How to Choose the Right Running Shoes for Your Individualized Style
Choosing the right running shoes is essential to enhancing performance and preventing injury. The type of running you do plays a significant role in determining the best shoe for you. If you are a long-distance runner, look for shoes that offer plenty of cushioning to absorb impact over extended periods. For speedwork or short-distance running, lightweight shoes with a more responsive feel will help improve your pace. Trail runners require shoes with durable outsoles and better grip to handle uneven, rough terrains. Consider your foot arch and pronation as well. Those with flat feet or overpronation may benefit from shoes with added support, while high arches may need shoes with more flexibility and cushioning. Proper fit is key, so make sure there is enough room in the toe box and that the shoe feels snug without causing discomfort. If you have endured a foot injury from wearing the wrong running shoes, it is suggested that you contact a podiatrist who can treat various foot conditions, and guide you on choosing the right running shoes.
If you are a runner, wearing the right running shoe is essential. For more information, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.
- Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
- Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
- Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.
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.
Heel Pain Can Be Treated!
Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
Vascular Testing by Podiatrists
Podiatrists perform vascular testing to assess blood flow in the feet and legs, vital for diagnosing and managing conditions that impact circulation. These tests are particularly important for individuals with diabetes, peripheral artery disease, abbreviated PAD, or chronic foot wounds, as poor circulation can hinder healing and lead to severe complications. Common vascular tests include the ankle-brachial index, or ABI, which compares blood pressure in the ankle to the arm, and Doppler ultrasound, which visualizes blood flow in arteries and veins. Vascular testing helps identify narrowed or blocked vessels, allowing podiatrists to develop targeted treatment plans. Early detection of vascular issues is essential in preventing serious outcomes, including ulcers and, in extreme cases, amputation. If you have cold feet, numbness, or non-healing wounds on your feet, it is suggested that you contact a podiatrist for this kind of testing.
Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Vascular Testing?
Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.
How Is it Conducted?
Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.
The most common tests include:
- Ankle-Brachial Index (ABI) examination
- Doppler examination
- Pedal pulses
These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.
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.
Symptoms and Causes of Plantar Fibromatosis
Plantar fibromatosis, also known as Ledderhose disease, is a condition characterized by the growth of benign nodules or lumps in the connective tissue of the foot. These nodules form along the plantar fascia, the thick band of tissue that supports the arch of the foot. The primary symptoms of plantar fibromatosis include pain, discomfort, and the visible appearance of lumps on the bottom of the foot. In some cases, the lumps may become large enough to limit movement or cause difficulty walking. The exact cause of the condition is not fully understood, although genetics may play a role, as it tends to run in families. Other factors such as trauma or repeated injury to the foot may also contribute. If you have developed nodules on the sole of your foot, it is suggested that you consult a podiatrist who can offer a proper diagnosis and effective relief tips.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
- Steroid injections
- Orthotics
- Physical therapy to help apply anti-inflammatory creams on the bump
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
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.
Overview of Bunions
A bunion is a bony bump that forms at the base of the big toe, caused by a misalignment of the toe joint. As the big toe moves inward, the joint sticks out, causing pain, redness, and swelling. Symptoms of bunions can range from mild discomfort to severe pain, making it difficult to wear certain shoes or walk for long periods. In some cases, bunions may also cause corns or calluses to form on the toes. The primary causes of bunions include wearing tight or ill-fitting shoes, genetics, and certain medical conditions like arthritis. To prevent bunions, it is important to wear shoes that provide enough room for the toes, particularly shoes with a wide toe box. Regular foot exercises to strengthen and stretch the muscles in the feet can also help reduce the risk of developing bunions. If you have a bunion, it is suggested that you consult a podiatrist who can monitor its development, and offer effective relief tips.
If you are suffering from bunion pain, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Understanding Falls in Older Adults
Falls are a significant concern for older adults, often resulting from a combination of factors such as muscle weakness, balance issues, and environmental hazards like uneven surfaces or poor lighting. Health conditions, medications, and vision impairments can also increase the risk of falling. The fear of falling can create a cycle of anxiety, leading to reduced activity and further physical decline. This fear often results in avoidance behaviors that limit mobility and social interaction, ultimately impacting overall well-being. Addressing both the physical and psychological aspects of falling is essential. Engaging in strength and balance exercises can help improve stability, while education about preventing falls can empower older adults to navigate their environments safely. Falling can seriously impact the feet and ankles. If you have sustained a foot or ankle injury as a result of falling, it is suggested that you consult a podiatrist who can offer effective treatment and fall prevention tips.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious 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.
