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Tuesday, 28 February 2017 00:00

Choosing the Right Winter Footwear for Bunions

As the winter months are here, you may find yourself switching to winter shoes such as boots. However, it’s important to be mindful that boots are often narrow and can irritate bunions. Bunions are bony protrusions on the side of the feet that develop over time. Narrow shoes such as winter boots can contribute to the progression of this condition, so it’s vital to accommodate your feet with the proper footwear. Opt for wide shoes and look to treatment options such as orthotics, padding, and if the condition is severe, anti-inflammatory medications, injections, or surgery.

If you are suffering from bunions, 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?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why do Bunions Form?

Genetics – susceptibility to bunions are often hereditary

Stress on the feet – poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can cause bunions to form

How are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • 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 care needs.

Read more about Bunions
Tuesday, 21 February 2017 00:00

Identifying Lack of Blood Flow to the Feet

There are many different causes of numbness in your feet, ranging from trivial to potentially very serious.  If your feet and legs are “falling asleep,” this is usually do to compression of the nerves.  Because of this pressure, the nerves are not receiving the proper amount of blood and they are not able to communicate properly with the brain.  Poor blood circulation to the lower extremities, especially the feet, can be a symptom of neuropathy.  Diabetics should always take care to check their feet and make sure that nothing seems numb.  Poor circulation might also be an indicator of peripheral artery disease (PAD).  Make sure to see a podiatrist if you have numbness or feel that you have lack of blood flow to your feet.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness   
  • Numbness  or cramping in the legs 
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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 Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet
Tuesday, 14 February 2017 21:17

How to Treat Athlete’s Foot

Most people, especially those who lead an active lifestyle, probably have had athlete’s foot at one time or another.  It is caused by a fungal infection and usually manifests itself between the toes.  Symptoms can be redness, itching, and if scratched excessively, pain.  Avoiding skin contact with surfaces in damp, public places is a good way to keep from getting athlete’s foot.  Other ways include: wearing shoes that breathe, changing your socks, keeping your feet clean and dry, and never sharing shoes with others.  If you do come down with athlete’s foot, antifungal spray is widely available for sale over-the-counter.  Should this not be effective, a podiatrist can help alleviate the symptoms and cure you of this nuisance of an infection.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Donald Manger from Associated Podiatric Physicians, PA.  Dr. Manger will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best 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 and ankle needs.

Read more about Athlete's Foot
Tuesday, 07 February 2017 19:35

Diet Can Help With RA Inflammation

Rheumatoid arthritis is a common condition of the musculoskeletal system with symptoms that can be triggered by certain foods. While Rheumatoid arthritis has no current cure and is a major cause for disability those aged 55 years plus, controlling your diet can help control the condition. Foods with high levels of sugar or salt have been known to cause inflammation. The proteins casein and whey in dairy products are also a major cause of inflammation in the joints. Processed foods and meats that contain high levels of fat and calories have chemicals that induce swelling for RA sufferers. Coffee and alcoholic beverages increase levels of inflammation when consumed excessively.

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.

Read more about Rheumatoid Arthritis in the Feet

In a recent study focusing on the effects of shoes on women’s feet, 88% of the women included were wearing shoes that were too small for their feet. 356 women were included in the study. Most of the women had not re-measured their feet in over ten years, and over 50% stated that they experienced daily foot pain from their shoes. Wearing shoes that are too tight can make way for the development of foot conditions such as bunions, hammertoes, corns, and calluses, and can even result in surgery for the treatment or removal of such conditions. Surgery is often seen as the final option for the treatment of many of these conditions; to lessen the possibility of surgery and the development of these conditions in general, always wear shoes of the proper size.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger 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 Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery
Tuesday, 24 January 2017 20:52

Morton's Neuroma: Explained

Morton’s Neuroma, caused by a thickening of tissue around the nerves in your toes, usually happens between the third and fourth toes, causing a feeling like something is stuck in your sock. Your foot, which has more than 100 muscles, 26 bones, and 33 joints, is a very complex structure, and is why foot pain can be so common. Morton’s Neuroma is often treated fairly simply, by things like foot and arch supports, anti-inflammatories, orthotics, and physical therapy. It is always important to discuss with your doctor the best treatment plan that is right for you. This condition must be treated, to ensure that no additional foot complications develop over time.


Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will attend to all of your foot and ankle needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

Read more about Morton's Neuroma
Monday, 16 January 2017 00:00

Orthotic Use for Athletes

orthotics5Among athletes, foot-related sports injuries are extremely common because of repetitive strain and overuse. Achilles tendonitis and plantar fasciitis are most common, but surprisingly, happen to those who engage in sports irregularly most often. Nevertheless, these conditions should not stop athletes from participating in their sport. A simple solution of custom made orthotics can meet your specific foot needs and act as a preventative measure against further foot injury.

If you are having discomfort in your feet and would like to try orthotics, 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.

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 over arched 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 issue, 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 more severe 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 on 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 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.

Read more about orthotics

Monday, 09 January 2017 00:00

Understanding the Types of Arthritis

Arthritis5Arthritis is a condition that many people are familiar with but not many people fully understand. Successful treatment of the condition depends on the correct diagnosis, and arthritis can take on three different types: osteoarthritis, rheumatoid arthritis, and psoriatic arthritis. Each type of arthritis has its own various symptoms and treatments. If you are suffering from arthritis in your feet, consult with your podiatrist to determine the right diagnosis and the best treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care                            

Arthritis is a joint disorder that involves inflammation of different joints in your body, such as in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. On top of this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

  • Exercises that stretch the foot can prevent further pain and injury and increase mobility
  • Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
  • Massages can help to temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your 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 care needs.

Read more about arthritic foot care

obesity4The holidays would not be complete without the endless gathering of family and friends, enjoying vast amounts of delicious food, decadent sweets, and festive cocktails. However, self-indulging in these treats go hand-in-hand with a heightened risk of health problems. Not only does weight gain increase your risk for things like heart attack and stroke, but it affects your body on a musculoskeletal level. Individuals who may be overweight or obese must also take into account the extra pressure they are placing on their feet, in particular, their arch. The amount of force placed on our feet can cause much pain and damage to the ankle, leg, and hip due to improper weight distribution. It is important to always keep yourself on a good exercise routine to lower your risk of weight-gain, especially around the holiday season.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet if not taken care of properly. If you’re an obese individual and you’re concerned about your feet, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will attend to all your foot and ankle concerns.

Obesity and your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot.

For more information about Obesity and Your Feet, follow the link below.

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.

Read more about Obesity and Your Feet

Monday, 26 December 2016 00:00

Understanding Athlete’s Foot

athletes-foot8It certainly is no misnomer that one of the most prominent fungal infections is called Athlete’s foot. Both professional and recreational athletes most likely have suffered this irritating condition. If your foot is red, itching, or burning, particularly between the toes, be advised that these are the chief symptoms of Athlete’s foot. Antifungal powders and sprays can be used to cure the condition in most cases. In order to avoid contracting Athlete’s foot, make sure to keep your feet dry, change your socks if they get wet or dirty, and wear sandals or flip-flops in any public wet area. Whether you play sports, exercise, or just walk around, make sure you take steps to keep your feet covered, healthy, clean, and thus fungus-free.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and 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.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning and even pain when walking. In the worst cases, athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of athlete’s foot, as well as helping you figure out which treatment options are best 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.

Read more about Athlete’s Foot

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