Big toe pain can be both uncomfortable and disruptive, often stemming from various underlying causes. One common culprit is gout, a form of arthritis caused by a buildup of uric acid crystals in the joint, leading to sudden, severe pain and swelling. Another potential cause is bunions, which occur when the big toe deviates towards the other toes, causing pain and pressure. Other issues include sesamoiditis, inflammation of the small bones under the big toe, and trauma or injury to the toe joint. Complications from untreated big toe pain include difficulties with walking and changes in gait, which may strain other joints and muscles. Accurate diagnosis and appropriate treatment are important to address these issues effectively. If you are experiencing persistent or severe pain in your big toe, it is suggested you make an appointment with a podiatrist for a thorough evaluation and tailored treatment plan.

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.

Assessing the quality of custom orthotics is imperative for reducing foot pain and alleviating discomfort in other parts of the body. Orthotics are commonly recommended by podiatrists to correct foot mechanics, and their effectiveness largely depends on their quality. A high-quality orthotic should meet specific goals tailored to the individual's needs. These include providing adequate support, correcting alignment issues, and improving foot function. The strength and contour of the orthotic are essential. It should be firm enough to support the foot yet flexible enough to allow natural movement. Balance is another key factor. The orthotic must evenly distribute pressure across the foot, preventing any undue stress on specific areas. Additionally, the length and width of the orthotic should be appropriately matched to the foot's dimensions to ensure proper fit and comfort. Ultimately, a podiatrist is best equipped to assess these qualities, ensuring the orthotic effectively reduces pain and supports overall health. If you are pondering getting orthotics, it is suggested that you consult a podiatrist who is in the best position to address your needs and provide quality products.

The benefits of custom orthotics are far-reaching and can make a significant impact on your daily life. Whether you are an athlete looking to enhance your performance, a healthcare worker on your feet every day, someone who experiences chronic foot pain, or someone who wants to improve their overall comfort and well-being, custom orthotics can be a game changer. 

Custom orthotics provide support, stability, and relief for a variety of foot conditions ranging from flat feet to heel pain. They can even help prevent injuries and address more severe foot concerns, such as plantar fasciitis and diabetic foot issues. 

Contact one of our podiatrists at Biebel & DeCotiis Podiatry Associates to create tailored orthotics for you and enjoy a higher quality of life, reduced pain, and increased mobility. With the right orthotics, you can continue doing the things you love, whether it’s running, dancing, or simply walking comfortably without discomfort. 

If you are suffering from foot discomfort or have concerns about your foot health, do not hesitate to contact one of our podiatrists at Biebel & DeCotiis Podiatry Associates to explore the benefits of orthotics for you. Your feet are the foundation of your body and investing in their well-being can lead to a happier, healthier, and more active lifestyle. Your feet will thank you!

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 heel pain, commonly associated with plantar fasciitis, is characterized by sharp, stabbing pain at the bottom of the heel. It is especially noticeable with the first steps in the morning or after prolonged periods of sitting. This discomfort arises from inflammation of the plantar fascia, a thick band of tissue connecting the heel to the toes. Symptoms typically include a deep ache or a burning sensation in the heel, which may worsen with activity or after standing for long periods. Contributing factors include overuse, poor foot mechanics, and inadequate footwear. Effective treatment often involves rest and stretching exercises for the Achilles tendon and plantar fascia. Wearing supportive shoes with adequate cushioning and using orthotic inserts can also provide relief. In persistent cases, specialized exercises or corticosteroid injections may be considered. For a tailored treatment plan for plantar fasciitis, it is suggested you make an appointment with a podiatrist.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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.

Flat feet can lead to discomfort and other issues, but targeted exercises can help to build arch strength and improve flexibility. One beneficial exercise is the toe raise, where you stand with your feet flat and then slowly lift your heels off the ground while keeping your toes and the balls of your feet planted. This movement strengthens the muscles that support the arch. To enhance flexibility, incorporate stretches like the towel stretch, where you sit with your legs extended and use a towel to gently pull your toes towards you, stretching the calf muscles and Achilles tendon. Another effective stretch involves rolling your foot over a small ball or rolling pin to target the plantar fascia. Regularly performing these exercises can improve arch support and overall foot health. If you have flat feet and you are uncomfortable, it is suggested that you confer with a podiatrist who can help you to manage this condition.

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.

Proper toenail care is important for maintaining foot health and preventing issues like ingrown toenails and infections. Start by soaking your feet in warm water for about 10 minutes. This softens the nails, making them easier to cut and reducing the risk of cracking. Use a high-quality nail clipper or scissors specifically designed for toenails, as regular fingernail clippers may not provide a clean cut. When trimming, cut the toenails straight across rather than rounding the edges. This approach helps to prevent ingrown toenails, which occur when the nail grows into the surrounding skin. Avoid cutting the nails too short, leaving a small white edge at the tip to prevent discomfort and reduce the risk of infection. After cutting, smooth any rough edges with a nail file to avoid snags and cuts. If you need help with problematic toenails, it is suggested you schedule an appointment with a podiatrist.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

A bunion is a bony bump that forms on the joint at the base of the big toe, often causing the toe to deviate towards the others. Common issues can include chronic pain, bursitis or inflammation of the fluid-filled pads that cushion the bones, and metatarsalgia or pain and inflammation in the ball of the foot. Severe cases or complications can lead to hammertoes or crossover toes, where toes bend abnormally, and even arthritis in the big toe joint. Preventing bunion complications involves wearing properly fitted shoes with a wide toe box, avoiding high heels, and using orthotic inserts to reduce pressure on the bunion. Maintaining a healthy weight can also alleviate stress on the feet. Treatment options range from non-surgical methods like padding and medications to manage pain to surgical procedures for more severe cases. If you have a bunion that is causing worsening symptoms, it is suggested that you promptly consult a podiatrist who can help to manage symptoms and prevent further complications.

If you are suffering from bunion pain, 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 a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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 warts can be both unsightly and painful. These small, hard growths on the bottom of the foot are usually harmless but highly contagious. They are caused by the human papilloma virus, or HPV, which can enter through a sore or crack in the skin. Plantar warts commonly appear on the heels and the fleshy parts of the toes. HPV thrives in damp environments, like public pools, showers, and gym locker rooms, so wearing protective footwear in these places is advised. It's also important to avoid touching the warts to prevent spreading the virus to other body parts. Treatment options for plantar warts include over-the-counter medications, liquid nitrogen to burn off the wart, or cryotherapy to freeze it. If you frequently get plantar warts, it is suggested you make an appointment with a podiatrist for a proper diagnosis and treatment.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Plantar fasciitis, a common cause of heel pain, can be effectively managed through both foot orthotics and non-surgical treatments. Non-surgical options include performing specific stretching exercises which may help to strengthen the foot. These methods aim to alleviate symptoms and promote healing by addressing tightness in the calf muscles and reducing stress on the plantar fascia. Foot orthotics provide additional support and cushioning, redistributing pressure away from the affected area and correcting foot mechanics that contribute to the condition. Custom orthotics are tailored to individual foot anatomy, offering precise alignment and comfort. While non-surgical treatments focus on reducing symptoms, orthotics offer ongoing support to prevent recurrence and aid in long-term recovery. Combining both approaches may yield optimal results, addressing pain relief and addressing underlying biomechanical issues that contribute to plantar fasciitis. If you have developed plantar fasciitis, it is suggested that you are under the care of a podiatrist who can determine what the best course of treatment is for you.

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.