All About Plantar Fasciitis
Plantar fasciitis is caused by an inflammation of the thick tissue that connects the heel to the toes. Known as the plantar fascia, this tissue supports the arch of the foot. When it is overused or overstretched, it can lead to pain and difficulty walking. Risk factors of plantar fasciitis include having flat feet or high arches, running long distances, or wearing shoes with inadequate support. Common symptoms of plantar fasciitis include sharp heel pain, particularly in the morning, and discomfort after long periods of standing or following physical activity. A podiatrist can diagnose this condition by examining the foot and using imaging tests to rule out other issues. Treatment options often involve stretches, wearing special footwear, and orthotics to relieve pressure on the plantar fascia. If conservative methods are ineffective, a podiatrist may explore advanced treatments like injections or custom-made orthotics to reduce discomfort and improve mobility. If you have foot pain that may be caused by plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor 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 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.
Reminder: When Was the Last Time...?
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
Three Phases of Diabetic Wound Healing
Diabetic foot wounds progress through three key phases, the inflammatory, proliferative, and maturation stages. The inflammatory phase is when the body initiates its immune response, removing debris and bacteria. In people with diabetes, this phase can be extended because of poor circulation and weakened immunity, which delay healing. The proliferative phase focuses on tissue repair, as new blood vessels form and collagen builds up to close the wound. Diabetic wounds may experience slow progress during this phase, which increases the risk of infection. The maturation phase involves the remodeling of tissue, which can sometimes extend beyond a year. A podiatrist plays a critical role in managing diabetic foot wounds by conducting regular exams and recommending advanced wound care treatment when necessary. If you have diabetic foot wounds, it is suggested that you are under the care of a podiatrist who can effectively treat this serious condition.
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 Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor 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 non-diabetic.
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.
Diagnosing Top of the Foot Pain
Pain on the top of the foot can be a frustrating issue, often linked to several possible causes, including tendonitis, stress fractures, or arthritis. Tendonitis occurs when the tendons in the foot become inflamed due to overuse or wearing improper footwear, resulting in sharp, throbbing pain. Stress fractures, which are small cracks in the bones, usually develop from repetitive stress and can cause consistent discomfort, especially with increased activity. Arthritis, particularly osteoarthritis, can lead to pain when bone spurs form in the joints. A podiatrist will first ask about your medical history and perform a physical exam to assess whether the pain is sharp, dull, or worsened by certain activities. An X-ray or an MRI scan may be ordered to detect the cause. Ignoring this type of foot pain can lead to further problems. If you have unexplained pain on the top of the foot, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
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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Causes and Risk Factors for Gout
Gout is caused by an excess buildup of uric acid in the body, leading to the formation of sharp, needle-like crystals in the joints. Gout often affects the joint at the base of the big toe, resulting in sudden and severe pain, swelling, and redness. The affected area may feel warm, tender, and inflamed, making it difficult to put weight on the foot. These intense symptoms typically occur at night and can disrupt sleep. After the initial flare-up of gout, the extreme pain may subside, but discomfort and joint stiffness may persist for several days. Gout also may impact range of motion in the affected joint. Risk factors include a diet high in purine-rich foods, such as red meat and seafood, as well as excessive alcohol consumption and certain medications that raise uric acid levels. Other contributing factors include kidney disease, high blood pressure, and obesity. If you have symptoms of gout, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
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.
Reasons You May Need Foot Surgery
Reconstructive foot surgery is performed to restore the anatomy and function of the foot when other treatment options are ineffective. It is typically recommended for severe foot conditions caused by trauma, birth defects, infections, or chronic diseases like diabetes. Common reasons for considering reconstructive foot surgery include major injuries, vascular diseases, and congenital deformities such as clubfoot. Surgical reconstruction may involve tendon transfers, tissue grafts, and in some cases, bone realignment. The goal is to improve foot function, reduce pain, and improve mobility. Recovery depends on the extent of the surgery and may take several months. A podiatrist can evaluate the best surgical options, guide your post-operative care, and help restore foot function through rehabilitation techniques. If you believe you may benefit from reconstructive foot surgery, it is suggested that you schedule an appointment with a podiatrist.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor 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.
Plantar Warts Can Be Treated!
Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!
Do Bunion Correctors Work?
Bunion correctors are popular devices designed to straighten the big toe and provide relief for people with bunions. While they may help reduce discomfort when worn, they have not yet been shown to be effective in permanently realigning the toe or eliminating the bunion. Some people report pain relief while using these devices, especially when walking or standing for extended periods. However, research is inconclusive about whether bunion correctors prevent further progression of bunions. At this point, surgery is the only proven method for removing bunions. Even so, it is typically reserved for cases causing significant pain or gait problems. A podiatrist can advise by prescribing custom orthotics, recommending changes in footwear, or performing surgery. If you have a problematic bunion, it is suggested that you schedule an appointment with a podiatrist for an exam and suggested treatment options.
If you are suffering from bunions, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor 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 worsen existing bunions
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.
