Foot stress fractures, although often underestimated, can pose significant challenges to individuals, particularly those engaged in high-impact activities or sports. These fractures occur when excessive and repetitive stress is placed on the bones of the foot, leading to small cracks or fissures. Common causes of foot stress fractures include sudden increases in physical activity, wearing inadequate footwear, improper training techniques, and underlying conditions such as osteoporosis or nutritional deficiencies. Athletes and military personnel, who frequently engage in activities that subject their feet to repetitive stress, are especially susceptible to stress fractures. Symptoms of foot stress fractures typically include localized pain, swelling, tenderness, and difficulty bearing weight on the affected foot. If left untreated, stress fractures can worsen over time and lead to more severe complications. Therefore, early recognition of symptoms and prompt medical evaluation are essential for effective treatment and prevention of further injury. If you have endured a stress fracture, it is suggested that you schedule an appointment with a podiatrist who can effectively treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swollen feet and ankles, a prevalent ailment, can result from various factors. One primary cause is fluid retention, often stemming from prolonged periods of standing or sitting. The body's natural ability to circulate fluids may be compromised, leading to accumulation in the lower extremities. Similarly, injury or trauma can trigger swelling as the body responds to the damage, initiating an inflammatory response. Chronic conditions, such as venous insufficiency or lymphedema, can also contribute to the persistent swelling of feet and ankles. Another key factor is poor circulation, which hampers the efficient movement of blood and fluids, promoting retention in the lower limbs. Additionally, certain medications may induce swelling as a side effect, necessitating attention to dosage and potential alternatives. If your feet and ankles are swollen, it is suggested that you consult a podiatrist who can determine the reason why, and offer effective relief and treatment tips.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Orthotics, also called orthotic insoles or shoe inserts, are customized flexible supports designed to correct specific foot imbalances causing pain or other issues. Orthotics can be worn by children as young as age two, but should only be prescribed by a podiatrist. Signs that a child may need orthotics can include in-toeing or out-toeing, or foot, ankle, knee, or leg pain. Other signs include tripping or falling frequently, abnormal gait, knock-knees, or significant lower body misalignment. If you are concerned about your child’s feet and think they might benefit from orthotics, it is suggested that you schedule an appointment with a podiatrist. This type of doctor can offer a proper assessment and monitoring to discuss if orthotics would be effective in addressing your child's foot issues.

If you are experiencing discomfort in your feet and would like to try custom orthotics, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Custom Orthotics?

Custom orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain. 

Over-the-Counter Inserts

Shoe inserts come in a wide variety and are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality, custom inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you're experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibility of using custom orthotics or shoe inserts. A podiatrist can determine which type of custom orthotic or shoe insert is right for you and help you take the first steps toward being pain-free.

If you have any questions please contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A sprained ankle, a common injury among people of all ages, occurs when the ligaments supporting the ankle stretch or tear due to sudden twisting, rolling, or impact. The severity of a sprained ankle depends on various factors, including the extent of ligament damage and the force of the injury. Symptoms of a sprained ankle typically include pain, swelling, bruising, and difficulty bearing weight on the affected foot. The severity of the injury is often classified into three grades. Grade I involves mild stretching or microscopic tearing of ligaments, resulting in mild pain and swelling. Grade II indicates partial tearing of ligaments with moderate pain, swelling, and instability. Grade III represents complete tearing of ligaments, causing severe pain, swelling, and significant instability in the ankle joint. Proper diagnosis and treatment are vital for managing sprained ankles effectively. Treatment may include things like rest, compression, and elevation. Additionally, immobilization with a brace or splint may be recommended, and in severe cases, surgical intervention. If you have sprained your ankle, it is suggested that you visit a podiatrist who can determine what the best course of treatment is for you.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Soccer, loved for its dynamic nature, can unfortunately lead to foot and ankle injuries, disrupting game play and causing discomfort. Ankle sprains, one of the most common injuries in soccer, occur when the ankle rolls inward or outward, overstretching or tearing the ligaments. Additionally, fractures, particularly of the metatarsal bones, can result from collisions, falls, or awkward landings. Achilles tendonitis, characterized by inflammation of the Achilles tendon, can also develop due to repetitive stress and overuse. Proper warm-up exercises, including dynamic stretches and mobility drills, can help prepare the muscles and ligaments for the demands of soccer. Wearing appropriate footwear with sufficient ankle support and traction can reduce the risk of slips and falls. Additionally, listening to your body and resting when needed, as well as seeking timely medical attention for any injuries, are essential for recovery and preventing long-term complications. If you have endured a foot or ankle injury while playing soccer, it is suggested that you visit a podiatrist who can guide you toward effective prevention and treatment.

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 one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors 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 one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Addressing the nutritional needs of individuals with diabetic foot ulcers is a critical part of promoting healing and preventing more serious problems. Stable blood sugar levels, achieved through monitoring carbohydrate intake on a regular basis, are vital for managing diabetes and promoting optimal healing of foot ulcers. A well-balanced diet is also essential in supporting the body's natural wound healing processes. Protein-rich foods like poultry, fish, eggs, and legumes aid in tissue repair and wound healing. Additionally, vitamins and minerals such as vitamin C, zinc, and vitamin E enhance immune function and collagen synthesis, facilitating wound healing. Fruits, vegetables, whole grains, and healthy fats provide antioxidants and anti-inflammatory compounds to support overall health and reduce infection risk. If you have diabetes and have developed a foot ulcer, it is suggested that you consult a podiatrist to discuss optimal healing methods, including important nutritional needs, tailored to your specific condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Rheumatoid arthritis, also known as RA, is a prevalent inflammatory condition, affecting up to one percent of the global population. It can develop at any age but is most common in individuals that are between 30 and 50 years old, with significant disability implications. Genetic factors play a substantial role, with approximately half the risk attributable to genetic predisposition, including specific human leukocyte antigen associations. Smoking is a major environmental trigger. RA primarily affects joints, leading to synovial inflammation, cartilage damage, and bone erosion. Symptoms include joint pain, stiffness, and swelling, often affecting the toes of the feet. Morning stiffness lasting over an hour is a hallmark sign. If you have discomfort in your feet from RA, it is suggested that you schedule an appointment with a podiatrist, as prompt diagnosis is essential for early intervention and management to mitigate joint damage and preserve joint function.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.