General Practitioners

• Warts
• Arthritis
• Plantar Fasciitis
  A common foot complaint is pain in the bottom of the heel. This is often referred to as heel spurs or plantar fasciitis. It commonly is painful the first few steps in the morning or after rest. It tends to get worse the longer one stands during the day. It is caused by subtle changes in foot structure that occurs over time. These changes result in the gradual flattening of the arch. As this occurs a thick ligament (the plantar fascia) that is attached to the bottom of the heel and fans out into the ball of the foot is stretched excessively. This ligament acts as a shock absorber while walking. As the foot flattens it stretches. If it stretches too much it gets inflamed and causes pain. Over time the pull of the ligament creates a spur on the heel bone. It is important to realize that it is not the spur that causes the pain and therefore the spur does not need to be removed in most cases. This condition may also cause generalized arch pain called plantar fasciitis. This is an inflammation of the plantar fascial ligament.
• Primary Care
  To qualify for the Medicare diabetic shoe program the diabetic patient must be under the active care of a primary care physician for his/her diabetes and meet certian medical guidelines. Once these certified conditions are established, the patient presents to the office for a shoe fitting, and the appropriate footwear is ordered. Upon dispensing of the shoes, a full weight bearing heat molded process is conducted and the patient is on their way.
• Diabetic Foot Care

Gynecologists

• Pregnancy

Neurologists

• Neurolysis
  The chemical destruction of the nerve, called neurolysis, is an older form of treatment that has recently come back into vogue. This treatment requires a series of injections of ethanol mixed with a local anesthetic. The injections are given into the area of the neuroma. Nerve tissue has a natural affinity for ethanol, and it is readily absorbed into the nerve. Ethanol, however, is toxic to nerve tissue and with repeated exposure, will destroy the nerve. The rate of success is variable, but has been reported to be over 60%. Many insurance plans will not pay for weekly injections and require the doctor to wait a minimum of ten days between injections before they will reimburse for the procedure. This likely reduces the rate of success for this treatment, because during the time between the injections, the nerve will attempt to repair itself. One way to solve this delay is for the patient to pay for those injections not paid for by the insurance plan. The disadvantages for this form of treatment are the need for repeated visits to the doctor’s office, and the occasional pain in the area of the injection the following day or two after it has been administered. The advantages to this form of treatment is that it requires a minimal amount of time off of work and the overall cost as compared to the surgical removal of the nerve. If this form of treatment fails, then surgical removal is the only option that remains.

Psychiatrists

• Anxiety

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Ultrasound imaging, also called ultrasound scanning or sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Ultrasound exams do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they can show the structure and movement of the body's internal organs, as well as blood flowing through blood vessels.
• MRI
  In some foot and ankle conditions, your doctor may order an MRI to help diagnosis the problem that you are having with your foot and ankle. In the foot and ankle, MRI can be used to diagnosis the following conditions...
• Radiology
  Our doctors specifically trained to supervise and interpret radiology examinations, will analyze the images and send a signed report to your primary care physician or the physician who referred you for the exam, who will share the results with you. In most cases our doctors can discuss results with you at the conclusion of your examination.
• X-Rays
• Computed Tomography
  Your doctor may order a computed tomography examination to aid in the diagnosis and treatment of your foot and ankle problem. Computed Tomography (CT) imaging, also known as "CAT scanning" (Computed Axial Tomography), combines the use of a digital computer together with a rotating x-ray device to create detailed cross sectional images or ""slices"" of the different parts, particularly bony structures, of the foot and ankle. This test helps to delineate the structures of your foot and ankle and can give your doctor 3-D visualization of these structures to aid in your treatment. For many patients, CT can be performed on an outpatient basis without requiring admittance to a hospital. CT imaging is commonly ordered for the following foot pathologies...
• Chemotherapy
  The tendency to accumulate uric acid is often inherited. Other factors that put a person at risk for developing gout include: high blood pressure, diabetes, obesity, surgery, chemotherapy, stress and certain medications and vitamins. For example, the body's ability to remove uric acid can be negatively affected by taking aspirin, some diuretic medications ("water pills") and the vitamin niacin (also called nicotinic acid). While gout is more common in men aged 40 to 60 years, it can occur in younger men as well as in women.

