Foot orthotics offer significant benefits, including improved alignment, pain relief, and enhanced mobility. They are custom-made shoe inserts designed to support the feet and correct biomechanical issues. The process begins with a thorough assessment by a podiatrist, who examines the patient's feet and gait. Advanced technologies, such as 3D scanning or plaster casting, are used to create a precise mold of the feet. From this mold, orthotics are crafted from materials like EVA foam, plastic, or carbon fiber to provide optimal support and comfort. People with flat feet, plantar fasciitis, arthritis, and sports injuries can benefit from wearing orthotics. The inserts also can help to improve posture and prevent further complications, making them valuable for athletes, elderly individuals, and anyone experiencing foot discomfort. If you are seeking information about whether foot orthotics can benefit you, it is suggested that you consult a podiatrist for an exam.

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.

A tailor's bunion, also known as a bunionette, is a bony protrusion on the outside of the foot near the base of the little toe. This condition occurs due to the misalignment of the fifth metatarsal bone, often caused by inherited structural abnormalities, wearing tight or ill-fitting shoes, or repetitive stress on the foot. Unlike the more well-known bunion, which affects the inside of the foot at the base of the big toe, a tailor's bunion affects the outer side of the foot. Both conditions can cause pain, swelling, and redness, but a tailor's bunion specifically impacts the small toe area. To manage a tailor's bunion, wear properly fitting shoes with a wide toe box, use padding to reduce pressure, and consider orthotic inserts for better foot alignment. Non-surgical treatments, such as anti-inflammatory medications can alleviate symptoms. In severe cases, surgery may be required to correct the deformity. Proper diagnosis is essential, as tailor's bunions can be confused with other issues like hammertoes or arthritis. For an accurate diagnosis and effective treatment, it is suggested that you visit a podiatrist.

If you are suffering from bunions, 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?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• 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.

Acquired adult flat feet, also known as progressive collapsing foot deformity, is a condition where the arches of the feet gradually flatten over time. This can lead to pain, swelling, and difficulty walking. The condition is often caused by posterior tibial tendon dysfunction, where the tendon that supports the arch weakens or tears. Other contributing factors include obesity, high blood pressure, diabetes, and injuries. Symptoms typically start with pain along the inner foot and ankle, followed by visible flattening of the arch and outward rolling of the ankle. If left untreated, the condition can lead to severe deformity and arthritis.  Relief options can include orthotic devices, and in advanced cases, surgery to repair or reconstruct the affected tendons and bones. If you have flat feet, it is suggested that you are under the care of 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.

Peripheral Arterial Disease, PAD, is a condition where the arteries that supply blood to your limbs become narrowed or blocked due to plaque, a buildup of fatty deposits. Due to reduced blood flow, symptoms such as leg pain, cramping, and fatigue may develop, particularly during physical activities like walking. PAD is both an uncomfortable and serious condition, as it can lead to more severe complications, including infections, sores that won't heal, and even an increased risk of amputation, if not treated properly. Early diagnosis and management are essential to improving blood flow, relieving symptoms, and protecting your overall limb health. If you notice these symptoms, it is suggested you meet with a podiatrist to discuss the best plan to improve and maintain your foot health.  

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.

A broken ankle, medically termed ankle fracture, poses significant risks and complications, particularly for active individuals and the elderly. Active individuals are often at risk due to participation in high-impact activities, while the elderly are susceptible due to factors such as decreased bone density and balance issues. One potential complication of a broken ankle is the development of osteoarthritis in the affected joint over time. This occurs due to the disruption of the joint's normal structure and function during the healing process, leading to cartilage degeneration and subsequent pain and stiffness. Elderly individuals, especially those with diabetes, are also prone to complications such as wound healing issues and infections, which can prolong recovery and increase the risk of further complications. Treatment for a broken ankle typically involves immobilization with a cast or brace and pain management. If you have sustained an ankle fracture, it is suggested that you schedule an appointment with a podiatrist who can provide comprehensive care, including monitoring for complications, optimizing rehabilitation, and providing long-term management for optimal foot health.

