December 2023

Our feet play a crucial role in maintaining our balance and preventing accidental falls. When it comes to fall prevention, the importance of foot protection is often overlooked. Wearing proper footwear is an essential element in safeguarding against slips, trips, and stumbles. Shoes with slip-resistant soles can provide traction on various surfaces, reducing the risk of sliding. Well-fitting shoes offer stability and support, minimizing the chances of ankle twists or sprains. Additionally, shoes with adequate cushioning can absorb shock and reduce the impact on joints, preventing balance disruptions. Footwear that fits properly and comfortably can help maintain stability and decrease the likelihood of tripping. Whether it is at home, in the workplace, or outdoors, choosing the right shoes for the occasion can make a significant difference in fall prevention, keeping you on your feet and safe. If you would like additional information about the importance of wearing shoes that fit correctly which may help to prevent falling, it is suggested that you contact a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious 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.

Persistent cold feet can be more than just a response to chilly weather. It could be a sign of Raynaud's phenomenon, a condition that affects blood circulation to the feet and toes. When exposed to cold temperatures or heightened stress, this phenomenon can lead to a change in toe color, often turning them white or even blue as blood vessels react to reduced blood flow. Other symptoms can include pain, numbness, and a sensation of pins and needles. Even the skin may appear paler, irrespective of your natural skin tone. The exact cause of Raynaud's remains elusive, but it is associated with disruptions in blood circulation. Certain blood disorders, possibly involving excess platelets or red blood cells, may contribute to the condition. Additionally, heightened sensitivity of special receptors in the blood, regulating vessel narrowing, could play a role. While Raynaud's is typically not severe, ongoing symptoms warrant attention, as they may hint at an underlying issue. Managing Raynaud's symptoms focuses on keeping the toes warm, particularly in cold environments. Wearing warm socks can be effective in preventing and alleviating symptoms. If you suspect Raynaud's is affecting your toes, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnosis this condition, and offer appropriate treatment options.

Some foot conditions may require additional professional care. If you have any concerns, 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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 tools and technology to treat your foot and ankle needs.
 

People can drop a heavy object on their foot, and may wonder if it is a temporary pain or something more serious like a broken toe. Broken toes are often the result of such accidents as having a heavy object drop on the foot, jamming it into a piece of furniture, or from missing a step. They can also occur due to an aggravated stress fracture, abnormal foot structure, or conditions such as osteoporosis. When a toe breaks, it causes severe pain, swelling, and bruising. Walking becomes difficult, but it is important to note that the ability to walk on a broken toe does not rule out a fracture. Diagnosis typically involves a visual examination and may require X-rays to be taken. Treatment options range from rest and elevation for minor fractures to splinting or buddy taping for more severe cases. In rare instances, surgery may be necessary to ensure proper healing. Complications such as toenail trauma, chronic pain, stiffness, and deformity can arise if a broken toe is not treated correctly. If you suspect you have broken your toe, it is suggested that you schedule an appointment with a podiatrist for a timely and effective recovery.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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.

Plantar fasciitis, a common foot condition characterized by inflammation and degeneration of the tissue supporting the sole of the foot, can cause a great deal of pain. Orthotics are known to be helpful in eliminating sharp heel pain, particularly in the morning or after prolonged periods of sitting. The two primary causes associated with plantar fasciitis are muscle imbalance and poor foot biomechanics. The main types of orthotics that can provide much needed support include heel cups or pads, and shoe inserts. Heel cups are small inserts for the back of your shoe that lift the heel slightly. This reduces tension on the Achilles tendon, subsequently easing stress on the plantar fascia. Additionally, the cushioning effect helps to absorb shock. Experts suggest wearing heel cups in both shoes to avoid leg length discrepancies that could lead to further issues in the foot, knee, and back. Shoe inserts provide support beyond the heel. With a deep heel cup and contoured shape, they provide stability and biomechanical support. Half length insoles fit under the heel and arch, leaving the toes free. To find out which type of orthotics for plantar fasciitis is best for you, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options. 

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

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 offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.