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1648 US Highway 130
North Brunswick, NJ 08902

November 2023

Tuesday, 28 November 2023 00:00

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Tuesday, 28 November 2023 00:00

Treatment for Ingrown Toenails

Ingrown toenails can be a painful and persistent issue, usually affecting the big toe and causing discomfort, inflammation, and sometimes bleeding. An ingrown toenail often results from wearing tight shoes, foot injuries, genetics, or poor foot care. When the curved edges of the nail pierce into the surrounding skin, pressure builds up, leading to pain, inflammation, tenderness, and redness. Beyond conservative treatments, there are two primary surgical methods for treatment, which are referred to as partial nail avulsion and total nail avulsion. Both are conducted under local anesthesia. Partial nail avulsion involves removing a portion of the nail, known as a wedge resection. The procedure trims one or both edges of the nail to make it narrower and give it a straight edge. This ingrown toenail treatment takes approximately 30 minutes and has a high success rate. With total nail avulsion, the entire nail is removed. This procedure is often reserved for those with recurrent issues or who are unresponsive to other less invasive ingrown toenail treatments. Proactive toenail care and early intervention are key to addressing ingrown toenails effectively. To manage an exceedingly painful or infected ingrown toenail, it is suggested that you make an appointment with a podiatrist for an exam, in addition to determining if surgery is best for you.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Robert Fink of Brunswick Foot & Ankle Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 21 November 2023 00:00

Foot Care for Pregnant Women

The natural weight that pregnant women gain causes their center of gravity to be completely altered. This causes them to have a new weight-bearing stance which adds pressure to the knees and feet. As a result, pregnant women often experience severe foot pain. The two most common foot issues experienced by women in their pregnancies are edema and over-pronation. It is important for all pregnant women to learn more about how to take care of their feet so they are more comfortable during their pregnancy.

Over-pronation, which is commonly referred to as flat feet, is caused when a person’s arch flattens out upon weight bearing. This causes the person’s feet to roll inward while walking. Pregnant women often experience this due to the sudden weight they gain.

Edema, also referred as swelling in the feet, typically occurs in the later part of the pregnancy. It is the result of the extra blood accumulated in the pregnant woman’s body. The enlarged uterus puts more pressure on the blood vessels in the pelvis which causes leg circulation to slow down. This causes blood to pool in the lower extremities.

Fortunately, there are ways to treat both edema and over-pronation. Edema can be treated by elevating the foot as often as possible. Wearing proper fitting footwear will also be helpful for those with edema. A treatment method for over-pronation could be orthotics. Orthotic inserts should be designed with appropriate arch support and medial rear foot for your foot.

It is best for pregnant women to buy new shoes during the day, because this is the time where swelling is at its peak. Pregnant women also shouldn’t rush when buying shoes. It is always advised that you make sure your shoes fit properly but this is especially important during pregnancy.

If you are a pregnant woman, you should consult with a podiatrist in order to make sure your feet are healthy throughout the entirety of your pregnancy.

Tuesday, 21 November 2023 00:00

Does Pregnancy Lead to Changes in Foot Size?

Pregnancy is a transformative journey that brings about numerous changes in a woman's body. While most expectant mothers are well aware of the more obvious alterations, such as weight gain and a growing belly, the potential impact on foot size is a less commonly discussed topic. Many women wonder if their feet will permanently change in size during pregnancy. The answer, in most cases, is possibly. During pregnancy, hormonal changes, particularly the release of relaxin, can affect the ligaments in the body, including those in the feet. This increased flexibility may lead to a temporary, and sometimes permanent, increase in foot size. Additionally, as pregnancy progresses, fluid retention and swelling, known as edema, can cause the feet to become temporarily larger. While swelling typically subsides after childbirth, some women may find that their feet remain slightly larger than they were before pregnancy. Overall, it is important for expectant mothers to be prepared for these potential changes, and consider investing in comfortable, supportive footwear during and after pregnancy to ensure proper foot health and comfort. If you would like more information about how pregnancy can affect the feet, it is suggested that you confer with a podiatrist.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Robert Fink from Brunswick Foot & Ankle Group. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Care for Pregnant Women
Tuesday, 14 November 2023 00:00

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.

Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.

Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.   

Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.

It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.

