The ankle joint is a structure of bones, ligaments, muscles, and tendons that allow the foot to flex and point. At this complex joint, the tibia and fibula muscles of the calf connect with the talus bone of the foot, forming what is termed the ankle mortise. These bones bear the majority of weight bearing, while the ligaments that hold them in place provide stability. When this mechanism fails, usually as the result of some kind of trauma, the ankle becomes dislocated. The most common causes of a dislocated ankle are falls, car accidents, and sports injuries. Types of dislocations include posterior, anterior, lateral, and superior. A posterior dislocation, which is the most common, occurs when the talus is pushed forward while the tibia is pushed backward. A lateral dislocation, which occurs when the ankle is twisted, is usually accompanied by a bone fracture. A superior dislocation occurs when the talus is pushed upward into the space between the tibia and fibula, often the result of a fall or car crash. Treatment for a dislocated ankle depends on the type and severity of the injury, and recovery can take up to 3 months. For help with an ankle dislocation, it is suggested that you make an appointment with a podiatrist.

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.

Hammertoe is easy to notice. It is a foot condition that causes the second or third toe to bend up at the middle joint and may be caused by shoes that are the incorrect size. This is a common condition among people who wear high heels or tight shoes, and in severe cases, it may be difficult to walk. Many people develop corns on top of the hammertoes, caused by the toes constantly rubbing against the top of the shoe. In mild cases, some stretches can gradually straighten the toes. This can be coupled with wearing protective pads on top of the toes, which may help reduce friction. Some people choose to wear orthotics, which may help realign the foot. If you have developed hammertoe, it is strongly suggested that you consult with a podiatrist who can effectively diagnose and treat this condition.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work 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.

Gout is a painful form of arthritis that commonly affects a joint in the big toe, but also occurs in other joints of the body. Attacks of gout, called flare-ups, come on suddenly and frequently occur during sleeping hours. They are characterized by redness, swelling, heat, and constant pain. Gout is mainly caused by an overabundance of uric acid, which is formed during the breakdown of purines in the system. Eating foods that contain high levels of purines, including red meats, seafood, alcohol, and sugary drinks, can set off gout attacks. Crystals of uric acid can build up in the joints, resulting in inflammation and severe pain. Gout may be associated with kidney disease, obesity, and heart disease, as well as from a hereditary disposition. While it is not curable, there are ways to manage it and lower the risk of experiencing gout. It is important to control gout as recurring attacks can damage joints and tendons. Reducing the amount of uric acid is the number one way to treat gout. Certain medications, such as colchicine and non-steroidal anti-inflammatories, can help to reduce the effects of gout. For more information about gout treatments, it is suggested that you make an appointment with a podiatrist.

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Podiatry is a field of medicine that specializes in the disorders and treatment of the feet and ankles. There are several painful conditions that can affect the feet, including plantar fasciitis, heel spurs, and ingrown toenails. There are various branches of podiatry that can range from performing foot surgery to working in a hospital or clinic setting. Interested candidates pursuing podiatry will go through an extensive education process. This can begin with obtaining a bachelor's degree, followed by completing a four-year program in a podiatric medical school. At this time, the student will earn a DPM, which is the abbreviation for a Doctor of Podiatric Medicine degree. A residency program begins after the DPM is obtained, and lasts for three years. This will give the student an opportunity to work in podiatry, in addition to learning pertinent information about medicine. If you think you may want to pursue a career in podiatry, it is suggested that you meet with this type of doctor who can answer any questions you may have.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to 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 a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

• Physical therapy
• Drugs
• Orthotic inserts or soles
• Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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.

People who enjoy running are all too familiar with the fear of incurring a running injury. The majority of running injuries can be prevented when simple strategies are implemented. These are the same techniques for all runners, ranging from weekend warriors to people who run several marathons. Research has shown that stretching is an important factor which may help to prevent running injuries. The hip flexor and quad stretch is done by kneeling on one knee on a mat while pulling the tailbone inward, and pushing the hips forward. This stretch will be felt in front of the hip. For people who prefer a deeper stretch, the ankle can be grabbed, and brought close to the glutes. A calf stretch is effective in exercising the heel and sole of the foot. This is performed by standing on a step while lowering the heels one at a time until a gentle stretch is felt. There are additional stretching techniques that can be done which can protect the feet while running. If you would like more information about how to perform these, it is suggested that you consult with a podiatrist. 

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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.

Diabetes is a condition that can affect the feet. Maintaining proper diabetic foot care is crucial in preventing unwanted foot ailments from developing. This can begin by washing and drying the feet every day, followed by applying a moisturizer on them. It is helpful to refrain from using any creams between the toes, as this may lead to additional foot conditions. Diabetic patients may have neuropathy, which is the inability to feel sensations in the feet and lower legs. As a result,  using a mirror is a good way to check the soles of the feet for any cuts or scrapes that may have developed. It is beneficial to have the toenails properly trimmed weekly, and this helps to prevent an ingrown toenail from developing. Many people who are diabetic know the importance of refraining from walking barefoot, which can be detrimental to the feet. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Many students go back to school after having worn flip-flops most of the summer. Flip-flops are enticing footwear for young people because they are inexpensive, come in many colors, and can be fashionable. However, these sandals do not cushion or support feet and will often lead to foot problems. It is not generally known that new bone growth continues in the heels of feet through the teen years. Flip-flops do not cushion the heel and repeated stress from walking in these shoes can lead to heel inflammation in the bone growth area and cause pain. In addition to heel and arch pain, flip-flops can lead to sprained ankles, cuts and scrapes, and callus buildup on the heels and toes. Stretching exercises and shoe inserts can help with pain incurred from wearing these shoes, but reducing the time flip-flops are worn and keeping them for beach-going or around pools is best. If your child has foot pain after wearing flip-flops, it is suggested that you take them to see a podiatrist who can assess the damage and provide proper treatment.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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.

Practicing everyday foot care may be instrumental in preventing unwanted foot conditions. Begin with washing and drying the feet thoroughly, followed by applying a good moisturizer. It is beneficial to trim the toenails straight across which may help to avoid painful ingrown toenails. Any cuts or sores that develop on the feet can be addressed when the top and soles of the feet are regularly examined. Studies suggest that certain foot conditions may arise as a result of poor foot hygiene. These conditions can include athlete’s foot and toenail fungus. The risk may be reduced when clean socks and shoes are worn as well as the proper shoe size. If you would like to know more about implementing everyday foot care, it is suggested that you consult with a podiatrist who can provide you with the knowledge you are seeking.

Everyday foot care is very important to prevent infection and other foot ailments. 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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.