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.

Preventing running injuries requires a combination of proper warm-up, focused training, and strength-building exercises. Starting each run with a warm-up is essential to prepare the muscles and joints for the physical demands of running. Dynamic stretches such as leg swings, high knees, and lunges help improve flexibility and activate key muscle groups. Running with purpose, by focusing on technique and form, is another critical step. This involves maintaining an upright posture, engaging the core, and avoiding overstriding to reduce unnecessary strain on the body. In addition to running, strength training exercises, such as calf raises, squats, and lunges, can help build stability and endurance. Incorporating drills like strides or short sprints at the end of easy runs can also improve speed and running efficiency. If you are suffering from foot or ankle pain from running, it is suggested that you consult a podiatrist who can offer you effective treatment and injury prevention techniques.

All runners should take extra precaution when trying to avoid injury. 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

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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.

Cracked heels are a common foot issue that can be both uncomfortable and unsightly. Several factors contribute to this condition, including dry skin, prolonged standing, and exposure to harsh environmental conditions. Wearing open-back shoes can accelerate the problem by failing to provide adequate support. To prevent cracked heels, it is essential to keep the feet well-hydrated by using thick moisturizers regularly, especially after bathing. Wearing well-fitting, supportive footwear can reduce stress on the heels and prevent dryness. Additionally, exfoliating the feet weekly can help remove dead skin buildup, promoting healthier skin. Maintaining a balanced diet rich in vitamins and minerals also supports skin health. Cracked heels can be painful and unsightly, and may cause difficulty completing daily tasks. If you have this condition, it is suggested that you consult a podiatrist who can prescribe medication as part of a successful treatment plan.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

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.