Diabetic foot ulcers are open wounds that develop on the feet, toes, or ankles due to reduced blood flow and nerve damage caused by diabetes. Diabetic foot ulcers are often painless, which means patients may not realize they have one until it becomes infected. Infections can spread quickly into deeper tissue, increasing the risk of bone involvement or even sepsis. Poor circulation slows the healing process, making these ulcers harder to treat. A podiatrist can help by assessing the severity of the ulcer, cleaning the wound, and applying protective dressings to reduce infection risk. In some cases, patients may need pressure-relieving footwear, a cast, or surgery to remove damaged tissue. Infected ulcers often require antibiotics, and severe infections may need hospital care. Regular foot care is important to avoid complications from diabetic foot ulcers. If you have foot ulcers as a result of diabetes, it is suggested that you are under the care of a podiatrist for ongoing treatment.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Cuboid syndrome is a condition that occurs when the cuboid bone in the foot becomes misaligned or partially dislocated, often due to overuse or injury. The cuboid is a small bone located on the outer side of the foot, near the middle, and plays a key role in foot stability and movement. Pain from cuboid syndrome is typically felt along the outer edge of the foot and may extend into the arch or toward the toes. The discomfort can be sharp or aching and often worsens with walking, running, or standing for long periods. Causes may include repetitive strain, wearing improper footwear, or sudden twisting motions. If you have pain in this part of your foot, it is suggested that you contact a podiatrist who can accurately diagnose and treat cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

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

Causes

The most common causes of cuboid syndrome include:

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

Symptoms

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

Diagnosis

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

Treatment

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

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

Custom foot orthoses may help relieve pain and improve function in adults with flat feet. This condition occurs when the arch of the foot collapses or fails to develop properly, often leading to discomfort, fatigue, and poor alignment in the legs or back. Orthotics are designed to support the arch, reduce stress on muscles and joints, and promote better foot mechanics. Some adults with flat feet experience noticeable relief and increased mobility when wearing custom orthotics during daily activities. However, more research is needed to fully understand how effective orthoses are for different individuals and foot types. Flat feet can present in various ways, and the right treatment depends on the cause and severity of the condition. If you experience pain from flat feet, it is suggested that you see a podiatrist for a proper diagnosis and treatment, which may include custom orthotics.

The benefits of custom orthotics are far-reaching and can make a significant impact on your daily life. Whether you are an athlete looking to enhance your performance, a healthcare worker on your feet every day, someone who experiences chronic foot pain, or someone who wants to improve their overall comfort and well-being, custom orthotics can be a game changer. 

Custom orthotics provide support, stability, and relief for a variety of foot conditions ranging from flat feet to heel pain. They can even help prevent injuries and address more severe foot concerns, such as plantar fasciitis and diabetic foot issues. 

Contact one of our podiatrists at Biebel & DeCotiis Podiatry Associates to create tailored orthotics for you and enjoy a higher quality of life, reduced pain, and increased mobility. With the right orthotics, you can continue doing the things you love, whether it’s running, dancing, or simply walking comfortably without discomfort. 

If you are suffering from foot discomfort or have concerns about your foot health, do not hesitate to contact one of our podiatrists at Biebel & DeCotiis Podiatry Associates to explore the benefits of orthotics for you. Your feet are the foundation of your body and investing in their well-being can lead to a happier, healthier, and more active lifestyle. Your feet will thank you!

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.

Foot pain can stem from plantar fasciitis, tendonitis, bunions, or arthritis. Plantar fasciitis causes sharp pain in the heel, particularly with the first steps in the morning. Tendonitis involves inflammation of the tendons, leading to pain, swelling, and limited movement, often affecting the arch or back of the foot. A bunion is a bony bump at the base of the big toe, making it painful to wear shoes and walk. Arthritis in the foot causes joint pain, stiffness, and swelling, often worsening with activity. The causes of foot pain vary, but common factors include overuse, wearing improper footwear, abnormal foot structure, or aging. Symptoms often include swelling, tenderness, and difficulty moving or bearing weight on the affected foot. A podiatrist can assess your symptoms and provide treatment options, including targeted exercises, custom orthotics, medication, or surgery, if needed. If you have ongoing foot pain, it is suggested that you schedule an appointment with a podiatrist.

Foot Pain

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

Causes

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

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

Diagnosis

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

Treatment

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

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

Wearing the correct shoe size is essential for maintaining foot health and overall comfort. Shoes that are too tight or too loose can lead to foot conditions that cause pain and discomfort. Neuropathy, which affects nerve function, can be worsened by wearing ill-fitting shoes that create pressure points and reduce circulation. Persistent foot pain may develop due to a lack of proper support, leading to difficulty in walking and standing. Ingrown toenails are a common issue when shoes squeeze the toes, causing the nail to grow into the surrounding skin. Over time, these problems can contribute to a decreased quality of life by limiting mobility and daily activities. If you have foot pain from wearing shoes that do not fit correctly, it is suggested that you consult a podiatrist who can treat various foot conditions and guide you on how to determine your correct shoe size.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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.

Ankle sprains are a frequent injury that can occur due to various factors. Wearing high heels often causes instability in the foot, making it easier to twist or roll the ankle, especially when walking on uneven surfaces. Rough terrain activities, such as hiking or running on rocky or uneven ground, increase the risk of rolling the ankle and straining ligaments. Uncomfortable landings, particularly in sports or other physical activities, can cause sudden twists or bends in the ankle, leading to sprains. Chronic instability, whether from previous sprains or weak ankle muscles, can make the ankle more prone to reinjury. Wearing more supportive footwear, strengthening the ankle muscles, and being cautious on uneven ground can help prevent sprains. An ankle sprain can cause severe pain and discomfort, causing difficulty in completing daily activities. If you have sustained this type of injury, it is suggested that you promptly seek guidance from a podiatrist who can effectively treat this condition.

Ankle sprains are common but need immediate attention. 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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.

Cracked heels develop when the skin on the heels becomes dry and thick, leading to fissures that can deepen over time. People with diabetes, hypothyroidism, psoriasis, or allergic dermatitis may be more likely to experience heel fissures. Factors like standing for long periods, being overweight, or wearing open-back shoes can contribute to the problem by increasing pressure on the heels. Initially, a dry, hardened callus forms around the edge of the heel, often appearing yellow or dark brown. Without treatment, small cracks can widen, becoming painful and even bleeding. In severe cases, cracked heels can lead to severe infections like cellulitis, which require immediate medical attention. People with diabetes should be especially cautious, as deep heel cracks may result in foot ulcers. A podiatrist can remove thickened skin, prescribe medication for infections, and provide supportive footwear advice to prevent further complications. If you have cracked heels that have become painful or infected, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.