November 2021

You’re on vacation in Europe and walking is a major part of your day. You’ve worn a new pair of shoes, and after a few hours your feet are crying out in pain. When you stop to take a look, you see that you’ve developed blisters on your toes and heels. The first reaction may be to pop the blister, but this can cause an infection. If you accidently break the skin on the blister and the fluid seeps out, keep it clean and protect it with a sterile gauze bandage until the area dries up. To prevent blisters from forming, be sure to wear shoes that fit properly and are broken in before walking long distances. If the area around the blister becomes red, or if the blister is discolored or enlarges in size, it may be infected. In that case, please see a podiatrist as soon as possible for the proper treatment. 

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

If you have any questions, please feel free to contact our offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The severity of an ingrown toenail can range from mild and slightly uncomfortable to severe and even dangerous for certain people. When an ingrown toenail grows deep into the surrounding skin or breaks it, a medical intervention may be necessary to provide relief and help avoid further complications from developing. People with systemic health issues such as diabetes, poor circulation or nerve damage are particularly at risk of developing complications from an untreated ingrown toenail. Since these complications make it harder to detect, feel and heal decayed or damaged tissues in the skin, the condition may worsen and lead to a local infection, a foot ulcer, or even a bone infection. Prevention, early detection, and proper treatment will help keep ingrown toenails from developing and worsening, and podiatrists are experts in all of these areas. Call your local podiatrist for more information on treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor 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 offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Having strong and flexible feet is very important for every runner because the feet bear 2-3 times our body weight at the first point of contact with the ground while running. Strengthening the feet with the following exercises will help with flexibility, stability, and proper foot alignment. First, kneel on the floor, sit back on your heels and have your toes curled underneath you. Rock side to side on your toes to give them a good stretch, and then come up on all fours into a down-dog position and press your heels down. Repeat the cycle five times. Another good exercise is to stand with a ball under the base of the toes on one foot. Apply your weight to the ball, and then slowly curl your toes to grip the ball and then extend your toes straight. Do this ten times. You can then move the ball underneath the ball of the foot and curl the foot and toes around the ball and then extend straight. Repeat this ten times as well, and then switch to the other foot. You can also strengthen the toes and feet by standing with your feet hip length apart. Raise just your big toe on one foot and hold it there for two seconds while the other toes stay on the ground. Then, place the big toe down and raise the other toes, holding them there for two seconds. Be careful not to let the foot roll inward. Repeat this twenty times before switching feet. For additional foot exercises and advanced tips on keeping your feet healthy as a runner, contact a podiatrist.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

If you have any questions, please feel free to contact our offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Posterior tibial nerve neuralgia, also known as tarsal tunnel syndrome, is a nerve disorder that is caused by compression of the posterior tibial nerve. This nerve runs through the tarsal tunnel, an area along the inside of the ankle that houses nerves, blood vessels, and tendons. When the posterior tibial nerve is compressed, it causes symptoms such as foot, ankle, and toe pain, a pins and needles sensation in the foot, and numbness. Conservative treatments such as resting and icing the foot, wearing orthotics, and taking pain medications can help relieve symptoms. For more information about tarsal tunnel syndrome and to discover the best course of treatment for you, please consult with a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor 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 offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Being overweight places excessive force and pressure on your feet. This may lead to the development of many painful foot conditions. To start, your plantar fascia—the tissue on the sole of your foot which attaches the heel to the front of your foot—can become torn, damaged, and inflamed. Certain sugary foods that may have contributed to your obesity can also lead to an overabundance of uric acid in your body. In turn, this excess uric acid can crystallize on the joints in your foot, which is known as gout. Obese children are more at risk for developing Sever’s disease. This condition causes inflammation of a growing child’s growth plate in the heel and can be exacerbated by obesity. For more information on how obesity may be affecting your foot health, or for treatment for an obesity-related foot condition, contact your local podiatrist.

The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned about your feet, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.

Problems & Complications Stemming from Obesity

• When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
• Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
• Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.

If you have any questions, please feel free to contact our offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.