March 2025

As the body ages, maintaining your balance can become more difficult due to physical changes that affect stability. Loss of muscle mass weakens the legs and feet, reducing support and increasing the risk of falls. A decline in joint flexibility makes movements less fluid, leading to stiffness that affects foot positioning and walking patterns. Slowed reflexes reduce the body's ability to adjust quickly, making it harder to react to uneven surfaces or sudden shifts in weight. These changes can cause foot fatigue, instability, and a higher risk of sprains or fractures. Strengthening exercises, stretching, and activities like yoga or tai chi help improve muscle function and flexibility. If you notice changes in your feet, it is suggested that you consult a podiatrist who can determine what the cause is, and offer specific exercises to improve balance.

If you need your feet checked, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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.

Flat feet can cause pain in the arches, heels, or along the inside of the ankles, especially after standing for long periods or engaging in physical activity. Some people may experience swelling near the ankle or general foot fatigue. Children with persistent foot or ankle pain should be evaluated to determine if flat feet are causing the problem. A podiatrist can assess flat feet by examining your foot structure, checking for an arch when you stand on your toes, and reviewing wear patterns on your shoes. If pain is present, imaging tests such as X-rays or MRI scans may be used to examine bones, joints, and soft tissues. Treatment focuses on reducing pain and preventing complications. Wearing supportive shoes and custom orthotics can help improve foot alignment and relieve strain from flat feet. In more severe cases, surgery may be required to repair any damaged tendons or realign foot structures. Without treatment, flat feet may contribute to tendonitis or joint pain. If you have foot pain related to flat feet, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

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.

Snowboarders often suffer from a range of foot and ankle issues caused by falls, tight boots, and cold conditions. Impact from jumps and rough landings can lead to bruises, sprains, and even fractures. When pain appears on the outer front of the ankle, careful diagnosis is very important. Sometimes, a small fracture can be mistaken for a simple ligament sprain, yet it might need surgery. Doctors should examine such pain closely to determine the real cause. Other problems include blisters, swelling, and nerve pain that can worsen with continued pressure. Wearing properly fitting boots and doing regular stretching exercises can help reduce these issues. Regular foot check-ups can stop further damage and speed a full recovery on the slopes. If pain or swelling from a snowboarding experience does not improve, it is suggested that you see a podiatrist for a thorough check-up and proper care.

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.

Trail running shoes are specifically designed to provide support, traction, and durability for off-road running. These shoes typically feature a more aggressive tread pattern compared to road running shoes, offering better grip on uneven surfaces like dirt, rocks, and mud. Trail shoes also provide added protection with reinforced toe caps and a thicker midsole to absorb the impact from rough terrains. Different types of trails require different shoe features. For smooth, well-maintained trails, shoes with lighter weight and moderate cushioning are ideal. For more technical and rugged trails, shoes with extra cushioning, stability, and a more robust tread are recommended. The type of terrain, whether it be rocky, muddy, or snowy, should be considered when selecting trail shoes, as each condition demands specific shoe characteristics to ensure comfort and performance. If you have sustained a foot injury from wearing the wrong running shoes, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on what shoes to wear for your desired type of running.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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.