May 2024

Plantar heel pain is a foot complaint that can arise from various causes, ranging from everyday activities to less common medical conditions. Typically, this pain is due to plantar fasciitis, causing the band of tissue that runs along the bottom of the foot to become inflamed. Other common causes include heel spurs, arthritis, and excessive walking or running. Less frequently, it can be caused by conditions including nerve entrapment or cysts in the heel. Symptoms generally include a sharp, stabbing pain in the bottom of the heel that is most intense with the first steps after waking up or after long periods of rest. Diagnosis usually involves a physical examination, patient history, and sometimes imaging tests like X-rays to rule out bone problems. Treatment options range from rest to more involved methods such as custom orthotics, anti-inflammatory medications, and, in severe cases, surgery. If you have persistent heel pain, it is suggested that you consult a podiatrist for a targeted treatment for relief.

Many people suffer from bouts of heel pain. For more information, 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.

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

Managing the symptoms of foot drop requires a multifaceted approach aimed at addressing its underlying causes while enhancing stability and mobility. The main symptom of foot drop is difficulty lifting the front part of the foot when you take a step. It can stem from muscular weakness, nerve damage in the leg, or injuries to the brain or spinal cord. Treatment with the help of a podiatrist focuses on strengthening the foot, ankle, and lower leg muscles to improve function and compensate for the lack of dorsiflexion. Wearing an ankle-foot orthosis can also provide support by maintaining proper alignment during walking, which reduces the risk of tripping and falling. Electrical nerve stimulation offers another avenue for improvement, facilitating muscle activation and enhancing walking ability in some cases. For severe or long-term foot drop caused by muscle paralysis, surgical intervention may be necessary to restore movement. Home modifications, such as removing clutter and using non-slip rugs, play a vital role in fall prevention. If you are experiencing symptoms of foot drop, it is suggested that you schedule an appointment with a podiatrist to explore appropriate treatment options.

If you have any concerns 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Toenail fungus, medically known as onychomycosis, encompasses several distinct types, each presenting unique characteristics and symptoms. The most common form is distal subungual onychomycosis, which typically begins as a yellow or white spot beneath the tip of the nail and gradually spreads deeper into the nail bed. Proximal subungual onychomycosis affects the base of the nail and is often seen in individuals with compromised immune systems. White superficial onychomycosis manifests as white spots on the surface of the nail, which can gradually expand. Candida onychomycosis is caused by yeast and can affect both fingernails and toenails, often leading to thick, discolored nails. Finally, total dystrophic onychomycosis results in complete nail destruction, characterized by thickening, discoloration, and crumbling of the nail plate. Recognizing the type of toenail fungus is essential for effective treatment. If you have toenail fungus, it is strongly suggested that you are under the care of a podiatrist who can accurately diagnose which type it is, and offer the treatment method that is right for you.

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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

Preventing falls within the home is essential for maintaining safety and well-being, especially for older adults. The feet can be injured during a fall, and it is beneficial to remove obstacles in the household. Each room presents unique hazards that require attention to minimize the risk of accidents. In the bathroom, installing grab bars and non-slip mats can prevent slips and falls on wet surfaces. In the kitchen, keeping floors clean and dry and storing frequently used items within easy reach can reduce the likelihood of accidents while cooking or reaching for items. It is important for the bedrooms to have adequate lighting, and removing clutter from pathways can prevent tripping hazards, particularly during nighttime visits to the bathroom. Living areas benefit from having secure rugs or carpeting and maintaining clear pathways to prevent tripping over furniture or cords. If you have foot pain from a fall that has happened, it is suggested that you visit a podiatrist who can offer you appropriate treatment options, in addition to discussing fall prevention methods that can protect the feet.

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.