Tuesday, 14 November 2023 00:00

Foot Injury From Playing Baseball

Baseball is a dynamic sport that requires players to engage in varied physical activities such as sprinting to bases, batting, throwing, and pitching. Players often experience rapid changes in movement, from running in straight sprints to shifting side to side while taking leads or fielding. Stability is vital, particularly in the lower body, to manage the force from these movements. The right foot is especially important due to its frequent contact with the base corners while running. Sliding injuries are common, with feet-first slides presenting a higher injury rate than head-first ones. Most injuries from sliding are minor, although some can sideline players for over a week. The introduction of breakaway bases has helped reduce such injuries. Pitchers need shoes with rigid soles for effective push-off, while catchers require flexibility in the forefoot due to their crouched position. All foot types, whether arched or flat, can adapt to the sport. Baseball injuries can vary, but a comprehensive approach to treatment includes a full history and physical exam, including an assessment of the player's shoes and gait. If you have endured a baseball foot injury, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment plan.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Robert Fink of Brunswick Foot & Ankle Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sports Related Foot and Ankle Injuries
Friday, 10 November 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 07 November 2023 00:00

What Is Hyperhidrosis and How Is It Treated?

Excessive sweating, termed hyperhidrosis, occurs when individuals sweat profusely without apparent reasons such as heat or physical exertion. The two types of hyperhidrosis are focal hyperhidrosis, localized to specific body parts like the feet, and generalized hyperhidrosis, affecting the entire body due to potential medical issues. Regular sweating is the body's natural cooling mechanism during heat or exertion, whereas excessive sweating may be due to idiopathic hyperhidrosis, a hereditary condition with unknown causes. Certain medical conditions and medications can also be culprits. While not directly harmful, hyperhidrosis can impact an individual's emotional well-being and social interactions, and lead to conditions like eczema. Diagnosis involves an evaluation. Managing hyperhidrosis includes maintaining hygiene, wearing breathable fabrics, and drinking ample water. If your feet sweat excessively, it is suggested that you make an appointment to see a podiatrist who can evaluate your specific condition and offer appropriate treatment options.

If you are suffering from hyperhidrosis contact Dr. Robert Fink of Brunswick Foot & Ankle Group. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Hyperhidrosis of the Feet
Tuesday, 07 November 2023 00:00

Hyperhidrosis of the Feet

Hyperhidrosis of the feet, also termed plantar hyperhidrosis, is characterized by excessive sweating of the feet that can be onset by any cause, such as exercise, fever, or anxiety. Most people suffering from hyperhidrosis of the feet also experience hyperhidrosis of the hands, or palmar hyperhidrosis. Approximately 1-2% of Americans suffer from this disorder.

Sweating is a healthy process utilized by the body in order to cool itself and maintain a proper internal temperature, which is controlled by the sympathetic nervous system. In individuals with hyperhidrosis, the sympathetic nervous system works in "overdrive", producing far more sweat than is actually needed.

Plantar hyperhidrosis is considered primary hyperhidrosis. Secondary hyperhidrosis refers to excessive sweating that occurs in an area other than the feet, hands, or armpits, and this indicates that is related to another medical condition, such as menopause, hyperthyroidism, or Parkinson's disease.

Symptoms of hyperhidrosis of the feet can include foot odor, athlete's foot, infections, and blisters. Because of the continual moisture, shoes and socks can rot which creates an additional foul odor and can ruin the material, requiring shoes and socks to be replaced frequently. In addition to the physical symptoms, emotional health is often affected as this disorder can be very embarrassing.

If left untreated, hyperhidrosis will usually persist throughout an individual's life. However, there are several treatment options available. A common first approach to treating hyperhidrosis of the feet is a topical ointment. Aluminum chloride, an ingredient found in antiperspirants, can be effective at treating hyperhidrosis if used in high concentration and applied to the foot daily. Some individuals can experience relief this way, while others encounter extreme irritation and are unable to use the product. Another procedure is the use of Botulinum Toxin A, commonly referred to as Botox. This is injected directly into the foot, and is effective at minimizing the sweat glands in the injected area. These injections must be repeated every 4 to 9 months.

If these treatments are ineffective, oral prescription medications may be taken in an effort to alleviate the symptoms. Again, some will experience relief while others do not. Going barefoot reportedly provides relief for most sufferers.

A final approach to combating hyperhidrosis of the feet is through surgery. Surgery has been less successful on patients with plantar hyperhidrosis than on those with palmar hyperhidrosis. It is only recommended when sweating is severe and other treatments have failed to work. This kind of surgery usually involves going into the central nervous system, and cutting nerves to stop the transmission of signals telling the foot to sweat.

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