September 2024

Peripheral artery disease, or PAD, is a circulatory condition where narrowed arteries reduce blood flow to the extremities, usually the lower legs and feet. Common symptoms of peripheral artery disease include pain or cramping in the legs during physical activity that typically subsides with rest. As PAD progresses, individuals may experience more severe symptoms, such as pain even at rest, skin discoloration, or ulcers on the feet. These arise because the tissues are not receiving enough oxygen-rich blood. Risk factors for PAD include smoking, diabetes, high blood pressure, high cholesterol, and a sedentary lifestyle. Early detection and management of peripheral artery disease are vital to prevent serious complications, like severe infections or gangrene. A podiatrist can diagnose PAD through physical examinations and non-invasive tests. If you are experiencing signs of peripheral artery disease affecting your feet, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment options.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

A Lisfranc injury is a serious condition that involves damage to the midfoot, specifically the Lisfranc joint, where the metatarsal bones connect with the tarsal bones. This injury is common in sports that involve high-impact activities, such as football, soccer, or gymnastics, where sudden twists or heavy forces are applied to the foot. When a Lisfranc injury occurs, the ligaments that stabilize the midfoot are torn or the bones are fractured, leading to pain, swelling, and difficulty in bearing weight. Athletes often describe feeling a popping sensation during the injury, followed by severe pain. Diagnosis usually involves a physical exam and imaging tests like X-rays, MRI, or CT scans to assess the extent of the damage. Treatment can range from immobilization with a cast or boot for milder cases to surgery for more severe injuries. Recovery can take several months, and proper rehabilitation is critical for athletes to regain full function and return to their sport. If you are an athlete who has sustained a midfoot injury while playing your sport, it is strongly suggested that you promptly visit a podiatrist for a proper diagnosis and appropriate treatment methods.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.