Surgeons

• Wound Care
  Dr. Eglow has served as the chief of the Podiatric Section at the St. Barnabas Medical Center in Livingston, NJ. Dr. Eglow has lectured to the residents at St. Barnabas Medical Center on Diabetic Wound Care as well as Amputations of the foot. He has also served as a consultant to the sports program at Seton Hall University.
• Ankle Surgery
  Dr. Michael Eglow is a founding partner of the FOOT group. Dr Eglow graduated from the Pennsylvania College of Podiatric Medicine, part of Temple University, in Philadelphia PA in 1982. Prior to attending podiatric medical school, he received his BS degree in Zoology from the George Washington University in Washington, DC. Dr. Eglow completed his residency in podiatric surgery at West Essex General Hospital in 1983. After completing his residency he entered private practice in Maplewood NJ. Dr. Eglow is board certified in Podiatric Surgery and is a Diplomate of the American Board of Foot and Ankle Surgery.
• Bunion Surgery
  The postoperative course and rehabilitation following bunion surgery depends on the procedure and can vary amongst podiatric surgeons. Patients have varying levels of postoperative pain but quite often the pain is significantly less than what the patient anticipates. A period of total non-weight bearing with crutches may be recommended in the first 3 to 5 days. In many instances, the surgeon may allow the patient to bear full weight in a postoperative surgical shoe. In all cases patients are instructed to limit their activities and to elevate their feet above their heart during the first 3 to 5 days. After this, a resumption of gradual weight bearing with a special surgical shoe is begun. Walking without the postoperative shoe is strictly prohibited. In cases where a pin is used, return to full weight bearing with a stiff soled walking shoe is allowed after the pin has been removed, generally in 3 to 4 weeks following the bunion surgery. Screws provide increased stability when used to fixate bone cuts and most patients can return to full weight bearing and regular shoes in 3-4 weeks following the surgery. The postoperative and rehabilitative course is improved by the use of ice and elevation of the extremity as much as possible. One of the most important aspects of the postoperative treatment is early motion of the joint to prevent joint stiffness. In most cases, range of motion exercises are begun almost immediately following surgery. No matter what the form of bone fixation is used, pins or screws; bone healing will take 6 to 8 weeks or longer. During this period of time it is important that the patient not walk without shoes or in thin-soled shoes or sandals. Should the patient risk walking without an adequately supportive shoe, they risk re-fracturing the bone and increase the duration of healing.
• Bunions
  Even though bunions are a common foot deformity, there are misconceptions about them. Many people may unnecessarily suffer the pain of bunions for years before seeking treatment.
• Gangrene
  Treatment consists of surgical removal of the gangrene, surgery to improve the circulation (by-pass surgery), hyperbaric oxygen treatment and IV antibiotics.
• Ingrown Toenails
  Treatment for ingrown toenails is relatively painless. The injection to numb the toe may hurt some, but a skilled doctor has techniques to minimize this discomfort. Once the toe is numb, the nail margin is removed and the nail root in this area is destroyed. Most commonly, the doctor will use an acid to kill the root of the nail, but other techniques are also available. It may take a few weeks for the nail margin to completely heal, but there are generally no restrictions in activity, bathing, or wearing shoes. Once the numbness wears off, there may be some very mild discomfort but rarely does this require pain medicine. A resumption of sports activities and exercise is generally permitted the following day.

