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Tuesday, 23 December 2014 19:17

Treating Heel Pain with Shockwave Therapy

Heel pain shockwave therapy is a treatment option that helps to treat plantar fascia, which is a type of heel and foot inflammation that causes pain to the heel area. This type of injury is often caused by overworking and overusing the feet, and normally happens to people that exercise often such as runners, athletes, obese and overweight individuals, and individuals whose profession requires them to stand for long periods of time.

Since heel pain can be caused by a number of problems including poorly fitting shoes, exercise routines, work hazards, and many more, most plantar fascia treatments include very conservative techniques. Simple things like new shoes, taking ibuprofen, doing heel and foot exercises, and resting your feet can treat the problem. However, for the worst cases, using shockwave therapy is often the best treatment option.

For patients that have tried conventional treatment options, and failed at them, and who have been having heel pains for over six months, Shockwave treatment is often the next option. The concept behind this treatment is simple; shockwaves are generated from a device that delivers shockwaves to the outside of the patients body, and the shockwaves will cause the bodies repair mechanisms to work more efficiently and effectively, and in the end, start repairing the damage done to the heel area.

The goal of shockwave therapy is to eliminate the pain in the heel area, and this should happen because shockwaves trigger the body’s natural repair mechanisms. Basically, this therapy speeds up normal tissue healing in the body, and will also lead to a reduction in pain for the patient by working the pain transmission nerves located in the heel area.

The reason this treatment is gaining popularity is because it is less invasive than surgery, and eliminates the risk factors associated with surgery, such as anesthetic usage. Since this technique also works by helping the body to improve using natural healing techniques, the recovery time should be shorter than surgical processes.

This does not mean that there are not some discomfort issues that can arise out of this treatment for patients. Short term issues normally include skin bruising, minor pain during and after treatment, swelling of the heel, and discolored tissue. These side effects of shockwave therapy should be gone in a few days, giving the patient a fast recovery time which makes it easy to return to the routines of their daily life .

Like most types of treatments, surgeries, and medications, there are certain people that should not have shockwave therapy procedures performed on them. Potential patients with heart conditions and people with pacemakers should not be considered for this technique. People on certain types of medications, usually medications affecting blood clotting, would also be ineligible for this treatment option. And lastly, children and pregnant women should avoid this as well.

Overall, shockwave therapy could be a great option for heel pain because it is less invasive than surgery, helps to trigger the natural healing mechanisms of the body, and should be considered by people who have had long bouts of heel pain, who have tried conventional treatment options that failed, and who have the money to afford such a procedure.

Wednesday, 17 December 2014 18:14

Hybrid Shoe Introduces Potential Problems

hybridRecently, celebrities have been seen showing off the new trendy shoe known as “flatforms,” which is a combination flats and platforms. While this shoe provides appeal and adds height to its wearer, it does not come without its share of physical risks.

The reason this shoe is dangerous is because flatforms cause the ankles to move in ways they aren’t biomechanically designed to. This can lead to painful ligament damage if they are worn extensively, as one journalist for Vogue magazine reports. It remains to be seen if the potential foot risks that come with wearing flatforms will keep this shoe afloat.

Shoes should have proper foot support. For foot and ankle pain or injuries, see podiatrists Dr. Genine Befumo and Dr. Mark Berger of University Foot & Ankle Center, LLC. Our doctors can treat your foot and ankle needs.

The Importance of Proper Foot Support

Walking is an everyday function for both men and women, and in order to keep your body’s balance in order, you are going to need shoes that provide the proper kinds of support. 

Poor foot support can cause pain and discomfort in the lower back, hips, knees, neck and shoulder. It also can lead to emotional stress, and physiological changes in the body. In order to avoid these problems, you must have proper foot support.

The arch is the most important part of the foot, which is where most of the support and balance of your feet lies. The arch of your foot varies in height, and as you age, this height can change. Proper foot support will help musculoskeletal issues, which causes inactivity or disability.

When looking for shoes that give proper support to your feet, you should refrain from wearing ill-fitting shoes. 

Shoes to Consider:

  • Good heel and arch support
  • Have proper length and width for your feet
  • Avoid tight/cramped shoes

For more information about Proper Foot Support, follow the link below.

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

Read more about Proper Foot Support

Wednesday, 17 December 2014 18:13

The Importance of Proper Foot Support

Feet are the foundation of the body, and just like the foundation of any structure, they must be stable and balanced in order to support the all of the body's weight. If they are not, they could cause many problems.

