March 2025

Plantar fasciitis causes pain and inflammation in the thick band of tissue running along the bottom of the foot. This tissue, known as the plantar fascia, connects the heel to the toes and helps support the arch. Repetitive strain or excessive pressure can cause small tears in the fascia, leading to irritation and discomfort. The pain is often felt near the heel and is typically worse in the morning or after long periods of rest. Risk factors include prolonged standing, high-impact activities, improper footwear, and foot structure abnormalities like flat feet or high arches. Plantar fasciitis can cause severe pain and discomfort, and it may become difficult to complete daily activities. If you have heel pain, it is strongly suggested that you promptly consult a podiatrist who can accurately diagnose and treat this condition.

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.

Hammertoe is a condition in which a toe bends at the middle joint, causing it to look like a hammer. Hammertoe is often caused by muscle imbalance that leads to pain, stiffness, and difficulty wearing shoes. If conservative treatment measures do not help, a podiatrist may recommend surgery to correct the deformity. The type of procedure depends on the flexibility of the toe. If the toe is still movable, a tendon transfer can help straighten it by repositioning tendons. For a rigid hammertoe, joint resection involves removing a small section of bone to allow the toe to extend. Joint fusion surgery permanently realigns the toe by securing the bones together with pins or screws until they heal. These procedures are typically performed on an outpatient basis, with recovery taking several weeks. Swelling can last for months, but pain generally recedes early in the healing process. Possible risks include infection, nerve damage, or recurrence of the deformity. If you have a painful hammertoe, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options, which may include surgery.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. 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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sometimes an ankle injury, like a broken ankle, can lead to a gradual joint breakdown that affects everyday movement. When the cushioning tissue is damaged by a fracture, sprain, or repeated impact, the smooth surface that helps bones glide becomes worn. As the bones begin to rub against each other, discomfort and stiffness develop, along with swelling and persistent pain. Over time, these changes make walking and other activities increasingly difficult. Early detection is important to prevent further damage. Treatments may include rest, targeted exercises, and special shoes to reduce pressure on the joint. In some cases, injections or surgery are considered to restore function and relieve pain. If you experience ongoing pain or limited mobility after an ankle injury, it is suggested that you see a podiatrist for evaluation and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. Scott Shrem  from Garden State Foot & Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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.

Heel pain is a common issue that can result from various conditions affecting the foot. One of the most frequent causes is plantar fasciitis, which occurs when the ligament running along the bottom of the foot becomes inflamed, causing sharp pain, especially in the morning. A heel spur, often associated with plantar fasciitis, is a bony growth that develops on the heel bone, leading to additional discomfort. Bursitis, the inflammation of the fluid-filled sacs near the heel, can also contribute to pain. Another condition known as pump bump results from the irritation of the heel caused by wearing tight shoes, particularly high heels. Additionally, Achilles tendonitis, the inflammation of the Achilles tendon, can cause pain at the back of the heel. If you have heel pain, it is suggested that you consult a podiatrist who can determine what the cause is, and offer appropriate treatment solutions.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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