The foot condition known as hammertoe is noticeable because the joints in the second or third toe bend downward at the middle joint. This can make the affected toes appear like a hammer. Hammertoe may develop from wearing shoes that do not fit correctly. This condition is a deformity and there are specific toe stretches that may help with the discomfort. When the toes are stretched, it may help the joint that is bent in addition to helping the bones align normally. Many people who are afflicted with hammertoe pick up marbles with their toes as this may provide strength to the deformed toes. Additionally, the toes may become more flexible therefore reducing the risk of injury. Hammertoe should be treated by a podiatrist so it is strongly urged that you contact one who can properly diagnose and treat this form of arthritis.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

It is common to twist an ankle. It can happen from a fall, or from unexpectedly stepping off of a curb. A sprained ankle can happen for the same reasons, and it is easy to notice as the ankle becomes painful and  swollen. This type of injury happens when the ligaments stretch beyond their normal range of motion, and patients may gradually develop joint pain if prompt medical attention is not received. Additional symptoms that may accompany an ankle sprain can consist of bruising and tenderness when touched. An X-ray is often performed to rule out an existing fracture, and this precedes starting the proper treatment. It begins with resting and elevating the affected foot as often as possible, and wrapping it with an elastic bandage, which may provide stability. Additionally, there are exercises that can be performed which may restore and increase the range of motion. If you have sprained your ankle, please consult with a podiatrist as quickly as possible who can determine what the best form of treatment is for you.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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 are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

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

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.

Some afflictions of the foot are known as congenital conditions, which are present in an individual’s feet from birth. Congenital vertical talus is one such condition. This affliction occurs when the talus bone in the foot has essentially grown in the incorrect posture, causing other nearby foot bones to shift on top of the talus bone. Interestingly, the exact cause of this rare congenital foot condition is still elusive. Individuals living with congenital vertical talus may experience any number of symptoms, including abnormalities in the muscles of the feet, pain in the foot, and a stiffened Achilles tendon. This condition may affect either one foot or both feet. As a result of congenital vertical talus, the front of the foot may point upwards. If you want to learn more about congenital vertical talus, make an appointment with a podiatrist today. 

Congenital foot problems require immediate attention to avoid future complications. 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.

A stress fracture is a hairline fracture that commonly happens in the foot and may be prevalent among people who enjoy running. It occurs as a result of repeated stress the foot endures from physical activity, and the pain can gradually worsen if it is not treated promptly. It is suggested to temporarily cease the activity that caused the fracture, and relief may come from frequently elevating and resting the foot. Research has shown that people who are deficient in vitamin D or calcium may be susceptible to getting stress fractures, and it is advised to increase these types of supplements, if applicable. Additionally, when crutches are used, healing may be accelerated as the weight is kept off of the affected foot. If the fracture is severe, surgery may be necessary for permanent healing. The full recovery period for stress fracture surgery can be up to eight weeks, and low-impact activities can be performed as the healing takes place. If you think you may have a stress fracture, please consult with a podiatrist who can properly evaluate your foot, and offer treatment options that are correct for you.

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.

Research has indicated that it is beneficial for people who run to make less than eight changes in their running routine at a time, as this may help to reduce or prevent running injuries. It is important to refrain from increasing speed and mileage too quickly, in addition to wearing correct running shoes. Runners tend to experience more aches and pains in comparison to people who enjoy cycling and swimming. Covid-19 restrictions may have led people to change their running habits from the gym to the road, and the difference in a smooth treadmill versus an uneven street can cause injuries and foot pain. Many experienced runners know the benefits of properly warming up before running, and this can prepare the body for the toll running takes on the feet. It is important to focus on one change to the routine at a time because this can give the body ample time to adjust. If you would like more information about how running can affect the feet, and how to prevent injuries, please confer with a podiatrist who can address any concerns you may have. 

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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.

Ankle ulcers are sores that do not heal, usually because of weak blood circulation, and can last for a few weeks to a few years. Medically known as venous stasis ankle ulcers, they can occur when there is a break in the skin. If the valve in the vein that regulates blood flow is faulty, it results in a backflow. This in turn causes pressure that inhibits the ability of the skin, usually over bony areas like the ankle, to heal properly. Venous skin ulcers are more common among older people, particularly women. Chances for developing a venous skin ulcer increase if you have had a previous injury, smoke, have varicose veins, or are obese. These ankle ulcers are not always painful, but in some cases may burn or itch. If an ulcer becomes infected, it may leak green or yellow fluid. Treatment options vary, but include compression therapy, antibiotic medication, or in severe cases, surgery. If you notice a sore on your ankle that has not healed properly, it is suggested you consult a podiatrist as soon as possible for an exam and treatment recommendations. 

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.

The medical condition known as cracked heels can be uncomfortable. If the cracks in the skin are deep, they are referred to as fissures, and may bleed. It is an ailment that affects the heels, and it is generally caused by having excessively dry skin. This can be a result of the aging process, from wearing shoes that do not have a back, or from standing on hard surfaces for most of the day. There may be existing medical conditions that can lead to cracked heels, including eczema, psoriasis, a thyroid disorder, or a vitamin deficiency. People who are overweight may experience cracked heels, and this can be a result of the added weight the feet must endure. Some of the symptoms associated with cracked heels include flaky skin, bleeding, pain and discomfort. An effective prevention technique includes washing and drying the feet daily followed by applying a good moisturizer. Additionally, it may help to refrain from standing in one position for long periods of time and to wear shoes that have a back. If you have cracked heels, a podiatrist can prescribe effective medicine that can help to manage this condition, and it is suggested that you schedule an appointment. 

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.

Just about everyone has experienced some kind of foot pain, which can be caused by a number of issues. One sure sign of a foot problem is nerve pain. This includes numbness, tingling, pins and needles, sensitivity to heat or cold, or the inability to detect heat or cold. Another foot complaint is edema, or swelling of the feet, which is the result of a buildup of fluids. The most common causes are injury (ankle sprain), inflammation, medical conditions (gout, high blood pressure), and pregnancy. Burning foot pain is thought to be caused by a nerve problem between the lower back and the foot due to compression, inflammation, or an underlying condition. Other common causes of foot pain are cramps, blisters, rashes, and ingrown toenails. Runners often experience foot and ankle pain, which may be caused by overtraining, previous injury, flat feet, or improper footwear. Sharp pain in or under the big toe may be caused by overuse, hyperextension injuries, tight footwear, or gout. If you are experiencing foot pain that limits your ability to carry out daily activities, please consult a podiatrist for an examination and a diagnosis, so that treatment options can begin.  

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

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 one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.