Bad foot support can cause pain or discomfort in the lower back, hips, knees, neck, and shoulder. It can lead to much less obvious problems as well, like stomach aches and headaches. Issues with the feet can lead to emotional stress and physiological changes in the body, including fatigue, blood sugar problems, and adrenal stress. In order to avoid these issues, you must be sure to wear shoes that provide proper foot support.

Of all the different parts of the foot, the arch is the one that needs the most support. This vital structure handles most of the pressure exerted during movement--for each mile someone walks, the arch bears between 200,000 and 300,000 pounds of stress. Arch height varies greatly from one person to another, and changes as a person ages. Proper support can prevent many musculoskeletal problems that may cause inactivity or even disability.

When searching for footwear, one must remember to buy shoes that fit well and that properly support the feet. Otherwise, you could suffer from a slew of foot-related problems. If, for example, you buy shoes that are too tight, you could hinder the support mechanism in the foot that keeps the body standing upright. If this mechanism is not working correctly, you will soon begin to slouch when standing. This quickly causes discomfort throughout the entire body, especially the back, and if it is not corrected it may cause permanent posture issues and bone deformation.

When shopping for shoes, only buy those that provide good heel and arch support. Both the heel and arch areas need to be firm, but still flexible enough for walking. Also make sure the shoes you intend to buy are the proper length and width for your feet. Your feet and toes should not feel squished or cramped in the shoe, or (if it is an open-toed shoe) be hanging over its sides. Additionally, if you are looking for a laced shoe, be sure to buy one that has many eyelets. Laces help the shoes form to the feet, and having many eyelets allows the laces to better conform to your foot. Also make sure that the laces are tied correctly, as laces that are not pulled tightly and tied do not provide proper support.

Good foot health is vital to overall body health. If you do not care for your feet properly, you could suffer many short and long-term problems that will negatively affect your entire body. Wearing shoes that provide good foot support is an easy way to avoid these problems, and live comfortably.

Thursday, 11 December 2014 04:07

Tips on Avoiding Foot Injuries

american army studiesAlthough enrolling in marathons, mud runs, and obstacle courses are great excuses to get in shape, it is important for runners to pace themselves and not attempt too much before the body is ready. Over conditioning the body for a marathon can lead to a variety of injuries such as stress fractures, shin splints, Achilles tendonitis, plantar fasciitis, and ankle sprains. Arizona Sports recently provided some tips for runners to avoid injury. Stretching before and after each run is essential; stretches can reduce tight leg muscles, shin splints and aid the muscles that impact the feet. Running on soft surfaces such as grass reduces the impact on the feet and in order to give the feet a break, switch up exercises by choosing to bike or swim on occasion. The last important thing runners can do to sustain the health of their bodies is to buy the correct running shoe for their foot.

Running is one of the best ways to stay in shape, but precautions must be taken to prevent any injuries. If you have a running injury or have an interest in preventing one, contact one of our podiatrists of University Foot and Ankle Center, LLC. Our doctors can instruct you on proper running techniques and help you keep your lower extremities safe.

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. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscles and sports orthotic. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned. Physical therapy can help you learn the best exercises to heal runner’s knee.

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.

If you have any questions, please feel free to contact one of our offices located in East Brunswick and Monroe Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Preventing Running Injuries

Thursday, 11 December 2014 04:06

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. Several common injuries can occur due to running. When the back of the kneecap starts wearing away and starts causing pain in the knee, this is commonly referred to as runner’s knee. Runner’s knee can occur because of decreased strength in the quadricep muscles or shoes that do not offer proper support to the inside of the forefoot. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscle and sports orthotic. To prevent runner’s knee, efforts should be focused on hip strengthening. Physical therapy is also beneficial in helping to learn the best exercises to heal runner’s knee. To prevent runner’s knee, strengthen the quad muscles to keep the kneecap aligned.

Overtraining is one cause of a common running injury called iliotibial band syndrome, which occurs when the iliotibial band gets irritated, causing pain and discomfort to the outside knee area. Another common running injury is known as plantar fasciitis, which occurs when the bone in the foot becomes inflamed and irritated. This injury primarily causes pain in the foot. Causes can include a high arch, incorrect footwear, tight muscles and flat feet. The best way to avoid plantar fasciitis is stretching and proper footwear.

