Hammertoe, claw toe, and mallet toe are related toe deformities that affect the small toes, impacting walking and balance. These deformities result when the pressure on the toes exceeds their joint strength, often due to weak joints, muscle imbalances, or tissue weakness in the lower part of the toe joint. Claw toe involves upward bending of the toe joint at the ball of the foot, with the middle and sometimes end joint curving downward, resembling a claw. It can affect any toes except the big toe. With hammertoe, the toe bends at the middle joint, creating a curled appearance. Hammertoe most commonly affects the second toe, and it often coexists with bunions. Mallet toe is similar to hammertoe but involves the last joint rather than the knuckle joint, resulting in a mallet-like appearance at the end of the toe. Causes of these conditions include wearing ill fitting shoes, high arches, and genetics. Additionally, arthritis, diabetes, tendon imbalances, and neurological conditions can be a cause of developing hammertoe. Treatment options range from padding, orthotic devices, and wearing proper footwear to surgical interventions, including tendon release, joint adjustments, and bone modifications. Surgery is considered when non-operative methods fail to alleviate pain or correct the deformity. If you have toe problems or pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment right for you.

Hammertoe

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

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

Custom foot orthotics are designed to meet unique structural and biomechanical needs, but they often require a break-in period. This means getting used to them gradually. The adjustment period varies for each person as your body has adapted to moving a certain way over the years. When you first wear them, custom orthotics might feel unusual, like standing on a hard ball with pressure on your arches. Some may feel great right away, like walking on clouds. However, it is crucial to break them in properly. Some tips to get used to orthotics include starting off slowly and wearing them for a few hours at first and then increasing wear time by one or two hours daily over a week. Other tips include reducing wear time if you experience discomfort, wearing them in shoes with the appropriate width and depth, and waiting until they are entirely broken in before engaging in physical activity. Adjustments can possibly be made if discomfort persists. If you are interested in learning more about whether you are a good candidate for orthotics and how to adjust to them, it is suggested that you make an appointment with a podiatrist to discuss this option.

If you are having discomfort in your feet and would like to try 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 Orthotics?

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 but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that 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 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 are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards 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.

Diabetic foot ulcers, or DFUs, are a common complication of diabetes, resulting from prolonged high blood sugar levels that damage blood vessels and nerves. This condition impedes wound healing and leads to ulcers in weight-bearing areas such as the ball of the feet, heels, and toes. These types of diabetic foot ulcers can have severe consequences, contributing to a significant number of hospital admissions among people with diabetes. To effectively manage and treat DFUs, podiatrists use classification and scoring systems that can provide valuable insights into the severity and potential complications of these wounds. One widely recognized classification system is Wagner's, which assesses DFUs based on six grades. Factors such as ulcer depth, tissue necrosis extent, and bone infection presence are examined. The results range from Grade 0, which indicates no open lesions, to Grade 5, which shows gangrene of the entire foot. Wagner's system aids in treatment planning and understanding ulcer severity. If you suffer from diabetic foot ulcers, it is suggested that you make regular appointments with a podiatrist to monitor the stages of the ulcers.

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.

For seniors, falls can pose serious risks to both physical health and independence. Understanding the underlying causes is pivotal in designing effective prevention strategies. Factors consisting of muscle weakness, poor balance, and reduced vision can play a significant role. Medication side effects, particularly dizziness or drowsiness, can also contribute to falling. Additionally, hazardous home environments, clutter, and uneven surfaces also heighten the risk. There are methods that can be implemented to prevent falling. Engaging in a regular exercise routine can help to enhance strength and balance. Vision checks and reviewing medications with a healthcare provider can be beneficial in reducing risks. Modifying the home environment by installing handrails, improving lighting, and reducing clutter fosters safety. By addressing these causes and adopting preventive measures, seniors can confidently navigate life while minimizing the risk of falls. If you would like more information about effective fall prevention techniques, it is suggested that you confer with a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious 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.

Sever's disease is a common condition that causes heel pain in children experiencing growth spurts. It primarily affects active kids involved in sports and physical activities. This condition occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress and tension on the area where the Achilles tendon attaches to the bone. As children grow, the bones often grow faster than the surrounding muscles and tendons, leading to this painful condition. Sever's disease usually affects children and young teenagers between the ages of 8 to 14 years old. The treatment for Sever's disease focuses on relieving pain and reducing inflammation. Rest, and avoiding activities that aggravate the condition are the primary treatment measures. Gentle stretching and strengthening exercises may help improve flexibility and reduce stress on the affected area. In some cases, heel pads or orthotic shoe inserts may be recommended to provide additional support and cushioning. If the pain persists or worsens, it is suggested that you consult a podiatrist for proper evaluation and guidance on managing Sever's disease effectively.

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.

Running shoes are the holy grail for many fitness enthusiasts, but with so many options available, finding the right pair can be overwhelming. Understanding the different types of running shoes will make the selection process smoother. Neutral cushioned shoes are ideal for runners with a neutral gait, providing balanced cushioning for shock absorption. People who have mild overpronation may benefit from wearing stability shoes that offer added support to prevent excessive inward rolling of the foot. Motion-control shoes may be a good choice for people who have severe overpronation because they feature maximum support and control that can stabilize the foot. Experienced runners seeking a natural, lightweight feel may opt for minimalist shoes, which can also help to improve foot mechanics. To find out which type of running shoes are best for you, it is beneficial to have a gait analysis performed. This is an accurate method that can determine your foot type and running style. A proper fit consists of having a thumb's width of space between the longest toe and shoe tip and a snug heel fit. If you would like additional information about which types of running shoes are right for you, it is suggested that you confer with a podiatrist. seeking.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

If you have any questions please feel free to contact our 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.

The ankle joint is a structure of bones, ligaments, muscles, and tendons that allow the foot to flex and point. At this complex joint, the tibia and fibula muscles of the calf connect with the talus bone of the foot, forming what is termed the ankle mortise. These bones bear the majority of weight bearing, while the ligaments that hold them in place provide stability. When this mechanism fails, usually as the result of some kind of trauma, the ankle becomes dislocated. The most common causes of a dislocated ankle are falls, car accidents, and sports injuries. Types of dislocations include posterior, anterior, lateral, and superior. A posterior dislocation, which is the most common, occurs when the talus is pushed forward while the tibia is pushed backward. A lateral dislocation, which occurs when the ankle is twisted, is usually accompanied by a bone fracture. A superior dislocation occurs when the talus is pushed upward into the space between the tibia and fibula, often the result of a fall or car crash. Treatment for a dislocated ankle depends on the type and severity of the injury, and recovery can take up to 3 months. For help with an ankle dislocation, it is suggested that you make an appointment with a podiatrist.

Ankle pain can have many different causes and the pain may potentially be 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
• 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.

Hammertoe is easy to notice. It is a foot condition that causes the second or third toe to bend up at the middle joint and may be caused by shoes that are the incorrect size. This is a common condition among people who wear high heels or tight shoes, and in severe cases, it may be difficult to walk. Many people develop corns on top of the hammertoes, caused by the toes constantly rubbing against the top of the shoe. In mild cases, some stretches can gradually straighten the toes. This can be coupled with wearing protective pads on top of the toes, which may help reduce friction. Some people choose to wear orthotics, which may help realign the foot. If you have developed hammertoe, it is strongly suggested that you consult with a podiatrist who can effectively diagnose and treat this condition.

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.