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.

Arch pain, often caused by conditions such as plantar fasciitis, flat feet, as  well as high arches, can significantly impact daily activities. Custom orthotics, specifically designed shoe inserts, provide tailored support and cushioning to alleviate this discomfort. These orthotics help distribute pressure evenly across the foot, reducing strain on the arch and improving overall foot mechanics. Common causes of arch pain include overuse, wearing improper footwear, and biomechanical abnormalities. Treatments typically involve rest, and anti-inflammatory medications. Stretches that target the arch, Achilles tendon, and calf muscles can enhance flexibility and reduce pain. Risk factors for arch pain include obesity, prolonged standing, high-impact sports, and aging. If left untreated, arch pain can lead to complications such as chronic pain, altered gait, and additional foot problems. If you have persistent or worsening arch pain, it is suggested that you schedule an appointment with a podiatrist who can diagnose the cause of the pain and recommend custom orthotics and other treatments to restore foot health. 

Custom orthotics and shoe inserts are not just for cushioning the soles; they are about supporting the foundation of our body - our feet. The advantages extend far beyond immediate relief from discomfort. These personalized solutions, that Our doctors can prescribe, can significantly impact a person’s posture, alleviate pain in various parts of the body, and even enhance athletic performance.

As we lace up our shoes each day, having the right support can make a world of difference. Custom orthotics are like tailored suites for our feet, offering a bespoke solution to address our unique biomechanical needs. They provide stability where it is lacking, correct imbalances, and ensure that every step is a confident and pain-free one. 

Custom orthotics and shoe inserts offer long-term health benefits. By addressing issues such as overpronation or underpronation, heel pain, plantar fasciitis, etc. orthotics can help prevent injuries and mitigate the progression of existing conditions. It’s an investment not just in the present, but in the future health of your feet and consequently, your overall well-being. 

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.

Diabetic wound care is a critical aspect of managing diabetes-related complications, particularly concerning foot health. Diabetes can affect wound healing due to vascular and neuropathic issues that result from high blood sugar levels. Reduced circulation and oxygenation in tissues, coupled with neuropathy-induced numbness, make foot wounds more susceptible to infections. Individuals experiencing poor wound healing due to diabetes-related nerve and blood vessel damage may encounter additional complications, including heart disease, kidney disease, and eye problems. Additionally, if an untreated wound becomes infected, the infection may extend locally to affect muscle and bone, a condition known as osteomyelitis. Untreated infections also can progress to gangrene, a significant cause of amputations in individuals with diabetes. In severe cases, uncontrolled infections can lead to sepsis, wherein the infection spreads into the bloodstream, posing a life-threatening situation. A podiatrist is trained to manage diabetic wounds in the feet. If you are living with diabetes or have concerns about wound care, it is suggested that you schedule an appointment with a podiatrist for a full exam and treatment options.

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.

Golf, often perceived as a leisurely sport, can surprisingly pose risks of foot and ankle injuries, especially if proper precautions are neglected. One common cause of injuries is the repetitive motion of the golf swing, which can strain the muscles, tendons, and ligaments in the feet and ankles. Additionally, uneven terrain or poorly maintained golf courses can increase the risk of slips, twists, and falls, leading to sprains or fractures. To prevent foot and ankle injuries in golf, it is essential to prioritize proper warm-up exercises before hitting the course. Dynamic stretches targeting the lower body muscles can enhance flexibility and reduce the risk of strain during the swing. Wearing supportive golf shoes with ample cushioning and traction can provide stability and protect against injuries. It is also helpful to maintain good posture and technique while swinging can help distribute forces evenly across the body, minimizing stress on the feet and ankles. If you have endured a foot or ankle injury playing golf, it is suggested that you visit a podiatrist who can offer you treatment methods and injury prevention tips.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains 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 and ankle needs.