Stress fractures are a common injury for runners. These fractures can occur because of overtraining, lack of calcium or running style. In runners, it is common for stress fractures to occur in several locations including the inner bone of the leg, the thighbone, the bone at the base of the spine and the toe bones in the foot. The best approach to preventing stress fractures are proper footwear maintenance and running on a surface with enough “give” to absorb some of the shock produced during running.

Besides overtraining, other causes of these common running injuries are poorly fitting footwear, irregular biomechanics, and lack of flexibility and strength. The best way to avoid running injuries is to prevent them. Fortunately, each of these common running injuries can be prevented. To avoid running injuries it is highly recommended to wear only footwear that fits properly and that suits your needs. Running shoes are the only protective gear that runners have to safeguard them from injury; therefore, choosing the correct footwear for running is important. It is important, too, to think about other aspects of your running routine like training schedules, flexibility and strengthening, and tailor them to your needs in order to minimize the possibility of injury. Regular stretching before and after running should be considered also when trying to avoid running injuries. Stretching keeps muscles limber resulting in greater flexibility.

Rise in GoutAccording to the World Health Organization, as obesity increases in young adults and children, so do foot and ankle problems. These issues are more likely to occur because there is too much pressure being put on the lower extremities. Obese children are less likely to participate in physical activities due to the problems that may occur in the foot structure and often time, obese individuals end up with flat feet due to the pressure. Childhood obesity may have a negative effect on the feet over a period of time and may result in permanent issues with foot function. For children and young adults to reduce the chance of permanent foot problems, it is important to establish the proper amount of diet and exercise. For some, additional coaching may be necessary to overcome the challenges of obesity.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet if not taken care of properly. If you’re an obese individual and you’re concerned about your feet, talk to one of our podiatrists of University Foot & Ankle Center, LLC. Our doctors can determine if your weight has caused you to develop any complications in your lower extremities and get you the care that you need.

Obesity and your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

For more information about Obesity and Your Feet, follow the link below.

If you have any questions, feel free to contact one of our offices located in East Brunswick and Monroe Township, NJ. We offer the latest in diagnostic and treatment technologies to meet all your needs.

Read more about Obesity and Your Feet

Friday, 05 December 2014 14:47

How Obesity Affects Your Feet

Maybe you have gained a few extra pounds over the past couple of years. It comes on slowly and you are not always aware of it until your feet start hurting at the end of the day. After all, they carry the weight of your whole body. Experiencing foot pain and swelling is one of the biggest side effects of being overweight.

Many problems that occur in the feet are directly related to carrying even a small amount of extra weight. If you are overweight, the body may try to compensate by changing the way it moves. You may lean forward a bit and put extra weight on the wrong part of the foot. Your feet were designed to carry a normal amount of body weight and any extra will put undue stress on them.

Many people who are overweight as adults develop type 2 diabetes and it is often the cause of leg and foot pain. This is very serious and often older people who do not control their condition may lose all feeling in their legs and feet. It is also possible to develop small sores on the feet, and when you have diabetes, these do not always heal properly which can lead to serious infection.

The extra pressure and stress placed on muscles, joints, and tendons in the feet by extra body weight can also trigger plantar fasciitis. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, and causes pain and stiffness when walking and climbing stairs. Pain caused by plantar fasciitis can be relieved by foot stretches and orthotics inserted into the shoe.

Foot problems triggered by excess body weight may be treated by special attention to footwear. Shoes that properly support the foot – especially the arch and ankle – and allow for good circulation are very important. A podiatrist can help you decide what kind of shoe is best for your feet. Orthotics – special inserts that can be inserted into shoes – can absorb shock, support the arches, and keep the feet properly aligned. These can be found in shoe stores or may be fitted by a podiatrist.

It may also be time to consider taking off a few pounds to prevent diabetes and other life threatening diseases. Your feet will certainly thank you for it and you will feel better in a short amount of time. A water aerobics class at a local gym is a way to get needed exercise without putting any stress on the feet or ankles. Yoga is also an activity that is beneficial both to your feet and your entire body. Don't risk losing your freedom by ignoring foot pain. If you take care of your feet, you can keep your feet and your entire body feeling great.

 The Fitbit allows users to track their steps, miles, calories burned, and heart rate with the help of assisting smartphone apps and sensors. Recently, lawmakers and administration officials of Washington, D.C. are using these new forms of technology to fuel their competitive ways. Many employers are even allowing in-office competitions, which helps workers reach their doctor recommended 10,000 steps a day. “The type of people you find on Capitol Hill are very competitive by nature,” Alexa Marrero says, “You have a bunch of Type A personalities in jobs prone to keeping you behind a desk all day, so there are a lot of people who have found this as a fun way to get up.”


