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1648 US Highway 130
North Brunswick, NJ 08902

June 2023

Tuesday, 27 June 2023 00:00

An Infected Ingrown Toenail

An ingrown toenail is when the corner of the toenail grows into the surrounding skin. This typically happens to the nail on the big toe from improper nail cutting and it can be painful. There may be redness, a hardening of the skin, and swelling around the nail. If an ingrown toenail is not tended to, it can bleed and foul-smelling pus may ooze from it. An infection can also develop, which can spread to underlying bones. Those who have reduced circulation to the feet, such as people who are diabetic or who have peripheral arterial disease, may be more prone to developing ingrown toenails. An infection from a bacteria or fungus can come from an ingrown toenail. Those with risky underlying conditions may find it harder to heal which may lead to severe complications. If you have an ingrown toenail and it is painful or looks like it is infected, it is strongly suggested that you see a podiatrist for immediate treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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 care needs.

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Tuesday, 27 June 2023 00:00

Ingrown Toenails

Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.

An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.

Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.

People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.

Tuesday, 20 June 2023 00:00

Flat Feet

Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.

Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.

It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.

There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.

Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes. 

Tuesday, 20 June 2023 00:00

Dealing With Flat Feet

Flat feet, also termed pes planus, is a condition where the arch of the foot collapses and the bottom of the foot lies flat on the ground. Three common types of flat feet are flexible, rigid, and adult-onset. Flexible flat feet are the most common, where the arch is visible while sitting, but disappears when weight is taken off of the foot. It affects both feet and gradually worsens with age. With rigid flat feet, the foot arch is missing in all conditions. The feet may become painful and it may be difficult to flex the foot or even move it from side to side. This may affect one or both feet. Adult-acquired, or fallen arches, occurs when the arch suddenly collapses. This problem commonly affects only one foot, and is frequently the result of an injury to the tendon that supports the arch. Certain conditions can bring on the occurrence of flat feet, including Achilles tendon injuries, broken bones, obesity, and pregnancy. To manage flat feet, it is suggested that you consult a podiatrist who can determine the cause and offer treatment options.     

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Robert Fink from Brunswick Foot & Ankle Group. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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, 13 June 2023 00:00

Arthritic Foot Care

During your lifetime, you will probably walk about 75,000 miles, which is quite a lot of stress to put on your feet. As you get older, the 26 bones and 30 joints in each of your feet will lose flexibility and elasticity. Your foot’s natural shock absorbers will wear down as well. Having arthritis added to this mix only makes matters worse. Your joints will become distorted and inflamed, which is why arthritic foot care needs to be something to think about every day.

When dealing with arthritis, having additional foot complications, such as bunions, hammertoes, or neuroma, can be a serious detriment. To avoid these, buy well-fitting shoes with a lower heel and good support. Arthritis causes you to lose your arch, so having shoes with good arch support is also highly recommended.

Aside from getting good arch support, the shoes need to fit comfortably and properly as well. A good place to start is by leaving a finger width between the back of the shoe and your foot to gauge proper size. It is also helpful to have a square or rounded toe box in the front to provide even more comfort. Another thing to look for is a rubber sole that can provide a cushion and absorb shock as you walk. This adds flexibility to the ball of your foot when you push off your heel to walk.

Exercise is another key aspect of arthritic foot care. Exercise not only strengthens and stretches your muscles and joints, but helps to prevent further injury and pain as well. Stretching the Achilles tendon, the tendon located in the back of your heel, will give you added mobility and reduce pain due to stress. Another thing you can do is massage your feet, kneading the ball of your foot as well as your toes from top to bottom.

Stretching the Achilles tendon is a simple exercise that you can do at home anytime. Lean against the wall with your palms flat against the surface while placing one foot forward, towards the wall, and one foot behind you. Bend your forward knee towards the wall while keeping your back knee locked straight, and make sure both your heels are completely touching the ground at all times. This will stretch your Achilles tendon and calf muscles as well. You will feel the stretch almost immediately. You can also stretch your toes in a couple ways. One involves taking a rubber band and wrapping it around both your big toes while your heels remain together. Then, pull them apart to stretch your big toe. You can also place a rubber band around all the toes of one of your feet. Then, try to separate each individual toe, stretching them all.

