Plantar fasciitis is one of the most common foot conditions that causes heel pain. The plantar fascia is a long band composed of tissue, running from the heel to the toes. The plantar fascia also makes up the arch of the foot. When this band of tissue becomes irritated or inflamed, it is known as plantar fasciitis. This condition can be treated in several ways. If you do not respond to any of the less severe treatment options like orthotics or anti-inflammatory medications, you might be a candidate for a surgical procedure. The surgery, known as plantar fasciotomy, is a procedure that essentially moves the affected fascia away from the heel bone. This is done to ultimately reduce the tension that is causing the condition. There are two main kinds of surgery for plantar fasciitis. First, you may have an open surgery, which is performed in a hospital and includes making a 1-2 inch incision. Alternatively, you may have an endoscopic surgery, which involves making two small incisions that are less than half an inch deep. There are a variety of factors that can determine whether you are a candidate for this kind of surgery. If you are interested in this treatment and want to learn more, contact a podiatrist.

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.

Of all the afflictions that can detrimentally affect the feet, some can manipulate the toes and the way that they function. Hammertoe is one such foot condition. An individual can develop hammertoe when the second, third, or fourth toe essentially points upward at the first toe joint. This condition is called hammertoe because the affected toe begins to resemble a hammer. There are two primary types of hammertoe. First, you may develop flexible hammertoe where the affected joint can still be moved. This is arguably the less severe case of hammertoe, because it can sometimes be treated by making simple adjustments, such as being more mindful of the footwear that one chooses. Second, you may develop rigid hammertoe, which restricts the individual from moving the affected toe joint. In some cases of rigid hammertoe, the condition can only be addressed through surgery. There are a variety of surgical procedures that might be used to address rigid hammertoe. For example, a medical professional might choose to perform a tendon transfer, joint resection, or fusion. If you suspect that you might have a hammertoe, reach out to a podiatrist who will be able to diagnose and treat the problem.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please 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.

Many individuals earn their living by working as food servers, waiters, or waitresses. If you work as a food server, you are no doubt familiar with the fact that food servers spend the majority of the day working on their feet. Whether you are walking to and from the kitchen or carrying heavy dishes of food to tables, you spend a significant amount of the work day putting pressure on your feet. If you are not diligent about maintaining a foot care routine, you might be setting yourself up for a foot injury or condition. First, ensure that you are wearing the right kind of footwear on the job. Instead of wearing shoes with high heels that can increase your risk of falling during your shift, wear shoes with low, wide heels to provide stability. Second, since food servers spend such long amounts of time working on their feet, be sure to take the time you need to relax and pamper your feet. You may choose to give yourself a foot massage or to receive one professionally. These foot massages can relax muscles and ligaments in the feet, preventing tightening that could lead to injuries. Third, it is a good idea to be diligent about keeping your feet clean. For example, you might wash your feet to remove damaging bacteria, and pat them dry completely. Food servers ought to take the health of their feet seriously. If you work in the food service industry, contact a podiatrist to understand the best way to care for your feet.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

As people age, the body undergoes numerous changes, and changes to the feet are no exception. First, the skin becomes thinner, and you may notice joint pain you never had before from simple wear and tear. In addition, the muscles become weaker and less resilient. All this adds up to not being able to do many of the things that you used to do, or doing them more slowly and for shorter periods of time. Added to simply aging, certain conditions such as neuropathy, circulatory issues, and swelling of the feet (edema) may bring additional pain and increase the risk of injury or falling. The bones also begin to lose density, adding to the risk of fractures, especially in post-menopausal women. The fat pads in the heels and soles of the feet diminish, which may lead to such painful conditions as plantar fasciitis. Arthritis, an inflammation of the joints, may develop, causing more pain. Ways to stave off some of the effects of aging feet include finding footwear that fits properly and provides extra cushioning. Also, it is thought that foot and toe stretches help to keep the blood circulating and prevent swelling. Keeping your feet clean, dry, and moisturized can help you avoid infections. And watching your weight is important, as extra weight increases the load your feet have to support each time you take a step. For more information on taking care of your feet during your older years, please consult a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

Many people have swollen feet and it is a rather common condition. It is easily noticed and can be uncomfortable. An injury is a common cause of this ailment which may disappear after the injury has healed. Additionally, there may be underlying health conditions that may cause the feet to swell and it can be a reason to seek prompt medical attention. Many pregnant women experience swollen feet, which is known as edema. Relief can come from frequently elevating the feet and from reducing salt intake. Various lifestyle factors may contribute to the development of swollen feet including sitting down for the majority of the day, wearing shoes that do not fit correctly, and being overweight. Edema may happen as a side effect of taking certain medications including antidepressants, hormones, or blood pressure medications. Many people have found effective methods that can help to control swollen feet. These can consist of drinking fresh water daily, staying active, losing an appropriate amount of weight, and consuming a healthy diet. If you suffer from swollen feet and would like to be properly diagnosed, please consult with a podiatrist who can guide you toward the correct treatment options.

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.

Athlete’s foot is a pesky affliction of the foot that you may experience at some point in your life. The condition is a kind of fungal infection that is spread in warm, moist environments. Most typically, athlete’s foot can be spread to someone when they walk barefoot in highly-trafficked public areas where the fungus is present such as pool sides and locker rooms. There are several risk factors associated with athlete’s foot. First, if you are someone who usually wears damp or tight-fitting shoes, socks, or stockings, then you are increasing your risk of developing athlete’s foot. Wearing this kind of shoe or sock for prolonged periods can essentially trap the fungus, enabling it to thrive and wreak havoc on your feet. Additionally, if you are someone who suffers from persistently sweaty feet, then you may be at a greater risk of developing athlete’s foot. Those with conditions such as HIV-AIDS who have impaired immune systems are also particularly susceptible to suffering from athlete’s foot, as such individuals have a difficult time fighting off the fungus. If you identify with any of these risk factor groups, it might be a good idea to contact a podiatrist who can help ward off athlete’s foot. 

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best 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 and ankle needs.

About 6.5 million people in the United States over the age of 40 have peripheral artery disease (PAD). It is a blockage in the arteries that supply blood to the extremities, but the condition is more common in the feet and lower limbs. Risk factors for peripheral artery disease include smoking, high blood pressure, diabetes, atherosclerosis, and high cholesterol. People over 60 are at further risk. The most common symptom of PAD is pain in the legs while active, but that subsides after resting. Sores in the legs or feet that don’t heal and cold or numb toes are other symptoms as well. If you believe you may have PAD, please consult a podiatrist for an examination and testing.  

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Being overweight or obese can cause a variety of health problems, including issues with your feet and ankles. Extra pounds can mean extra pressure placed on these areas, which may lead to foot pain, plantar fasciitis, arthritis, flat feet, and peripheral edema. Peripheral edema is the medical term for swelling in the feet, ankles, and lower legs. The swelling occurs when there is decreased blood circulation caused by excess body mass which, in turn, leads to an accumulation of fluid in the tissues. Peripheral edema may sometimes be prevented by exercising regularly, reducing salt consumption, and achieving/maintaining a healthier body weight. A podiatrist can provide additional prevention tips for peripheral edema, and use a variety of methods to treat it.

The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.

Problems & Complications Stemming from Obesity

• When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
• Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
• Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.

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.