A bunion, commonly known as hallux valgus, is a deformity where the tip of the big toe angles toward the other toes, often causing pain and pressure across the forefoot. This misalignment increases plantar pressure and can lead to discomfort when walking. Custom foot orthotics help by redistributing weight, supporting the arch, and relieving pressure from the bunion area. They improve foot alignment and help reduce symptoms linked to bunions. A podiatrist can assess your foot structure, provide a thorough diagnosis, and design orthotics tailored to your needs. If bunion pain is affecting your daily life, it is suggested that you consult a podiatrist to learn how custom orthotics can bring relief and help you move with greater comfort.

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.

Diabetic foot problems can affect both type 1 and type 2 diabetics, often caused by poor circulation and nerve damage. These issues reduce the ability to feel pain, heat, or injury, often leading to unnoticed wounds or infections. A less commonly known complication is Charcot foot, a condition where the bones weaken and shift, leading to deformity if not treated early. Symptoms may include tingling, numbness, burning, or changes in skin color and temperature. The foot may appear swollen, red, or warm, even without pain. Over time, ulcers or infections may develop, which can become serious if not addressed. A podiatrist can assess diabetic foot health with a comprehensive exam, checking for circulation, nerve response, and skin integrity. Treatment may include wound care, custom footwear, offloading devices, and education on daily foot care. If you are dealing with this ongoing condition, it is suggested that you make an appointment with a podiatrist for evaluation and treatment.

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.

Modern soccer shoes are designed to enhance performance through lightweight materials and close-fitting construction. However, these same features may increase the risk of foot and ankle injuries. Thin soles and limited cushioning can lead to stress-related conditions, while narrow toe boxes may cause irritation or pressure on the forefoot. Playing on artificial turf in cleats that do not provide enough traction or support can also contribute to joint or muscle strain. Improvements in design may include better shock absorption, more anatomical shaping, and options that accommodate different foot types. Balancing agility with protection remains a challenge for manufacturers, but updated designs could reduce the occurrence of common foot injuries seen in soccer players. If you have foot or ankle pain related to sports activity, it is suggested that you see a podiatrist for a diagnosis and appropriate 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.

Plantar fibroma excision is a minor outpatient procedure lasting 30 to 40 minutes, performed to remove a benign fibrous nodule from the plantar fascia of the foot. This condition often appears as a firm lump in the arch that may cause pain with weight bearing, discomfort while wearing shoes, or the sensation of a mass beneath the foot. While excision offers relief, there are risks such as recurrence of the fibroma or numbness due to nerve involvement. A podiatrist evaluates the need for surgery based on symptoms and failed conservative treatments, guiding patients through diagnosis, imaging, and aftercare. If you are struggling with persistent foot arch discomfort or difficulty walking due to a plantar fibroma, it is suggested that you consult a podiatrist for expert evaluation and treatment options.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Supination of the foot is a natural motion that occurs when the foot rolls outward during walking or running. This helps the foot form a stable structure for push-off. When this motion becomes excessive, it is called over-supination or underpronation. Too much outward rolling can place stress on the outer edge of the foot and reduce shock absorption. This may lead to heel pain, ankle sprains, arch strain, and fractures in the heel bone. Over-supination is often related to high arches, poor walking patterns, or previous foot injuries. People who over-supinate may notice that their shoes wear out more along the outer edges, causing instability while walking. A podiatrist can evaluate your gait and determine if your foot alignment is contributing to the pain. Custom orthotics, bracing, or surgery may be recommended to correct the issue and improve balance. If you have foot pain caused by your gait, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

If you have any 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Feet with little to no arch can lead to soreness that affects more than just the foot. It may extend into the legs, hips, or back. When arches do not provide enough lift, the body must adjust in ways that place extra stress on joints and muscles. Custom inserts made to fit the foot’s shape can help ease that strain. They offer gentle lift in the right places and encourage better alignment from the ground up. Unlike generic insoles, these are built to address specific needs. With regular use, they can make walking less tiring and reduce daily discomfort. Over time, they may help prevent other issues from developing. If your feet flatten when you stand or you often feel worn out from being on your feet, it is suggested that you see a podiatrist for a proper diagnosis and treatment, which may include custom orthotics.

If you’re experiencing foot discomfort, have a history of foot and ankle injuries, or are interested in exploring Custom orthotics, don’t hesitate to contact one of our podiatrists at Biebel & DeCotiis Podiatry Associates. Our doctors is dedicated to offering the care required to help you remain pain-free and stay on your feet. 

What are Custom Orthotics?

Custom orthotics refer to custom inserts designed for placement in different shoe types, including athletic and formal footwear, with the purpose of alleviating a spectrum of foot-related problems such as flat feet, heel pain, and overall foot discomfort. These inserts are instrumental in providing relief and comfort for a diverse range of foot conditions, including heel pain, and can also act as a proactive approach to injury prevention. 

Medical Grade Shoe Inserts: 

A diverse array of shoe inserts is available for addressing foot pain, heel discomfort, and minor issues. For instance, you can place arch supports in your shoes to rectify overarched or flat feet, and gel and cushioned insoles are frequently chosen for the comfort and relief they provide from foot and heel pain by reducing pressure. 

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.

As people age, they often experience a range of foot problems that can affect mobility and quality of life. Common foot problems among seniors include arthritis, which causes joint pain and stiffness, bunions that lead to swelling and deformity at the base of the big toe, and hammertoes that result in curled or bent toe joints. In addition, corns may develop from friction, and diabetes can lead to serious foot complications like poor circulation and slow wound healing. A podiatrist can provide tailored treatment, manage chronic conditions, and help maintain comfort and independence in older adults. If you are elderly and are experiencing any foot pain, it is strongly suggested that you are under the care of this type of doctor who can help you with effective relief and treatment solutions.

If you need your feet checked, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors 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 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.

Wearing high heels alters the natural alignment of the foot and affects overall biomechanics. The elevated heel shifts body weight forward, placing excessive pressure on the forefoot and toes. This can lead to conditions such as bunions, hammertoes, and metatarsalgia, or ball of the foot pain. The gait cycle is also affected, as the shortened heel contact phase reduces shock absorption and stability. Over time, muscles and tendons may become strained, and posture may shift to compensate for the imbalance. These changes can lead to discomfort in the feet, knees, hips, and lower back. A podiatrist can assess these issues, provide supportive footwear recommendations, custom orthotics, and strategies to minimize long-term damage caused by frequent high heel use. If you have developed foot pain from wearing high heels, it is suggested that you contact a podiatrist who can provide relief tips.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.