Dermatologists

• Corns
  There are a number of treatment options for corns. When corns get hard enough to cause pain, a foot and ankle surgeon will recommend the treatment option most appropriate for you. However, if the underlying cause of the corn is not treated or removed, the corn may return. It is important to avoid trying to remove a corn at home or using medicated corn pads, as serious infection may occur.
• Cyst
• Ulcer
  Calluses may not seem like a major concern, but certain forces can cause the layers of callused skin to separate and fill with fluid. When the fluid becomes contaminated and infected, the result is a foot ulcer.
• Calluses
  Accommodative orthoses are useful in the treatment of painful calluses on the bottom of the foot, diabetic foot ulcerations, sore bones on the bottom of the foot and other types of foot pathology. The advantages of accommodative orthoses are that they are relatively soft and forgiving and are generally easy to adjust in shape after they are dispensed to the patient to improve comfort. The disadvantages of accommodative orthoses are that they are relatively bulky, have relatively poor durability, and often need frequent adjustments to allow them to continue working properly.
• Fungus
  The most common cause of yellowed, thick and /or deformed toenails is a fungal infection of the toenail. The fungus that infects the nail, most commonly, is the same fungus that causes athletes foot. It tends to be slowly progressive, damaging the nail to a greater and greater degree over time. The infection usually starts at the tip of the nail and works its way back. It usually is not painful and often not noticed until it has gotten well established. A single toenail or any number of nails can be affected. It can also occur on just one foot. Over time, the nail becomes thickened, crumbly, and distorted in appearance. Sweaty feet contribute to the initial infection process and contribute to its spread. The fungus prefers an environment that is moist, dark, and warm, which is why it affects the toenails much more often than fingernails. It does not spread through the blood stream. The infection limits itself to the nails and skin. It is often found in association with areas of dry scaly skin on the bottom of the foot or between the toes. The dry scaling skin is frequently found to be chronic athletes' foot. It is not highly contagious, and family members are almost as likely to contract it from some other source as they are from the family member who has the infection. Keeping common showering areas clean is recommended, and sharing shoes should be avoided.
• Lesions
  Athlete's foot is caused by a fungal infection of the skin on the foot. The majority of these infections are caused by one of three fungal agents called dermatophytes. Athlete's foot is by far the most common fungal infection of the skin. The infection can be either acute or chronic. The recurrent form of the disease is often associated with fungal-infected toenails. The acute form of the infection most often presents with moist, scaling between the toes with occasional small blisters and/or fissures. As the blistering breaks, the infection spreads and can involve large areas of the skin on the foot. The burning and itching that accompany the blisters may cause great discomfort that can be relieved by opening and draining the blisters or applying cool water compresses. The infection can also occur as isolated circular lesions on the bottom or top of the foot. As the skin breaks down from the fungal infection, a secondary bacterial infection can ensue.
• Psoriasis
  Not all thicken or yellowed toenails are caused by a fungal infection. Injury to a toenail can cause the toenail to grow in a thickened or malformed fashion. This can be due to an established fungal infection or may be due to the damage caused to the nail root when it was injured. In these instances, treatment with anti-fungal medications will not correct the malformed nail. Other causes of thickened toenails are small bone spurs that can form under the toenail and psoriasis. Taking a scraping of the toenail and culturing it makes the diagnosis.
• Burns

Physical Therapists

• Sports Medicine
  Professionally, Dr. Eglow performs management of diabetic foot wounds, surgical care of the foot and ankle, pediatric and geriatric care of the feet, as well as caring for sports injuries. Dr. Eglow shares his life with his wife Dianne and has 3 children, Ross, Jordan and Samuel.
• Physical Therapy
  Heel pain is the most common foot problem presenting in our office. It is often attributed to plantar fascitis. While most heel pain is responsive to conservative therapy including orthotics, strapping, physical therapy, NSAIDS, corticosteroid injections and rest, 10% of patients remain with pain. These patients are faced with the choice of having surgery or living with pain.
• Flatfoot Correction
• Heel Pain
• Orthotics and Prosthetic Therapy

