The joints in the big toe are affected with the condition that is known as gout. This painful arthritic condition happens as a result of excess uric acid in the blood. This can be caused by genetic reasons or from eating foods that are high in purines. These types of foods include shellfish, red meat, and drinks that are made with large amounts of sugar. Gout attacks generally begin at night and may last for several weeks. This condition can be managed when lifestyle changes are implemented, such as replacing some of the foods that are eaten with healthier choices. It is beneficial to engage in a gentle exercise program on a regular basis, in addition to drinking plenty of water daily. People who are overweight may be prone to developing gout, and additional weight may be lost when they limit the type of, and amount of, foods that are eaten. If you have had one or frequent gout attacks, it is strongly suggested that a podiatrist is contacted who can help you to manage, and possibly prevent, this uncomfortable condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of 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 care needs.

When an individual gets a cut on their foot and it gets infected, cellulitis, a bacterial infection, can develop. The main bacteria responsible for this type of infection are streptococcus and staphylococcus. This infection can happen to anyone, regardless of age or race, but is most common in middle-aged to elderly people, and those with compromised immune systems, circulation problems, or other medical conditions. Cellulitis is not contagious as it forms in the deeper layers of the skin. Symptoms usually begin as a small area of tenderness, swelling, and redness that spreads to adjacent skin. Pain can develop, and it can interfere with normal functioning. If you believe you have cellulitis anywhere on your feet, it is strongly suggested that you contact a podiatrist for treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Corns on the feet happen from excess friction between the skin and the shoe. The pinky toe is a common place to get them, and despite their small size, they can cause extreme pain. The medical term for a corn is known as a clavus, and the corn may diminish as the friction stops. The gait may be altered to alleviate the pain and can easily be remedied when the correct size shoes are worn. They may also develop on the soles of the feet, and mild relief may be found when the foot is soaked in warm water. People who have a foot deformity, such as bunions or hammertoe, may be prone to developing corns. This is often a result of the extended part of the toe touching the top or inside of the shoe. If you have a corn on your foot, it is suggested that you consult with a podiatrist who can educate you on effective prevention methods.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

• Wearing properly fitting shoes that have been measured by a professional
• Wearing shoes that are not sharply pointed or have high heels
• Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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 on the feet can cause extreme discomfort. They form as a result of having a portion of damaged skin, which is generally caused by excess friction. They are defined as a small area that is filled with liquid, which helps to protect the raw skin. The majority of people who develop blisters on their feet understand the importance of keeping them from popping prematurely, and this can be difficult while wearing shoes. The blister will gradually drain when new skin has formed, and the ease of completing daily activities can return. It is beneficial to implement prevention techniques that can help to avoid blisters. These can include wearing shoes and socks that fit correctly, and wearing sunscreen, which can protect the skin. Blisters may also develop if the feet are exposed to extreme cold or excessive heat, or possibly from an allergic reaction to an insect bite. If you have a blister on your foot, it is suggested that you confer with a podiatrist for additional tips on how to treat and prevent foot blisters from developing.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. 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 are often the result of friction. This happens due to the constant rubbing from shoes, which can 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.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.

An injury can cause toe pain, making it difficult to complete daily activities. Toe pain may also occur due to an abnormal foot structure or from wearing shoes that do not fit correctly. Existing medical conditions like hammertoe, bunions, or gout can also play a role. The big toe is affected by gout, and the pinky toe can hurt if a corn develops. Some people endure a broken toe, and buddy taping may be used as an effective healing method. The foot condition known as athlete’s foot can cause the toes and bottom of the foot to itch, which can be uncomfortable. Many diabetic patients have nerve pain, which can develop in the feet. This may lead to getting a foot ulcer, and pain relief is generally sought. An ingrown toenail is defined as a nail that grows into the skin instead of over it, and pus may ooze from it if it becomes infected. If you have toe pain, it is suggested that you confer with a podiatrist who can determine what the cause is, and offer effective treatment methods.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as 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.

Having flat feet, medically known as pes planus, is the result of collapsed arches that absorb the shock of each step you take. The three main types of flat feet are flexible pes planus, posterior tibial dysfunction, and a tight Achilles tendon. Flexible flat feet is the most common type, indicated if the arch disappears when the foot bears weight. It is generally not painful, and with proper arch support can be contained. If the posterior Achilles tendon is torn, swollen, or has become injured, flat feet can result. This type can be caused by obesity, hypertension, or diabetes. When the tension between the calf muscles and the Achilles tendon is too tight, it may cause arch pain when you are active. Most babies are born with flat feet, and the arches develop as the baby grows, so it should not be a cause for alarm. In adults, however, it may be harmful to ignore flat feet, because the pain from overpronation can spread to the legs, knees, hips, and back. For help with any type of flat feet, it is suggested that you make an appointment with a podiatrist who can provide proper treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of 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.

Running can be a good form of exercise and many enjoy this sport. However, like other physical sports, it can have negative effects on one’s feet. Heel pain is a common complaint among runners. This can be caused by overuse, plantar fasciitis, foot structure problems, or poor running form. It is critical that heel pain is treated promptly in runners to avoid further injury and complications. Plantar fasciitis is a condition where the plantar fascia, the ligament that runs from the heels to the toes on the soles of the feet, is overstretched or has slight tears. This results in heel pain, which is often worse after rest. People with flat feet or high arches represent examples of those with foot structure problems that put stress on the plantar fascia and can lead to heel pain after running. There are many other reasons heel pain may affect runners, and if this is something you suffer from, it is suggested that you see a podiatrist who can help you get to the root cause of the pain and offer effective treatment solutions.

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.

Onychomycosis is the medical term for the common foot condition that is known as toenail fungus. It can be an unsightly ailment and causes the toenails to become yellow and thick. In severe cases, they may become brittle and eventually separate from the nail bed and fall off.  It can be caused by various reasons, which may include existing medical conditions. These can consist of diabetes, poor circulation, or a weakened immune system. Additionally, the fungus that causes this condition can live in moist environments such as public swimming pools, shower room floors, and similar areas. It is beneficial to wear appropriate shoes while going to these types of places, which may help you to avoid getting toenail fungus. One of the first signs of this condition can be a small white spot that appears on the nail of the big toe. Research has shown that treatment may be more successful when started promptly. If you have developed toenail fungus, it is suggested that you confer with a podiatrist who can discuss the correct treatment options with you.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.