November 2023

The journey from childhood to adulthood is marked by numerous transformations, and the evolution of your feet is no exception. Children's feet, characterized by their pliability and cartilage dominance, are more susceptible to external influences. Their arches may appear flat, and the bones are still developing. As children age, these structures solidify, forming the more defined arches and shapes typical of adult feet. Moreover, the fat pads on children's feet provide natural cushioning, while adults may experience thinning of these pads over time. The growth patterns and proportions differ significantly, with children's feet being relatively wider in comparison to their length. Recognizing these distinctions is vital for selecting appropriate footwear and addressing potential concerns in either developmental stage. If you would like additional knowledge about how adult and children’s feet vary, it is suggested that you confer with a podiatrist.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor 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 our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Rheumatoid arthritis, or RA, is an autoimmune disorder that primarily affects the joints, and the feet are often one of the first areas to display symptoms. Understanding the signs of RA in the feet is essential for early diagnosis and effective management of this chronic condition. One common symptom of RA in the feet is joint pain and stiffness. Affected individuals may experience discomfort in the joints of the toes, ankles, or the midfoot. This pain is typically more pronounced in the morning and may improve with movement. Swelling is another noticeable sign. RA can cause inflammation in the synovium, a lining that surrounds joints. When this occurs in the feet, it leads to visible swelling, making it harder to wear shoes comfortably. Deformities, such as bunions, claw toes, or hammertoes, can also develop due to the erosion of joint tissues. These ailments are often accompanied by limited mobility in the affected toes. If you notice these symptoms in your feet, it is suggested that you consult a podiatrist who can effectively diagnose RA, and help you to manage this condition. 

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. Scott Shrem of Garden State Foot & Ankle Center. Our doctor 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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Stress fractures typically affect various areas of the foot and leg, including the metatarsals, calcaneus, navicular, and fibula bones. The most common type is a metatarsal stress fracture, sometimes referred to as a march fracture because it is prevalent among soldiers and hikers. MRI scans or bone scans may be needed to identify a stress fracture, since X-rays are not always sensitive enough to detect them early. Stress fractures in the foot develop when the foot is subjected to repetitive overloading, particularly during activities such as running, football, tennis, gymnastics, and basketball. Relief from stress fractures begins by ceasing the activity that caused them. After seeing a podiatrist for a diagnosis, treatment options may include special walking shoes or braces to reduce the force on the foot. In severe cases, a splint or cast may be required. Crutches can help keep weight off the affected foot for a few weeks, after which controlled weight bearing can stimulate healing. If you suspect you have endured a stress fracture in your foot, it is suggested that you consult a podiatrist for an exam and customized treatment plan. 

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

High heels, while often a stylish footwear choice, can lead to foot problems for many women. Regularly wearing these types of shoes can result in the feet becoming flatter, causing the big toe to deviate abnormally, either inwards or outwards. This is not just limited to the big toe, as the little toe can also be affected, tending to bend inwards. The altered posture and pressure points created by the elevated heel height can lead to various deformities. For women who frequently choose to wear high heels, it is essential to recognize the potential long-term effect on their foot health. If you enjoy wearing high heels, it is suggested that you make an appointment with a podiatrist who can offer guidance on how to wear heels in a way that minimizes harm. They can also suggest alternative fashionable footwear options that provide a better balance between fashion and foot health. Taking these precautions may help to prevent long-term foot issues.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor 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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.