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.

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.