August 2019

Tuesday, 27 August 2019 00:00

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

Tuesday, 27 August 2019 00:00

Is Plantar Fasciitis Painful?

The most noticeable symptoms of the medical condition that is known as plantar fasciitis are heel pain and severe discomfort. The plantar fascia is located on the bottom of the foot, and it connects the heel to the toes. If this becomes injured, it may become inflamed, and plantar fasciitis may develop. This condition can be caused by high arches, an injury that has happened to the foot, or participating in certain sporting activities. Relief can be felt when orthotics are worn, and this may be beneficial in reducing existing strain to the plantar fascia. Some patients find it helpful to perform frequent stretching techniques, and this may also aid in strengthening the affected areas of the foot. If you have heel pain, please consult with a podiatrist who can begin the correct treatment options for you.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

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

Monday, 19 August 2019 00:00

How to Care for Your Child's Feet

It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.

A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.

It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.

Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.

As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.

Monday, 19 August 2019 00:00

Toddlers and Walking Barefoot

There are several bones, joints, and ligaments that the human foot is comprised of. When babies are born, their feet are flexible, and will gradually become stronger as walking begins. Babies are typically born with flat feet, and the arch generally develops as the feet become stronger. Research has indicated that it is beneficial for toddlers to walk barefoot while indoors, and this can help the toes to strengthen by grasping the floor. When the first pair of shoes are purchased, the feet should be properly measured, and this is helpful in determining the correct shoe size. It is important that the shoes have flat and flexible soles, in addition to ensuring that there is inadequate room for the toes to move freely in. If you would like more information about how to care for your child’s feet, please consult with a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

Make sure their shoes fit properly
Look for any signs of in-toeing or out-toeing
Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
Cut toenails straight across to avoid ingrown toenails
Keep your child’s foot clean and dry
Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

Tuesday, 13 August 2019 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.

Tuesday, 13 August 2019 00:00

What Causes Gout?

Elevated uric acid levels in the bloodstream may lead to a painful condition that is known as gout. It typically affects the joints in the big toe, and symptoms generally consist of swelling, redness, and severe pain and discomfort. It can occur as a result of crystals that form and lodge in the joints, which is caused by eating foods that have high purine levels. These foods can include red meat, shellfish, and excess amounts of alcohol. After a proper diagnosis is performed, which can consist of extracting fluid from the affected joint that contains the crystals, proper treatment can begin. This can include taking medication which can lower uric acid levels. There are methods that can be implemented which may prevent gout attacks from occurring. It is beneficial to incorporate healthy eating habits into your daily routine, and limiting the amount of alcohol that is consumed. If you have frequent gout attacks, it is suggested that you consult with a podiatrist who can treat this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor 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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tuesday, 06 August 2019 00:00

Ingrown Toenail Care

An ingrown toenail is a toenail that grows sideways into the nail bed, causing pain and swelling. Ingrown toenails can worsen and cause drainage, turning into a serious infection.

Several factors affect whether a person is at risk from an ingrown toenail. The many causes include being overweight, diabetes, participating in sports, having a fungal infection of the toe, and cutting your nails too short. Ingrown toenails also have a genetic predisposition, causing some people to be more prone to receive the condition than others. Other causes include improperly fitting shoes and shoes that keep the feet damp.

Ingrown toenails can be preventable with certain measures. For starters, allowing your toe nails to grow slightly longer in length will help prevent them from becoming ingrown. If you have already developed an ingrown toenail, soak the affected toe in warm water. This will alleviate the pain and help prevent an infection from forming. Antibiotic soap or Epsom salts may be added to further help the relieving process and avoid infection. Placing cotton beneath the affected area is also suggested, as this may help the toenail grow upwards and not into the nail bed. Swelling and redness can be reduced by resting with your feet elevated.

A podiatrist should be seen if the pain becomes so serious that it prevents you from doing your everyday activities. If a red streak running up your leg appears or if you suspect your infection has spread, contact a podiatrist immediately. Fast treatments can be undertaken to lessen your pain and have you walking comfortably.

An ingrown toenail can be easily treated with a Band-Aid. Simply wrap the affected toe with a Band-Aid to prevent infection and keep the nail from growing out at a painful angle.

In more serious cases, your podiatrist may decide to make a small incision to remove a portion of your toenail. To prevent the nail from growing back, medication will be placed directly into the nail bed. This procedure would be performed under local anesthesia and is a faster method to alleviate discomfort from an ingrown toenail. Post-procedure directions will have you stay off the affected foot for a day. Afterwards, normal activities can be resumed.

Tuesday, 06 August 2019 00:00

Ingrown Toenails Can Cause Pain

The symptoms of an ingrown toenail can be quite noticeable. They typically consist of red and swollen skin on the sides of the big toe, and it generally causes pain and discomfort. It can occur as a result of wearing shoes that do not fit properly, and this can possibly cause the toenail to grow into the surrounding skin. If your child has an ingrown toenail, they may find mild relief when the affected toe is soaked in warm water. This may help to move the swollen portion of skin away from the nail. It may be beneficial to wear sandals as the healing process occurs, and this can help to keep pressure off of the nail. If you are afflicted with an ingrown toenail, it is strongly advised that you seek the counsel of a podiatrist who can properly treat this condition.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

Improper toenail trimming
Genetics
Improper shoe fitting
Injury from pedicures or nail picking
Abnormal gait
Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Tuesday, 06 August 2019 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

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August 2019

Plantar Fasciitis

Is Plantar Fasciitis Painful?

How to Care for Your Child's Feet

Toddlers and Walking Barefoot

Gout

What Causes Gout?

Ingrown Toenail Care

Ingrown Toenails Can Cause Pain

Wounds That Don't Heal Need to Be Checked

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