Here are a few tips on finding the perfect fit in your work boots or work shoes. First, the shoe/boot should be snug, but not tight. The back of the shoe or boot should hug (but not cut into) the heel, and the ball of your foot should lay comfortably in the ball of the shoe. There should be space between the tips of the toes and the toe box. Your toes should have enough room to move a bit and they should never be squeezed or confined. Work shoes and boots that fit properly will keep you energized and even help your footwear last. For more tips on work footwear or to learn about custom orthotics that can keep your feet comfortable and healthy, contact your local 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.

Pain in the top of the foot can be caused from a variety of conditions, one of them being extensor tendinitis. Tendons are fibrous tissues that connect muscles to bone. Extensor tendons are located on the top of the feet. They connect bones in the toes to muscles on the front portion of the leg which work together to help raise your toes and flex your feet. These tendons can become inflamed and irritated from wearing tight, small, or non-supportive shoes, or from overuse. This condition, known as extensor tendonitis, can cause pain and swelling in the top of the feet that may worsen after activity. If you are experiencing this type of foot pain, it is a good idea to contact a podiatrist. After the examination, if it’s determined that you have extensor tendonitis, your doctor may prescribe a course of treatment that includes rest, anti-inflammatory medication, splinting, physical therapy, or even steroid injections.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Do you regularly soak through your socks and shoes, regardless of the weather? Are you worried about leaving behind wet footprints when you walk around barefoot? Excessively sweaty feet may be a sign of a condition called plantar hyperhidrosis. In addition to being potentially embarrassing, this condition also increases your risk of various foot problems, such as fungal infections and injuries due to your feet slipping as you walk. Fortunately, various treatments are available for plantar hyperhidrosis. These include topical antiperspirants, iontophoresis, and botox injections into the foot. There are also special powders and shoe inserts that you can wear to absorb excess moisture. To learn more about treatments for plantar hyperhidrosis, and to find the right one for you, it’s suggested that you consult with a podiatrist.  

If you are suffering from hyperhidrosis contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best 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 and ankle needs.

There are many causes of heel pain, including bursitis. The retrocalcaneal bursa is a fluid-filled sac located between the heel bone and the Achilles tendon. It cushions and lubricates the tendon as it slides over the heel bone, while acting as a shock absorber during walking and other movements. Excessive walking, running, jumping or other stress inducing activities placed upon the ankle may cause this bursa to become swollen, irritated, and inflamed. The skin at the back of the heel may be warm or red. The affected area may also become very sensitive to the touch, and painful during physical activity or when standing on your toes. If you feel this type of pain at the back of your heel that does not improve with rest, it is in your best interest to schedule an appointment with a podiatrist. They will perform a physical examination and may recommend certain conservative treatments such as icing, anti-inflammatory medication, orthotics or heel wedges to reduce stress on the heel, ultrasound and/or physical therapy, or possibly even steroid injections if other methods do not work.

Many people suffer from bouts of heel pain. 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Diabetic foot ulcers (DFUs) are wounds that can occur on the feet of people with diabetes. Due to a combination of nerve damage, poor circulation, and immune insufficiency, many people with diabetes are at risk of developing DFUs. These wounds can become infected, leading to complications such as tissue death and amputation. When a patient presents with a non-infected DFU, their doctor may prescribe conservative treatments. Conservative treatments are non-invasive and are used to preserve foot health and function and prevent further complications. Conservative treatments for non-infected DFUs may include taking pressure off of the wound, keeping the area moist to promote healing, and protecting and covering the wound and surrounding skin. These treatments are often effective for non-infected wounds. If you have diabetes, a podiatrist can help you manage the effects of this condition on your feet. 

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Cuboid syndrome occurs when the cuboid bone in the midfoot becomes partially dislocated (subluxes). This can occur during an acute injury such as an inversion sprain of the ankle, or over time from jumping, running, etc., which can place repetitive strain on the muscle which attaches to the lateral (outer) side of the foot. When the cuboid bone subluxes, this can prevent surrounding bones from moving properly. It is believed that having flat feet, or a gait where your foot rolls inward when you walk may put you at higher risk of developing cuboid syndrome. Symptoms of cuboid syndrome can include lateral foot pain which worsens in the morning or during activity, swelling and tenderness in the area, an overall feeling of weakness or difficulty when walking, running or jumping. If you believe you may have cuboid syndrome, make an appointment with a podiatrist as soon as possible. They will use a variety of imaging and physical tests to assess your condition and create a comprehensive treatment plan to guide the cuboid bone back into position and relieve pain and swelling.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.

Peripheral neuropathy is nerve damage within the peripheral nervous system, which communicates with the central nervous system (involving the brain and spinal cord). Diabetes often causes peripheral neuropathy, however, it can also occur due to genetics, infections, injuries, hormonal imbalances, or other medical conditions. Peripheral neuropathy may cause numbness, weakness, muscle twitching or cramps, changes in nails, skin and hair, and a pins-and-needles sensation in the legs and feet. It may also be difficult to maintain balance or feel changes in temperature or pain, and you may experience disturbances in your emotions and sleep patterns. If you have any of these symptoms, it is suggested that you contact a podiatrist. They can help diagnose peripheral neuropathy and manage its symptoms with oral medications, orthotic devices, regular checkups and advice on proper foot care.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.