Peripheral artery disease (PAD) is a condition in which blood flow to the lower limbs is inadequate. This typically occurs due to plaque buildup along the artery walls, which causes them to narrow and harden and restricts the amount of blood flow that can travel to the legs. Sometimes, people who have developed PAD do not experience any symptoms. Others however, may notice a tight, aching, or squeezing pain in the calves, leg cramps when walking, weakness, fatigue, and difficulty walking and balancing. When PAD progresses, symptoms like coldness or numbness in the lower limbs, leg and foot pain at rest, and slowly healing wounds may appear. A podiatrist can help you manage PAD and its effects on your feet and ankles. For more information about this condition please consult with a podiatrist. 

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

If you have diabetes, it is suggested that you see a podiatrist regularly. This is because diabetics need to be extra vigilant about the health of their feet. Diabetes can cause poor circulation and diabetic neuropathy (a type of nerve damage that impairs sensation in the feet) to be more likely. These two complications can make it very difficult to detect other foot problems since they both interfere with the body’s ability to heal. When diabetes is left undetected and untreated, many common foot conditions can become particularly dangerous. Some of these conditions include sores or foot ulcers, corns, calluses, cracked heels, hammertoes, bunions, ingrown toenails, skin or bone infections, and abscesses. If you are afflicted with diabetes, it is highly suggested that you consult with a podiatrist who can help you manage and maintain proper foot health.

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.

The flexibility and strength of the Achilles tendon is a necessary component in completing running and jumping activities. It is located in the back of the leg and connects the calf muscles to the heel. Many patients can experience an Achilles tendon injury, and this can happen as a result of improper warming up and cooling down after increasing the intensity of a new sport. Additionally, this type of injury may occur if there are existing heel spurs, exercising on an uneven surface, or from wearing shoes that do not fit correctly. Some of the symptoms that are associated with an Achilles tendon injury can consist of difficulty in flexing and pointing the affected foot, and pain that gradually worsens as the day progresses. If you think you have incurred an Achilles tendon injury, please seek the counsel of a podiatrist who can guide you toward the correct treatment techniques.

Achilles tendon injuries need 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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.

Ingrown toenails can be painful, embarrassing, and—at worst—may even become infected, swollen, red, or purulent. You can put yourself more at risk of getting an ingrown toenail if you trim your nails improperly or too short. Your toenails should be cut straight across, but not so short that they grow into the surrounding skin. Ill-fitting shoes, tight socks, and sweaty feet can compromise the skin around your toes and make it easier for your nail to pierce or press into the skin and eventually grow into it. Even stubbing your toe or other injuries can make it more likely for an ingrown toenail to develop. If your ingrown toenail progresses, a podiatrist has a variety of treatments to relieve pain and pressure, and to prevent infection.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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.

Heel pain is one of the most common problems seen by podiatrists. Most heel injuries respond well to conservative treatments and home care methods. If you have injured your heel, it is important to rest the affected foot to avoid putting pressure on the injured heel. Reducing your activity level will help prevent pain while you recover. Taking over-the-counter anti-inflammatory drugs can relieve pain and inflammation. Putting an ice pack wrapped in a towel on your heel for 10 to 20 minutes every few hours can decrease swelling. Your podiatrist may also suggest footwear modifications, orthotics, and stretches to help you recover. For more information about what to do if your heel is injured, please consult with a podiatrist.

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

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 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.

Plantar hyperhidrosis is a medical condition that causes the feet to sweat excessively. An overabundance of sweat can make the skin of the feet break down, become pale and wrinkled, red and inflamed, or cracked. The feet may also emit a foul odor as sweat is broken down by bacteria. Excessive sweat can ruin shoes and socks, make you more likely to slip and fall, and be embarrassing in public. Fortunately, plantar hyperhidrosis can be treated effectively. Antiperspirants can be prescribed and applied directly to the skin to reduce sweating. Iontophoresis and botox injections into the feet are two other potential solutions. If you have excessively sweaty feet, it is suggested that you consult with a podiatrist to find the right treatment for you.

If you are suffering from hyperhidrosis contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

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.

Sprained ankles generally occur when a ligament in the ankle is overstretched or torn. This may happen from any sudden twisting or turning of the ankle. Sprains are typically categorized into one of three types based on how severe the injury is. A Grade 1 ankle sprain occurs when the ligament is strained but not torn. Symptoms include mild pain, slight swelling, joint instability, mild joint stiffness, and difficulty jogging or jumping. A Grade 2 ankle sprain occurs when the ligament is partially torn, and this is usually the most common type of ankle sprain. Symptoms include significant swelling, bruising, moderate pain, a reduced range of motion, and trouble walking. A Grade 3 ankle sprain occurs when a ligament is torn completely. Symptoms include severe swelling, pain, joint instability, loss of motion, and extreme difficulty walking. If you have sprained your ankle, it is suggested that you visit a podiatrist as soon as possible. A podiatrist can determine the severity of an ankle sprain and provide the right treatments 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.

Pumice stones are light but abrasive stones that are formed from a mixture of lava and water. They are frequently used to remove dead, dry skin from the feet, especially on the heels. To exfoliate dry heels with a pumice stone, soak your heels in warm water for 5 to 10 minutes. Next, remove your heels from the water and dry them. Wet the pumice stone and then rub the abrasive side of the stone on the dry skin, in a circular motion with light pressure, for approximately two minutes or until the dry skin has been removed. When finished, rinse the pumice stone and apply moisturizer to your feet. Avoid rubbing the pumice stone with too much pressure, as this can injure your feet and lead to cuts, bleeding, and infection. If you have diabetes or other foot problems, you should not use a pumice stone to exfoliate without an okay from your doctor. To learn more about foot care, please consult with a podiatrist. 

Cracked heels are unsightly and can cause further damage to your shoes and feet. 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

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.