Osteoarthritis of the ankle, while less common than in the knees or hips, can significantly affect quality of life. It often develops after an injury, such as a fracture or sprain, leading to wear and tear of the cartilage. The average age of onset is typically in the 50s, but earlier cases may occur after trauma. Symptoms include pain, stiffness, and swelling, making it difficult to walk or stand for long periods. Initial treatments focus on relieving symptoms with conservative measures like targeted stretching exercises and wearing supportive footwear. If pain persists, more advanced options include cortisone injections and orthotics. In severe cases, surgery may be necessary. Among the joint-preserving procedures are arthroscopy which cleans out damaged tissue, or osteotomy which involves reshaping the bones to realign the joint. Joint-sacrificing options include ankle fusion or total ankle replacement to restore mobility and reduce pain. If you suffer from ankle arthritis, it is suggested that you schedule an appointment with a podiatrist for an evaluation and treatment for the level of pain you are experiencing.

Arthritis can be a difficult condition to live with. 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your 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 tools and technology to treat your foot and ankle needs.

Ingrown toenails occur when the edges of a toenail grow into the surrounding skin, leading to pain, redness, and swelling. Common causes include improper nail trimming, tight footwear, and foot injuries. Symptoms include throbbing pain and discomfort, especially when wearing shoes. Treatment typically begins with conservative measures like soaking the foot and using roomy shoes. However, for persistent cases, the Winograd procedure may be necessary. This surgical method involves removing the ingrown portion of the nail and the underlying tissue to prevent the nail from growing back incorrectly. The procedure is usually performed under local anesthesia, minimizing discomfort and ensuring a quick recovery. A podiatrist specializes in diagnosing and treating ingrown toenails, providing personalized care and expert guidance. If you are experiencing symptoms, it is suggested that you make an appointment with a podiatrist. They can offer effective treatments, including the Winograd procedure, to relieve your pain and restore your foot health.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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.

Custom foot orthotics are an effective treatment for reducing first-step pain in people with unilateral plantar fasciopathy, a painful condition that affects one foot. This affliction involves the thick band of tissue known as the plantar fascia on the bottom of one foot, usually causing discomfort in the heel or arch, especially with the first steps after rest. Custom orthotics are designed to fit the specific shape and needs of the affected foot, offering better support and cushioning. By providing targeted support to the arch and heel, orthotics reduce the strain on the plantar fascia, the ligament causing the pain. This helps to ease discomfort, especially during the first steps of the day. Unlike generic insoles, custom orthotics are tailored to the individual's foot, improving alignment and reducing stress on the fascia. Over time, they can significantly improve pain levels and help prevent the condition from worsening. If you have heel pain, in one or both feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment, which may involve prescribing custom orthotics.

Custom orthotics play an important role in preventing and treating foot and ankle injuries by providing personalized support that aligns with the unique structure of each foot. These specially designed devices help correct biomechanical imbalances, reduce pressure on sensitive areas, and improve stability during movement. When the feet are properly supported, the risk of developing conditions such as plantar fasciitis, Achilles tendinitis, and ankle sprains can be significantly reduced. Custom orthotics also help relieve discomfort caused by having flat feet, high arches, or uneven leg length, which may contribute to recurring injuries or pain.

Foot and ankle injuries can develop gradually from repetitive strain or occur suddenly during physical activity. Without proper treatment, these injuries can affect mobility and overall quality of life. Orthotics work to redistribute weight evenly across the foot, allowing joints and muscles to function more efficiently. This not only supports recovery from injury but can also prevent future problems by promoting better posture and alignment throughout the lower body.

Unlike over-the-counter inserts, custom orthotics are designed based on a detailed evaluation of each patient’s foot structure, gait, and medical needs. Podiatrists use advanced imaging and diagnostic tools to create orthotics that fit precisely and provide targeted correction. Whether used in everyday footwear or athletic shoes, custom orthotics can improve comfort, enhance performance, and support long-term foot health.

If you are experiencing foot or ankle pain or have sustained an injury that has not improved with rest, it is suggested that you schedule an appointment with a podiatrist. Call our office for more information or to make an appointment.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . 

Open wounds on the feet are common injuries that vary in type and severity. Types include abrasions or scrapes, lacerations or deep cuts, punctures, and ulcers. These wounds are prone to infection without proper care, especially since feet are often exposed to bacteria. In severe cases, untreated wounds can lead to complications like cellulitis, abscess formation, and even tissue death that require more intensive intervention. Basic treatment includes cleaning the wound, applying an antiseptic, and covering it with a sterile dressing. Podiatrists may recommend antibiotics for infections, debridement to remove dead tissue, and wound care products to promote healing and prevent complications. If you have a foot wound due to an underlying medical condition like diabetes, or if you notice signs of infection, such as increased redness, swelling, warmth, pus, or worsening pain, it is strongly suggested that you visit a podiatrist for care.

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 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.