- Warts
- ArthritisRheumatoid arthritis (RA) is a form of arthritis that causes pain, swelling, stiffness and loss of function in your joints. It can affect any joint but is common in the wrist and fingers. Many patients do show signs of RA in their feet as well. RA has a signature appearance when your toes and fingers begin to deviate and point away from the midline of your body. In the foot particularly, it is called fibular deviation.
- Plantar FasciitisPlantar fasciitis is pain and inflammation of the plantar fascia. Plantar fascia is comprised of tissue at the bottom of your foot that connects the heel bone to the toes. The plantar fascia is a thick fascial band and is a significant contributor to supporting your arch. Plantar fasciitis is one of the most common causes of heel pain.
- Pediatric Care
- Primary CareCertain insurances do require a referral from your primary care doctor. Please call our office for more information at 908-353-1777.
- Diabetic Foot CareProper shoes and diabetic orthotics are essential to diabetic foot care. Diabetic orthotics are designed with plastizote top covers, which is a memory foam that will disperse high pressure points or “hot spots”. Because of your changing chemistry and foot type, we highly recommend specific shoe gear and diabetic orthotics in order to accommodate your functional lifestyle.
- Pregnancy
- AutismIf toe walking continues after toddler years, it should be addressed. Toe walking sometimes can result from certain conditions, including cerebral palsy, muscular dystrophy and autism spectrum disorder. Other conditions that are occur with normal development include tight leg muscles, stiffness in the Achilles tendon or a lack of muscle coordination.
- Diabetes Care
- UltrasoundPulse Volume Recording (PVR) is a vascular test that is non-invasive, pain free, and can be done in an outpatient setting. PVR uses and ultrasound device and blood pressure cuffs to obtain information about the arterial blood flow in the arms and legs. Other names include vascular study or Doppler segmental pressure study.
- MRISurgery to repair the Achilles tendon is done if your Achilles tendon has been torn into 2 complete pieces that are completely separated with some amount of gap between the ends. Proper diagnosis is needed using a MRI to provide crucial data if surgical or non-surgical approach is appropriate.
- X-Rays
- Orthopedics
- Bunion SurgeryA bunionectomy is surgery to remove the lump/bump of the big toe joint (medial eminence). This lump is called a bunion. The bunion forms on the joint where your big toe joins your foot. Bunion surgery will also straighten your big toe. Bunion surgery usually involve 1 or 2 incisions over the joint depending how severe the deformity is. The doctor will remove small pieces of bone and may need to perform a complete osteotomy with hardware to straighten your toe. Your toe may be held in place with pins, screws, wires, or staples. The surgery will leave scars that fade with time.
- Joint ReplacementTreatments include exercise, medicines, and sometimes surgery. If joints are beyond salvage, there are foot surgeries that include joint replacement or fusion of the joint. Each type of surgery has their own unique risks and benefits.
- Metatarsal Surgery
- BunionsPerform surgeries to correct problems such as bunions, hammer toes, fractures, hammertoes, infections, ruptured Achilles, and other ligaments and tendons.
- GangreneDFUs can easily become infected as they are open wounds. Severe infections can lead to gangrene with amputation typically being necessary. The level of amputation, i.e. toes, foot or leg, varies depending on amount of infection, blood flow, and dead tissue.
- Toe SurgeryHammer toe surgery straightens a curled toe that causes problems and does not get better with other treatment. The surgery consists of one or more small cuts or incisions on your deformed toe joint. During the surgery, the tendons may be lengthened, shorted, cut, or change position to help correct the deformity. A piece of bone is typically removed, the joint is either left alone (arthroplasty) or your small toe joint may be held together with a screw or pin to fuse the joint. A pin or wire may stay in your toe, or it may be removed after about 3 to 6 weeks. Sometimes a pin is placed so that it sticks out the end of your toe. Then it can be removed without another surgery.
