Getting a Proper Diagnosis for an Ankle Sprain

Sprained ankles are a common injury, particularly among athletes. They cause symptoms such as pain, swelling, a limited range of motion, and difficulty walking or bearing weight on the affected ankle. Ankle sprains occur when one or more of the ligaments in the ankle are overstretched or torn. There are two main types of ankle sprains – high ankle sprains and lateral ankle sprains. While their symptoms are similar, treatments can vary. Because of this, getting a proper diagnosis is very important. A podiatrist can diagnose the type of ankle sprain that you have by completing a thorough physical examination of the ankle. Imaging tests may also be used. If you suspect that you may have sprained your ankle, it is strongly suggested that you seek the care of a podiatrist. 

Ankle sprains are common but need immediate attention. 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen 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.

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Complications With Diabetes and the Feet

Diabetes is a systemic condition that can affect many parts of your body – including the feet. Due to the chronically raised blood sugar levels associated with diabetes, the nerves and blood vessels that supply the lower limbs can become damaged. This can cause neuropathy and poor circulation, both of which can lead to strange sensations, such as burning and tingling or numbness in the feet, a loss of sensation, and the formation of poorly healing foot wounds. The skin and nails on the feet may also change. Skin can become dry and cracked, and start to peel, and calluses may form more quickly, as well. Because diabetes can also cause immune insufficiency, foot and nail infections are more likely to occur. If you have diabetes, it is suggested that you visit a podiatrist regularly to monitor and preserve the health of your feet.

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.

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What Is a Lisfranc Injury?

If you are experiencing severe pain and swelling in the midfoot area and are having trouble bearing weight on your foot, you may have sustained a Lisfranc joint injury. This joint is a band of tissue that connects the long bones that lead to the toes to the tarsal bones in the arch and helps with alignment and strength of the foot. Bruising and an unusual widening of the foot are other signs of a problem. Injuries to this joint may occur directly, by dropping something heavy on your foot, or indirectly like the result from twisting your foot. It is most common in runners, athletes who play contact sports, and victims of car accidents. It can also be caused by something as simple as tripping on the stairs. In such injuries a ligament may be torn or stretched, or a bone may be fractured or dislocated. If your symptoms become worse, it’s a good idea to contact a podiatrist as quickly as possible for a full examination to determine a treatment plan. In the meantime it is suggested that you stay off the injured foot, wrap it to keep the swelling down, apply ice to the area, and keep it elevated when sitting or lying down.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, 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.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, 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.

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Pins and Needles in Your Feet

Many people experience the sensation of “pins and needles” in their feet when they cross their legs for too long. Generally, it recedes once the blood flows to the affected area. However, when the occurrence of this sensation becomes more frequent, it can affect your ability to walk or stand safely. This condition, known as paresthesia, may be experienced as tingling, itching and burning, aching pain, or numbness. The cause is likely to be peripheral artery disease (PAD), which is a buildup of plaque in your arteries. The result is poor circulation due to the reduced flow of blood to the feet. Other contributing factors include having diabetes, being overweight, overindulgence in alcohol, and possible vitamin deficiency. Some actions that might help are eating healthy foods, avoiding alcoholic beverages, and taking short walks daily. If you have noticed an increase in the frequency of a pins-and-needles sensation in your feet, it is a good idea to make an appointment with a podiatrist as soon as possible for a complete examination and suggested 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.

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What Can Custom Orthotics Do for My Foot Condition?

Custom orthotics are prescription devices that fit in shoes and are designed to distribute weight more evenly across the feet and minimize pressure on any given area. They can also correct an abnormal gait, reduce pain, and improve foot alignment. Since they are designed to address specific conditions and the individual foot structure of the patient, fit is critical. After a podiatrist examines the patient and diagnoses their underlying condition, they may determine that orthotics can be beneficial. They will then take an impression of the patient’s foot, usually with a 3D laser scan or plaster cast. Specific materials will be chosen to address the patient’s particular condition, and the orthotic will be created. The patient will come in for a fitting and any further customizations needed to ensure the device fits the patient’s shoes and is comfortable will be made. Orthotics can be prescribed for conditions such as arthritis, plantar fasciitis, heel spurs, bunions, hammertoes, flat feet, high arches and more. If you have any of these conditions, it is suggested that you make an appointment with a podiatrist to see if orthotics may be beneficial for you.

If you are having discomfort in your feet and would like to try 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 Orthotics?

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 but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that 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 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 are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards 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.

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Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Is My Broken Foot an Emergency?

The foot consists of 26 bones. When one or more of these bones are broken, it is known as a foot fracture. Although it may sound frightening, a broken foot is not always an emergency. Whether or not you should rush to the ER depends on the severity of the injury. If you are experiencing mild pain, swelling, and bruising, you should schedule an appointment with a podiatrist. If, however, you have moderate to severe pain, swelling, bruising, visible deformity, numbness, coldness, or discoloration in the injured foot, it is strongly suggested that you seek emergency treatment. For more information about foot fractures, please consult with a podiatrist.

A broken foot requires immediate medical attention and treatment. 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.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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.

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How Is Plantar Fasciitis Heel Pain Treated?

Plantar fasciitis is one of the most common causes of heel pain. It occurs when the plantar fascia, a ligament that runs along the bottom of the foot, becomes inflamed due to excessive strain or overuse. This produces symptoms such as pain in the bottom of the heel and arch that is at its worst when taking the first few steps of the day and swelling in the heel. The first line of treatment for plantar fasciitis consists of resting and icing the foot, taking over-the-counter pain medications, wearing comfortable and supportive shoes or orthotics, and doing simple stretches to ease pain. Chronic or severe cases may require more intensive treatment, such as wearing an orthotic device, padding or taping the affected foot, and injection therapy. If you have plantar fasciitis, it is suggested that you be under the care of a podiatrist. 

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.

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How To Best Protect Your Child’s Developing Feet

The bones in your child’s feet will develop over time— from the cartilage they were born with to ossified bones that are fully formed around the age of 18. For the first few months of their lives, babies’ feet are quite delicate. That is why the type of footwear you choose for your child is very important. You don’t want your child’s developing feet to be distorted by footwear that does not fit properly. Make sure footwear and socks are never tight. While your child’s feet are developing, the nerve endings in their feet are developing too and may not be able to signal if their feet are being squeezed or compressed. Since no two feet are the same, avoid hand-me-down shoes that may not be right for your child’s feet. Keep their toenails trimmed straight across without curving them or cutting them so short that it puts them at risk of developing an ingrown toenail. For more advice on how to best protect your child’s feet as they grow, it is suggested that you contact a podiatrist.

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.

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How to Ease Foot Pain While Pregnant

Pregnant women often deal with various foot-related issues because of the added weight when carrying a baby. One of the most common foot-related issues during pregnancy is swollen feet. This occurs when there is an excess of fluid that builds up and travels down to the feet. Because of this, raising and elevating the feet as much as possible, as well as wearing wide comfortable shoes, can help reduce the swelling. Arch pain is another common issue in pregnancy and can be eased by stretching the feet in the morning as well as after exercise. Ingrown toenails may also develop during during pregnancy, and they are another reason why wearing wide shoes is important. Pregnant women who get ingrown toenails or are struggling with other foot-related issues and pain may wish to consult with a podiatrist for suggested treatment options.    

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

Read more about Foot Care for Pregnant Women

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