Diagnosing a foot stress fracture requires a thorough evaluation by a podiatrist to identify the source of pain. Patients are typically asked about their medical history, including any past fractures, current medications, and daily activities that may contribute to repetitive stress on the feet, toes, or ankles. A podiatrist will perform a physical examination, applying gentle pressure to the affected area to check for tenderness or localized pain. If a foot stress fracture is suspected, diagnostic imaging is often necessary. X-rays may be taken first, but foot stress fractures can sometimes be challenging to detect immediately after injury and may only become visible once healing begins. In such cases, advanced imaging like MRI scans, ultrasound, or bone scans may be used to confirm the diagnosis and assess surrounding soft tissues. These methods allow a podiatrist to pinpoint the site of the fracture. If you believe you have developed a foot stress fracture, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

While dry skin and athlete's foot may seem similar due to their effects on the feet, they are distinct conditions with unique causes and symptoms. Dry skin occurs when the skin loses moisture, becoming rough, flaky, and sometimes itchy. This can result from environmental factors such as cold weather or prolonged exposure to hot water. Athlete's foot is a fungal infection that affects the skin of the feet, often between the toes. The symptoms of athlete's foot include redness, itching, burning sensations, peeling, and the development of blisters. The infection may also cause the skin to crack and bleed in severe cases. Unlike dry skin, athlete's foot is contagious and spreads in warm, damp environments like public showers or locker rooms. Treatment for athlete's foot usually involves antifungal medications, while dry skin is mostly managed with moisturizers and lifestyle adjustments to prevent further irritation. If you have symptoms of either ailment, it is suggested that you contact a podiatrist who can determine which condition it is, and offer appropriate relief and treatment solutions.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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

Your feet carry you through life, so give them the care they deserve to keep them looking and feeling their best. Start by washing the feet daily with warm water and mild soap and dry them thoroughly, especially between the toes. Keep your nails trimmed straight across to prevent ingrown toenails, and use a moisturizer to help prevent dryness and cracking. Wear properly fitted shoes that support your arches and cushion your soles to reduce strain and discomfort. Pamper your feet with regular massages or soak them in warm water with Epsom salts. Stay active to promote healthy circulation and do not ignore any pain, swelling, or unusual changes. Small acts of foot care can make a big difference in your feet’s health and appearance. If you have any foot or ankle concerns, it is suggested that you seek expert advice and treatment from a podiatrist for a professional assessment and personalized care plan.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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

Gout is a form of arthritis that causes sudden and severe pain, often affecting the joints, particularly the big toe joint. The condition occurs when excess uric acid builds up in the body, forming crystals in the joints. The most common sign of gout is intense pain, typically starting in the middle of the night, along with swelling and redness in the affected area. The joint may become warm to the touch and feel tender, making movement difficult. In some cases, gout attacks can recur, leading to joint damage over time. Elevated uric acid levels in the blood can result from factors such as diet, dehydration, obesity, or kidney problems. Excessive consumption of purine-rich foods like red meat, seafood, or alcohol can trigger or worsen gout attacks. If you have had one or more gout attacks, it is suggested that you are under the care of a podiatrist who can offer you effective relief and management tips.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Orthotics are specially designed devices that help rehabilitate foot and ankle conditions by providing support, alignment, and pressure relief. Orthotics can help by redistributing weight, improving posture, and correcting abnormal foot mechanics. Conditions such as plantar fasciitis, flat feet, and Achilles tendonitis can benefit from orthotics as they help to reduce pain and prevent further injury. Orthotics can also aid in recovery after ankle sprains by stabilizing the joint and supporting proper movement. By promoting better foot alignment, orthotics can relieve strain on the muscles, ligaments, and tendons, allowing them to heal more effectively. It is essential to consult with a podiatrist to ensure the right type of orthotic is chosen for specific conditions. With consistent use, orthotics can help restore function, alleviate discomfort, and prevent long-term damage to the foot and ankle. If you are suffering from a foot or ankle condition, it is suggested that you consult a podiatrist who can determine if custom orthotics can help you.

If you are experiencing discomfort in your feet and would like to try custom orthotics, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Custom Orthotics?

Custom 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. 

Over-the-Counter Inserts

Shoe inserts come in a wide variety and 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, custom 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're experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibility of using custom orthotics or shoe inserts. A podiatrist can determine which type of custom orthotic or shoe insert is right for you and help you take the first steps toward being pain-free.

If you have any questions please contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sever's disease is a common condition that causes heel pain in growing children, particularly those active in sports. The growth plate in the heel bone, known as the calcaneus, becomes irritated due to repetitive stress. This condition typically affects children between the ages of eight and fourteen during rapid growth. The primary symptom of Sever's disease is pain in the heel that can worsen with activity and improve with rest. Swelling or tenderness may also be present surrounding the heel area. Risk factors of Sever's disease include participating in high-impact sports like soccer and basketball and having tight calf muscles or flat feet. Rest, stretching, and supportive footwear may help alleviate symptoms. If your child has heel pain, it is suggested that you consult a podiatrist for proper treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

Hammertoes, a deformity where the toe bends upward at the middle toe joint, can cause significant discomfort. When conservative treatments fail, surgery may provide lasting relief. Several surgical options are based on the flexibility of the affected joint, often in the second toe. Tendon transfer surgery is often used for a flexible hammertoe, where tendons are repositioned to straighten the toe and restore balance. For rigid hammertoes, surgery involves cutting tendons and ligaments, sometimes removing part of the bone, and stabilizing the toe with temporary pins. Fusion surgery may also be performed, which removes parts of the joint to allow bones to fuse together, resulting in a straighter, more stable toe. In severe cases, amputation may be considered, but this is rare and typically reserved for extreme pain when no other treatments work. A podiatrist can assess the type and severity of a hammertoe to determine the most appropriate surgical approach to relieve pain and restore foot function. If you are experiencing pain from a hammertoe, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

Caring for a cut on the foot is important to prevent infection and promote healing. First, clean the wound gently with mild soap and water to remove any dirt or debris. Apply a clean, sterile bandage to cover the cut and protect it from further injury or bacteria. It is essential to keep the area clean and dry to avoid complications. If the cut is deep or does not stop bleeding after applying pressure, seek attention from a podiatrist promptly. Mild antibiotic ointment can be applied to prevent infection, but be sure to change the bandage daily and monitor for signs of infection such as redness, swelling, or pus. Resting the foot and avoiding putting too much pressure on the wound can also aid in the healing process. If you have a cut on the foot or any type of foot wound, it is strongly suggested that you visit a podiatrist who can effectively treat foot wounds.

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 one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors 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 Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.