- Heel Surgery
- Ingrown ToenailsSome ingrown toenails can be treated at home with soaking your toe in warm water for roughly 15 minutes and allowing the nail to grow out naturally. Trim your nail straight across without trying to dig out the corners. Allow the nail to grow out until you are able to visualize the corners of you nail. If your toe becomes infected, you may need to be prescribed antibiotics.
- Reconstructive Surgery
- Skin CancerMelanoma is a type of skin cancer caused by Ultraviolet (UV) light and develops from pigment producing cells called melanocytes. They are commonly found on areas exposed to the sun and most commonly found on the legs and back. Roughly 25% of melanomas originate from...
- CornsCorns and calluses are thick/hardened layers of skin. They develop naturally when your skin tries to protect itself against friction and pressure. They often appear on feet where the bony parts of your feet rub against your shoes. Corns usually appear on the tops or sides of toes while calluses form on the soles of feet. Corns and calluses can be unsightly.
- Cyst
- UlcerWhen you have diabetes, your feet need extra care and attention due to complications such as diabetic neuropathy. Diabetes can damage the nerve endings and blood vessels in your feet preventing you from noticing when your feet are injured. Diabetes also limits your body’s ability to fight infection and get blood to areas that need it. If you get a minor foot injury, it could become an ulcer or a serious infection. With good foot care, you can prevent most of these problems.
- CallusesIf you have diabetes or another condition that causes poor blood flow to your feet, you’re at greater risk of complications from corns and calluses. Common problems include the formation diabetic foot ulcers. Seek your doctor’s advice on proper care for corns and calluses if you have such a condition.
- FungusToe Nail Fungus also known as Onychomycosis defined as a fungal infection of the toenails that causes discoloration, thickening, and separation from the nail bed with the fungal debris growing under the nail. Fungal nails can results from many different types of fungi that live in the environment. These fungi can penetrate the nail and surrounding tissue causing the nails to become thick, brittle, and discolored. Onychomycosis occurs in 10% of the general population but is more common in older patients. The risk of onychomycosis is higher in people with diabetes, Peripheral vascular disease or immune compromised individuals compared with the general population.
- LesionsTh metatarsal fractures, torn ligaments, ruptured tendons, OCD lesions, and even hematomas. Depending on the extent of secondary injuries, surgical intervention is needed, although uncommon.
- Skin CareTreatment can help control symptoms. It includes exercise, compression devices, compressive dressings, skin care, and massage. Many insurances insurance cover lymphedema pumps but require a physician to prescribe the devices.
- PsoriasisPsoriasis is a skin disease that causes itchy or sore patches of thick, red skin with silvery scales. You usually get them on your elbows, knees, scalp, back, face, palms and feet, but they can show up on other parts of your body.
- Physical TherapyMost patients can be treated without surgery, using orthotics and braces. If orthotics and braces do not provide relief, surgery can be an effective way to help with the pain. Surgery might be as simple as removing the inflamed tissue or repairing a simple tear. Advanced tissue grafts can significantly reduce swelling and increase healing as well. Patients will require aggressive physical therapy with or without surgery to improve function and recover.
- Flatfoot Correction
- Heel Pain
- Ankle SprainAn ankle sprain occurs when you twist your ankle in an abnormal position or degree. Your ankle is supported by many ligaments, which can get stretched and torn resulting in an ankle that is swollen and painful.
- Orthotics and Prosthetic Therapy
- General PodiatryA Podiatrist or Doctor of Podiatric Medicine (D.P.M.) is a physician who specializes in medical care of the foot, ankle, and lower leg. They must of a D.P.M. degree from an accredited four year college of podiatric medicine. Podiatrists complete a 3-year residency which is comprised of vigorous surgical training. They must sit for several state and national licensing boards.
- Achilles TendonitisCommonly, having Achilles tendonitis can result in a bone spur or growth may form in the back of the heel bone. This may irritate the Achilles tendon and cause pain and swelling.
