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Manalapan
(732) 845-0100

Manalapan (732) 845-0100

March 2023

Tuesday, 28 March 2023 00:00

What Are Hammertoes?

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity.  Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.  

Tuesday, 28 March 2023 00:00

Exercises for Hammertoe

A hammertoe is when there is a deformity of the middle joint of a toe and the toe bends up or down abnormally, resembling a hammer. Hammertoe typically happens to the second, third, or fourth toes, but can also occur on the pinky toe. This condition happens from an imbalance in muscles, ligaments, and tendons in the middle joint of the toe. It can be caused by wearing shoes that do not have enough room in the toe box, foot type and structure, or injury to the foot. A hammertoe can become painful, making it difficult to walk, and it may be hard to find shoes to comfortably accommodate the abnormality. Depending on the severity of the hammertoe, stretching and strengthening exercises can help straighten the toe and minimize discomfort. Such exercises include towel toe curls, where one sits in a chair with their feet flat on a towel placed on the floor. One then can curl their toes and try to scrunch up the towel followed by extending the toes to push the scrunched towel forward. It is suggested that this be done 10 times and three times a day. Another exercise is sitting on the edge of a chair or a bed, placing the affected leg on the opposite knee, and bending the toes toward the body and then away from the body. Each position should be held for 30 to 40 seconds, and three to five sets should be done three times a day. If you are having a problem with hammertoe, it is suggested that you consult with a podiatrist who can provide additional exercises and assess the proper treatment for you.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best 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 care needs.

Read more about What Are Hammertoes?
Tuesday, 21 March 2023 00:00

Foot Pain

The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.   

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.

Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.

If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.

Tuesday, 21 March 2023 00:00

Tendon Injuries Can Cause Foot Pain

The foot is made up of a collection of tendons, ligaments, and muscles that connect its 26 bones and keep its many joints working. An injury to one of the tendons in the foot can cause pain and inflammation to that part of the foot that also may spread to other parts of it. Foot tendon injuries may be caused simply from wearing improperly fitting shoes, especially high heels. Other possible causes of a tendon injury include repetitive sports activity or some type of trauma to the foot. Sometimes, it’s just a matter of aging, as the tendons experience wear and tear over the years. Being overweight is thought to be a further cause of such injuries, due to the increased amount of pressure on the feet. Overstretched tendons can cause significantly painful injury from degenerative tears in the tissue, and athletes whose sport involves sudden stops and starts are more at risk for tendon injury. If you believe your foot pain may be the result of a tendon injury, it is suggested that you consult a podiatrist who can perform diagnostic tests to determine the cause and suggest treatment options for you.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Read more about Foot Pain
Wednesday, 15 March 2023 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 14 March 2023 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Tuesday, 14 March 2023 00:00

Do I Have Toenail Fungus?

Thickened and discolored toenails could be caused by toenail fungus, but other conditions can cause the same symptoms. These signs might also be the result of bruises, warts, or some type of skin cancer. With toenail fungus, beyond discoloration of the nail, there may be debris under the nail, nail thickening, and an irregularity to the white part of the nail. A discolored spot under the toenail may be a sign of melanoma, a possibly fatal form of skin cancer. This usually presents as a brown or black streak that might look like a bruise. Darier disease is a genetic disorder that typically causes yellowish, wartlike blemishes on the body and red and white streaks on toenails. If you notice changes to your toenails and you do not know the cause, it is suggested that you see a podiatrist as soon as possible to treat whatever might be causing the condition.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

 

Read more about Toenail Fungus
Tuesday, 07 March 2023 00:00

What Are Bunions?

Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.

The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.

Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.

Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.

Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.

If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.

Tuesday, 07 March 2023 00:00

Is It a Bunion or Sesamoiditis?

Bunions are a common affliction of the foot in which the bones in the feet are misaligned, resulting in a bony bulge at the base of the big toe. The underlying causes of bunion might be genetic or related to some kind of injury to the big toe. It is common for some individuals with bunions to possibly mistake their bunion for another condition of the foot, such as sesamoiditis. However, the two conditions are importantly different. Although both bunions and sesamoiditis can affect the big toe, sesamoiditis is characterized by the inflammation of the two sesamoid bones that float below the big toe joint. This inflammation can occur as a result of overuse. Bunions, by contrast, are primarily characterized by the bony bulge at the sides of the big toes. If you are someone who believes that they may have bunions or a related condition, it is suggested that you contact a podiatrist to make an appointment. 

If you are suffering from bunions, 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.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • 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 care needs.

Read more about What Are Bunions?