What is Shockwave Therapy?

If you are experiencing severe pain originating from the Achilles tendon, you may want to consider a treatment known as extracorporeal shock wave therapy (ECSWT). Additionally, it is effective in treating disorders that involve the soft tissue of the ankle and foot. This treatment consists of non-invasive shock wave impulses that are administered to the painful area of the foot, through the use of a machine designed specifically for this reason. There are numerous benefits that can be obtained from having ECSWT performed, some of which promote the tissues to rapidly heal. Additionally, it may generate new blood vessels to form, which also encourages healing. A consultation with a podiatrist is advised for information about ECSWT to determine if this is a treatment option that’s correct for you.

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with one of our podiatrists from Footcare 2 You, Inc. Our doctors can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

If you have any questions, please feel free to contact one of our offices located in West Orange, Toms River, Guttenberg, and Elmwood Park, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Treating Heel Pain with Shockwave Therapy

Shockwave therapy is one treatment option for plantar fasciitis, a condition that causes heel and foot inflammation and pain. This type of injury is often caused by overworking the feet. Heel pain is most common in people that exercise often, individuals who are overweight, and people whose profession require them to stand for long periods of time.

Heel pain can be caused by a number of problems including ill-fitting shoes, strenuous exercise routines or work hazards. Simple treatment options involve buying new shoes, taking ibuprofen, doing heel and foot exercises, and resting your feet. For severe cases, shockwave therapy can be considered a more viable form of treatment.

Shockwave therapy should be considered for patients that have had unsuccessful treatment or whose heel pain has lasted for more than six months. In shockwave therapy, a device delivers shockwaves to the patient’s body, which jumpstart the body’s repair mechanisms. These mechanisms then begin working more effectively to repair damage done to the heel area.

Shockwave therapy also helps eliminate pain in the heel area. When the body’s natural repair mechanisms are triggered, tissue healing in the body is sped up. This leads to pain reduction after pain transmission nerves are stimulated.

Shockwave therapy eliminates the risk factors associated with surgery, such as the use of anesthetics, and is less invasive. Since this technique also helps improve the body’s natural healing techniques, recovery time should be shorter than surgical procedures.

Discomfort issues can also be a side effect of treatment. Short-term issues normally include skin bruising, minor pain during and after treatment, swelling of the heel, and discolored tissue. However, these side effects of shockwave therapy usually disappear after a few days. The fast recovery time of shockwave therapy makes it easy for patients to return to their daily routines.

Like most types of treatments, surgeries, and medications, shockwave therapy is not for everyone. Potential patients with heart conditions and people with pacemakers should not be considered for this technique. People on certain types of medications, usually medications affecting blood clotting, would be ineligible for shockwave therapy. Children and pregnant women should avoid this treatment option as well.

Overall, shockwave therapy could be a great option for heel pain. It is less invasive than surgery, helps trigger natural healing mechanisms, and should be considered by people who have had long bouts of heel pain or tried conventional treatment options that were unsuccessful.


The Benefits of Stretching The Feet

Walking may be thought to be one of the best foot exercises that can be performed.  A full range of motion occurs when the foot strikes the ground and the toes lift up. The many benefits of walking and practicing resistance exercises are known to enhance mood and overall health, in addition to improving circulation.  Incorporating gentle foot stretches in your daily routine will not only build flexibility, but also promote strength.  This can help avoid any potential injuries. A stretching exercise that benefits the ankles can be done while sitting down. This consists of rotating the ankle a few times, then changing direction. Additionally, it is beneficial to stretch the bottom of the foot. This can be accomplished by keeping the heel raised while the toes lie flat against the ground as you step back and gently stretch your right foot, then repeat on the opposite foot. A consultation with a podiatrist may be considered for additional knowledge about foot stretches

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with one of our podiatrists  from Footcare 2 You, Inc. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

  • Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
  • Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
  • Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

If you have any questions, please feel free to contact one of our offices located in West Orange, Toms River, Guttenberg, and Elmwood Park, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Stretching Your Feet

Debilitating foot pain is a problem for many people. But just as stretching the torso can help alleviate back pain, stretching the feet can also help mend existing foot problems and prevent future ones.

The feet, as the body’s foundation, carry the body’s entire weight and can get easily strained from overexertion. Persistent sharp pain and cramping in the feet are often common concerns. Foot pain and foot problems can be due to any number of causes, and in many cases pain may be eased without medication or doctor visits. It is always a good idea, however, to first rule out any serious medical issues with a physician.