- Ankle InstabilityPoorly treated ankle sprains can lead to future ankle sprains, ankle instability, undiagnosed OCD lesion (damage of the cartilage), reduced activity, and unresolved ankle pain
- Ankle SprainIn order to prevent foot and ankle injuries, we recommend a pair of athletic insoles for your sneakers. Orthotics for high endurance athletes tend to be more rigid and stiff to prevent deformation under large amount of stress. We make different orthotics designed for basketball, running, walking, golf, etc.
- Arthritic Foot Care
- Bunions ProblemsYou can treat most bunions at home with a few simple steps such as wider shoes and NSAIDs. If you have a lot of pain, you may need an injection of medicine into the bunion to reduce the swelling. If you still continue to have pain, you may need to have surgery.
- Calluses
- Foot Corns
- Diabetic Foot CarePeople with diabetes are very vulnerable to developing foot related problems. People who suffer from diabetes can have problems with circulation, nerves, immunity, and deformity. One in five people with diabetes who seek hospital care do so for foot problems. By taking proper care of your feet, many serious health problems associated with diabetes can be prevented.
- Flat Feet
- Fungus ToenailsFungal nails are very hard to treat, and the infection can return after it has cleared up. But medicines and treatment can sometimes get resolve of toenail fungus for good. If the infection is very bad, or if it causes a lot of pain, you may need to have the nail removed.
- Geriatric Foot Care
- HammertoesDiabetes can damage the nerve endings and blood vessels in your feet and severely impair your sense of feeling. Meaning you are much less likely to notice when your feet have an injury. Typical skin problem on the feet like a callus, blister, or cracked skin can turn into a larger sore, called a diabetic foot ulcer. DFU mostly form on the forefoot but can form anywhere on the foot or ankle if there is a deformity present. You can also develop an ulcer at any boney prominences, such as at the top of the toe if there is a hammer toe.
- Heel SpursA heel spur is a calcium deposit causing a bony protrusion on the underside of the heel bone. On an X-ray, a heel spur can extend forward by as much as a half-inch. Without visible X-ray evidence, the condition is sometimes known as “heel spur syndrome.”
- Heel Pain
- Foot Pain
- Ingrown ToenailsAn ingrown toenail often occurs because a nail is not trimmed correctly or because shoes are too tight. An ingrown nail can cause an infection. It is a very common issue involving the pediatric population, but can still occur in the adult population. The issue usually arises due to poor nail trimming habits. You should trim toenails straight across, so the ends of the nail grow over the skin and not into it. When trimming your nails you should easily be able to see both corners of you nail.
- Foot Injuries
- Metatarsalgia• Intense training or activity. Distance runners are at risk of metatarsalgia, primarily because the front of the foot absorbs significant force when a person runs. But anyone who participates in a high-impact sport is at risk, especially if your shoes fit poorly or are worn.
- Foot Neuroma
- Foot Warts
- Foot OrthoticsAnkle Foot Orthotics (AFO) or orthosis are made from high temperature thermoplastic material. They are used to combat a variety of factors and biomechanically assist muscle weakness, joint instability, excessive tripping, and supporting paralyzed or weak muscles.
- Pediatric Foot Care
- Plantar FasciitisHaving flatfeet can sometimes contribute to problems in your ankles and knees because the condition can alter the alignment of your legs. When your feet are flat, the position of the joints of your foot and ankle become poorly aligned. Poorly aligned joints can lead to spurring, arthritis, muscle aches, tendonitis, plantar fasciitis, and generalized pain.
- Podiatric DeformitiesMetatarsalgia is a common condition of the forefoot in which the ball of your foot becomes painful and inflamed. You might develop metatarsalgia if you participate in activities that involve running and jumping. Other causes including foot deformities and poorly fitted shoes.
- Podiatric Disorder Treatment
- Podiatric Orthopedics
- Podiatric Paralytic Treatment
- Podiatric Sports Therapy
- Podiatric SurgeryTreatment of RA is very difficult and may include medicine, lifestyle changes, and surgery. Foot surgery for RA can include fusion or joint resection. Joint replacement is typically not performed for RA. These can slow or stop joint damage and reduce pain and swelling.
- Allergies