Self care may decrease with elderly patients. This can be a result of having poor circulation, and it may be difficult to wash and dry the feet. Research has indicated that chronic medical conditions may increase in elderly patients, and this can make it difficult to practice proper foot care. There have been studies that have found improvements in blood circulation, walking ability, and muscle fatigue when good foot care is frequently performed. Flexibility and range of motion may be improved when specific foot stretches are performed. These can include pointing and flexing each foot, followed by moving them from right to left. It is beneficial to inspect the bottom of the feet for existing cuts, bruises, or sores that may have developed. This can be done by having a family member help, or by using a mirror. The feet will feel good and can positively affect the overall body when comfortable shoes are worn. If you have an elderly parent or friend that needs more information about how to properly care for their feet, please help them by scheduling an appointment with a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

Faced with a myriad of shoes one can find in running stores, it can be hard to determine which is the right pair for you. The most important criterion in buying new running shoes is that they be comfortable while running. There are many components of a running shoe that should be evaluated to make sure they fit the shape of your feet and provide adequate support and protection. Instead of choosing shoes based on looks, focus on fit, feel, and function. Make sure the shoes you buy are roomy enough in the toe box for the toes to move freely and not be shoved up against the front of the shoe. Shop for running shoes later in the day after the feet have done their normal swelling and make sure you bring the socks you will wear and any inserts you normally use so as to get the right size shoe and fit. Measure your feet to make sure you are not assuming you know the right size to purchase. If you are a runner, it is suggested that you visit a podiatrist to obtain expert advice on the best shoes for your particular feet and tips to deal with any current or potential foot problems.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

If you have any questions please feel free to contact our 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 adults complain of plantar fasciitis, which is a painful condition caused by inflammation of the band of tissue that runs from the heel to the toes. This can also be found in children, especially those who participate in sports that involve a lot of running and jumping. Dancers, runners, and basketball players may be more susceptible because the plantar fascia absorbs the pounding of every impact with the floor or ground. This results in pain at the bottom of the heel, typically a result of repetitive use. The pain generally worsens after activity and increases as the day goes on. The heel may be particularly painful in the morning but may lessen after stretching or walking. Plantar fasciitis can become worse from being overweight, wearing footwear that does not provide enough cushioning, tight calf muscles, high arches, and flat feet. If your child complains of heel pain on a consistent basis, it is a good idea to consult a podiatrist to see if plantar fasciitis may be causing the problem.

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.

There are over 100 muscles, 30 joints, and 28 bones found in each foot. The foot is a complex structure, and the condition that is known as cuboid syndrome may be difficult to diagnose. There are seven tarsal bones in the foot, and the cuboid bone is one of these. Cuboid syndrome occurs when the cuboid bone moves out of alignment, which can happen from a sudden injury or from repetitive use. Pain from this condition is generally felt on the side of the pinky toe and can radiate to the middle of the foot. Additional symptoms include swelling, limited range of motion, and difficulty walking. Patients who frequently participate in such sporting activities as tennis and racquetball may be more prone to developing Cuboid syndrome. Relief may be found by elevating the affected foot, and taping the foot may help to provide additional stability. If you have pain in this part of your foot, please speak to a podiatrist who can provide you with a proper diagnosis, and determine what the best course of treatment is for you.

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.

Plantar warts appear on the bottom of the foot. They grow inward as a result of the constant pressure that is exerted on the feet from standing and walking. They are caused by HPV, human papillomavirus, and can enter the body through small cuts in the feet. It is suggested to wear appropriate shoes while in public swimming areas and locker rooms, as this may prevent the spread of the virus. A plantar wart looks like a small area of hardened skin, and it generally has tiny black dots in the center. These are small, clotted blood vessels that are referred to as wart seeds. This type of wart generally causes severe pain and discomfort, and it may be difficult to walk. Patients who have a compromised immune system, in addition to people who are diabetic, may be prone to getting plantar warts. It is suggested that if you have a plantar wart to speak with a podiatrist who can guide you toward the best treatment methods. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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 can impair a person’s ability to feel differences in temperature or pain in their feet. This is because high levels of blood sugar can cause nerve damage, or diabetic neuropathy. Any little cut, scrape, pressure point or disturbance in the skin that goes undetected has the potential of becoming a more serious wound. Wounds can be dangerous to a person with diabetes because their heightened levels of blood glucose can also restrict circulation in the feet and their body’s ability to heal itself. Daily foot care then becomes essential for the diabetic to stay healthy and to prevent wounds and infections from developing. Feet should be kept clean, but never washed with water hot enough to scald the skin. Moisturizing the skin will help keep skin healthy and prevent it from cracking. Toenails should be kept trimmed straight across, and not too short. Jagged or long nails may cut into skin on surrounding toes, and toenails that are rounded or too short may lead to ingrown toenails. Feet should be inspected at least once a day to make sure no trauma has occurred to the skin. If anything unusual is detected, it is suggested you consult a podiatrist right away. In fact, regular visits with your podiatrist will be an important part of maintaining foot health and preventing wounds and ulcers from developing. 

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.

Poor circulation among the senior population is common. The symptoms that many elderly people experience can include cold hands and feet and a numbing or tingling sensation. Additionally, some patients notice their feet will look discolored and the feet and ankles may swell. Poor circulation may be improved when the feet are frequently elevated, and a gentle exercise program is followed. Research has shown that using certain spices and eating specific foods may help this ailment. These foods can consist of cinnamon, garlic, beets, citrus fruits, and tomatoes. Relief may also be found when compression stockings are worn, and these can be helpful in squeezing the feet which may improve blood flow. If you have poor foot circulation, it is advised that you speak with a podiatrist who can help you to manage and improve this condition.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. 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

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 care needs.

PAD or Peripheral Artery Disease occurs when there is a narrowing or blockage of blood vessels. This disease is caused by a buildup of fat in the arteries, and is also known as atherosclerosis. Though this can happen in any blood vessel, it is more common in the lower extremities. Risks for PAD include aging, smoking, high blood pressure, high cholesterol, and diabetes. Some symptoms that may be present include pain in the feet or legs with activity that stops with rest, decreased or absent foot pulse, sores or ulcers that do not heal, and cold or numb toes. Beyond damage to one’s feet if left untreated, PAD can lead to a heart attack or stroke. If you have any of these symptoms, it is important to see a podiatrist to measure blood pressure in the ankles via an ankle brachial index (ABI) and compare that to blood pressure in the arms, do possible imaging studies, confirm the diagnosis, and obtain a 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.