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Featured Articles - Hamilton, NJ 08610 Foot Doctor
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
Published in Blog
Tuesday, 28 February 2017 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the shifting of the big toe bone inward towards the other toes. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. However, even if you do not have a history of this in your family, you can still develop bunions if you are wearing improperly fitting shoes. This can happen as you try to cram your feet into high heels, or by running or walking in a way that causes too much stress on the feet. High heels are another major culprit in the formation of bunions. Not only do they push the big toe inward, but your body weight and center of gravity is shifted towards the edge of your feet and your toes, which can cause bone displacement.

Bunions are quickly and easily diagnosed by podiatrists. However, because of their nature, they can appear similar to arthritic conditions or gout. A blood test is sometimes required to fully diagnose a bunion. A full radiological or x-ray exam could also be done by a podiatrist to examine the bone structure of your feet. One thing that is looked for specifically is an enlargement of that base joint or evidence of the big toe bone being pushed inward.

One of the first things to do if you have bunions is to get a larger, wider shoe that can remove pressure from your toes. This usually means that high heels should be eliminated from use for a period of time to allow the bunion to heal. Eliminating the pressure placed on a bunion is often enough to eliminate the pain involved with them. However, pain can persist in some instances and anti-inflammatory drugs may be prescribed. If the pain is too severe, steroid injections near the bunion or even surgery may be required. Orthotics for shoes may also be prescribed which can alleviate the pain of bunions by removing pressure from them. However, these methods simply stop the pain of bunions but do not correct the problem at its source.

As previously mentioned, surgery may be an option to completely eliminate your bunions. Surgery is done to reposition the toe bones so that they no longer face inward. This can be done by removing a section of bone or by rearranging the ligaments and tendons in the toe to help them align properly. Even after the surgery, it may be necessary to wear protective shoes for a while to ensure that the bunions do not return.

Published in Featured

Poor blood circulation in the feet and legs is often caused by peripheral artery disease (PAD), which is usually the result of a buildup of plaque in the arteries. Plaque buildup, or atherosclerosis, can be the result of excess calcium and cholesterol in the bloodstream. This restricts how much blood can flow through arteries. Reduced blood flow to a certain area of the body severely limits the amount of oxygen and nutrients that part of the body receives. This leads to degeneration in the muscles and other tissues. Sometimes, poor blood circulation in the feet and legs can be caused by other conditions, such as the damaging or inflammation of blood vessels, known as vasculitis.

The lack of oxygen and nutrients caused by poor blood circulation can restrict muscle growth and development, as well as cause muscle pain and cramps, weakness, and stiffness. Other common symptoms include numbness in the legs and feet, skin discoloration in the affected limbs, slower nail and hair growth, and erectile dysfunction in men. In more severe cases of PAD, pain can be present even when a person isn't exercising, and may range from mildly uncomfortable to completely debilitating.

Poor blood circulation in the feet and legs is more common in those who are overweight or obese, have diabetes, high blood pressure, high cholesterol, who smoke, or who have a family history of PAD or related conditions such as a heart attack, stroke, etc. Diabetes and smoking place a person at greatest risk for developing poor blood circulation, although advanced age, over 50, can also increase risk.

If you are experiencing poor blood circulation in the feet and legs caused by PAD, it is important to make changes to your lifestyle in order to reduce your risk of experiencing a heart attack or stroke caused by this condition. If you smoke, quit completely. This will increase the amount of oxygen in your bloodstream. Exercising and reducing the saturated fats in your diet. Saturated fats come from fatty meats, fried foods, whole milk, etc., can make a difference in improving blood circulation in feet. It is also important to avoid developing influenza and to carefully control your blood sugar if you have diabetes.

Your doctor may recommend combining lifestyle changes with a prescription medication regimen to improve blood circulation. The most commonly-used medications for PAD are called statins and work by blocking the amount of enzymes in your body that produce cholesterol. They are known by the brand names Zocor, Lipitor, Crestor, and others.

