Ingrown toenails, though seemingly minor, can cause significant discomfort and warrant careful attention to both symptoms and causes. One of the primary symptoms is pain, often concentrated along the edges of the toenail, where it begins to grow into the surrounding skin. Swelling and redness may accompany the pain, indicative of inflammation and potential infection. The ingrown nail may also cause tenderness to the touch, making wearing shoes or even walking a painful experience. Causes of ingrown toenails are diverse, often stemming from improper nail trimming, wearing tight or ill-fitting footwear, or inherited structural issues such as unusually curved nails. Trauma or injury to the toe, fungal infections, and poor foot hygiene can also contribute to the development of ingrown toenails. If you have developed an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist who can provide treatment options and effective preventive measures.

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.

Arachnodactyly, commonly known as spider fingers, is a condition that is characterized by unusually long and slender digits in the hands or feet. When this condition affects the feet, it results in notably elongated and thin toes. It is often an inherited condition and can be a standalone feature or part of a broader genetic disorder, such as Marfan syndrome or Ehlers-Danlos syndrome. These syndromes involve connective tissue disorders that can lead to a range of physical abnormalities, including arachnodactyly. In the context of foot health, arachnodactyly can sometimes cause discomfort or difficulty in finding properly fitting footwear. While the condition primarily affects the appearance of the feet, it typically does not impair foot function or mobility. However, it can be associated with other foot-related issues, if part of a broader syndrome. Management of arachnodactyly primarily involves addressing any associated conditions and wearing comfortable and supportive footwear. If you have this condition, it is strongly suggested that you have regular appointments with a podiatrist for monitoring.

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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.
 

One common question new parents often have is when to start putting shoes on their babies. The general consensus among pediatricians and experts is that babies do not need shoes until they are walking. Before that, it is best to let them explore the world barefoot or with soft, flexible booties. Babies' feet are still developing, and walking barefoot helps their muscles and bones grow naturally. It also allows them to better sense the ground, improving their balance and coordination. Soft-soled shoes or booties can be used for warmth or protection when necessary. When your baby starts taking those first steps, typically between nine and 18 months, it is time to consider their first pair of shoes. Ensure that the shoes fit well, are flexible, and provide good traction. If you are seeking more information about when to fit your child for their first pair of shoes, it is suggested that you consult a podiatrist who can provide you with useful tips.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

Peripheral artery disease, or PAD, is a condition where fatty deposits build up in the arteries, restricting blood flow to muscles and organs. This poor circulation affects about 6.5 million Americans over 40 years of age. During physical activities such as walking or climbing stairs, muscles need more blood and oxygen. If arteries are clogged due to PAD, these muscles may hurt because they are not getting what they need, but the pain typically subsides with rest. However, PAD is more than just about muscle pain during activity. It can affect the overall quality and length of life, limiting how far or long one can walk, and it may increase the risk for heart attack and stroke. Despite its seriousness, PAD often goes unrecognized. People at risk for PAD typically include those who have leg pain, individuals over 70 years of age, and those over 50 years old who have diabetes, or a history of smoking. Recognizing and getting treatment for PAD is crucial for maintaining health and preventing more serious complications. If you have any of the aforementioned symptoms, or belong to a high-risk group, it is strongly suggested that you make an appointment with a podiatrist as soon as possible for a proper diagnosis and treatment plan.

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.

Plantar fasciitis is a common foot condition that results from inflammation and irritation of the plantar fascia, a thick band of tissue connecting the heel bone to the toes. The hallmark symptom of plantar fasciitis is sharp, stabbing heel pain, which can sometimes radiate along the arch or sole of the foot. Some individuals may experience periodic, temporary flares of intense heel pain, while others may have persistent, chronic discomfort in their feet. This pain is often most intense in the morning or after extended rest, and it typically eases within 10 minutes of walking or stretching. However, it can worsen toward the end of the day due to prolonged standing or activities, like climbing stairs and intense exercise, which can stress the plantar fascia. Inflammation of the plantar fascia can lead to visible swelling and redness around the heel and arch of the foot. Even when not visually swollen, the affected area can feel tender and puffy when touched. Additionally, the condition can affect the Achilles tendon, leading to pain. Tightness in the plantar fascia also can cause the foot to roll inward while walking, increasing stress and tension on the Achilles tendon. If you believe you may have plantar fasciitis, it is suggested that you make an appointment with a podiatrist, a medically trained foot doctor, who is able to help you manage this painful condition.

Plantar fasciitis can be very painful and inconvenient. 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 the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

Lymphedema is a chronic condition characterized by swelling due to a compromised lymphatic system. This system is vital for the immune response and involves organs like the spleen and lymph nodes, as well as fluid-carrying vessels. Normally, it circulates a fluid called lymph, rich in white blood cells, throughout the body to combat infections. When blocked due to obesity, injuries, or genetic issues, the lymph gets trapped in tissues, causing swelling. The swelling usually occurs in the arms or legs and feet and can result in symptoms like heaviness, tight skin, limited joint mobility, skin thickening, and itching or burning sensations. Diagnosis involves multiple steps to rule out other causes of foot swelling, such as infections or blood clots. If you have swollen feet, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.

Pressure on the foot causes 90 percent of foot sores in diabetic patients. To heal these sores, it is necessary to reduce the pressure. Offloading in the context of foot wounds refers to the process of reducing or redistributing pressure away from a specific area of the foot that has a wound or is at risk of developing one. By offloading, the affected area gets relief, which allows it to heal without being constantly subjected to pressure or friction. This is especially critical for individuals with diabetes, as they may have neuropathy and might not feel pain from a developing wound. Methods for offloading include using specialized footwear, casts, orthotics, and padding. The goal is to protect the wound, give it the best environment to heal, and prevent further complications. If you have diabetes and suffer from foot sores, it is strongly suggested that you make an appointment with a podiatrist who can evaluate your condition and make appropriate treatment recommendations.

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.

Varicose veins that appear in the feet and ankles are known as corona phlebectasia in the medical field. Corona describes the fan-like pattern of these abnormal capillaries, resembling rays radiating from the sun. Phlebectasia signifies the presence of abnormal veins and capillaries. These veins often result from venous reflux or insufficiency, where blood flows backward due to valve failure in the veins. Patients with prominent ankle veins or corona phlebectasia typically have underlying venous insufficiency in the lower leg. Patients may present with visible veins alone, visible veins with symptoms, or symptoms alone. Ankle and foot varicosities should be examined for underlying issues. Timely treatment is important because untreated varicose veins can lead to symptoms such as leg aches, itching, swelling, and skin conditions, including ulceration and blood clots. If you have varicose veins in your feet or ankles, it is suggested that you make an appointment with a podiatrist for an examination and any treatment that is deemed necessary.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.