- Warts
- ArthritisPatients who have fibromyalgia can have pain anywhere in their bodies, including the feet. This type of pain can greatly impact the quality of life because walking is such an essential function. Those who have fibromyalgia and foot pain have described it as a burning sensation on the bottom of the feet. It can also be uncomfortable as the shoes touch the soles or tops of the feet. The reason some people with this ailment have foot pain is unknown, but some studies have shown the nerves of the feet may get triggered. Additionally, the inflammation that comes with fibromyalgia can affect the fascia, which is a band of tissue that runs from the heel to the toes. The plantar fascia is on the bottom of the foot and helps to support the arch and the joint just below the ankle. There may also be coexisting conditions such as rheumatoid arthritis or lupus that can exasperate the foot pain felt with fibromyalgia. Left untreated, foot pain and a change in gait can lead to problems in the rest of the body. If you have fibromyalgia and are experiencing foot pain, it is suggested that you see a podiatrist who can provide the best treatment for you.
- Fibromyalgia
- Plantar FasciitisTraumeel is an alternative to cortisone (steroid) injections. It is a botanical, plant based medicine that is indicated for the treatment of plantar fasciitis, tendonitis, arthritis, and swelling associated with trauma (such as ankle sprains, fractures and post surgery).
- Medical Weight LossIf you’re experiencing any discomfort or pain due to one of the above forms of arthritis, consider over-the-counter pain medication and investing in comfortable footwear. Pain medication coupled with top of the line comfort footwear is a great way to ease the pain that often comes with arthritis. If you’re overweight, it’s also recommended to think about setting a weight loss goal to ease some of the pressure on your feet, as well stay as active as possible. Applying ice or heat to the affected area is another way to calm the discomfort you may experience. It’s important to do research and see whether inserts may be beneficial for you. General foot care, like pampering your feet and keeping them well maintained, is also recommended. Lastly, you should seek professional advice and learn about potential surgery options, if necessary.
- Emergency CareDr. Sivadasan is a top specialist for RubiconMD, one of the nation’s largest eConsult companies. He is the first podiatrist ever to join their company as a consultant to manage podiatry cases across the country on their platform. He is able to improve patient care plans and decrease healthcare costs by reducing the number of unnecessary appointments and emergency room visits through RubiconMD.
- Diabetic Foot CareOur doctors are available to treat foot and ankle ailments such as diabetic foot care, ingrown toenails, fungal toenails, warts and painful calluses. Our practice specializes in general foot care.
- Eye Exam
- Kidney StonesSimilar to how kidney stones are broken up in the bladder, the Shockwave therapy has revolutionized the sports medicine world. No longer are doctors reliant on cortisone injections for treating musculoskeletal injuries.
- Diabetes Care
- UltrasoundExtracorporeal Pulse Activation Technology (“EPAT” for short), utilizes high powered ultrasound waves to break up scar tissue and promote blood flow to damaged structures.
- MRIThe most common injuries that can trouble the Achilles tendon are tendon ruptures and Achilles tendinitis. Achilles tendinitis is the milder of the two injuries and can be recognized by the following symptoms: inflammation, dull to severe pain, an increased flow of blood to the tendon, thickening of the tendon, and slower movement time. Tendinitis can be treated via several methods and is often diagnosed by an MRI.
- X-Rays
- General SurgeryDr. Brittany Ciaramello graduated Cum Laude from the University of Scranton with a Bachelor of Science in Neuroscience and a minor in Biochemistry. She earned her Doctorate of Podiatric Medicine from the New York College of Podiatric Medicine. She completed a three year podiatric surgical residency program at Yale New Haven Hospital. During her training at Yale, Dr. Ciaramello learned from some of the top physicians in the field’s of podiatry, orthopedics, general surgery, vascular surgery, and plastic surgery. As a resident, she was part of a multi-disciplinary limb preservation clinic, which involved podiatric surgery, interventional cardiology, and vascular surgery teams seeing patients together, to allow for better patient outcomes. During her time there she authored and co-authored several podiatric studies that were published in peer-reviewed medical journals.
