Ankle fractures can involve one or more bones in the ankle. This type of injury can happen from a fall or from suddenly twisting the ankle. Some of the symptoms that are often associated with a broken ankle include severe pain and discomfort, and the ankle may be bruised and swollen. Relief can be found when the affected foot is frequently elevated, as this may reduce a portion of the swelling. After a proper diagnosis has been made, which typically involves having an X-ray taken to visualize the injury, a protective boot or cast may be prescribed. Daily activities may be gradually resumed, and it is beneficial to rest the foot if it becomes painful. If you have broken your ankle, it is strongly suggested that you speak with a podiatrist who can help determine the best course of treatment for you.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

If you are a runner, then you are likely not a stranger to blisters. Most blisters are caused by the repetitive friction of your shoes rubbing against the skin of your foot. Blisters can be painful and may make it difficult to continue running. Fortunately, there are multiple things that you can do to prevent blisters. Make sure that you run in properly fitted, supportive running shoes and socks that are made specifically for running. If there are areas of your feet that are prone to developing blisters while you run, you can place moleskin bandage, pads, or athletic tape over them. If you have calluses on your feet, you may want to keep them, as they can actually protect your feet from blistering while you run. For more information about preventing blisters and other foot and ankle injuries, consult with a podiatrist today.

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.

Cracked heels can be unsightly and painful. A combination of the foot’s inability to retain moisture and pressure on the foot can cause the skin of the heels to become fragile and eventually crack. Without treatment, the cracks can get deeper and turn into fissures. Common causes of cracked heels include a lack of moisture, vitamin deficiencies, pressure, aging skin, obesity, open footwear, hygiene, or poorly fitted shoes. Various moisturizers are available to help prevent or treat cracked heels. However, if you are suffering from painful cracks, a podiatrist may be able to help you find the source of your problem and provide 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.

Excess levels of uric acid in the blood may lead to the medical condition that is known as gout. Crystals can form in the joints of the big toe, and this can cause severe pain and discomfort. Additional symptoms that patients experience may consist of swelling, heat and redness, and it may become difficult to walk. Gout is considered to be a form of arthritis and it can develop for a variety of reasons. These can include genetic factors, eating foods that have high purine levels, or from taking certain medications. When a gout attack occurs it can be beneficial to rest and elevate the affected foot, as well as apply ice packs and take anti-inflammatory medication, and the pain may be reduced. Gout can be a debilitating foot condition, which is why you should consult with a podiatrist as quickly as possible so correct treatment options can be discussed.

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.

An anterior ankle impingement, which is also known as “footballer’s ankle” or “athlete’s ankle,” results from bone spurs that form on the front bones of the ankle. This injury is most common amongst athletes in sports that involve a lot of kicking. While soccer players are the most commonly affected athletes, football players, volleyball players, and ballet dancers are also at risk. An anterior ankle impingement is often indicated by chronic pain in the front of the ankle while playing sports and while bending the ankle.  Swelling will also occur in the front of the ankle after athletic activity. If you believe that you are suffering from an anterior ankle impingement, consult with a podiatrist for a proper diagnosis and 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.

Parents who pay attention to the development and care of their children’s feet at an early age may help them to avoid certain foot conditions. Everyday routines can include washing and drying their toes and feet thoroughly, trimming their toenails straight across, and choosing the correct sock and shoe size. There are several foot conditions that can possibly be prevented when proper foot care is administered. These can consist of athlete’s foot, bunions, and ingrown toenails. Bunions and ingrown toenails can develop from wearing shoes that do not fit correctly. Athlete's foot is caused by a fungus, and it is suggested that your child wear appropriate shoes while in public swimming pool areas. If you would like additional information about how to properly care for your child’s feet, please confer with a podiatrist.

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.

Discoloration of the skin on the feet may be a sign of poor circulation. Problems with circulation can be caused by many different conditions. Raynaud’s disease, a condition that can make the blood vessels in the hands and feet temporarily spasm and constrict, can restrict blood flow and make your feet turn blue, purple, red, or white. Lupus, an autoimmune disease, can cause an inflammation of the blood vessels called vasculitis, which can cause a rash of red or purple dots to appear on the skin. Peripheral artery disease, a condition characterized by poor blood flow to the lower extremities, can cause the feet to gradually turn purple or blue. Diabetes can have a similar effect on the feet. If you notice a discoloration in the skin of your feet, please see that you seek the care of a podiatrist.

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.

When the joints or ligaments surrounding the cuboid bone in your foot are injured or torn, it’s possible you may develop cuboid syndrome. Certain forms of arthritis may increase your chances of getting cuboid syndrome, such as osteoarthritis and gout. Common risk factors for this condition may include obesity, wearing footwear that is too tight or lacks support, not stretching before working out, partaking in physical activity on uneven surfaces, and a lack of rest between physical activities. Pain on the lateral side of your foot is a common indicator of cuboid syndrome, along with tenderness and redness towards that area. If you believe you have developed cuboid syndrome, please consult with a podiatrist for advice on treatment options.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.