Blog

17 February 2020

Walking Patterns in Children

Children are often born with flat feet, as well as with generally more flexible feet. It can be beneficial to have them walk barefoot while indoors, as this can help to strengthen their feet. The feet may become stronger when the toes grasp the floor, which can be easily accomplished when shoes are not worn. Ideally, your child’s feet should be measured approximately every three months for the first few years, and every six months for children that are over the age of five. The arch will normally fully develop as walking and running are practiced. If this ceases to occur, this may indicate an underlying foot or bone structure condition. Additionally, if your child walks on their toes, or with their toes pointed inward or outward, it is strongly suggested that you seek the counsel of a podiatrist who can properly diagnose existing abnormal conditions.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Princeton Foot & Ankle Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider…

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact one of our offices located in Princeton and West Windsor, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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10 February 2020

Possible Treatments for Bunions

A protrusion on the side of the big toe may indicate a bunion has developed. They can gradually increase in size, and may cause pain and discomfort. Reasons why bunions may develop include genetic factors, wearing shoes that do not fit correctly, or possibly from an injury. Additionally, medical conditions such as gout and rheumatoid arthritis may contribute to the development of a bunion. Some patients find relief for bunions that are not severe by wearing a pad over the area. This may help to protect the bunion from rubbing against the side of the shoe. For severe bunions, surgery may be necessary for permanent removal. If you are afflicted with this condition, it is strongly advised that you consult with a podiatrist who can help you to make the right choice for treatment.

If you are suffering from bunion pain, contact one of our podiatrists of Princeton Foot & Ankle Associates. Our doctors 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 one of our offices located in Princeton and West Windsor, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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03 February 2020

Possible Reasons for an Achilles Tendon Injury

Patients who have an Achilles tendon injury typically feel pain in the calf. The Achilles tendon connects the heel to the calf muscles, and may become damaged or torn while participating in certain sporting activities. It enables the foot to point and flex, which is necessary in order to walk, run, and jump. The Achilles tendon may tear or become ruptured as a result of repetitive stress on the feet and ankles. It can happen gradually from consistent running, or happen suddenly from an increase in exercise intensity. Some of the symptoms that are typically associated with this condition can include swelling surrounding the heel, severe pain in the back of the leg, and difficulty walking. If you feel you have endured an Achilles tendon injury, it is advised that you are under the care of a podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Princeton Foot & Ankle Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact one of our offices located in Princeton and West Windsor, NJ. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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02 February 2020

Gout Pain Can Be Managed

Gout is a form of arthritis that can affect anyone. Schedule a visit to learn about how gout can be managed and treated.

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27 January 2020

Podiatrists and Foot Surgery

A podiatrist is a doctor that specializes in treating foot conditions. The initials DPM will generally appear after their name, and are an abbreviation for Doctor of Podiatric Medicine. Foot ailments these physicians typically treat can include plantar fasciitis, bunions, and hammertoes. Mandatory schooling consists of four years of podiatry medical school, followed by three years of specialized training. Some doctors choose to perform surgery to remove tumors, bunions, and heel spurs. If you are interested in pursuing podiatry as a career choice, it is advised that you consult with a podiatrist who can provide you with the information you need that may help you to make a decision.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact one of our podiatrists from Princeton Foot & Ankle Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

If you have any questions please feel free to contact one of our offices located in Princeton and West Windsor, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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20 January 2020

Signs You May Have Plantar Fasciitis

The plantar regions of the foot include the heel, the arch, and the midfoot. If you begin to notice pain in these regions of your foot, it’s possible you may have a condition that is known as plantar fasciitis. Plantar fasciitis can develop for a number of different reasons. When the plantar fascia, the connective tissue from the heel to the ball of your foot, has too much stress put on it, it may become inflamed, overtightened, or torn. Common causes of over stressing the plantar fascia include obesity, arthritis, a sudden increase in physical activity, and wearing improper footwear. Pain will typically be felt in the plantar region when first getting out of bed in the morning, after sitting, standing, or walking for long periods of time, and when climbing stairs. To best diagnose if you in fact have plantar fasciitis, it is suggested you have an X-ray taken. For professional care and an advised treatment plan, we recommend you consult with a podiatrist as soon as you feel pain in your foot.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Princeton Foot & Ankle Associates. Our doctors 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 one of our offices located in Princeton and West Windsor, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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13 January 2020