- Orthopedics
- Wound CareWound care is particularly important for those with diabetes. It’s possible that what appears to be a small wound could turn into more severe foot complications down the road if left untreated. It’s common for those with diabetes to experience neuropathy. Neuropathy is a type of nerve damage that affects the body and can cause you to lose feeling in the feet. If you’re no longer experiencing feeling in your feet and a wound develops, it’s very possible it may go unnoticed if you don’t check your feet daily.
- Ankle SurgeryWhen it comes to receiving foot and ankle surgery, it’s typically a case by case situation. Some factors that play a role in whether or not you need surgery include the severity of your symptoms as well as your response to other conservative, noninvasive treatment methods.
- Bunion SurgeryDr. Sivadasan received his Bachelors of Science in Integrative Neuroscience from SUNY Binghamton University. Following his undergraduate studies, he attended Temple University School of Podiatric Medicine in Philadelphia, PA where he received his doctorate He then returned to NY and completed a Podiatric Medicine and Surgery Residency with added credentials in Reconstructive Rearfoot/Ankle Surgery at Montefiore Medical Center in Bronx, NY. During his residency, he trained under various departments within the large academic institution including Podiatric Surgery, Foot and Ankle Orthopedic Surgery, and Pediatric Orthopaedic Surgery. He has received training in diverse and innovative conservative and surgical treatment options including extracorporeal shock wave therapy, minimally invasive bunion surgery, and Botox for hyperhidrosis. Dr. S’s special interests include diabetic foot care, wound care, sports medicine, and reconstructive foot surgery.
- Orthopedic Surgery
- BunionsGenetic factors are important in the formation of bunions – people who get bunions are usually genetically predisposed to this bone displacement and may cause its onset by wearing ill-fitting shoes or by running or walking in a way that causes stress to the feet. Another common cause for bunions is wearing high heeled shoes. The weight of the body in these shoes pushes the toes into an unnatural position, possibly causing bone displacement.
- Vascular Surgery
- Ingrown ToenailsThere are many ways to maintain healthy foot care when dealing with diabetes. Most importantly, you want to ensure that you’re managing your blood glucose levels, otherwise known as your blood sugar. You also want to ensure that you’re checking your feet daily. As mentioned before, it’s important to recognize if your feet have cuts, sores, blisters, plantar warts, ingrown toenails, or other troubling foot conditions to stay ahead of the issue and prevent yourself from further harm. Along with foot checks, you should also wash and dry your feet daily using lukewarm water. It may also be useful in certain cases to moisturize your feet a few times a week, especially if you’re prone to dryness. Please be advised, however, to avoid moisturizing between the toes as they will not dry properly. Another rule you may want to follow is to ensure you’re cutting your toenails straight across. You should also refrain from digging into the sides of the toes; this will help prevent the development of an ingrown toenail. If you do happen to develop a corn or callus, never treat them yourself; seek the help of a professional. It may also be beneficial to look into socks made specifically for those with diabetes to help provide yourself with extra cushion. You may also want to refrain from walking barefoot, as well as avoid smoking, as it restricts the blood flow to your feet.
- Botox
- Plastic Surgery
- CornsCorns are thickened areas on the skin’s surface, and they can be irritating and painful. Corns are commonly found on the feet, and they are typically circular or cone-shaped. They develop where there are areas of pressure or friction, such as on the little toe when it rubs up against shoes, or on the ball of your foot.
- CallusesWhile corns are often confused with calluses, there is a difference between them. Corns are raised bumps that consist of rough, thickened areas of skin that may be dry or waxy. They also tend to be surrounded by skin that is inflamed and are usually much smaller than calluses.
- FungusAthlete’s foot is an extremely contagious infection caused by a fungus that results in itching, burning, dry, and flaking feet. The fungus that causes Athlete’s foot is known as tinea pedis and thrives in moist, dark areas such as shower floors, gyms, socks and shoes, commons areas, public changing areas, bathrooms, dormitory style houses, locker rooms, and public swimming pools. Athlete’s foot is difficult to treat as well because of the highly contagious and recurrent nature of the fungus.
- Sports MedicineOver the last 35 years, Dr. Jim Donovan has been a fixture in the Toms River, NJ community. He has treated over 60,000 patients, performed over 2,000 surgeries and was in private practice up until 2021. However, he was most passionate about treating sports medicine injuries, having been an ardent runner with 3 marathons and 1 half triathlon under his belt.
- Physical TherapySomeone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.
