Thursday, 14 December 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Tuesday, 12 December 2023 00:00

Treatment Options for a Torn Achilles Tendon

An Achilles tendon tear can be a debilitating injury, but with proper treatment, recovery is possible. The approach to treatment varies depending on the severity of the Achilles tendon tear. For partial tears, a common non-surgical option is immobilization by using a walking boot, leg brace, or splint for approximately six weeks. This restricts movement, allowing the tendon to heal correctly and prevent further damage. Using crutches may be necessary during this period to avoid putting weight on the injured ankle. Rest is an essential component of healing, along with keeping the injured leg elevated. In cases of an Achilles tendon rupture, or complete tear, surgery is likely to be necessary. Before the procedure, patients may wear a walking cast or boot to protect the injured area. During surgery, a podiatrist makes incisions down the back of the heel, reconnects the torn tendon, and stitches the wound closed. In post-surgery, patients wear a cast or splint to immobilize the tendon, with prescribed pain medication, and elevation to aid healing. If you have an Achilles tendon tear or rupture, it is suggested that you schedule an emergency appointment with a podiatrist for guidance on the proper treatment. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries
Tuesday, 05 December 2023 00:00

Treating Your Child’s In-Toeing

Most people's feet typically point straight ahead or outward, but some children develop a condition known as in-toeing, where the feet point inward which is often referred to as pigeon toes. In-toeing is a common phenomenon in young children, and while it often corrects itself with time, some cases require attention and treatment, based on the underlying cause. Internal tibial torsion is one cause of in-toeing, and most doctors refrain from prescribing treatment for young children with this condition. Braces and special shoes are generally ineffective and rarely used due to their expense and children's reluctance to wear them. Surgical correction is only considered in cases where the twist in the tibia is severe and appearance becomes a concern. Excess femoral anteversion, another cause of in-toeing, typically improves on its own as children age. Braces or shoe modifications are generally not effective, and surgery is only considered in very severe cases where the inward twist of the thigh bone is significant. Metatarsus adductus, characterized by a curved foot shape, may involve stretching exercises or the use of casts or braces for more severe cases. Fortunately, any residual curvature post-treatment does not impede a child's ability to run and play, and it is not painful. If your child’s in-toeing seems to be problematic, it is suggested that you schedule an appointment with a podiatrist who can determine what the best treatment is.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor 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 our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What to Do to Keep Your Child’s Feet Healthy
Tuesday, 28 November 2023 00:00

Treatment Options for Plantar Fasciitis

Plantar fasciitis, a common cause of heel and arch pain, arises from repeated micro-tears in the plantar fascia fibers, primarily at the point where the fascia connects to the heel bone. Stretching exercises are a vital treatment for plantar fasciitis. These exercises should focus on both the calf and the plantar fascia to yield maximum effectiveness, as tight calf muscles are a frequent cause of plantar fasciitis. Strengthening exercises that target intrinsic foot muscles and the calf muscles offer significant relief by stabilizing and supporting the foot and heel. Shoe inserts, such as gel heel pads or orthotics, are another simple, yet effective treatment. These aids vary from basic heel pads or cups that offer cushioning for the heel to custom-made orthotics prescribed by a podiatrist that correct abnormal foot positions, such as fallen arches. They reduce tension on the Achilles tendon and plantar fascia, providing much-needed comfort. Choosing the right footwear is an important way to manage plantar fasciitis. Opt for shoes that provide excellent cushioning and support, especially for the medial arch of the foot. Wearing shoes throughout the day, rather than walking barefoot, ensures continuous support and cushioning for the feet. If you are experiencing symptoms of plantar fasciitis, it is suggested that you make an appointment with a podiatrist who can safely guide your treatment and recovery. 

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Harvey Jacobs, DPM  from Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis
Tuesday, 21 November 2023 00:00

Os Trigonum Syndrome Explained

Most people have never heard of an os trigonum and do not know if they have one or not. That is because the os trigonum is an extra bone in the foot that is present in only 20% of the population. In most cases, this extra bone goes unnoticed. An os trigonum typically forms during childhood and, in most cases, fuses with the talus bone. But if it remains separate, complications can arise with overuse or trauma. The result is termed os trigonum syndrome. Activities requiring frequent ankle flexion, like ballet dancing or running, can contribute to its development. Also, an ankle injury that forces the foot into excessive plantar flexion, in which the toes are pointed downward, can lead to what is termed a nutcracker injury. It is caused when an os trigonum is compressed between the ankle and heel bones. Symptoms include pain at the back of the ankle, worsened during activities such as excessive toe pointing or in the push off phase while walking. Tenderness upon touching the affected area, swelling due to soft tissue inflammation, and the presence of a palpable lump near the Achilles tendon are characteristic signs of os trigonum syndrome. If you are experiencing pain in the back of the heel, it is suggested that you make an appointment with a podiatrist who can determine what the cause is, and suggest appropriate treatment.  