A final step you can take to help your arthritis is taking non-steroid, non-inflammatory drugs or topical medicines with capsaicin. Unfortunately, there is no complete way to remove all of your arthritic pain. However, following some of this advice can go a long way in staying as pain-free as possible.

Tuesday, 13 June 2023 00:00

Categories of Arthritis

People often take their feet for granted until they begin to hurt. Arthritis in the feet can cause severe pain and discomfort, and it is beneficial to learn proper arthritic foot care. Four types of arthritis can affect the feet. These are classified as osteoarthritis, rheumatoid arthritis, gout, and post-traumatic arthritis. Studies suggest that osteoarthritis is the most common form of arthritis and causes wear and tear to the joints over time. When crystals form in the joints of the big toe, it can be indicative of gout. This is a condition that is caused by genetic factors or by specific types of foods that are frequently eaten. Rheumatoid arthritis, or RA, is an autoimmune disease that can target the joints in the feet causing severe pain and inflammation. If the foot is injured, the patient may develop post-traumatic arthritis, which can be a result of ankle trauma. There are several treatment options available and this often depends on the type of arthritis the individual has. If you have arthritis in your feet, it is strongly suggested that you are under the care of a podiatrist who can guide you toward the correct treatment method.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Robert Fink from Brunswick Foot & Ankle Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

  • Exercises that stretch the foot can prevent further pain and injury and increase mobility
  • Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
  • Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

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

Read more about Arthritic Foot Care

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 06 June 2023 00:00

Rheumatoid Arthritis in the Feet

Rheumatoid Arthritis is a chronic progressive disease that attacks several joints throughout the body. It is an autoimmune disease in which the body’s immune system mistakenly attacks the joints. As a result, the tissue inside the joints, called synovium, starts to thicken and causes pain around the joints. The synovium is responsible for creating a fluid that lubricates the joints to help them move. Approximately 1.5 million people in the United States have Rheumatoid Arthritis. Women are almost three times as likely to have RA compared to men, and it’s disease usually begins between the ages of 30 and 60. People who have a genetic history of RA are more likely to develop the disease.

Symptoms of RA may include the following sensations in the joints: pain, tenderness, swelling, redness, warmth, stiffness, and loss of range. Swollen joints are a very common symptom for those with the disease. At times, it may be minimal, but it may also be very apparent. Another typical symptom is joint stiffness. Doctors will often use the direction of morning stiffness to measure the severity of a patient’s joint inflammation. Other RA symptoms include limping, anemia, fever, and fatigue.

To diagnose RA, your podiatrist will typically request x-rays to see how much damage there is in the joints. Blood tests may also be performed to show if there are any signs of anemia, or antibodies such as the rheumatoid factor. If you have previously been diagnosed with RA, you should know the disease may spread to your feet and ankles.

There are many non-surgical options that can be used to treat this ailment. Some of these options include physical therapy, foot massages, orthotics, bracing, supportive shoes, and steroid injections. Physical therapy is useful because it will help stretch and strengthen the joints in both the foot and ankle to improve joint function. Massages can help improve blood circulation which will be good for the feet. Choosing proper footwear will allow you to walk with comfortability if you are a sufferer from RA. Lastly, bracing will help stabilize the foot joints, limit deformities and decrease pain.

In severe cases, surgery may be a treatment option that should be considered. For those who cannot walk without experiencing pain and those whose deformities can not be managed with braces, surgery should be considered. Your podiatrist will recommend surgery if he or she believes it will improve your foot biomechanics.

People who develop rheumatoid arthritis, or RA, are no strangers to the pain this condition can cause. The symptoms that often accompany this ailment can include stiffness, and the joints throughout the body may be swollen. The feet can be affected by rheumatoid arthritis, and it may be difficult to walk and complete daily activities. RA is considered to be an autoimmune disease, and it attacks the lining of the joints. Some patients can experience fevers, extreme fatigue, and possible weight loss. The components of the feet that are affected can include the cartilage, toe joints, and the joints that connect the foot and the ankle. Patients who are afflicted with RA look for relief, and may find it, by wearing custom-made orthotics, practicing a regular exercise routine, and maintaining a healthy weight. If you have foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rheumatoid arthritis.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. Robert Fink of Brunswick Foot & Ankle Group. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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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