The most common form of toe pain occurs in the big toe. This joint takes a lot of abuse, as it absorbs most of the body weight with each step you take. The two main big toe complaints are gout and bunions. Less frequent causes are turf toe, and ingrown toenails. Toe pain to the smaller toes is most often caused by hammertoes and claw toes. Gout is an inflammatory disease that attacks the joints, causing redness, swelling and extreme pain. It is connected to a buildup of uric acid that crystalizes and induces pain. Bunions are a deformity at the base of the big toe, usually passed on genetically but made worse by ill-fitting footwear. It causes the toe to push outward at the base and inward at the top. It can adversely affect the biomechanics of the foot, causing other foot problems. Turf toe is common to football and basketball players, and dancers, who frequently push off the ground and hyper-extend their big toe. Ingrown toenails develop when the nail grows into the nailbed. Pressure from tight shoes can irritate the area, causing pain. Hammertoe and claw toe are painful deformities that affect the joints, tendons and soft tissues of the smaller toes. For help with any toe pain conditions you may be experiencing, it is suggested that you consult with a podiatrist.

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.

If you notice that your toenails have become thickened, rough, or stained it may be a sign of onychomycosis, also known as toenail fungus. This fungal infection is contagious and quite common among older adults. Touching the infected nail or any surface infected with the fungus can allow it to spread. The fungus thrives in moist, warm environments like gym locker rooms, swimming pools, and changing areas. If your feet or shoes are damp or sweaty, the fungus is more likely to multiply and feed on the nail tissue. Eventually, it may grow under the nail into the skin, turning the nail yellow and changing its appearance. Toenail fungus is not generally painful, but the nail may develop cracks. Protection against infection includes keeping the feet clean and dry, sprinkling antifungal powder inside shoes, and wearing shoes made of breathable materials. It is suggested that you wear foot coverings when you are in damp areas where the fungus is apt to spread. Please see a podiatrist for more information on medications to combat fungal toenail infections.

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.

Having swollen feet is certainly not a pleasant experience. Swelling in the feet occurs when bodily fluids become trapped or built-up in the tissues. As a result, the affected area can become significantly puffy, causing them to look markedly bigger than usual. Although swelling in the feet has a litany of different causes, obesity is one potential contributing factor to swollen feet. When an individual is obese, or overweight, they can sometimes experience reduced blood circulation, which then can make the feet become swollen. Additionally, since obese people carry more weight, they consequently exert more pressure on their feet and this can cause pain when walking. As a result, obese people may minimize their physical activity, which can make fluids become trapped in the feet. If you are an individual that struggles with obesity, please schedule an appointment with a podiatrist to discuss ways to mitigate your foot pain. In consultation with your podiatrist, you may discuss whether or not losing weight would help you reduce the problems that you are experiencing in your feet. Do not take any chances with the health of your feet–contact a podiatrist today.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of 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.

There are various reasons one can have ankle pain. It can range from suddenly enduring an ankle injury, or it may gradually happen from having arthritis. There are several bones, muscles, tendons, and ligaments in each ankle, and ankle pain can develop for many reasons. Tendonitis can occur when the tendons become inflamed, and this can happen to people who run frequently on uneven surfaces. It may feel worse while standing or walking, and will start to feel better with adequate rest. Achilles tendonitis is felt in the back of the ankle, and that part of the foot may feel tight in the morning after rising.  An ankle fracture can cause severe pain and discomfort, and the symptoms that generally accompany this type of ankle pain are bruising, swelling, and difficult walking. Additionally, the ankle may look deformed, and it will not be possible to bend the ankle. If you have ankle pain for any reason, it is suggested that you consult with a podiatrist who can effectively diagnose and treat this type of pain.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, 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.

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 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 one of the most common foot conditions that causes heel pain. The plantar fascia is a long band composed of tissue, running from the heel to the toes. The plantar fascia also makes up the arch of the foot. When this band of tissue becomes irritated or inflamed, it is known as plantar fasciitis. This condition can be treated in several ways. If you do not respond to any of the less severe treatment options like orthotics or anti-inflammatory medications, you might be a candidate for a surgical procedure. The surgery, known as plantar fasciotomy, is a procedure that essentially moves the affected fascia away from the heel bone. This is done to ultimately reduce the tension that is causing the condition. There are two main kinds of surgery for plantar fasciitis. First, you may have an open surgery, which is performed in a hospital and includes making a 1-2 inch incision. Alternatively, you may have an endoscopic surgery, which involves making two small incisions that are less than half an inch deep. There are a variety of factors that can determine whether you are a candidate for this kind of surgery. If you are interested in this treatment and want to learn more, contact a podiatrist.

Plantar fasciitis can be very painful and inconvenient. 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 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 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.

Of all the afflictions that can detrimentally affect the feet, some can manipulate the toes and the way that they function. Hammertoe is one such foot condition. An individual can develop hammertoe when the second, third, or fourth toe essentially points upward at the first toe joint. This condition is called hammertoe because the affected toe begins to resemble a hammer. There are two primary types of hammertoe. First, you may develop flexible hammertoe where the affected joint can still be moved. This is arguably the less severe case of hammertoe, because it can sometimes be treated by making simple adjustments, such as being more mindful of the footwear that one chooses. Second, you may develop rigid hammertoe, which restricts the individual from moving the affected toe joint. In some cases of rigid hammertoe, the condition can only be addressed through surgery. There are a variety of surgical procedures that might be used to address rigid hammertoe. For example, a medical professional might choose to perform a tendon transfer, joint resection, or fusion. If you suspect that you might have a hammertoe, reach out to a podiatrist who will be able to diagnose and treat the problem.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

Many individuals earn their living by working as food servers, waiters, or waitresses. If you work as a food server, you are no doubt familiar with the fact that food servers spend the majority of the day working on their feet. Whether you are walking to and from the kitchen or carrying heavy dishes of food to tables, you spend a significant amount of the work day putting pressure on your feet. If you are not diligent about maintaining a foot care routine, you might be setting yourself up for a foot injury or condition. First, ensure that you are wearing the right kind of footwear on the job. Instead of wearing shoes with high heels that can increase your risk of falling during your shift, wear shoes with low, wide heels to provide stability. Second, since food servers spend such long amounts of time working on their feet, be sure to take the time you need to relax and pamper your feet. You may choose to give yourself a foot massage or to receive one professionally. These foot massages can relax muscles and ligaments in the feet, preventing tightening that could lead to injuries. Third, it is a good idea to be diligent about keeping your feet clean. For example, you might wash your feet to remove damaging bacteria, and pat them dry completely. Food servers ought to take the health of their feet seriously. If you work in the food service industry, contact a podiatrist to understand the best way to care for your feet.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.