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Tuesday, 31 October 2023 00:00

Managing Sesamoiditis

Sesamoiditis is a chronic condition caused by frequent pressure and resulting in irritation and painful inflammation of the sesamoid bones and surrounding tissues. Sesamoid bones are small bones in the feet that are embedded within tendons and play a vital role in foot biomechanics. Sesamoid bones are under the metatarsophalangeal, or MTP, joint of the big toe. These tiny bones act as a fulcrum of sorts, providing stability to the foot and offering protection and shock absorption for the nearby joints and tendons. Sesamoiditis can be caused by various factors, including damage to the sesamoid bones themselves, joint deformities, such as bunions, as well as conditions like gout, osteoarthritis, and osteoporosis. Certain lifestyle factors, consisting of wearing frequently high heels or engaging in high impact sports, can aggravate the sesamoid bones and result in pain. Differences in arches, body weight, and the size of sesamoids can add to the risk of inflammation. Symptoms typically start mildly and can worsen with continued strain, with pain often concentrated in the ball of the foot. If you believe you are suffering from sesamoiditis, it is suggested that you make an appointment with a podiatrist for an evaluation and options  for treating this condition effectively.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Wendy L. Grossman, DPM of New Jersey. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

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Tuesday, 31 October 2023 00:00

Sesamoiditis

Sesamoiditis is a condition that affects the joint that is just behind the big toe in the area known as the ball of the foot. It is most common in younger people and people who have just begun an exercise program. Since the sesamoid bones are like a pulley controlling the big toe, they can rub against each other and cause a gradual onset of pain. Pain may also be caused by the inflammation of tendons surrounding the bones. If ignored, sesamoiditis can lead to other, more serious problems such as severe irritation and fractures of the bones.

The cause of sesamoiditis is sudden increase in activity. The ball of your foot acts as a springboard to help you lift off when you are jogging or running. Sudden increase in the use of these bones or the tendon that controls them can cause irritation. The tendon then begins to develop inflammation and the joint begins to swell. People with smaller, bonier feet or those with a high arch are typically more susceptible to this condition.

Sesamoiditis is fairly simple to diagnose since the symptoms have a gradual onset rather than a sudden impact. The symptoms begin with slight irritation around the joint shortly after the increase in activity. The discomfort eventually turns to pain with light swelling and possibly redness. Although redness or bruising are rare, this may be a symptom. After each session of exercising, the aggravated joint becomes more irritated and increases into a very intense throbbing.

Treatment for sesamoiditis can vary depending on the severity of the situation. However, treatment is almost always approached in a noninvasive way. For a case that is just beginning the doctor may recommend a very strict rest period that will limit the activity allowed on the joint. If you must be active, a recommendation for as modified shoe or insole, along with bandaging and immobilizing the big toe will be made to ensure that pressure is not placed on the joint. For severe cases, it is typically recommended that the joint and the big toe be completely immobilized to allow adequate time to heal. Ice and an over the counter anti-inflammatory may can help with the pain and discomfort while you are at rest.

When you return to your regular exercise activities, it is recommended that you use an insole that will allow even distribution of impact to your entire foot, rather than just the balls of your foot. This will prevent further aggravation of the injury.

 

Tuesday, 24 October 2023 00:00

Different Types of Running Shoes

There are five main categories of running shoes that vary and fit with different running endeavors. First, there are spikes, designed for sprinting on tracks or cross-country courses. These lightweight shoes are known for their stiff plastic or metal spikes and minimal cushioning, offering superb traction for track workouts and actual racing events. Racing flats are tailored for road races and are available in a range of cushioning options, catering to different race distances. They are lighter and tend to be stiffer than training shoes, making them ideal for racing, although not for everyday training due to their minimal build. Lightweight trainers can add speed to a running routine and are good for sprints, tempo runs, and intervals because they are lightweight and flexible. Daily trainers are the workhorses of a running shoe collection. These shoes are generally moderately cushioned and built with durability in mind. They are the most comfortable choice for most types of runs, including easy runs, long runs, and recovery runs. Lastly, trail shoes are designed for off-road running, where rocks, roots, mud, and uneven surfaces can be encountered. These shoes vary widely, from lightly cushioned models resembling racing flats to bulkier options that resemble hiking boots. Their common features include enhanced tread, rock plates to protect against sharp objects, and reinforced uppers to withstand rugged terrains. If you are a runner and plan to run on different surfaces and under varied conditions, it is suggested that you make an appointment with a podiatrist. This type of doctor is able to discuss the types of running shoes to include in your assortment that can help to ensure your best comfort and performance.

If you are a runner, wearing the right running shoe is essential. For more information, contact Wendy L. Grossman, DPM from New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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

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Tuesday, 24 October 2023 00:00

Choosing the Right Running Shoe

Choosing the right running shoes for you is an important part of running. A good pair of running shoes will make the running experience more enjoyable for you and prevent potential injury.