Published in Featured
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
Published in Blog
Tuesday, 14 February 2017 00:00

Athlete's Foot

Athlete’s foot is an extremely contagious infection caused by a fungus that results in itching, burning, dry, and flaking feet. The fungus that causes athlete’s foot is known as tinea pedis and thrives in moist, dark areas such as shower floors, gyms, socks and shoes, commons areas, public changing areas, bathrooms, dormitory style houses, locker rooms, and public swimming pools. Athlete’s foot is difficult to treat as well because of the highly contagious and recurrent nature of the fungus.

Tinea is the same fungus that causes ringworm, and is spread by direct contact with an infected body part, contaminated clothing, or by touching other objects and body parts that have been exposed to the fungus. Because the feet are an ideal place for tinea to grow and spread, this is the most commonly affected area.  It is, however, known to grow in other places. The term athlete’s foot describes tinea that grows strictly on the feet.

The most commonly infected body parts are the hands, groin, and scalp, as well as the feet. Around 70% of the population suffer from tinea infections at some point in their lives, however not all of these cases are athlete’s foot. Just like any other ailment, some people are more likely to get it than others, such as people with a history of tinea infections or other skin infections, both recurring and non-recurring ones. The extent to which a person experiences regrowth and recurrent tinea infections varies from person to person.

Sometimes people will not even know that they are infected with tinea or that they have athlete’s foot because of a lack of symptoms. However, most experience mild to moderate flaking, itching, redness, and burning. However, some of the more severe symptoms include cracking and bleeding skin, intense itching and burning, pain while walking or standing, and even blistering.

Because of the recurring nature of the tinea fungus and the athlete’s foot it causes, the best way to treat this condition is with prevention. You can take some preventative measures such as wearing flip flops or sandals in locker rooms and public showers to reduce contact with the floor. It also helps to keep clean, dry feet while allowing them to breathe. Using powders to keep your feet dry is a good idea, as well as keeping your feet exposed to light and cool air, to prevent the growth of tinea. If you do happen to get athlete’s foot, opt for using topical medicated creams, ointments or sprays. These treatments help eliminate and prevent it from coming back.

Published in Featured
Tuesday, 14 February 2017 00:00

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.

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Published in Blog
Tuesday, 07 February 2017 00:00

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
Published in Blog
Tuesday, 07 February 2017 00:00

Rheumatoid Arthritis in the Feet

Although rheumatoid arthritis attacks multiple bones and joints throughout the entire body, ninety percent of people who actually develop this condition usually do so in the foot or ankle area. Those who develop this kind of arthritis in the feet usually develop symptoms around the toes and forefeet first, before anywhere else. Rheumatoid arthritis appears to have a genetic component. If it runs in the family, then you will be more likely to develop it as well.

Rheumatoid arthritis is an autoimmune disorder in which the body’s own immune system attacks the lining of the membranes surrounding the joints. This causes inflammation of the membrane lining, and the gradual destruction of the joint’s cartilage and even bone.

Some of the most common symptoms that are associated with RA include pain and swelling of the feet. Stiffness in the feet is also another common symptom that people experience. Those who have RA in the feet usually feel the pain in the ball or sole of their feet. This can get to be very painful at times. A person's joints can even shift and become deformed after a period of time.

In order to properly diagnose RA in the feet it is usually necessary for a doctor or podiatrist to evaluate the area. Your doctor will also question you about your medical history, occupation, etc., to determine whether anything in your lifestyle may have triggered the condition. There are a number of tests that may be performed to help diagnose RA, such as a rheumatoid factor test. There is, however, no one single test that will tell you for sure if you have RA. There are different X-rays that can be taken as well to determine if a person has RA in their feet.

There is a range of treatment options for rheumatoid arthritis. Treatment of RA is usually a lifelong process that includes a variety of methods of treatment and therapy. Your doctor can prescribe special shoes that should help with arch support as well as heel support. A physical therapist can help those with this condition learn exercises which will keep their joints flexible. Surgery may be needed to correct some of the issues with the feet, such as bunions, and hammertoes. Fusion is usually the most successful surgical option for rheumatoid arthritis. However, people need to keep in mind that there are some risks associated with these surgeries.

Published in Featured

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