June 2022

A bunionette is a prominent deformity at the base of the fifth (or little) toe. It can be painful, particularly if it rubs against a tight-fitting shoe. This mini bunion occurs if the bone of the midfoot angles out and the little toe angles in, leading to a bony prominence. The toe might hurt on the outside or inside if that toe rubs against the fourth toe. Wearing wider shoes with space to accommodate the bump, wearing a toe spacer, or padding the bump will help prevent further irritation. Depending on the severity of the bump, it may be necessary to limit walking or standing. Surgery to remove the bunionette or reposition the baby toe are options when these do not work. If you have a bunionette, consult with a podiatrist who can take an X-ray to confirm the problem and provide treatment that is right for you.

If you are suffering from bunions, 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.

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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Most of us take our feet for granted, even though they are the most overworked and overburdened parts of our body. Given how important our feet are in having a healthy, full life, it stands to reason that we should practice proper foot health care. Neglecting to do so leaves us open to various foot ailments that can make walking hard and restrict our overall mobility. There are several things you can do to care for your feet. To start with, frequently examine your feet for any abnormalities. Wash your feet daily to rid them of dirt and sweat. Make sure to dry the feet thoroughly. Exfoliate them regularly to rid them of thick, hardened skin that tends to develop on weight-bearing and high-friction areas. Moisturize the feet to keep them soft and hydrated, making them less prone to cracked heels. Wear well-fitted shoes that provide adequate support to allow for ease of movement as well as to help prevent foot pain and injuries. Trim your toenails along the curve, without cutting them too short to ward against ingrown toenails. Soak the feet and massage them to relax, bring down any swelling, and help you calm and unwind after a long day. If you have an underlying health condition or find you are developing problems like corns, calluses, blisters, or infections, see a podiatrist for proper diagnosis and treatment.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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.

Children and young teenagers who participate in running and jumping activities can be prone to developing Sever’s disease. This foot condition impacts the heel and typically affects children between the ages of 8 and 13. The Achilles tendon connects the heel to the calf muscles, and Sever’s disease may occur when the growth plate in the heel grows faster than the Achilles tendon. It is considered to be an overuse injury and can affect children who run and jump on hard surfaces. Effective prevention techniques include wearing quality shoes that fit correctly and have shock-absorbent soles, maintaining a healthy weight, and performing specific stretches for the heel. One such stretch, the heel drop, is accomplished by standing on a step and lowering one heel at a time until a gentle stretch is felt. If your child has heel pain, it is strongly suggested that he or she is under the care of a podiatrist who can effectively 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.

The Achilles tendon is considered to be the thickest and strongest tendon in the body. It connects the calf muscles to the heel and enables the patient to point and flex the foot. The Achilles tendon can become injured in an accident or due to improper warming up and cooling down before exercising. Some of the symptoms associated with an Achilles tendon injury can consist of heel pain while running and the back of the calf may feel stiff and tight. It is important to stop running when this type of injury occurs, as ample time is needed for the tendon to heal. It may be beneficial to perform stretches that can help to improve flexibility and range of motion of the Achilles tendon. An effective exercise is known as the eccentric heel drop. This is practiced by standing on a step and lowering the heel until a gentle stretch is felt. It can also be done facing a wall like the picture shows. If you have incurred an Achilles tendon injury it is strongly advised that you confer with a podiatrist who can offer you the correct treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, 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.

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 our office located in Hazlet, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.