suggested to have one in shower that can be used frequently. Adequately moisturizing your heels are crucial because the heels bear the majority of the weight. The heel also has a thick layer of skin protecting it, and this skin is less penetrable which makes moisturizing difficult. Therefore, it will take more effort to ensure that moisture is locked into the skin.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 11 June 2018 00:00

Symptoms of Rheumatoid Arthritis

Rheumatoid arthritis is typically characterized by stiffness, swelling and pain that often occurs in the toes. It is considered the most common of the several arthritis types that many people are afflicted with. The ability to bend the toes may diminish if the toes are severely stiffened, and walking may be a difficult task to accomplish. Additionally, a bony protrusion may form on the top of the toes as a result of the friction that is caused by the joints constantly rubbing together. The feet and the toes may swell and become inflamed, which may cause additional pain.There are typically specific treatment options which can be suggested and implemented by a podiatrist. A steroid injection may be suggested to reduce any apparent inflammation, despite the fact that it may be painful. For severe rheumatoid arthritis affecting the feet, a consultation with a podiatrist may prove beneficial in discussing additional remedies, including surgery.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist  if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 04 June 2018 00:00

Draymond Green Suffers Sprained Ankle

Draymond Green of the Golden State Warriors recently suffered a sprained ankle during Game 7 against the Houston Rockets. Although he didn’t immediately leave the game, it was discovered that he rolled his ankle strongly. During the game, Green admitted that adrenaline was the reason he didn’t immediately sense pain from the injury. However, once the game was over, he realized he was in a great deal of pain. He is optimistic that he will be ready to play in Game 1 against the Cavaliers.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 29 May 2018 00:00

How to Treat a Bunion

Bunions are typically the result of a bone deformity that affects the toes. The big toe typically leans toward the second toe, and this may cause a bump to form on the bottom of the big toe. Fluid may develop in the surrounding joint, in addition to the skin becoming thickened. This is often a painful condition, and as a result other ailments such as arthritis may develop. Research has shown that it’s beneficial to wear proper shoes that can accommodate the bunion and possibly diminish the pain and discomfort. Relief options may include using adequate padding over the bunion for protection, and wearing shoes that can adjust to the width of your foot. For bunions that have become extremely painful and unmanageable, surgery may be an option to consider. It’s suggested to schedule a consultation with a podiatrist to learn about the best treatment options for you.

If you are suffering from bunion pain, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.

What is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Monday, 21 May 2018 00:00

Where Does Toenail Fungus Come From?

There are several symptoms that are noticeable and will determine if you are afflicted by toenail fungus. The toenail will often appear to be a yellowish color and may be thick and rough in texture. In more severe cases, the toenail may lift from the skin or break off completely. Occasionally, small black dots can be seen on the nail, which is typically considered to be dirt that has collected underneath the toenail. This type of fungus generally thrives in warm and moist surroundings and can typically be found in pool areas and saunas. It will benefit the overall health of the toenail if this condition is treated promptly. This may include undergoing a proper diagnosis, followed by medications that can be applied to the nail for mild cases. Extreme situations may call for oral medications to be ingested, despite certain side effects that may follow. If you are afflicted by this ailment, it’s suggested to consult with a podiatrist for additional information and treatment options relative to toenail fungus.

For more information about treatment, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals &  Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Talcum powder – applying powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Monday, 14 May 2018 00:00

Why Do My Feet Itch During Pregnancy?

A condition that women may observe during pregnancy can be itchy feet. Other symptoms that may be experienced include extreme fatigue, loss of appetite or vomiting, which may indicate serious health complications. If the feet experience severe itching, this may be referred to as cholestasis, and this condition typically affects the liver. Additionally, vitamin deficiencies may occur, which may possibly harm the fetus and may also occur in future pregnancies. Research has shown that possible hormonal changes may be responsible if cholestasis occurs and may be diagnosed properly through laboratory tests. Lotions may be chosen to help alleviate all or a portion of the itchy feeling, contrary to ingesting oral medications, which may harm the baby. It’s suggested to schedule a consultation with a podiatrist if you are affected by itchy feet during pregnancy.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will attend to all of your foot and ankle needs.

What foot problems can arise during pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy, but tends to occur in the later stages. 

How can I keep my feet healthy during pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Pregnancy and Foot Health
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