August 2020

Peripheral artery disease or more commonly known as PAD, is a condition that causes poor circulation to the lower limbs due to plaque buildup in the arteries. This arterial plaque buildup causes the arteries to harden and narrow, leading to reduced blood flow to the affected areas. If severe enough, blocked blood flow can cause gangrene. In severe cases, this can lead to leg amputation.Some people are at an increased risk of developing PAD. The main risk factor for developing PAD is smoking or having a history of smoking. Other risk factors include having a history of diabetes, high blood pressure, high cholesterol, ischemic heart disease, stroke, and metabolic syndrome. If you have any of these risk factors, discuss them with a podiatrist, who can monitor the health of your lower limbs and screen for PAD. 

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 Quality Foot Care Center. 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 our office located in Somerset, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Heel pain is usually an overuse injury. One common source of heel pain is plantar fasciitis which occurs when the plantar fascia, the tissue connecting the heel to the bottom of the foot, becomes inflamed. Another source of heel pain is Achilles tendonitis, and this is the inflammation of the Achilles tendon. Heel spurs, which are a bony growth at the bottom of the heel, are also common sources of heel pain. Other factors that can lead to heel pain include stress fractures, tarsal tunnel syndrome, wear and tear of the heel pad, and heel bursitis. If you are suffering from any type of heel pain, it is important to consult with a podiatrist for a proper diagnosis and treatment plan.

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

An ingrown toenail is defined as the outside edges of the nail growing into the surrounding skin, instead of over the skin. The big toe is generally affected the most, but it can occur in any of the toes. If it is not promptly treated it may become infected, which can be accompanied by pus drainage, redness, and often swelling. Common causes of this ailment can include genetics and wearing shoes that do not have adequate room for the toes to move freely in. Patients have found mild relief when the affected foot is soaked in warm water, and this is generally helpful in softening the skin. This can be followed by inserting a small piece of cotton between the nail and skin, which can be beneficial in lifting the nail off of the skin. If you are afflicted with an ingrown toenail, it is strongly recommended that you are under the care of a podiatrist who can offer you the best treatment options.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Quality Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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.

Tarsal tunnel syndrome is a condition that causes pain in the ankle and foot. It is caused by compression or damage to the posterior tibial nerve, which runs down the back of the calf, through the tarsal tunnel located near the heel, and down into the sole of the foot. Other than pain, the most common symptom of tarsal tunnel syndrome is a burning or tingling sensation when walking or standing, especially along the inner side of the ankle, that usually goes away with rest. If you are experiencing any of these symptoms, it is suggested that you visit a podiatrist who can diagnose and treat tarsal tunnel syndrome. Potential treatments might include corticosteroid injections, prescription orthotics, anti-inflammatory medications, and, in severe cases, surgery to relieve the pressure on the posterior tibial nerve. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Quality Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.

The pain and discomfort that is located on the outside of the foot may be indicative of a condition that is known as cuboid syndrome. It can occur as a result of a partial dislocation of the cuboid bone, and may happen for a variety of reasons including a sprained ankle, wearing shoes that do not fit correctly, or running on uneven surfaces. A common symptom that patients experience from this ailment can consist of pain on the outer edge of the foot, and it is often worse while standing. Mild relief may be found when specific strengthening exercises are performed, and it may help to wear custom-made orthotics. If you have pain in this part of your foot, it is suggested that you speak to a podiatrist who will be able to treat this condition effectively.

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 Quality Foot Care Center. 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 our office located in Somerset, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.