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Tuesday, 21 November 2023 00:00

Causes of Peripheral and Diabetic Neuropathy

Peripheral neuropathy affects parts of the nervous system that send signals to the extremities. Symptoms typically emerge in the toes and feet before symmetrically progressing up the legs. In diabetic neuropathy, another prevalent type, symptoms initiate in both feet, extend to the calves, and may reach the hands. Symptoms include a tingling sensation, burning pain, loss of feeling, and the inability to sense temperature or vibration. While diabetic neuropathy can cause tingling, numbness, and reduced sensation, weakness is less prominent. Notably, a significant number of individuals with diabetic neuropathy may not experience pain, despite reduced sensation. This puts them at risk of neglecting proper foot care and potentially leading to serious injuries, or in severe cases, limb loss. Diabetes is a major contributor to peripheral neuropathy, and nerve compression, excessive alcohol consumption, toxin exposure, and certain medications such chemotherapy can also cause this condition. Autoimmune diseases, hereditary conditions, thyroid disease, and kidney or liver diseases are other potential triggers. If you believe you are suffering from peripheral or diabetic neuropathy in the feet, it is suggested that you make an appointment with a podiatrist for an exam and treatment options. 

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 Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. 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 our office located in Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Neuropathy
Wednesday, 15 November 2023 00:00

Types of Workplace Foot Injuries

Studies have shown the majority of workplace related injuries that affect the feet are punctures, crushing, sprains, lacerations, slips, trips, and falls. Stepping on nails, shards of glass, or other sharp objects can result in puncture wounds to the feet. These injuries can be particularly dangerous, as they can introduce bacteria into the body, possibly leading to infections. Sharp tools and equipment can cause lacerations to the feet, resulting in bleeding and the risk of infection. Slips and falls can be attributed to wet floors, cluttered walkways, or uneven surfaces. When an employee falls, the feet are often the first point of contact with the ground, making them susceptible to injuries such as fractures, sprains, and bruises. Standing for extended periods of time on hard flooring, combined with wearing ill fitting shoes, can lead to foot fatigue. Fatigue can set employees up for further injuries and decrease their alertness. The main way to avoid many of these types of injuries is by wearing protective footwear appropriate for the type of work environment. If you need help managing foot conditions that result from work related injuries, it is suggested that you consult a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. 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 our office located in Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Handle a Long Work Day on Your Feet
Tuesday, 14 November 2023 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 07 November 2023 00:00

Treatment of Clubfoot

Idiopathic congenital clubfoot, often referred to simply as clubfoot, is the most common congenital deformity. This condition can affect one or both of an infant’s feet and is noticeable as the feet are turned inward and downward. The sole of the foot can also face in, and the foot may appear shorter due to an increased arch. The word idiopathic signifies the exact cause of the condition is unknown. This differentiates it from cases that are linked to specific underlying conditions or syndromes. The Ponseti method is often used by podiatrists to treat clubfoot. This method involves manipulation and casting, which allows most children with the condition to achieve a functional and aesthetically pleasing result with their feet. If your child is born with clubfoot, it is suggested that you make an appointment as quickly as possible with a podiatrist, as effective treatment generally begins within the first few weeks of birth.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Genine Befumo, DPM of University Foot and Ankle Center, L.L.C. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Monroe Township, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Congenital Foot Problems
Tuesday, 31 October 2023 00:00

Orthotics for Flat Foot Pain

Flat feet, also known as fallen arches, can be a source of persistent discomfort. Fortunately, orthotics can offer a valuable solution for many individuals suffering from flat foot pain. These custom-made shoe inserts are designed to provide support and correct foot alignment, ultimately alleviating pain and enhancing overall foot function. Orthotics work by helping distribute the weight-bearing load more evenly across the foot, which reduces stress on the arch and related structures. They can aid in controlling overpronation, a common issue where the foot rolls excessively inward upon impact. By stabilizing the foot and optimizing alignment, orthotics can enhance shock absorption and reduce pain associated with flat feet. They also offer increased comfort and may prevent further complications, such as shin splints or stress fractures. When you choose custom orthotics tailored to your specific foot structure, these inserts can make a significant difference in your comfort and mobility. If you experience flat foot pain, it is suggested that you consult a podiatrist to determine the best orthotic solution for your needs.  

