Blog

Causes and Symptoms of Acquired Adult Flat Feet

Causes and Symptoms of Acquired Adult Flat Feet

Acquired adult flat feet, also known as progressive collapsing foot deformity, is a condition where the arches of the feet gradually flatten over time. This can lead to pain, swelling, and difficulty walking. The condition is often caused by posterior tibial tendon dysfunction, where the tendon that supports the arch weakens or tears. Other contributing factors include obesity, high blood pressure, diabetes, and injuries. Symptoms typically start with pain along the inner foot and ankle, followed by visible flattening of the arch and outward rolling of the ankle. If left untreated, the condition can lead to severe deformity and arthritis.  Relief options can include orthotic devices, and in advanced cases, surgery to repair or reconstruct the affected tendons and bones. If you have flat feet, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of 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.

Read more about Flatfoot

Peripheral Artery Disease

Peripheral Artery Disease

Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.

Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.

Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.

If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.

Understanding Peripheral Artery Disease

Understanding Peripheral Artery Disease

Peripheral Arterial Disease, PAD, is a condition where the arteries that supply blood to your limbs become narrowed or blocked due to plaque, a buildup of fatty deposits. Due to reduced blood flow, symptoms such as leg pain, cramping, and fatigue may develop, particularly during physical activities like walking. PAD is both an uncomfortable and serious condition, as it can lead to more severe complications, including infections, sores that won't heal, and even an increased risk of amputation, if not treated properly. Early diagnosis and management are essential to improving blood flow, relieving symptoms, and protecting your overall limb health. If you notice these symptoms, it is suggested you meet with a podiatrist to discuss the best plan to improve and maintain your foot health.  

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Read more about Peripheral Artery Disease

Custom Orthotics Seasonal - Any Season

Custom Orthotics Seasonal - Any Season

Rain or shine, snow or sleet, Custom Orthotics have your feet covered! As the seasons change, ensure your steps remain comfortable and supported. Custom Orthotics adapt to your footwear, from summer sandals to winter boots, providing consistent relief and alignment. Don't let the changing weather dictate your foot comfort. Step confidently year-round and experience the difference with Custom Orthotics. Call today for more information.

Broken Ankle Causes, Differences, Symptoms and Treatments

Broken Ankle Causes, Differences, Symptoms and Treatments

The ankle is a hinged synovial joint made up of three bones: the tibia (shin bone), the fibula (outer ankle bone), and the talus (between the heel and leg). These three bones are bound, supported, and stabilized by strong, fibrous bands of tissue called ligaments.

A break in an ankle bone can be either traumatic or stress related. This injury may be referred to as a break or fracture. A traumatic fracture can result from tripping, twisting or rolling the ankle, falling, or by blunt impact to the ankle. These traumatic ankle breaks usually occur during sporting activities or accidents. Stress fractures, however, occur over time and are the result of repetitive stress to the ankle. These fractures sometimes occur when a new activity that engages the ankle is introduced, or when the level of activity is abruptly increased or intensified. 

There are various symptoms that accompany an ankle break. The most significant symptoms are pain and swelling that occurs in the ankle and sometimes spreads up from the foot to below the knee. Bruising or discoloration may develop eventually. It will be difficult or even impossible to put weight on the affected foot, and in severe cases there may be a visible deformity or even exposed bone.

It is very important to seek immediate treatment when an ankle break occurs or is suspected to have occurred, in order to allow the bone to properly heal and to avoid future complications such as stiff joints, limited range of motion, and osteoarthritis.

To diagnose a broken ankle, your podiatrist will first ask you to explain how the injury occurred and what your symptoms are. They will perform a thorough examination, checking for damage to nerves, blood vessels, and other structures around the injury site. They will also test your range of motion. An X-ray will need to be reviewed and, in some cases, an MRI or CT scan may be necessary.

Proper treatment of a broken ankle will depend on where and how severe the break is, how stable the ankle is, and whether the bone is displaced (misaligned or separated) or non-displaced (broken yet still aligned properly). 

Mild fractures (where the bone is non-displaced) may be treated by resting, icing, and elevating the ankle at first, followed by immobilization with a cast or walking boot. Pain and inflammation may be treated with acetaminophen. More severe or complicated fractures where bones or joints are displaced may require surgery. 

Recovery time will also vary, and it may take 4-6 weeks or longer for a broken ankle to heal. Your podiatrist will most likely order progressive X-rays or stress tests to be taken in order to monitor the healing process.