Many people suffer from bouts of heel pain. For more information, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor 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 our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Wednesday, 15 November 2023 00:00

Warning Signs From Your Feet

The condition of your feet can offer valuable insights into your overall health. For instance, if your feet are persistently cold, it may signal hypothyroidism, a condition that slows your metabolism. Yellow toenails may be a sign of lymphedema or respiratory issues. Persistent yellowing warrants a visit to a podiatrist for a diagnosis and treatment options. Painful foot cramps can result from dehydration or nutrient deficiencies. It is a good idea to stay hydrated, maintain a balanced diet, and consider drinking low-calorie sports drinks with electrolytes to prevent and relieve foot cramps. An enlarged, painful big toe may indicate gout. This is a form of arthritis that often affects the big toe. It results from an overabundance of purines in the system and can cause flare ups of extreme pain, swelling, and redness in the big toe. Reducing the risk of gout involves moderating alcohol intake and avoiding red meat and seafood consumption. If you are experiencing unusual types of foot problems, or suspect you may have gout, it is suggested that you make an appointment with a podiatrist for a full diagnosis and treatment options.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor 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 our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Every Day Foot Care
Tuesday, 14 November 2023 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 07 November 2023 00:00

Grading of Ankle Sprains

Inadequate care following acute ankle trauma can lead to chronic joint instability. Employing a standardized protocol is essential for effective ankle sprain management. Ankle sprains are categorized from grade I to grade III based on severity. For grade I or II sprains, the focus should be on an accurate diagnosis, preserving range of motion, and employing ankle support. Grade III ankle sprains often involve complete ligament tears, and surgical intervention may be necessary. It is important to note that while early motion and mobility are recommended, it may take several months for ligamentous strength to fully recover after an ankle sprain. If you have hurt your ankle, it is suggested that you make an appointment with a podiatrist for an examination, diagnosis, and the necessary treatment that is required to fully heal your ankle.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor 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 our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ankle Sprains
Tuesday, 31 October 2023 00:00

An Overview of Clubfoot

Clubfoot is a congenital condition that affects infants' feet, making them appear rotated inward and downward. While it may sound intimidating, clubfoot is both a common and treatable condition. It occurs during fetal development when the tendons and ligaments in the foot are shorter than usual, pulling the foot into an abnormal position. In some cases, both feet may be affected. Clubfoot is not painful for the infant, but if left untreated, it can lead to severe mobility issues as they grow. The good news is that with early intervention, clubfoot can be effectively corrected. The Ponseti method, a non-surgical approach, is often employed. It involves gentle manipulation of the foot and the use of a series of casts to gradually move the foot into the correct position. Afterward, a brace is used to maintain the corrected position. In some cases, a minor surgical procedure may be necessary. Early detection and treatment are essential for the best outcome, and with the right care, many children with clubfoot can grow up to lead active, pain-free lives. If your child has been born with clubfoot, it is suggested that you speak with a podiatrist as quickly as possible who can begin the correct treatment method.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Somerset, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Congenital Foot Problems
Tuesday, 24 October 2023 00:00

Benefits of Custom Orthotics

Foot orthotics, whether over-the-counter or custom-made, are specialized insoles designed to address various foot and gait-related issues. They work by correcting imbalances in foot structure and gait, improving posture, and relieving pain through support and pressure redistribution. Custom orthotics, which are molded to the individual's foot shape, offer a personalized fit ideal for specific alignment problems, pathologies, or deformities. They aid in healing by reducing strain on injured areas and can prevent conditions like stress fractures, tendonitis, and tendon rupture. Orthotics also provide cushioning, shock absorption, and enhanced stability, thereby reducing the risk of falls. Athletes can benefit from custom foot orthotics by improving foot support, limiting shock, and reducing tendon stress. This can enhance performance while minimizing injury risk. Over-the-counter insoles may offer basic comfort but lack the effectiveness of custom orthotics. This makes custom orthotics the preferred choice for those with unique foot-related needs. It is suggested that you make an appointment with a podiatrist to ensure the proper fit and function of orthotics tailored to your individual foot needs.

If you are having discomfort in your feet and would like to try orthotics, contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor 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 our office located in Somerset, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Foot Orthotics for Athletes
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