Poorly-fitted shoes can increase the risk of injury in runners substantially. Common injuries from running with poor quality shoes include shin splints, sprained ankles, Achilles tendinitis, stress fractures, plantar fasciitis and more. This is due to the fact that bad shoes do not provide proper foot support, can increase pronation (how much the foot rolls when hitting the ground), have little to no cushioning, do not allow the feet to breath, and do not provide enough flex and rigidity in the right parts.

When looking for running shoes, first, determine where you will be running. If you are a trail runner, then pick trail shoes. If you run on concrete and asphalt, then regular running shoes are the best choice. When trying on shoes, its best to go at the end of the day as feet grow during the day and shrink after a night of sleep. Shoes should be more rigid towards the back of the foot while being more flexible up where the toes are. The toe box should provide enough room for the toes to move freely. The overall fit should be snug, not too tight but not too loose. A good pair of running shoes should also provide enough arch support for your foot type. If you experience overpronation or under-pronation while running, try to find a pair of shoes that will help correct this with different sole patterns.  Finally, try to find a pair of shoes that allow the feet to breathe like nylon mesh or synthetic leather.

Don’t forget about the socks either. Socks that hold too much moisture can lead to athlete’s foot. Socks should be breathable so that your feet can air out and breathe. Synthetic socks wick away moisture like sweat. If you tend to run a lot, having a second pair of shoes that you can wear while you let the first pair air out is smart. Just don’t forget to replace your shoes after about every 300 to 500 miles.

Before you start running, it is advised to see a podiatrist to see if running is right for you. They can also offer good advice on how to run and what to look for in a pair of running shoes. If you have flat feet or poorly supported ones, they can also offer custom-made orthotics that will help give your feet the support they need.

Tuesday, 10 October 2023 00:00

Footwear and Children’s Foot Health

Active kids take about 20,000 steps a day, making the choice of shoes important for their foot health. Conventional shoes can distort natural foot structures, leading to musculoskeletal issues over time. Adult feet and conventional adult shoes share a similar shape, which is not a coincidence. Many foot problems, such as bunions and heel pain, that are seen in western societies are rare in cultures where people walk mostly barefoot. This may suggest that certain footwear affects foot shape negatively. Parents can opt for children’s shoes that are widest at the toes, flat, lightweight, and have flexible soles. Avoid arch support or pronation control features as these can interfere with natural foot development. It is also acceptable to allow your child to walk barefoot occasionally, as feet are adaptable. However, always be cautious about unsafe surfaces. Making these simple choices can contribute to the healthy development of your child’s feet. If you want to make sure that your child’s feet have the best chance of developing healthfully, it is suggested that you make an appointment with a podiatrist for an evaluation and discussion on how to best do this.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Wendy L. Grossman, DPM of New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

Read more about What to Do to Keep Your Child’s Feet Healthy
Tuesday, 29 August 2023 00:00

Types of Arthritis That Affect the Feet

Arthritis, defined as joint inflammation, can lead to stiffness, swelling, and pain in affected joints. Among the 100 or more types of arthritis, studies have shown that three significantly impact the foot and ankle. Osteoarthritis, the most common, stems from joint cartilage wear and tear over time. Rheumatoid arthritis, or RA, is an autoimmune disease, that affects joints throughout the body, with women being twice as susceptible. RA involves the immune system attacking and damaging the cartilage. Post-traumatic arthritis, akin to osteoarthritis, can emerge years after fractures or injuries. Gout, another inflammatory condition, arises from uric acid crystal deposits that are near or within the connective tissue of the joints and is particularly common in the big toe. Psoriatic arthritis can produce symptoms that are similar to RA and is linked to psoriasis, a skin disorder causing scaling and flakiness. Understanding these types of arthritis can empower individuals to manage their foot health amidst arthritis challenges. If you believe you have developed a form of arthritis that is affecting your feet or ankles, it is suggested that you consult a podiatrist.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Wendy L. Grossman, DPM from New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

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Tuesday, 29 August 2023 00:00

How to Care for Your Arthritic Foot

Arthritis is an inflammation of the joints and it can occur at any joint in the body, especially in the foot. It generally effects those who are older, however, it can occur at any age. Although there are many different forms of arthritis, there are three main types that occur in the foot. The three types are osteoarthritis, rheumatoid arthritis, and gout.

The primary cause of osteoarthritis is aging. As you age, cartilage degenerates around the joints which causes friction and pain. Obesity can cause osteoarthritis through mechanical stress. Injuries that damage joints can increase the probability as well. Finally, a family history of osteoarthritis can also increase chances of having it.

Rheumatoid arthritis occurs when the immune system attacks the joint linings and weakens them over a long time. While there is no known cause of rheumatoid arthritis, obesity and smoking can increase your chances of getting it. Women are also more likely to get it than men.