Possible Complications of a Broken Ankle

Possible Complications of a Broken Ankle

A broken ankle, medically termed ankle fracture, poses significant risks and complications, particularly for active individuals and the elderly. Active individuals are often at risk due to participation in high-impact activities, while the elderly are susceptible due to factors such as decreased bone density and balance issues. One potential complication of a broken ankle is the development of osteoarthritis in the affected joint over time. This occurs due to the disruption of the joint's normal structure and function during the healing process, leading to cartilage degeneration and subsequent pain and stiffness. Elderly individuals, especially those with diabetes, are also prone to complications such as wound healing issues and infections, which can prolong recovery and increase the risk of further complications. Treatment for a broken ankle typically involves immobilization with a cast or brace and pain management. If you have sustained an ankle fracture, it is suggested that you schedule an appointment with a podiatrist who can provide comprehensive care, including monitoring for complications, optimizing rehabilitation, and providing long-term management for optimal foot health.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

Read more about Broken Ankle Causes, Differences, Symptoms and Treatments

Investing in Custom Orthotics Means Investing in Foot Health

Investing in Custom Orthotics Means Investing in Foot Health

Custom orthotics offer a tailored approach to foot health, providing a host of benefits that extend far beyond conventional shoe inserts. One of the primary advantages lies in their ability to address specific biomechanical issues. Unlike off-the-shelf inserts, custom orthotics are crafted based on an individual's unique foot structure, gait, and any existing foot conditions.

The personalized design of custom orthotics ensures optimal support for the arches, promoting proper alignment and distributing pressure evenly across the feet. This can be particularly beneficial for individuals dealing with issues such as overpronation or underpronation, as custom orthotics help correct imbalances that may lead to discomfort or injury.

Beyond biomechanics, custom orthotics can alleviate a range of foot problems, including plantar fasciitis, bunions, and metatarsalgia. They provide targeted relief to areas under stress, reducing pain and inflammation. Additionally, for those with specific medical conditions like diabetes, custom orthotics can play a crucial role in preventing complications associated with poor foot health.

Comfort is another key aspect of custom orthotics. By accommodating the unique contours of an individual's feet, these inserts enhance overall comfort, making daily activities more enjoyable. Whether for athletes looking to optimize performance or individuals seeking relief from chronic foot pain, custom orthotics offer a versatile solution.

Investing in custom orthotics is an investment in long-term foot health. They not only provide immediate relief but also contribute to the prevention of future issues. With the ability to seamlessly integrate into various types of footwear, custom orthotics empower individuals to prioritize foot comfort without compromising on style. In essence, custom orthotics are a personalized prescription for happy, healthy, and pain-free feet.


 

Custom Orthotics Can Help Arch Pain

Custom Orthotics Can Help Arch Pain

Arch pain, often caused by conditions such as plantar fasciitis, flat feet, as  well as high arches, can significantly impact daily activities. Custom orthotics, specifically designed shoe inserts, provide tailored support and cushioning to alleviate this discomfort. These orthotics help distribute pressure evenly across the foot, reducing strain on the arch and improving overall foot mechanics. Common causes of arch pain include overuse, wearing improper footwear, and biomechanical abnormalities. Treatments typically involve rest, and anti-inflammatory medications. Stretches that target the arch, Achilles tendon, and calf muscles can enhance flexibility and reduce pain. Risk factors for arch pain include obesity, prolonged standing, high-impact sports, and aging. If left untreated, arch pain can lead to complications such as chronic pain, altered gait, and additional foot problems. If you have persistent or worsening arch pain, it is suggested that you schedule an appointment with a podiatrist who can diagnose the cause of the pain and recommend custom orthotics and other treatments to restore foot health. 

Custom orthotics and shoe inserts are not just for cushioning the soles; they are about supporting the foundation of our body - our feet. The advantages extend far beyond immediate relief from discomfort. These personalized solutions, that Our doctors can prescribe, can significantly impact a person’s posture, alleviate pain in various parts of the body, and even enhance athletic performance.

As we lace up our shoes each day, having the right support can make a world of difference. Custom orthotics are like tailored suites for our feet, offering a bespoke solution to address our unique biomechanical needs. They provide stability where it is lacking, correct imbalances, and ensure that every step is a confident and pain-free one. 

Custom orthotics and shoe inserts offer long-term health benefits. By addressing issues such as overpronation or underpronation, heel pain, plantar fasciitis, etc. orthotics can help prevent injuries and mitigate the progression of existing conditions. It’s an investment not just in the present, but in the future health of your feet and consequently, your overall well-being. 

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.

Read more about Investing in Custom Orthotics Means Investing in Foot Health

Why Live with Pain and Numbness in Your Feet?

Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Wound Care

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Connect With Us