A bunion is a bony bump that forms at the base of the big toe when the joint becomes misaligned. It often appears as a swollen, red, and painful lump that can make walking difficult. Bunions develop due to genetics, wearing tight shoes, or foot structure issues. Risk factors include a family history of bunions, arthritis, and wearing ill-fitting footwear. A podiatrist can evaluate the severity of the bunion, provide pain relief options, recommend proper footwear, and discuss surgical correction, if needed. If you have signs of a bunion developing, it is suggested that you consult a podiatrist who can guide you on relief and management tips. 

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?

Podiatrists 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 provider.

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.

A foot orthotics assessment by a podiatrist is a comprehensive process designed to address the unique needs of each patient. Biomechanical factors are a primary consideration, as the podiatrist evaluates gait, posture, and alignment to identify underlying issues such as overpronation or flat feet. This ensures the orthotics provide the necessary support and correction. Comfort is equally important as the orthotics must feel natural during wear to encourage compliance. The podiatrist carefully selects materials, cushioning, and fit to reduce pressure points and enhance day-to-day usability. Aesthetic factors are also taken into account, especially for patients who want their orthotics to integrate seamlessly into their preferred footwear. Whether for athletic shoes, dress shoes, or casual wear, the design aligns with the patient’s lifestyle. If you are considering orthotics, it is suggested that you schedule an appointment with a podiatrist who can provide a custom solution that balances functionality, comfort, and appearance, promoting long-term foot health and overall well-being.

Custom orthotics are specialized shoe inserts created to support and align the feet according to each person’s unique structure and walking pattern. They are an effective way to relieve foot discomfort caused by conditions such as flat feet, high arches, plantar fasciitis, bunions, and heel pain. When the natural alignment of the foot is off balance, it can lead to pressure points, strain, and pain that affect how a person stands, walks, and moves. Orthotics work by redistributing weight evenly and supporting the arch to reduce stress on the muscles, tendons, and joints of the feet and lower legs.

Foot discomfort can develop for many reasons, including wearing improper footwear, long hours of standing, repetitive motion, or underlying structural problems. Over time, this discomfort can extend beyond the feet, contributing to knee, hip, or lower back pain. Custom orthotics help correct these issues by improving alignment and promoting more efficient movement. They are made using precise measurements and imaging to ensure the best fit for each patient, providing targeted support and cushioning where it is needed most.

Unlike generic insoles, custom orthotics are durable, medically designed, and tailored to your specific needs. Whether you are managing chronic pain, recovering from an injury, or simply seeking better comfort and stability, orthotics can make a noticeable difference in how your feet feel throughout the day.

If you are experiencing persistent foot discomfort or fatigue, it may be time to have your feet evaluated by a podiatrist. Call our office today for more information or to schedule an appointment.

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

There are many people that enjoy running as a hobby, stress reliever, or possibly to accomplish a personal goal. Rehabilitation or extensive healing times may be avoided when proper techniques that can prevent running injuries are practiced. These can include developing a focused attitude, and increasing physical strength, which may help to increase stamina. Additionally, many people find it beneficial to follow a professional training program. The legs may feel better when a foam roller is used, which may help to protect the joints. If you would like more information about how running injuries can affect the feet and how to possibly prevent them, it is suggested that you consult with a podiatrist. 

All runners should take extra precaution when trying to avoid injury. 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

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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.

There are noticeable symptoms that occur when toenail fungus develops. These can include yellowing of the toenails, and in advanced stages, they can thicken and can possibly detach from the nail bed. Many patients find their nails have become unsightly, and the texture may have changed if afflicted with fungus. A toenail fungal infection is caused by a fungus that lives and thrives in warm and moist environments, including public shower room floors, pools, and surrounding areas. Proper prevention techniques can consist of wearing appropriate shoes while in these types of places, in addition to refraining from sharing towels, socks, and shoes. There are various treatment methods available, and it is suggested that you consult with a podiatrist who can determine what the most effective treatment is for you.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

Proper care of a diabetic foot ulcer is essential to prevent infection and promote healing. Maintaining correct blood sugar levels supports overall health and reduces complications. Avoid walking barefoot to protect the ulcer from further injury or infection. Keeping pressure off the affected foot allows tissue to heal more effectively, while regularly changing bandages helps maintain a clean and protected environment. Additionally, monitoring for signs of infection, such as redness, swelling, or discharge, is crucial. A podiatrist can provide professional wound care, recommend appropriate footwear or orthotics, and develop a treatment plan to support healing. If you have diabetes and have developed a foot wound, it is strongly suggested that you are under the care of a podiatrist who can help you manage this serious condition. 

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.