Toenail fungus, medically known as onychomycosis, often results in nails becoming brittle, thickened, and discolored to a whitish-yellow or brown. This condition frequently affects nails on the big toes and may lead to the nail separating from the nail bed if left untreated. A fungal toenail typically starts at the front or side edge of the nail and is caused by dermatophytes, though yeast or mold can occasionally be involved. Risk factors include athlete’s foot, wearing tight shoes, nail damage, and poor circulation. Toenail fungus is more common among older adults and anyone with a weakened immune system. Because fungal toenail infections rarely resolve on their own, seeing a podiatrist is often necessary. This foot doctor can offer treatments such as topical medication, oral antifungal pills, or laser therapy to target the infection. It may even take a combination of treatments, depending on the severity and type of fungus involved. If you believe you have a fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

For more information about treatment, 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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

Choosing the right hiking boots is important for your foot health and comfort on the trails. Hiking can put a lot of stress on your feet, especially if you are carrying a heavy pack or are hiking on uneven terrain. The proper hiking boots provide the necessary support, stability, and cushioning to reduce the risk of foot pain, blisters, and even long-term injuries like plantar fasciitis or tendonitis. When selecting hiking boots, it is important to consider the type of hiking you plan to do. Lightweight boots may be suitable for shorter day hikes on well-maintained trails. For more challenging terrain or longer backpacking trips, midweight or heavy-duty boots provide better ankle support and protection from rough surfaces. Getting the right fit is equally important as boots that are too tight or too loose can lead to foot or ankle pain and injury. A podiatrist can help by assessing your foot’s structure and gait in order to determine which boots or orthotics will provide the best fit and support. If you have foot problems as a result of hiking, it is suggested that you schedule an appointment with a podiatrist.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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 care needs.

Achieving proper running form is essential for enhancing performance and reducing the risk of injury, particularly when it comes to the feet and ankles. A key aspect of effective running is maintaining a midfoot strike, which helps to distribute impact evenly and minimize stress on the joints. Runners should aim to keep their feet directly beneath their bodies during each stride, promoting better alignment and balance. Additionally, maintaining a slight bend in the knees can prevent excessive strain on the ankles and feet. Strengthening the ankle muscles through exercises such as calf raises and ankle mobility drills can improve stability and support. Wearing proper footwear is also essential, as shoes should provide adequate cushioning and support based on individual foot mechanics. If you have sustained a foot or ankle injury while running, it is suggested that you consult a podiatrist who can guide you on techniques for proper running form.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Pickleball, while a fun and engaging sport, can lead to various foot and ankle injuries due to its fast-paced nature and quick movements. One common injury is an ankle sprain, which often occurs when players twist or land awkwardly during play, resulting in pain and swelling. Another frequent pickleball injury is plantar fasciitis, characterized by heel pain that develops from repetitive stress and strain on the plantar fascia. Achilles tendonitis can also arise from overuse, causing discomfort at the back of the heel. Additionally, blisters and calluses may develop due to friction from quick lateral movements and improper footwear. If you have suffered a foot or ankle injury from playing pickleball, it is suggested that you consult a podiatrist who can treat these conditions and guide you on effective injury prevention techniques.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

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 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.

Gout is a form of arthritis caused by the accumulation of uric acid crystals in the joints. It often affects the feet and results in severe pain, redness, swelling, and stiffness. Gout commonly affects the big toe, but it can also target the ankles and any of the many other foot joints. Gout can be triggered by a diet high in purines, which are found in red meats and certain seafood. Alcohol consumption, obesity, and certain medications are other common factors. People with a kidney condition or who take diuretics for blood pressure control are at a higher risk. During a gout flare-up, the affected area may become hot and extremely sensitive to touch, making everyday activities challenging. Although gout is not curable, it can be managed with the help of a podiatrist through guidance on minimizing future flare-ups. This may include addressing risk factors, such as dietary habits, and prescribing medication to lower uric acid levels. If you are experiencing flare ups of gout, it is suggested that you schedule an appointment with a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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 care needs.

Plantar fasciitis is caused by inflammation of the plantar fascia, a ligament that runs from the heel to the ball of the foot, supporting the arch. The main symptoms of plantar fasciitis is sharp pain in the heel or arch that is often more severe in the morning or after prolonged standing. Heel pain may improve slightly after walking but often returns with continued activity. Risk factors for plantar fasciitis include flat feet, high arches, obesity, and repetitive activities like running. Tight calf muscles can also increase the likelihood of developing this condition. A podiatrist can evaluate your symptoms and recommend treatment options. Included are stretching exercises, footwear adjustments, and custom orthotics. Surgery may be suggested in more severe cases. If you have heel pain caused by plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

Incorporating stretches into your running routine is vital for injury prevention and overall performance. Before running, dynamic stretches such as leg swings and high knees help warm up the muscles and improve flexibility, preparing your body for the activity ahead. Additionally, lunges with a twist can enhance hip mobility and balance. After running, static stretches like hamstring stretches and calf stretches are essential for cooling down and reducing muscle stiffness. Holding each stretch for about 30 seconds helps release tension and aids in recovery. Regularly performing these stretches before and after your runs can reduce the risk of injuries, improve flexibility, and support overall running efficiency. If you have sustained a foot injury from running, it is suggested that you visit a podiatrist who can offer you relief and treatment options, and guide you on the importance of stretching before and after running.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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.