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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

Monday, 12 December 2016 00:00

Different Types of Flat Feet

flat-feet9A study conducted by King George’s Medical University’s orthopedics department concluded that “over 90% of overweight or obese kids develop flat foot.” Flat-footed people can be characterized as having a lack of arch in the soles of our feet. There are three types of flat feet grades, with grade 1 flat feet described as having little arch, grade 2 lacking an arch and grade 3 developed into a convex arch. The research published indicated that “45% kids had grade 2 flat feet while 43% had grade 1 flat feet. The remaining 12% belonged to grade 3.” Flat feet can affect our everyday lifestyle, so it is best to have it managed at an early age.

Flatfoot is a condition many people suffer from. If you have flat feet, 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 Flat Feet?

Flat feet are a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. Standing about 20-30% of the population generally has flat feet because their arch never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – if you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms:

Pain around the heel or arch area

Trouble standing on the tip toe.

Swelling around the inside of the ankle.

Flat look to one or both feet.

Having your shoes feel uneven when worn

Treatment:

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.

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 Flat Feet

Monday, 05 December 2016 00:00

How to Tell If You Have Plantar Fasciitis

toenail-fungus7If you’re experiencing stiffness and pain in the soles of your feet that typically becomes more prominent during the mornings, you may have plantar fasciitis. Plantar fasciitis can be described as a foot condition that results from overuse of the plantar fascia, the tissue that runs along the soles of your feet. Excessive stress on this area can lead to inflammation. Being overweight, having flat feet or high arches, pregnancy and improper footwear such as flip flops are also factors in the development of plantar fasciitis. Treat your condition by icing your feet, stretching your muscles and having proper rest by avoiding any strenuous activity.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

·     Excessive running

·     Non-supportive shoes

·     Overpronation

·     Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

·     Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices

·     Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis

·     Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis

Monday, 28 November 2016 00:00

Shoes play a Role in Preventing Bunions

bunions7Bunions can be described as the bony deformities of our foot’s joints. There are several factors that can contribute to the forming and progression of bunions, such as genetics, arthritis, previous injuries and long-term use of improperly-fitting shoes such as high heels. Shoes can play a large role in the overall comfort of our feet, especially for those of us who are avid runners, so it’s important to find the proper shoes to prevent the development of problems such as bunions. If left untreated, bunions may require orthotics and possibly even surgery if they become too severe.

Untreated bunions can make walking uncomfortable. If you are suffering from bunions, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will attend to all your foot and ankle concerns.  

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 by 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

Monday, 21 November 2016 00:00

How Wearing Heels May Damage Your Feet

high-heel16Although high heels may be a popular fashion staple, if worn for long periods of time, heels can damage the feet as pressure is increased on the balls of the feet and the toes are squeezed together. Long-term issues can also result from wearing high heels, such as bunions, hammertoe, nerve pain, corns and blisters. Thicker and lower heels are safer as the foot loses less balance and puts less pressure on the balls of our feet.

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 their style and societal appeal. Despite this, they can still cause many health problems if worn too frequently.

What parts 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. Also, 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 tools and technology to treat your foot and ankle needs.

Read more about the effects of high heels.

Arthritis5There is a growing body of research that shows a possible link between wheat products and rheumatoid arthritis.  Rheumatoid arthritis is an autoimmune disease that can affect the joints and bones in many parts of the body, including ankles and feet.  Certain proteins, ATI’s (amylase-trypsin inhibitors), may be causing inflammation in certain non-celiac patients.  This means that wheat products could be contributing to symptoms associated with rheumatoid arthritis.  Early detection of the disease is crucial as the prognosis in these cases has greatly improved as medical science has advanced.

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 from Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.

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 & 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 care needs.

Read more on Rheumatoid Arthritis

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