Ankle sprains are a frequent injury that can occur due to various factors. Wearing high heels often causes instability in the foot, making it easier to twist or roll the ankle, especially when walking on uneven surfaces. Rough terrain activities, such as hiking or running on rocky or uneven ground, increase the risk of rolling the ankle and straining ligaments. Uncomfortable landings, particularly in sports or other physical activities, can cause sudden twists or bends in the ankle, leading to sprains. Chronic instability, whether from previous sprains or weak ankle muscles, can make the ankle more prone to reinjury. Weraing more supportive footwear, strengthening the ankle muscles, and being cautious on uneven ground can help prevent sprains. An ankle sprain can cause severe pain and discomfort, causing difficulty in completing daily activities. If you have sustained this type of injury, it is suggested that you promptly seek guidance from a podiatrist who can effectively treat this condition.

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.

Cracked heels develop when the skin on the heels becomes dry and thick, leading to fissures that can deepen over time. People with diabetes, hypothyroidism, psoriasis, or allergic dermatitis may be more likely to experience heel fissures. Factors like standing for long periods, being overweight, or wearing open-back shoes can contribute to the problem by increasing pressure on the heels. Initially, a dry, hardened callus forms around the edge of the heel, often appearing yellow or dark brown. Without treatment, small cracks can widen, becoming painful and even bleeding. In severe cases, cracked heels can lead to severe infections like cellulitis, which require immediate medical attention. People with diabetes should be especially cautious, as deep heel cracks may result in foot ulcers. A podiatrist can remove thickened skin, prescribe medication for infections, and provide supportive footwear advice to prevent further complications. If you have cracked heels that have become painful or infected, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

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.

Your feet are the foundation of your body, and when they are misaligned, everything above them is affected. Misalignment syndrome occurs when the feet do not properly support the body, leading to issues in the ankles, knees, hips, and even the lower back. This can cause pain, poor posture, and inefficient movement. Custom foot orthotics help correct these imbalances by providing proper arch support and realigning the feet to improve biomechanics. When your feet are in the right position, the rest of your body follows, reducing stress on joints and muscles. Over time, this can ease chronic pain, prevent further injuries, and improve mobility. If you experience pain or notice posture problems, it is suggested that you see a podiatrist who can assess your foot alignment and determine whether custom orthotics are appropriate for you.

Custom orthotics and shoe inserts are not just for cushioning the soles; they are about supporting the foundation of our body - our feet. The advantages extend far beyond immediate relief from discomfort. These personalized solutions, that Our doctors can prescribe, can significantly impact a person’s posture, alleviate pain in various parts of the body, and even enhance athletic performance.

As we lace up our shoes each day, having the right support can make a world of difference. Custom orthotics are like tailored suites for our feet, offering a bespoke solution to address our unique biomechanical needs. They provide stability where it is lacking, correct imbalances, and ensure that every step is a confident and pain-free one. 

Custom orthotics and shoe inserts offer long-term health benefits. By addressing issues such as overpronation or underpronation, heel pain, plantar fasciitis, etc. orthotics can help prevent injuries and mitigate the progression of existing conditions. It’s an investment not just in the present, but in the future health of your feet and consequently, your overall well-being. 

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.

Clubfoot is a congenital foot deformity in which a newborn's foot is twisted inward or downward due to abnormal development of the muscles, tendons, and bones. This condition can affect one or both feet and varies in severity. The exact cause is not always known, but genetic and environmental factors may play a role. Limited movement in the womb or underlying neuromuscular disorders can also contribute to its development. Symptoms of clubfoot include a visibly twisted or rotated foot, difficulty in placing the sole flat on the ground, and stiffness in the affected area. Without treatment, walking can become challenging as the child grows. If your child has been born with clubfoot, it is suggested that you have a podiatrist on your healthcare team that can provide the best possible recovery results.

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.

Arthroscopic ankle surgery is a minimally invasive procedure that allows a podiatrist to diagnose and repair damaged tissues in the ankle joint. Using a small camera called an arthroscope, the podiatrist can assess the condition of bones, cartilage, ligaments, and tendons through small incisions. This method is commonly used to treat ligament tears, loose bone or cartilage fragments, and scar tissue that may be causing pain or limiting movement. Ankle arthroscopy can also help reduce discomfort caused by arthritis or impingement, where swollen tissues restrict joint motion. The procedure involves inserting surgical instruments through additional small incisions to repair or remove damaged structures. Compared to open surgery, arthroscopy generally results in less pain and a shorter recovery time. However, healing can vary depending on the severity of the damage and the extent of the repair. A podiatrist can evaluate whether arthroscopic ankle surgery is appropriate and provide guidance on the recovery process. If you would like more information about arthroscopic ankle repair, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

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.

Most children are born with flat feet, as their arches develop gradually over time. During early walking stages, walking barefoot helps improve balance, coordination, and posture by allowing natural foot movement. When it is time for shoes, choose soft, flexible soles that mimic barefoot walking and provide enough room for growing toes. Stiff, restrictive shoes can hinder development. Parents should watch for signs of foot problems, including frequent tripping, limping, excessive toe-walking, or one foot turning inward or outward. Persistent pain, swelling, or difficulty keeping up with peers may indicate an underlying issue. While some concerns resolve as children grow, others may require professional evaluation. If something seems off, it is suggested that you schedule an appointment with a podiatrist who can assess your foot development, provide guidance on proper footwear, and address potential problems early.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Blisters are a common issue for campers, often caused by friction between the skin and ill-fitting shoes or socks. When walking for long distances on uneven terrain, the skin can rub against footwear, leading to irritation and fluid-filled blisters. Sweaty feet or wet socks can increase the risk of blisters by making the skin more vulnerable. While blisters are generally harmless, breaking them can expose the underlying skin to infection, which can cause pain and delay outdoor activities. It is important not to pop a blister, as this increases the chance of bacteria entering the wound. To avoid infection, clean any open blisters thoroughly with soap and water, apply an antiseptic, and cover them with a sterile bandage. If you enjoy camping and have developed a blister that is painful or has become infected, it is suggested that you contact a podiatrist who can offer effective relief and prevention tips.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, 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.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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.