Toe pain can be an annoyance for a variety of different individuals. Different kinds of activities can increase one’s susceptibility to toe pain or exacerbate existing toe pain. Cycling/biking is one such activity. If you are a cyclist that feels pain in their toes after cycling, then it is possible that your cycling shoes are simply too tight. Often, cycling shoes are more restrictive. Since one’s feet can expand in size during a session of cycling, this can make the feet feel as if they do not fit in the shoes. Toe pain might result from this. As a general rule, the toes should have sufficient space in one’s cycling shoes to move freely. This can potentially reduce the extent to which one might experience toe pain. If you are a cyclist, contact a podiatrist today for more information.

Toe pain can disrupt your daily activities. 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as 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.

Systemic diseases are health problems that can affect various body parts. Two systemic health issues that frequently affect the feet are diabetes and rheumatoid arthritis. In both cases, treating the disease can help prevent or relieve foot symptoms. Wearing bigger shoes and using molded inserts can also help in preventing the need for surgery, which might be necessary if symptoms are severe. If you suffer from a health condition that is negatively affecting your feet and causing you discomfort, seek the counsel of a podiatrist who can help you feel more comfortable.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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 and ankle needs.

Many beachgoers like to spend their time in the ocean, catching waves in an activity that is known as bodyboarding. When an individual goes bodyboarding, they sometimes use bodyboarding fins (or flippers) on their feet to help with swimming. However, wearing these flippers can sometimes negatively impact the feet. For example, if the flippers are particularly low quality, they can easily rub up against the feet, causing friction that might lead to the development of blisters. This chaffing can be quite uncomfortable for your feet. If you are a bodyboarder and you want to wear flippers, contact your podiatrist to ensure that you are doing everything that you can to properly protect your feet.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains 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 and ankle needs.

The probability is high for developing a bunion. Research has shown that one-third of Americans will eventually have bunions, and it is easier to treat in the beginning stages. It is defined as a bony growth that gradually forms on the side of the big toe, and can cause discomfort while walking. It happens from genetic reasons, or, most commonly from wearing shoes that do not have enough room for the toes to move freely in. Calluses and corns may form on untreated bunions, and larger shoes may need to be purchased that can accommodate the bunion. Relief may be found when the correct width of shoes are worn, and high heels may have to be eliminated from frequent wearing. Bunions will typically not diminish on their own, but they may be easier to live with when the right shoes are worn. If the bunion is making daily activities difficult to accomplish, surgery may be a necessary option for permanent relief. It is strongly suggested that you consult a podiatrist who can provide you with the answers you may be seeking. 

If you are suffering from bunions, 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.

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 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.

Although they may seem small and insignificant to some, the toenails are absolutely critical to the functioning of the foot. The toenails essentially act as a kind of protective plate to guard against injuries. This can help prevent the toes from getting injured during daily activities. The toenails can also act as claws of some sort, improving the extent to which the toes can grip and dig into the floor during motion. The nail is made up of several different parts: the nail root, the nail bed, the nail plate, the eponychium, the paronychium, and lastly the hyponychium. These six components of the nail are each important in their own unique ways. Importantly, the disruption of one component of the nail can fundamentally disrupt the overall toenail. For more information about toenails, consult with a podiatrist today.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 and ankle needs.

Tarsal tunnel syndrome can be particularly bothersome to runners. This condition occurs in an individual when a nerve called the posterior tibial nerve becomes compressed. As a result of this compression, an individual might feel pain or tingling sensations. Runners exert a lot of pressure on their feet; therefore, this condition can be quite bothersome to these athletes. Although recommended treatment options will vary from runner to runner, sometimes wearing orthotics may help.  Another potential remedy might be strengthening and improving the flexibility of the feet. Sometimes, overpronation might be the culprit for a case of tarsal tunnel syndrome, so carefully monitoring one’s running style might also be of use. Contact a podiatrist today for more information.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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 and ankle needs.

Swollen feet or edema can often accompany the serious condition known as diabetes. Poor circulation may lead to excess fluid in the legs and feet, causing swelling. Gravity plays a significant role in having swollen feet and improving circulation can help to reduce existing swelling. Patients who are diabetic may have damaged veins as a result of poor circulation and may experience kidney issues from having elevated glucose levels. Additionally, the heart may be affected and can become less efficient at pumping blood. All these factors may lead to swollen feet and may be helped by consuming a diet that is low in sodium. It also may help to drink plenty of water, monitor and control the sugar levels in the blood, and partake in a gentle exercise program. If your feet are swollen, please consult with a podiatrist who can diagnose the cause and offer effective treatment options. 

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.

The abbreviation for peripheral artery disease is PAD, which is defined as restricted blood supply to the feet and legs. It is a common condition, and the symptoms that are generally experienced include foot pain while walking, hair loss on the legs, and the skin may change color or appear shiny. The majority of people with PAD have symptoms that develop gradually and may ultimately need medical attention. Diabetic patients often have this condition, as a result of elevated blood glucose levels. This serious condition may be improved, and relief can be found when lifestyle changes are implemented. These include eating healthy foods, reducing alcohol consumption, and losing weight, if needed. There may be existing medical reasons that can lead to developing PAD, such as high blood pressure, high cholesterol, and heart disease. One of the symptoms of PAD is the inability to feel cuts or scrapes on the feet. These may go undetected and can lead to infection, which in turn may lead to ulcers, gangrene or amputation. If you have symptoms of PAD, it is strongly suggested that you are under the regular care of a podiatrist who can effectively diagnose and treat this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.