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pedal
Tuesday, 04 September 2018 00:00

What is Plantar Hyperhidrosis?

If you have feet that produce excessive sweat, you may have a condition that is referred to as plantar hyperhidrosis. It typically affects a relatively small percentage of the population, and may generally commence in childhood or adolescence. It is known to be an uncomfortable foot condition and may lead to additional foot issues such as fungal infections. Most patients that are afflicted with this ailment experience dry feet while sleeping, despite the fact that both feet may sweat profusely during the day. Treatment options for mild cases of plantar hyperhidrosis may include wearing inner soles that can absorb the excess sweat, in addition to wearing cotton socks, which may reduce the onset of infections. For severe cases of this condition, it’s suggested to speak with a podiatrist who can discuss proper treatment options for you.

If you are suffering from hyperhidrosis contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best 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 and ankle needs.

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Monday, 27 August 2018 00:00

A Common Cause of Foot Ulcers

Foot ulcers may develop as a result of poorly managed diabetes. The skin will typically disintegrate, and the layers underneath will become exposed. Common areas on the foot where this condition may develop include the balls of the feet and under the big toe. In patients with severe foot ulcers, the bones of the feet may often become affected and may generally produce pain and discomfort. Research has shown the importance in keeping as much weight as possible off of your feet; this reportedly prevents further infections from developing. Wearing shoe inserts or diabetic shoes may be beneficial in providing additional protection the feet may need for proper healing. If you are afflicted with a foot ulcer, please consult with a podiatrist for information on correct  treatment remedies.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will assess your condition and provide you with quality foot and ankle treatment.

What is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a nondiabetic. 

What is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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, 20 August 2018 00:00

Symptoms of a Sprained Ankle

One of the most common injuries the feet can endure may be an ankle sprain. Although this may be a common occurrence among athletes, many people will experience this condition as a result of everyday activities. It happens when the ankle twists unnaturally, and the ligaments and tendons in the foot endure enormous stress. There are several symptoms that are indicative of a sprained ankle including severe pain and discomfort, swelling, and bruising. Some of the more typical reasons why an individual may sprain their ankle may include stepping off a curb that was out of sight, or stepping down with excessive pressure while running. If you feel you have injured your ankle that may have resulted in a sprain, please schedule a consultation with a podiatrist for proper treatment.

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, 14 August 2018 00:00

How to Properly Stretch Your Toes

There are several benefits to the overall health of the feet when the toes are properly stretched. Toes may deform gradually over time as a result of several factors. These may include wearing shoes that are too snug for extended periods of time, improper use of the foot muscles while walking, or standing with the feet pointing outward, which puts pressure on the big toe. When the toes are stretched, the possibility of developing Athlete's foot may diminish as a result of adequate space between the toes. There are simple and effective toe stretches that can be performed daily for optimum results. These may include bending your toes downward to stretch the top of the foot, and taking each toe in your hands while pulling it away from the toe next to it. If you would like additional information about the benefits of stretching your toes, please consult with a podiatrist.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Donald Manger  from Associated Podiatric Physicians, PA. Dr. Manger will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

  • Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
  • Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
  • Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

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, 06 August 2018 00:00

Can Toenail Fungus Be Prevented?

Many people are unaware that they may have toenail fungus, and this may often be a result of a lack of pain and discomfort. Common symptoms that are associated with this ailment may include the toenail becoming dry and brittle, the nail appearing yellow and thick, or a separation from the nail and the nail bed. It’s important to take proper care of your feet, which may possibly avoid this unsightly condition from developing. There are several ways to accomplish this, including wearing shoes that fit properly, trimming the toenails correctly, and wearing appropriate shoes in the shower and pool areas. If you are afflicted with toenail fungus, it’s suggested to speak with a podiatrist who can provide proper guidance for the best treatment options.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. 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.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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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Many people find walking to be one of the best exercises for stretching the feet. When this activity occurs, the foot goes through an entire range of motion as the feet touch the ground and lift off with the toes. The benefits of frequent walking may not only affect the general health of the body, but may improve muscle strength in the feet, in addition to experiencing an enhanced mood. Flexibility exercises may aid in keeping your feet limber and can be incorporated into your daily routine. This can be accomplished by practicing gentle stretches, which may improve the overall muscle tone in the feet. Resistance exercises incorporate the use of exercise bands or weights and this is known to build strength that may aid in the general support of the feet. It’s suggested to consult with a podiatrist to learn about proper foot stretching techniques that can be implemented on a daily basis.

Why Stretching is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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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When the muscles, tendons, and ligaments in the feet are strong, many foot conditions may possibly be avoided. These may include a common ailment referred to as plantar fasciitis, in addition to Achilles tendon injuries. Both of these conditions may cause pain and stiffness in the heel of the foot, which may often produce severe discomfort. An effective foot stretch can be performed by rolling the bottom of the foot over a foot roller or by using a frozen bottle of water. Rolling the foot back and forth about 10 times, may possibly alleviate achy feet. When the calf muscle is properly stretched, the Achilles tendon may typically gain the strength it needs to prevent painful injuries from occurring. This may be achieved by propping the ball of the foot against a wall, while the heel is on the ground. When a gentle stretch in the calf is felt by leaning into the wall, hold for 15 seconds, then repeat on the other foot. A consultation with a podiatrist is suggested to learn more about how exercises can help the feet.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with yDr. Manger to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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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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.

Read more about Tarsal Tunnel Syndrome
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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