Walking is a tried and tested way to successfully exercise the feet. To learn more, consult with one of our podiatrists of University Foot & Ankle Center. Our doctors will answer any of your foot- and ankle-related questions.

Exercise for Your Feet
If you spend most of your time on your feet, or don’t either way your feet should deserve attention. There are many people who exercise regularly and still don’t spend enough time to care for their feet. Your foot does get exposure that requires maintenance since your health has a lot to do with footing.


Exercises
Toe rise – this exercise involves standing on the tip-toes for a count of 15 seconds, then resting your feet on ground. This exercise should be repeated three times a day to strengthen the feet. 


Toe Pick-ups – the toes are exercises that are done by picking up small items using your toes. This helps strengthen the muscles on the upper part of the feet. Three sets along with 15 seconds being held should be completed. Small items like marbles or stationary will work.


Ankle Pump – can be performed upwards or downwards. The workout can be completed both ways at the same time. This involves flexing the foot either towards the shin or to the ground. This makes the foot work very well, working large parts of the muscles.


For more information about Exercise for Your Feet, follow the link below.


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

Read more about Exercise for Your Feet

Friday, 28 November 2014 00:00

Exercise for Your Feet

Whether your feet are over-worked or under-worked, chances are they could benefit from some special attention. Even those who exercise regularly probably do not spend any time strengthening their feet. This can be just as rewarding as strengthening the rest of the body, since the health of your feet affects the health of the rest of the body as well, especially the ankles, legs, and spine.

For those who might not have any idea on how a foot-specific exercise might be conducted, there are several workouts that are fairly easy to perform in the comfort of ones’ home. One of the easiest is the toe rise, also known as the tip-toe. This exercise involves standing on the tip-toes for a count of 15 then resting the feet on the ground. This process should be repeated a minimum of three times a day in order to strengthen the feet.

Toe pick-ups strengthen the feet by working them in a very different way. In this exercise, small items are picked up using the toes in order to strengthen the muscles on the upper part of the feet. Once again three sets should be performed, with the item in question being held for 15 seconds then dropped. Items that may be picked up using the feet include marbles and even stationery, which works wonders for the toes and the surrounding muscles.

Yet another simple workout is the ankle pump. This can be done either upwards or downwards, but for the workout to be most effective both can be incorporated into the routine. As the term suggests, this involves lifting the foot off the floor and flexing the toes either towards the shin or towards the ground. This movement puts the feet and ankles through a large range of motion which works muscles.

Last but not least, feet should be stretched so that the muscles can relax and recuperate. This can be done by placing both feet of the floor and bracing oneself against the wall at a 45 degree angle. This ensures that the feet and ankles are adequately stretched once the workout is complete.

In short, giving the feet a good workout every now and then is important in order to avoid problems such as plantar fasciitis, as well as to warm-up or cool-down after running or vigorous walking. Foot exercises may be followed by a good foot massage which encourages circulation in the feet as well as muscle relaxation.

Members of the researcher faculty at the St. George’s University of London recently discovered that diabetes patients with the systemic disease peripheral neuropathy may be more likely to get heart disease than other diabetics. They arrived at this conclusion after detailed observation of around 13,000 type-2 diabetes patients who had never had any cardiopulmonary problems.

The researcher’s findings might be useful for doctors who are trying to determine the probability that a particular diabetes patient will get heart disease. “There is likely an unmet potential to reduce cardiovascular disease in this group of patients through greater monitoring and simple treatments," stated Robert Hinchliffe, Senior Lecturer and Consultant in Vascular Surgery.

Systemic diseases typically affect the whole body, but they can be particularly detrimental to the heels. If a systemic disease is causing you to experience lower extremity problems, see one of our podiatrists of University Foot & Ankle Center, LLC. Our doctors will analyze your need for treatment and provide you with a suitable form of medical care.

Systemic Diseases and the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include: gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Some common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs, which relieves pain and inflammation and other drugs which lowers the acid levels in the body.

Diabetes mellitus- is an increase in the level of blood sugar in which the body cannot counteract with the insulin in the body. When the body doesn’t produce enough insulin this is a factor in Diabetes.

*Diabetes of the Feet
*Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
*Peripheral Vascular Disease- can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

For more information about Systemic Diseases and the Feet, follow the link below.

If you have any questions, please contact one of our offices located in East Brunswick and Monroe Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Systemic Diseases and the Feet

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