Warren, Livingston & Toms River
908-605-0799
Request Appointment Text Number: 908-336-1488

Foot & Ankle Problems

Fungal Nails

Toenail 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.

Heel Pain

While there are many causes of heel pain, the most common cause is a condition called Plantar Fasciitis (sometimes referred as Heel Spur Syndrome). Plantar Fasciitis is an overuse injury that occurs over time, leading to a build-up of scar tissue on the ligament running along the bottom of the foot. Therefore, the goal of treatment is the reduction of scar tissue. Dr. Donovan utilizes several treatment approaches for this, with 97% of patients successfully treated without surgery.

Gout

Gout is a diet-induced condition that causes joint inflammation, particularly the joints of the foot and ankle. Pain, redness and swelling of the big toe joint is the most common symptom. The pain can be quite intense, sometimes sending patients to the emergency room. Dr. Donovan’s gout patients usually obtain symptom relief within hours of their office visit.

Plantar Warts

Plantar warts are viral infections of the skin that cause painful, callus-like lesions on the bottom of the foot. Left untreated the virus can multiply quickly, spreading across the foot and infecting other household members. The sooner warts are diagnosed, the easier they are to treat. Dr. Donovan’s treatment of warts is virtually painless, and kids love it. He has successfully treated hundreds of patients with warts, without a single failure.

Achilles Tendonitis

The Achilles tendon is the large tendon located on the back of heel. Inflammation of this tendon can lead to Tendonitis. This is an overuse injury that can occur over time. The most common symptom is pain when walking down stairs. In the past, Achilles Tendonitis was difficult to treat with few treatment options. However, Dr. Donovan utilizes several innovative treatment options such as PRP, Topaz, FAST Procedure, EPAT, and ESWT.

Bunions

Despite popular belief that bunions form from a bony growth on the side of the foot (it sure looks that way), bunions are actually caused by the dislocation of the big toe joint. This dislocation forms the characteristic “knuckle” on the side of the foot. Bunions have a strong genetic component that tends to run in families. X-rays of the foot are the only way to truly evaluate a bunion, and determine the best treatment option.

Neuroma

Neuromas are pinched nerves of the foot. The most common symptom is a burning, shooting-type pain near the front of the foot. Neuroma patients may also feel like there is a sock bunched up in their shoe, or like they’re walking on a hot stone. Like pinched nerves in the spine, most neuromas improve greatly with a single cortisone shot in the area of pain. Dr. Donovan is also using EPAT therapy on neuromas with great outcomes.

Hammertoe

Hammertoes can be inherited or caused by medical conditions such as Diabetes. The root cause is a musclar imbalance causing the toes to become bent. Excessive bending of the toes in combination with improper shoegear can lead to painful corns, located on the top or tip of the toes. In Dr. Donovan’s practice, most patients obtain relief with a change in shoegear, shaving of the corns, and proper padding. In some cases surgical straitening of the toe is needed.

Flat Feet

Flat Feet is usually an inherited condition that starts at a young age. Most common cause is misalignment of the foot and ankle bones, which causes muscular imbalance in the form of excessive pronation. Treatment involves strengthening the weaker muscles in the ankle, and orthotic devices (ie. shoe inserts). Orthotic devices, place the foot and ankle in correct anatomical alignment. Most insurance plans cover orthotics, but if there is a problem with coverage, Dr. Donovan provides the lowest out of pocket cost for custom made orthotics in the area, please call to find out more.

Athletes Foot

Athletes Foot is a fungal infection of the skin. Often confused for dry skin, and made worse by excessive applications of moisturizers, symptoms can be as mild as dry white flaky skin or as severe as blistering, itchy, red skin. Proper evaluation is needed in order to determine whether topical medication is sufficient enough or if oral medication is warranted.

Ingrown Toenails

Ingrown nails are caused by corners of the toenail digging into the skin, causing an open sore. This open sore can become infected requiring immediate medical attention. Most mild cases (those caught early enough) can be treated with some foot soaking, and a combination or oral/topical antibiotics. However in more severe cases, a small, pencil tip size portion of nail is removed in the office under local anesthesia.

Warren Office

The Corner Village at Warren
9 Mount Bethel Road, Suite 209 Warren, New Jersey 07059

908-605-0799

Appointment Request Text Number:
908-336-1488

Livingston Office

Ambulatory Care Center of Barnabas Health 200 South Orange Ave, Suite 107
Livingston, New Jersey 07039

908-605-0799

Appointment Request Text Number:
908-336-1488

Toms River Office

The Commons
104 Commons Way, Suite A
Toms River, New Jersey 08755

908-605-0799

Appointment Request Text Number:
908-336-1488

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