Swollen feet and ankles, also known as peripheral edema, occur when fluid accumulates in the tissues of the lower limbs. This condition may be caused by various factors, including extended periods of standing or sitting, excess body weight, or medical conditions like venous insufficiency, where veins struggle to pump blood effectively. Injuries or infections in the foot or ankle may also lead to swelling due to increased blood flow to the affected area. While peripheral edema is often painless, swelling that is persistent or unusual may indicate underlying issues such as blood clots, lymphedema, or certain hormonal changes. A podiatrist can evaluate the cause of swelling and rule out serious complications. This foot doctor also can recommend ways to improve circulation, manage discomfort, and prevent long-term damage to the feet, toes, and ankles. If you have unusually swollen feet or ankles, it is suggested that you schedule an appointment with a podiatrist for an exam and diagnosis.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Tarsal tunnel syndrome, or TTS, is a painful condition where the tibial nerve, located near the ankle, becomes compressed within the tarsal tunnel. People with rheumatoid arthritis, or RA, are more prone to TTS due to joint inflammation and swelling that increase pressure on surrounding nerves. This nerve compression can lead to symptoms like tingling, burning, numbness, or sharp pain radiating from the ankle into the foot, worsening with prolonged standing or walking. Those with RA are at higher risk because chronic inflammation can alter joint structure and create nerve impingement. People with foot deformities or those who overuse their feet are also at risk. Managing TTS often involves rest, anti-inflammatory treatments, or targeted exercises. A podiatrist can evaluate the severity, recommend braces, custom orthotics, or even surgery, ensuring a treatment plan that aligns with each patient’s needs. If you have pain in this part of your ankle, it is suggested that you visit a podiatrist for a proper diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Wearing high heels can significantly impact both physique and gait. The elevated heel forces the body to shift its weight forward, which can alter posture and lead to an unnatural spinal curve. This change in alignment often results in tension in the lower back, hips, and knees. Over time, consistent use of high heels can contribute to muscle imbalances, as certain muscle groups, such as the calves, become shortened while others, like the hamstrings, may weaken. Gait is also affected, as high heels cause the wearer to take shorter, less stable steps, increasing the risk of stumbling or twisting an ankle. Additionally, the pressure placed on the toes can lead to foot problems like bunions or hammertoes. If you have developed foot pain from wearing high heels, it is suggested that you consult a podiatrist who can offer relief and treatment tips, in addition to guiding you toward appropriate high-heel choices. 

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.