Gout is a form of arthritis that occurs when there is too much uric acid in your blood and painful crystals form in your joints. Men are more likely to have gout than women. People who are obese or drink alcohol often are also more likely to develop gout. Furthermore, having diabetes, heart disease, high blood pressure, high cholesterol, gastric bypass surgery or a family history of gout may increase your likelihood of developing the condition.

Symptoms of arthritis include pain, stiffness, swelling in the joints. These symptoms can make it harder and more painful to walk. Physical activity can increase pain and discomfort. Furthermore, joint pain can worsen throughout the day for osteoarthritis. Gout attacks generally last several days with the first few being the worst.

Diagnosis of gout includes either a joint fluid test or a blood test. X-ray imaging can detect osteoarthritis but not gout. On the other hand, there is no blood test for osteoarthritis. Rheumatoid arthritis is difficult to diagnosis. Doctors utilize family and personal medical history, a physical examination, and antibody blood tests to determine if you have rheumatoid arthritis.

Treatment varies for the different kinds of arthritis. Anti-inflammatory medication or steroids can help reduce pain from inflammation of the joints. Changing shoe types can help with some symptoms. Wider shoes can help with discomfort from gout and osteoarthritis. High heels should be avoided. Shoes with proper arch support and that take pressure off the ball of the foot can help with rheumatoid arthritis. Drinking lots of water can also help rid uric acid from the blood. Losing weight, improving your diet, and limiting alcohol and smoking can also help prevent or lessen the symptoms of arthritis.

If you are having trouble walking or pain in your feet, see a podiatrist to check if you have arthritis.

Tuesday, 25 July 2023 00:00

How the Feet Can Be Measured

People who stand or walk for the majority of the day are generally aware of what type of shoes they wear and how well they fit. Many patients will try on multiple pairs of shoes before they find a pair that fits their feet perfectly. It is beneficial to have an accurate foot measurement before purchasing shoes. This can be done by tracing the width and length of the foot on a piece of paper, followed by using a conversion table that can pinpoint the right size. Many stores are equipped with a Brannock device, which can accurately measure the foot. Additionally, it can help to wear the socks that will be worn with the new shoes, and these can range from dress socks to athletic socks. The best time of day to purchase shoes is in the evening when the feet are at their largest. This often ensures a proper fit when the feet become swollen after a long day. If you would like more information about how to determine your right shoe size, it is suggested that you confer with a podiatrist who can provide you with the appropriate knowledge.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Wendy L. Grossman, DPM from New Jersey. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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

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Tuesday, 25 July 2023 00:00

How to Get a Proper Shoe Fit

Many people suffer from foot problems because their shoes are poorly fitted. When shopping for a new pair of shoes, fashion usually triumphs over comfortability. A pair of well fitted shoes is essential in preventing foot problems and potential injuries.

Poorly fitted shoes can cause foot issues such as plantar fasciitis, bunions, hammertoes, ingrown toenails, and foot pain. Shoes such as high heels and sandals may cause problems for your feet. These shoes put the foot in an unnatural position for long periods and fail to provide good foot support. It is recommended to not wear either one for an extended period.

When you are trying on shoes, make sure they have enough space for your toes to move around. Shoes shouldn’t be cramped but also shouldn’t have too much room that your foot moves around in them. A snug shoe is a good choice. They should also provide good arch support and cushioning. Athletic shoes tend to offer both good support and cushioning. A degree of flexibility is necessary so they aren’t too stiff or too unsupportive.

If you can wear your shoes for a long period of time without experiencing any discomfort, this is a sign that your shoes fit properly. Do not be too dismayed if the shoe isn’t a perfect fit at first; many shoes take a few days to weeks to properly break in. However don’t expect an uncomfortable shoe to become fitted to your foot.

For those with foot conditions such as flat feet or pronation, orthotics may be helpful or even necessary to prevent foot pain. Orthotics are inserts that are placed in the shoe and provide support and cushioning for the foot. While there are many types of orthotics out there, custom-made orthotics may be necessary depending upon your foot and foot conditions.

Feet change in size over time. It is important to check your foot size over time so that you can make sure you have the perfect fit for your feet. A podiatrist can provide more information on proper shoe fitting and foot orthotics.

Tuesday, 01 August 2023 00:00

Prevention Methods for Toenail Fungus

Toenail fungus is generally not a serious foot condition despite its unsightly appearance. Toenail fungus thrives in warm and moist environments, such as public swimming pools, locker rooms, and similar areas. The fungus can enter the body through small cracks in the skin of the feet, so it is beneficial to wear appropriate shoes while in these areas. People who have diabetes, immune system disorders, or nerve damage may be prone to developing toenail fungus. Symptoms can include a thickening of the nail, a change in the nail shape, and in severe cases, the nail may lift or crumble. Prevention methods can include refraining from sharing shoes, towels, and socks, and it is helpful to maintain good foot care. If you have developed toenail fungus, it is strongly suggested that you confer with a podiatrist who can effectively treat this condition, which may include prescribed medication.

For more information about treatment, contact Wendy L. Grossman, DPM of New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

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