Stretching can help relax the feet and alleviate pain, but is especially important before heavy aerobic exercise. Stretching before such activities can help you avoid experiencing painful cramps or strained foot muscles. Stretches should be performed slowly and deliberately without forceful pulling. The stretch should be held for several seconds before relaxing.

A great way to stretch out and loosen up the foot muscles while sitting is to cross one leg over the other and pull the toes carefully back without overextending. Start by resting the left ankle on the right knee. With the left hand, gently flex the left foot by pulling back on the toes. Do not pull too hard; just hard enough to feel the stretch in the arch of the foot. Then point the toes of the left foot as far as you can. Rotate the motion of pointing with pulling back on the toes. This should relax and stretch the muscles on the bottom and the top of the foot. Doing this stretch ten to twenty times should bring relief. Repeat the whole process for the other foot by resting the right ankle on the left knee.

A stretch that focuses on the often injured Achilles tendon involves standing and facing a wall with your arms out and hands flat against the wall. Step back with one foot, keeping it flat against the floor. Move the other leg forward and lean toward the wall. You should feel a stretch through the back of your leg and your Achilles tendon, but do not push yourself too much. Stop when you feel a stretching sensation, and hold for 30 seconds. Ten repetitions may be done for each foot.

Stretching the feet is important for athletes or those performing aerobic exercise, but it can also help anyone with foot pain caused by poor footwear, plantar fasciitis, or long hours standing and walking. Individuals who tend to their feet by regularly stretching every day should be able to minimize foot pain and prevent new problems from arising.


Causes of Cracked Heels

If you experience cracked heels, it may be the result of wearing non-supportive shoes such as flip-flops or open-back sandals. These types of shoes have little or no support at the back of the foot, often causing the heel to endure excessive strain. A hardened patch of skin, referred to as a callus, will often form to protect the heel against this added pressure. The skin on the heel may also begin to crack. A possible reason for cracked heels may be the extra pressure the heel must endure when standing on hard floors for long periods at a time. There are pre-existing medical conditions that should be considered as well, such as thyroid conditions, eczema, or diabetes. Several options are available to make your heels feel better, including using a moisturizer that softens the skin and soaking the feet in warm, soapy water. If you experience cracked heels that hinder your daily activities, please consider a consultation with a podiatrist for a proper assessment.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact one of our podiatrists from Footcare 2 You, Inc. Our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How do you get them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact one of our offices located in West Orange, Toms River, Guttenberg, and Elmwood Park, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Symptoms of Rheumatoid Arthritis

For some people, the feet are the first to be affected by symptoms of rheumatoid arthritis. Some common signs that this condition is present can be soreness and swelling in the joints, severe pain, and a change of shape in the foot. Typically, the joints in the toes and ankles are generally afflicted, often hindering daily activities. A condition that may develop is called bursa, commonly noticed under the ball of the foot. Excess rubbing, which causes the area to become inflamed, is often how these fluid-filled sacs develop. Additional symptoms may include poor circulation in the feet, cramps in the legs, and a tingling sensation. Skin rashes have a possibility of developing, possibly causing a condition known as vasculitis, or blood vessel inflammation. Treatment may consist of wearing proper insoles, which can provide relief by reducing pressure. If you are experiencing any of these symptoms in your feet, a consultation with a podiatrist is advised.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist  if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Footcare 2 You, Inc. Our doctors will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact one of our offices located in West Orange, Toms River, Guttenberg, and Elmwood Park, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Possible Causes of Tarsal Tunnel Syndrome

If numbness, tingling and pain are experienced in the feet, you may have a condition called tarsal tunnel syndrome. This occurs when the tibial nerve is squeezed in the tarsal tunnel thereby causing varying sensations in the foot. Causes may include flat feet, arthritis, or a possible ankle sprain. Early symptoms consisting of tingling or numbness in the foot may be present and then vanish, but will become more relentless as the nerve pressure increases. A diagnosis may become necessary and is often arrived at by a physical exam or x-ray. To encourage healing, it’s important to rest the foot as often as possible and to schedule a consultation with a podiatrist for viable treatment options.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Footcare 2 You, Inc. 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 one of our offices located in West Orange, Toms River, Guttenberg, and Elmwood Park, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition in which there is a compression of the posterior tibial nerve. The posterior tibial nerve runs along the inside of the ankle into the foot. Tarsal tunnel syndrome is named for the tarsal tunnel, which is a thin space along the inside of the ankle beside the ankle bones. This space contains various nerves, arteries, and tendons, and includes the posterior tibial nerve. 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 compressed, causing tingling or burning, numbness, and pain.

