Running can be a good form of exercise and many enjoy this sport. However, like other physical sports, it can have negative effects on one’s feet. Heel pain is a common complaint among runners. This can be caused by overuse, plantar fasciitis, foot structure problems, or poor running form. It is critical that heel pain is treated promptly in runners to avoid further injury and complications. Plantar fasciitis is a condition where the plantar fascia, the ligament that runs from the heels to the toes on the soles of the feet, is overstretched or has slight tears. This results in heel pain, which is often worse after rest. People with flat feet or high arches represent examples of those with foot structure problems that put stress on the plantar fascia and can lead to heel pain after running. There are many other reasons heel pain may affect runners, and if this is something you suffer from, it is suggested that you see a podiatrist who can help you get to the root cause of the pain and offer effective treatment solutions.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Onychomycosis is the medical term for the common foot condition that is known as toenail fungus. It can be an unsightly ailment and causes the toenails to become yellow and thick. In severe cases, they may become brittle and eventually separate from the nail bed and fall off.  It can be caused by various reasons, which may include existing medical conditions. These can consist of diabetes, poor circulation, or a weakened immune system. Additionally, the fungus that causes this condition can live in moist environments such as public swimming pools, shower room floors, and similar areas. It is beneficial to wear appropriate shoes while going to these types of places, which may help you to avoid getting toenail fungus. One of the first signs of this condition can be a small white spot that appears on the nail of the big toe. Research has shown that treatment may be more successful when started promptly. If you have developed toenail fungus, it is suggested that you confer with a podiatrist who can discuss the correct treatment options with you.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

Patients with a condition known as foot drop, as well as other foot and ankle-related problems, may need the assistance of an ankle brace. This device is commonly called an AFO, or ankle-foot orthosis. The brace aids the wearer by providing stability in the ankle joint, maintaining its alignment, and preventing the foot from dragging on the ground while walking. AFOs are made of plastic, metal, or strong fiber, depending on the needs of the patient. A podiatrist can determine the type of AFO required by conducting a series of tests to assess muscle strength, joint mobility, and gait issues. Ankle-foot orthoses come in various forms, including solid, which encases the joint, and hinged, which provides controlled ankle movement. A typical AFO begins just below the knee and extends to the base of the toes. This type of device is commonly prescribed for patients with foot drop, nerve disorders, trauma, and other conditions that affect the gait. For more information on an ankle-foot orthotic device, it is suggested that you consult a podiatrist.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

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

Causes

The most common causes of ankle pain include:

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

Symptoms

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

Diagnosis

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

Treatment

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

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

Many diabetics suffer from a related condition known as Charcot foot. It is caused by peripheral neuropathy, which is nerve damage and a loss of sensation in the lower legs and feet. Diabetics with Charcot foot may notice redness, warmth, and swelling of the feet, the condition also weakens the bones, soft tissues, and joints of the foot. As the disease progresses it may lead to fractures and dislocation of the ankle bones. Charcot foot can be detected through a physical examination, X-rays, and blood tests. The condition generally affects only one foot. Taking the weight off the affected foot is paramount in helping to keep symptoms at bay. The bones in the foot can easily collapse and if ignored can produce even more serious problems. In some cases, patients are directed to wear a special boot or cast to protect the foot. Orthotic inserts in shoes are often helpful in providing the needed cushioning. If you are experiencing symptoms of Charcot foot, it is suggested that you consult a podiatrist as soon as possible for an exam and diagnosis. 

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Bruised toenails, also termed subungual hematomas, are characterized by a darkened nail. This is caused by bleeding under the toenail, which can become painful. Bruised toenails are common among ballet dancers, especially those who dance on pointe. This action places a great deal of force on the toenail and often causes the nail to pull away from the bed. Bruised toenails can also result from dropping a heavy object on the toe. To relieve the pressure of a bruised toenail, it may be necessary to drain the blood underneath the nail. A podiatrist can carry out this procedure by drilling a tiny hole in the nail to release the blood and swabbing it with alcohol to avoid infection. Resting the foot for a few days is recommended to give the nail bed a chance to heal. To avoid future toe bruising, it is wise to keep toenails trimmed short. For help with bruised toenails, it is suggested that you see a podiatrist for safe treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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 tools and technology to treat your foot and ankle needs.

It is beneficial for parents to pay attention to their children’s feet as they are growing. The majority of babies are born with flat feet, and the arch generally develops during their teenage years. If this fails to occur, orthotics may be needed that may help to strengthen the foot. A foot care routine can begin with washing the child’s feet, and ensuring the area between the toes is thoroughly dried. This can be followed by trimming the toenails properly, which is typically done once per week. The feet can become stronger when babies crawl barefoot while indoors, as a result of the toes gripping the floor. When it is time to walk outside, it is beneficial for the first shoes to be made with a sturdy sole and flexible materials. The feet have several thousand sweat glands, and while sweating is normal, there may be an offensive odor. It is suggested to discuss this with a podiatrist, in addition to any information you would like to know about children’s foot health. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors 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 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.

There are various reasons why people may experience foot pain. There are several bones, muscles, and ligaments that each foot has, and an injury may cause the bones to become misaligned. This may result in a loss of cushioning. A common reason for foot pain is called plantar fasciitis. This affects the plantar fascia, which is the band of tissue that connects the heel to the toes. An injury can cause this tendon to become inflamed, causing heel pain, and research has shown this accounts for approximately 15 percent of foot pain. Morton’s neuroma is a foot condition that compresses and irritates the nerve between the third and fourth toes. This generally happens from wearing shoes that do not have enough room in the toe area. If the big toe becomes sprained, it may be classified as turf toe, and swelling and stiffness can accompany this. If you have foot pain for any reason, it is suggested that you consult with a podiatrist who can determine what the cause is, and offer correct treatment solutions.

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.

If an injured ankle doesn’t have enough time to thoroughly heal, the chances of a reinjury increase, experts say. Caring for an ankle sprain is essential to preventing a recurrence, and possible chronic pain. A sprain occurs when a ligament in the ankle joint is overstretched, resulting in tears of the tissue or, in severe cases, a rupture. Pain, swelling, bruising, and weakness in the joint are likely to occur. The first thing to do after incurring an ankle sprain is to stay off the foot. After being examined by a podiatrist to determine the severity of the sprain, a soft cast or protective boot may be prescribed. Bearing weight may be out of the question at first, and keeping the affected leg elevated as much as possible can speed up the healing process. Some type of pain medication is often prescribed, as well. The podiatrist may suggest certain exercises to strengthen the foot and ankle that can help to prevent future injuries and chronic pain. Patience is a necessary component of a permanent recovery from an ankle sprain, as healing can take as long as six weeks or more. For further guidance, it is suggested that you consult a podiatrist for a treatment plan.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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 are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

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

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.