Possible Causes of Ingrown Toenails

An ingrown toenail is a foot condition that can cause severe pain and discomfort. It occurs as a result of the nail growing into the skin instead of over it. This ailment typically happens to the big toe, and may make the area look red and swollen. A common cause for ingrown toenails to develop can include wearing shoes that do not have adequate room for the toes to move freely in. Additionally, this condition may develop from improperly trimming the toenails. Patients may find mild relief when the affected foot is soaked in warm water several times per day. This may be helpful in lifting the nail away from the skin with a small piece of cotton. For severely infected ingrown toenails, it is suggested that you schedule a consultation with a podiatrist who can provide the necessary treatment for recovery.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Princeton Foot & Ankle Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact one of our offices located in Princeton and West Windsor, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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06 January 2020

Plasma and PRP Injections

The use of PRP injections, which is the abbreviation for platelet-rich plasma, is used to accelerate the healing process after specific types of surgery are performed. A small amount of the patient's own platelets are injected into the site, which can positively influence the healing. This is performed by separating the platelets that are found in the blood by using a centrifuge machine, and then injecting them into the site of the injury. Research has shown it has been effective in treating Achilles tendon injuries and plantar fasciitis. If you would like additional information about PRP injections, it is advised that you consult with a podiatrist who can help you to determine if this is the right treatment for you.

If you are suffering from a foot condition, contact one of our podiatrists of Princeton Foot & Ankle Associates. Our doctors will assist you with all of your podiatric concerns.

What Is PRP?

Platelet Rich Plasma, or PRP, is blood taken from a patient and spun in a centrifuge, concentrating the amount of platelets. The plasma is then re-injected into the site of injury or damage, assisting the body in repairing damage to muscles, tendons, ligaments, and tissue. PRP helps the body speed up its healing process.

Uses of PRP

Injuries affecting the foot sometimes don’t heal properly because of poor blood circulation. The healing time slows down, and recovery time is affected by poor blood supply. PRP injections will speed up recovery and resolve this issue.

Treatment

PRP is the first regenerative treatment for damaged muscles, tendons, and ligaments. No surgery needed. It is only applied with an insertion of a needle.

Ultrasound – An ultrasound is needed for proper placement of the platelets.

Injection – When the first injection is received, the patient will return to the doctor in about 2 to 3 weeks and monitor the recovery process.

Recovery time – Some people respond to treatments differently. Therefore, depending on your condition, the doctor will make any remaining decisions on how many more injections are needed, or if any additional ones are even required.

Benefits

One may be able to avoid major surgery, and recovery time will be cut down. PRP injections also avoid creating scar tissue and damage to the area. Risks are also very low using PRP as a treatment. There is no risk of rejection, contracting a disease from using another person’s blood, or infection.

If you have any questions please feel free to contact one of our offices located in Princeton and West Windsor, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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03 January 2020

Are Bunions Affecting Your Everyday Life?

Don't let bunions interfere with your daily activities.

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30 December 2019

Possible Causes of Painful Gout

The medical condition that is known as gout develops as a result of excess uric acid in the blood. This may cause crystals to form in the joints of the big toe, and can be quite painful and uncomfortable. Common symptoms that are typically associated with this condition can include swelling surrounding the affected area, redness, and extreme tenderness. This ailment can come from genetic factors, or from eating foods that have high levels of purines. When these types of foods are eaten, uric acid levels may increase. Foods that fall into this category can include shellfish, red meat, alcohol, and drinks that have excess sugar levels. There are measures that can be implemented which may help to prevent gout from developing. These can consist of eating healthier foods, losing weight, and drinking plenty of water daily. If you have gout, it is advised that you consult with a podiatrist who can help you to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Princeton Foot & Ankle Associates. Our doctors 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 one of our offices located in Princeton and West Windsor, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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