Common causes of tarsal tunnel syndrome involve pressure or an injury. Injuries that produce inflammation and swelling in or around the tunnel may place pressure on the posterior tibial nerve. Direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or trauma to the tibial nerve, can result in tarsal tunnel syndrome. Diseases that damage nerves, such as diabetes or arthritis, may cause tarsal tunnel syndrome. Those with flat feet are at risk for developing the condition, as the extra pressure and strain placed on the foot may compress the posterior tibial nerve.

Feeling different sensations in the foot at different times is a common symptom of tarsal tunnel syndrome. An afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg. Symptoms are primarily felt on bottom of the foot and/or the inside of the ankle. Symptoms can appear suddenly and may occur due to overuse of the foot.

To diagnose tarsal tunnel syndrome, your podiatrist may examine the foot and tap the posterior tibial nerve to see if symptoms surface. He or she may also order an MRI to determine if a mass is present.

Treating tarsal tunnel syndrome will depend on the decision of your podiatrist. Multiple options are available, however, and can include rest, ice, immobilization, oral medications such as anti-inflammatory drugs (NSAIDS), physical therapy, injection therapy, orthotics, supportive shoes, braces, and surgery.


Can Orthotics Help More Than My Feet?

If you are experiencing abnormal walking patterns, you may want to consider wearing orthotics. Orthotics are custom-made inserts that are slipped into your shoes. Generally, an impression of your feet is taken to obtain a perfect fit, preventing any feelings of discomfort. The benefits of wearing orthotics may include keeping the foot stable while performing daily activities and helping to correct debilitating pronation. They’re also beneficial in aiding in conditions such as bunions, corns, and heel pain. It may take some time to get used to your new orthotics, since your feet have been functioning in a certain way for years. Therefore, a gradual increase in wearing them may be recommended. Please consider a consultation with a podiatrist for advice on how you can be measured for custom-made orthotics.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Footcare 2 You, Inc. 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 West Orange, Toms River, Guttenberg, and Elmwood Park, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Ankle Foot Orthotics for Athletes

Ankle and foot orthotics, known as AFOs, are custom-made inserts. They are shaped and contoured to fit inside a shoe and used to correct an irregular walking gait or provide cushioning. Orthotics come in a variety of different models and sizes, including over the counter and customizable variants. Customizable ones should be prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

AFOs are often used by athletes including track and field runners, cyclists, professional dancers, ice skaters, and even golfers. They benefit a lot from custom made AFOs by preventing injuries from occurring and providing cushioning to keep pain levels down to a minimum. Ankle foot orthotics allows for the correct positioning of the feet. Orthotics also act as shock absorbers to help keep pressure and stress off the foot and ankle. They can also relieve back pain and hip pain while restoring balance and improving an athlete’s performance.

Orthotics help alleviate pain by controlling the movement of both your feet and ankles. They are custom designed by a podiatrist to help treat foot problems. These problems include flat feet, spurs, arthritis of the ankle or foot, ankle sprains, weakness, and drop foot, a condition in which the patient cannot raise their foot at the ankle joint.

With custom orthotics, a patient will go through a complete examination of the foot and ankle. This is followed by the ankle and foot being cast and fitted for the proper orthotic. Depending upon the final result of the tests, a stretching treatment is created with the specific shoe fitting in mind. After a patient has been fitted to the shoes, adjustments can be made in order to get the perfect fit. Evaluations are then usually set up to monitor the patient in the coming weeks to see how they are adjusting.

AFOs are also available over the counter and are more common than custom fit ones. Athletes that have generally low aches and pains in the foot, ankle, or lower back area can use an over the counter version of these orthotics. Weight is distributed evenly throughout the bottom of the foot thanks to the arch support they give. However, when an injury or ailment occurs, it is usually not enough to try and remedy it with an over the counter version. In either case, a podiatrist will be able to offer the best advice and treatment when it comes to foot and ankle orthotics.