Clubfoot, medically known as congenital talipes equinovarus, is a condition where a baby is born with one or both feet turned inward and downward. Some cases are mild and others more severe. Symptoms include twisted or curved feet and underdeveloped calf muscles. While the exact cause of clubfoot is unknown, it may result from improper development of bones and ligaments in the womb. Clubfoot can be hereditary, affecting approximately one in 1,000 babies, more commonly boys. Diagnosis can occur via prenatal ultrasound or shortly after birth through a physical examination and sometimes an X-ray. Early treatment is essential for normal foot growth, with the Ponseti method being extremely effective. This involves gentle manipulation and casting of the feet over several weeks, followed by bracing to maintain correct positioning. In some cases, minor surgery may be needed to lengthen the Achilles tendon. If your baby is diagnosed with clubfoot, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

Ankle pain while walking is a common issue that can arise from various conditions and injuries. This can be difficult just with regular movement, but particularly frustrating when you count walking as an important form of exercise in your life. The ankle is a complex joint connecting the foot to the leg, consisting of bones, ligaments, tendons, and muscles. Pain can result from sprains, strains, fractures, or conditions such as arthritis, tendinitis, and bursitis. Overuse, wearing improper footwear, and sudden changes in physical activity can also contribute to ankle pain. This pain can interfere with walking by causing discomfort, instability, and limited range of motion. Ankle pain may present as a sharp, stabbing sensation or a dull ache, often worsening with weight-bearing activities. Swelling, bruising, and stiffness are common symptoms accompanying the pain. To alleviate ankle pain, rest, compression, and elevation are effective initial treatments. Pain relievers and wearing supportive footwear can also help. Preventative measures include strengthening and stretching exercises, wearing appropriate shoes, and gradually increasing activity levels. If you have persistent or severe ankle pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment plan so you can walk comfortably again. 

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Experiencing toenail fungus, or onychomycosis, can be a persistent and bothersome condition. Toenail fungus causes nails to become yellow, opaque, and brittle, often leading to crumbling or breaking. The fungus thrives in warm, moist environments, making individuals with sweaty feet or those who wear heavy shoes more susceptible. Not only is it unpleasant, but toenail fungus is also highly contagious. It can spread easily in communal areas, such as swimming pools, locker rooms, and shared showers. Treatment usually involves oral antifungal medications that need to be taken for several weeks. Even as the medication starts working, it might take some time before new, healthy nail growth appears, and the discoloration and brittleness may persist until then. Preventive measures are essential to managing and avoiding the spread of the infection. Keeping feet dry, wearing moisture-wicking socks, trimming nails properly, and ensuring feet are fully dry before putting on socks and shoes can help. If you are experiencing symptoms of toenail fungus, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis is a common foot condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. It occurs when this tissue is overstretched or overused, often due to excessive running, standing for long periods, or wearing inadequate footwear. The condition manifests as a sharp, stabbing pain in the heel, particularly noticeable with the first steps in the morning or after long periods of inactivity. Those at higher risk include runners, individuals with high arches or flat feet, people who are overweight, and people who wear shoes with poor arch support. Preventing plantar fasciitis involves wearing supportive footwear, maintaining a healthy weight, and incorporating stretching exercises into daily routines to improve flexibility. Treatment options include rest and stretching exercises, For persistent pain, custom orthotics may be necessary. If you have continued heel pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A foot stress fracture is a small crack or severe bruising within a bone, often resulting from repetitive force or overuse rather than a single traumatic event. Common causes include high-impact sports, sudden increases in physical activity, and wearing inadequate footwear. Stress fractures frequently occur in the weight-bearing bones of the foot, such as the metatarsals. Symptoms include pain that worsens with activity and diminishes with rest, swelling, and tenderness at the fracture site. Recovery time for a foot stress fracture typically ranges from six to eight weeks, depending on the severity and adherence to treatment. Proper rest, wearing supportive footwear, and gradually returning to activities are essential for healing. In some cases, immobilization with a boot or crutches may be necessary. If your foot hurts, it is suggested that you visit a podiatrist who can accurately diagnose and treat stress fractures.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. 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 one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

For ballet dancers, strong and flexible feet are essential for mastering intricate movements with precision and grace. Various foot stretches and exercises can help strengthen the muscles and improve the articulation of the feet. Using a hair elastic around the toes to create resistance while pointing and flexing helps develop intrinsic foot muscles. Thera bands provide resistance for exercises such as ankle dorsiflexion and plantarflexion, enhancing ankle stability and strength. Towel scrunches, where dancers use their toes to gather a hand towel, target the muscles of the feet and toes. Practicing tennis ball massages can alleviate tension and promote flexibility in the arches. Exercises like doming, toe teasers, and piano toes engage different foot muscles, enhancing overall strength and control. If you have injured your foot due to ballet moves, it is suggested that you visit a podiatrist who can offer appropriate treatment and guide you toward additional stretching techniques.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cracked heels can be caused by many factors. The skin on heels are naturally dry and may crack when exposed to long periods of pressure, such as standing. Additionally, wearing open-backed shoes, like sandals, may progress the condition by allowing the skin to expand and split. Other causes of cracked heels include the lack of moisture from harsh weather and underlying health conditions. Certain medical conditions, including diabetes, eczema, psoriasis, and thyroid disorders, also may be factors in cracked skin on the heels. The aging process can aid in development of cracked heels, due to the skin losing its flexibility over time. Proper foot care, such as moisturizing and supportive footwear, may help prevent this condition. Podiatrists can provide professional care and guidance to manage and treat cracked heels. If the cracked skin on your heels forms fissures or begins to bleed, it is suggested that you consult a podiatrist for treatment to avoid infection. 

Many people suffer from bouts of heel pain. For more information, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. 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 one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A fractured ankle can significantly disrupt daily life, particularly impacting employment. This type of injury often requires an extended period of immobilization, followed by a lengthy rehabilitation process to restore full functionality. The inability to walk or stand for prolonged periods can make it challenging to perform job duties, especially in physically demanding roles. Consequently, high rates of unemployment and disability are observed among those with severe ankle fractures. The disruption stems from the need for rest and restricted movement to ensure proper healing, which can lead to extended absences from work. Additionally, the pain and swelling associated with a fractured ankle can hinder mobility and productivity. Without adequate treatment and rehabilitation, complications such as chronic pain, instability, and arthritis may develop, further delaying recovery and complicating return-to-work plans. If you have suffered an ankle fracture, it is strongly suggested that you receive a comprehensive treatment plan from a podiatrist to recover efficiently and return to work as quickly as possible.

Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.