Podiatrists

• General Podiatry
  We welcome you as a patient to our podiatry practice in Livingston, New Jersey. We are grateful that you have chosen us as the health care provider for your feet.
• Achilles Tendonitis
• Bunions Problems
  One of the more common conditions treated by podiatric surgeons is the painful bunion. Patients with this condition will usually complain of pain when wearing certain shoes, especially snug fitting dress shoes, or with physical activity, such as walking or running. Bunions are most commonly treated by conservative means. This may involve shoe gear modification, padding and orthoses. When this fails to provide adequate relief, surgery is often recommended. There are several surgical procedures to correct bunions. Selection of the most appropriate procedure for each patient requires knowledge of the level of deformity, review of the x-rays and an open discussion of the goals of the surgical procedure. Almost all surgical procedures require cutting and repositioning the first metatarsal. In the case of mild to moderate bunion deformities the bone cut is most often performed at the neck of the metatarsal (near the joint).
• Calluses
• Diabetic Foot Care
  Shoes and inserts are often covered by most insurance companies for people who suffer from diabetes and have advanced diabetic foot care needs.
• Fungus Toenails
  Toenail fungus often begins as an infection in the skin called tinea pedis (also known as athlete's foot). The fungus often starts under the nail fold at the end of the nail. Over time, it grows underneath the nail and causes changes to its appearance, such as a yellow or brownish discoloration. It can also cause thickening and deformity of the toenail.
• Hammertoes
  They tend to slowly get worse with time and frequently flexible deformities become rigid. Treatment can be preventative, symptomatic or curative. (For information on hammertoe of the big toe see Hallux hammertoe)
• Heel Spurs
  Heel pain is most often caused by plantar fasciitis, a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst.
• Heel Pain
• Foot Pain
• Ingrown Toenails
  There are very few complications associated with this procedure. Reoccurrence of the ingrown toenail can occur a small percentage of the time. Continuation of the infection is possible which can be controlled easily with oral antibiotics. On occasion, the remaining nail may become loose from the nail bed and fall off. A new nail will grow out to replace it over several months. With removal of the nail margin, the nail will be narrower and this should be expected.
• Foot Neuroma
  A neuroma is the swelling of nerve that is a result of a compression or trauma. They are often described as nerve tumors. However, they are not in the purest sense a tumor. They are a swelling within the nerve that may result in permanent nerve damage. The most common site for a neuroma is on the ball of the foot. The most common cause of neuroma in ball of the foot is the abnormal movement of the long bones behind the toes called metatarsal bones. A small nerve passes between the spaces of the metatarsals. At the base of the toes, the nerves split forming a "Y" and enter the toes. It is in this area the nerve gets pinched and swells, forming the neuroma. Burning pain, tingling, and numbness in one or two of the toes is a common symptom. Sometimes this pain can become so severe, it can bring tears to a patient's eyes. Removing the shoe and rubbing the ball of the foot helps to ease the pain. As the nerve swells, it can be felt as a popping sensation when walking. Pain is intermittent and is aggravated by anything that results in further pinching of the nerve. When the neuroma is present in the space between the third and fourth toes, it is called a Morton's Neuroma. This is the most common area for a neuroma to form. Another common area is between the second and third toes. Neuromas can occur in one or both of these areas and in one or both feet at the same time. Neuromas are very rare in the spaces between the big toe and second toe, and between the fourth and fifth toes. Neuromas have been identified in the heel area, resulting in heel pain.
• Toenail Problems
  Many people have difficulty with their toenails and need assistance in caring for them. A foot and ankle surgeon can diagnose the cause of toenail problems and can recommend treatments.
• Foot Orthotics
  If the heel pain persists your foot doctor may suggest a cortisone injection, taping the foot to support the arch, night splints to stretch the calf muscles at night while you are sleeping or functional foot orthotics. On occasion surgery may be required to cure this condition. Orthotics should be tried before surgery and should be used following the surgical procedure ( See surgical treatment of plantar heel pain ).
• Plantar Fasciitis
  If the heel pain persists your foot doctor may suggest a cortisone injection, taping the foot to support the arch, night splints to stretch the calf muscles at night while you are sleeping or functional foot orthotics. Surgery is rarely needed. Our office has the newsets technologies for plantar fasciitis including: Extracorporeal shockwave therapy, MLS laser therapy, and stem cell injections which makes surgery rarely necessary.
• Podiatric Deformities
  People with foot deformities, such as hammertoes, often suffer from corns because the tops of the bent toes rub against the tops of shoes.
• Podiatric Surgery
  Dr. Charles Kurtzer is a founding partner of the FOOT group. Dr. Kurtzer graduated from the California College of Podiatric Medicine in San Francisco in 1982. Prior to attending CCPM, he received his BA from Rutgers College in microbiology and his MS in biology from Seton Hall University. After completing his residency in podiatric surgery at St. Michael's Medical Center in Newark, NJ he entered private practice with his father, Dr. Morris Kurtzer forming the Suburban Podiatry Group. Dr. Kurtzer is a Diplomate (board certified) of the American Board of Podiatric Surgery.

Allergists

• Allergies