- Flatfoot Correction
- Heel Pain
- Ankle SprainThere are many factors that play into the cause of ankle sprains. Simple, everyday activities like walking can lead to an ankle sprain if the activity is being done on an uneven surface. The same goes for running or exercising. Those who partake in sports may be more susceptible to obtaining a sprained ankle because they’re more likely to fall or land uncomfortably after a jump, which can lead to an injury.
- Orthotics and Prosthetic Therapy
- General PodiatryTo ensure your convenience, below is the information you need about our podiatry office, including our hours, location, appointment scheduling and insurance acceptance.
- Achilles TendonitisOur doctors treat a variety of conditions with this device, such as heel pain/plantar fasciitis, achilles tendonitis, posterior tibial tendonitis, peroneal tendonitis, and neuromas.
- Ankle SprainAnkle pain, while initially thought of as an issue for athletes, can affect anyone at anytime. Simple, everyday activities, such as walking or running on an uneven surface, have the possibility of causing serious harm to one’s ankle. That is, however, not to discount athletic injuries; in fact, half of all ankle sprains are inflicted during an athletic activity. The most common causes of ankle injuries include tripping or falling, landing awkwardly after jumping, a sudden impact such as a car crash, or twisting, rolling, and rotating of the ankle.
- Arthritic Foot Care
- Bunions ProblemsA podiatrist who specializes in foot structure and biomechanics can quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.
- Calluses
- Diabetic Foot CareUnfortunately, foot problems are often a common result of having diabetes. As time goes by, it’s likely that diabetes can cause nerve damage, also known as diabetic neuropathy. This can lead to tingling or a painful sensation, and it may also cause you to lose feeling in your feet. The loss of feeling in your feet can become incredibly dangerous, especially if you can longer sense a blister or cut on your foot; this can lead to sores or infections.
- Flat FeetIt may also be helpful to look into footwear that provides your feet with extra support to avoid fallen arches and ingrown toenails, as well as to help you keep your balance while going about your daily activities. In more severe cases, depending on the foot condition you’re experiencing, some podiatrists may suggest custom orthotics or shoe inserts to help correct the alignment of your feet.
- Fungus ToenailsToenail fungus is one of the top conditions seen at the office, and one of the more difficult to treat. Causes of toenail fungus include genetics, environmental, and various medical conditions such as diabetes. While there are several treatment approaches available for toenail fungus, most will fail if the true cause of the toenail fungus is not addressed. Dr. Donovan will take a detailed history and when needed, send a piece of nail for pathology testing in order to provide the best course of treatment.
- Geriatric Foot CareAs you age, it’s important to pay good attention to your overall health; this includes the well being of your feet. The feet are considered the foundation of the body; if their hygiene becomes at risk, it’s possible you can find yourself immobile and in pain. To avoid this, it’s recommended that senior citizens, in particular, take early action in maintaining the health of their feet.
- HammertoesHammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics: the person’s particular gait or the manner in which they walk, or shoes that do not comfortably fit the deformity. Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time, causing the muscles to shorten and toes to bend into the deformity of a hammertoe.
- Heel SpursA heel spur is a bony protrusion that occurs on the heel. It is often confused with plantar fasciitis, which is inflammation of the plantar fascia ligament. When a heel spur is painful it can make it quite difficult to walk.
- Heel Pain
- Foot Pain
- Ingrown ToenailsTreatment for an ingrown toenail will vary on a case by case basis. One form of treatment requires lifting the ingrown nail and placing a splint or piece of cotton underneath. Another method for a more severe case would involve partially removing the nail. For cases that need extreme care, the nail itself and tissue would have to be removed.
- Foot Neuroma
- Foot Orthotics
- Plantar FasciitisPlantar fasciitis affects the plantar regions of the foot, namely the heel, arch, and midfoot. When too much stress is put on the plantar fascia, or the connective tissue that stretches from the heel to the ball of your foot, inflammation, overtightening, and tearing may arise. This can cause foot pain. Because of plantar fasciitis, you may experience tearing with the first steps you take in the morning each day.
- Podiatric SurgeryDr. Donovan is Board Certified in Foot Surgery. Dr. Donovan is currently on staff at Saint Barnabas Medical Center, Union Surgery Center, and Surgicare of Central Jersey.