If you are having discomfort in your feet and would like to try orthotics, contact Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Foot Orthotics for Athletes
Tuesday, 24 October 2023 00:00

Effective Exercises for Foot and Ankle Pain

Managing foot and ankle pain can be unsettling, as it hampers daily activities and quality of life. Fortunately, there are exercises you can incorporate into your routine that may help to alleviate discomfort and promote healing. Stretching exercises, such as calf stretches and ankle circles, can improve flexibility and reduce tension. Toe scrunches, where you simply curl and release your toes, can help strengthen the muscles in your feet. Rolling a tennis ball or frozen water bottle under your foot can provide a soothing massage and alleviate pain. Balancing exercises, such as standing on one foot, can enhance stability and prevent future injuries. Chronic pain and discomfort from the ankle or foot warrant a visit to the podiatrist. If you are experiencing a foot or ankle condition, it is suggested that you consult with this type of doctor who can recommend foot exercises and stretches that are tailored for you.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact our office located in Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Ankle Pain
Tuesday, 17 October 2023 00:00

Managing a Broken Toe

Managing a broken toe can be a painful and inconvenient experience. For stable, non-displaced fractures, an effective method is buddy taping, which is taping the injured toe to an adjacent toe. This provides support and restricts excessive movement, allowing the fractured toe to heal. Another conservative approach to broken toes involves wearing a stiff-soled shoe or a post-operative shoe. This helps protect the injured toe from further trauma and adds stability while walking or bearing weight. In cases where the broken bone ends are significantly separated, a podiatrist may perform a procedure to realign the bones. This is followed by immobilizing the injured toe, through buddy taping, wearing a splint, cast, or a rigid-sole shoe. This is typically done for a period of 4 to 6 weeks. For complex, or severely displaced  fractures, surgical intervention may be necessary. In this case, the bones are realigned, and screws, plates, or wires are used to secure them for stable healing. After the initial healing phase, certain exercises can be recommended to enhance toe flexibility, range of motion, and strength, ensuring a more complete recovery. The severity of the fracture and the specific treatment plan may vary from case to case. Consulting a podiatrist is suggested for an accurate diagnosis and personalized treatment options.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions please feel free to contact our office located in Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What to Know About a Broken Toe
Sunday, 15 October 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 10 October 2023 00:00

Trench Foot

Trench foot, also known as immersion foot syndrome, is a serious condition resulting from prolonged exposure of the feet to moisture. It damages the circulation and nerve function in the feet. Its history goes back to World War I when soldiers in cold, wet trenches suffered from it due to wearing inadequate footwear. The symptoms of trench foot include blisters, blotchy skin, redness, and possibly tissue loss. It can also cause sensations such as coldness, numbness, and persistent itching. Trench foot is primarily caused by wet feet that do not dry properly, with temperatures that are 30˚F to 40˚F being most conducive. Early treatment is essential, and, if left untreated, trench foot can lead to severe complications such as amputations, gangrene, and permanent nerve damage. Diagnosis involves a physical examination by a doctor to assess injuries, tissue loss, and circulation. Treatment mainly consists of rest, elevation, pain medications, and keeping the feet clean and dry. Prevention includes keeping feet dry, having spare socks and shoes on hand, and airing out feet after wearing socks and shoes, even if they do not appear wet. If you have sustained prolonged exposure of your feet to moisture and have symptoms that are worsening, it is strongly suggested that you make an appointment with a podiatrist as soon as possible for a proper diagnosis and treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. 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 our office located in Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Tuesday, 03 October 2023 00:00

Aesthetic Concerns of Cracked Heels

Dry, cracked heels are a common issue that can cause discomfort. These fissures in the skin often result from dryness, pressure, or various lifestyle and medical factors. While not usually a severe health concern, untreated cracked heels can become painful. This condition typically starts with dry skin. Daily activities such as standing, walking, or running exert pressure on the feet, causing the heel pads to expand. When combined with dryness, the skin can crack, creating openings for bacteria and viruses. Other potential causes of cracked heels include lifestyle choices that can include walking barefoot, taking hot showers, or using harsh soaps. Wearing ill-fitting shoes with poor support can also contribute to cracked heels. On a medical front, factors like diabetes, vitamin deficiencies, fungal infections, and hypothyroidism may also lead to developing cracked heels. Preventing cracked heels involves addressing dry skin and its underlying causes. Moisturizing is key, and products such as custom shoe inserts, padded socks, and heel relief sleeves can help protect and hydrate the skin. To treat existing dry, cracked heels, it is helpful to focus on hydration and protection. If this problem persists or causes pain, it is strongly suggested that you make an appointment with a podiatrist for a more advanced treatment plan.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

  • Invest in a good foot cream
  • Try Using Petroleum Jelly
  • Ease up on Soaps
  • Drink Plenty of Water

Ways to Prevent Cracked Heels

  • Moisturize After Showering
  • Skip a Shower
  • Keep Shower Water Lukewarm
  • Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

If you have any questions, please feel free to contact our office located in Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Solutions for Cracked Heels
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