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By Affiliated Foot & Ankle Care
April 26, 2017
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April is National Alcohol Awareness Month and at Affiliated Foot & Ankle Care we think it’s a good time to bring up this sometimes sensitive subject. Patients who overuse alcohol can suffer from neuropathy or nerve damage in their feet. The symptoms and risk are the same as for those patients who have peripheral neuropathy associated with diabetes. Often times, however, alcoholic neuropathy can be difficult to diagnose because patients are not forthcoming about their use of alcohol. We urge our patients and family members of patients who suffer from the disease of alcoholism to be honest with our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah and share this information. Without it, the foot doctor will not be able to make an accurate diagnosis and develop an effective treatment plan. As healthcare professionals, we know that alcoholism is a disease and will work with any patients who are afflicted with it to get help and relief from medical symptoms caused by the disease.

Dangers of Neuropathy

The alcoholic component in beverages is ethanol which is toxic to nerve tissue. Over time, patients who overuse alcohol may notice changes in their feet and hands such as loss of sensation, burning or tingling feelings, muscles weakness and reduced muscle function and muscle spasms. Neuropathy can be very painful. It can also make you less likely to notice injuries or skin conditions that can lead to serious infections. Finally, loss of proper muscle function can make you more likely to trip or fall.

Diagnosis and Treatment

The foot doctor will want to rule out other possible causes of nerve damage. There are several nerve and laboratory tests that can be done to help make an accurate diagnosis and confirm the source of the neuropathy. Once the podiatrist has done this, a treatment plan can be developed. Although nerve damage due to alcoholism is usually permanent, if the patient stops drinking and/or catches the neuropathy early enough, treatment can lessen the symptoms. Treatment options include: Vitamin B-12 injections, oral medications to ease any burning pain, topical ointments, magnetic therapy, galvanic stimulation (which is the therapeutic use of electric current, particularly for stimulation of nerves and muscle) and orthotic inserts for footwear.

If you are experiencing any symptoms of nerve damage contact our Edison, Monroe, or Monmouth Junction office for an appointment as soon as possible by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
April 20, 2017
Category: Diabetic Foot Care
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At Affiliated Foot & Ankle Care we know that for our patients that have diabetes one of the most important goals of foot health care is avoiding ulcers and wounds. Fortunately there are a number of actions you can take that will make you significantly less prone to developing an ulcer which can be slow to heal and lead to serious health consequences:

  • Improve your circulation. Good circulation helps healing of minor injuries. Don’t sit for long periods with your legs crossed. Be sure to get up and stretch at regular intervals if you are doing something that requires you to be seated for long stretches. Also, don’t smoke. Smoking is damaging to your circulation.
  • Stay vigilant. Check your feet daily for changes. If you notice any difference in temperature, skin color, size/shape of the foot or if you see bruising, bumps, or swelling be sure to notify your podiatrist.
  • Partner with your doctors. Our foot and ankle surgeons, Dr. Varun Gujral or Dr. Nrupa Shah will help you develop a care regimen for the health of your feet. Regular appointments will allow for careful monitoring of foot conditions and potential issues that could result in foot ulcers. Following your physician’s treatment plan for keeping your sugar under control and managing all aspects of diabetes is one of the most important steps diabetic patients can take.
  • Choose shoes wisely. Shoes that are too tight or high heels that force toes to be squeezed together and pushed into the front of the shoe can create pressure points on the foot. The areas receiving excessive pressure may start to form a callus or corn. Feel around the inside of your shoes before putting them on. Loose stitching or rough patches of fabric can cause friction rubbing against the skin on your foot and create a blister.
  • Don’t walk around barefoot. Athlete’s foot and other fungal infections are transmitted by direct contact. You will also be protecting your foot from stepping on sharp objects that can cut or puncture skin.

You can take control of your foot health if you have diabetes. To learn more, make an appointment at our Edison, Monroe or Monmouth Junction office at your earliest convenience by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
April 13, 2017
Category: Proper Foot Care
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Most of the time, patients come to Affiliated Foot & Ankle Care to find out what foot problem is plaguing them but sometimes what they learn instead is that they have a systemic disease that affects their entire body. Symptoms that are affecting your feet can be a tip off to a bigger medical problem. Here are some illnesses that reveal themselves in your feet:

  1. Thyroid Disorder—if this gland is overactive (hyperthyroidism) it can cause muscle weakness, nervousness and problems with skin and hair. An underactive thyroid (hypothyroidism) can result in fatigue, depression and feeling cold. In either case, signs of thyroid disorders can be found in nail and skin changes. Feet that are excessively sweaty or so dry that they become cracked can point to a problem with the thyroid.
  2. Diabetes—one of the side effects of diabetes is neuropathy or nerve damage. Nerve damage in the feet can be experienced as burning, tingling, numbness or a “pins and needles” type of discomfort. Swelling can also be a sign of a circulation issue, another problem typically associated with diabetes.
  3. Cardiovascular Disease—indications of circulatory problems such as swelling of ankles and feet can also be an indicator of high blood pressure or other cardiovascular disorders.
  4. Osteoporosis and calcium deficiencies—with nearly a quarter of the bones in your body found in your feet it’s not surprising that issues such as osteoporosis or a calcium deficiency would be apparent there. Stress fractures and regular fractures can be signs of these disorders.

If you notice unusual changes in your feet or ankles—including changes in your toenails, skin color, swelling, bruising or shape changes—contact our Edison, Monmouth Junction or Monroe office by calling 732-662-3050 and let our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah perform a complete examination. What your foot doctor finds may significantly impact your health. 

By Affiliated Foot & Ankle Care
April 05, 2017
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Fungal toenails are a condition that we see quite frequently at Affiliated Foot & Ankle Care but one that patients may have for a long time before seeking treatment. Part of the reason for this is a misconception that fungal nails are just a cosmetic problem. It’s true that a patient can have a fungal toenail for years and not experience any pain but that doesn’t mean it isn’t a threat. Typically, when the fungi group known as dermophytes attacks the nail, they consume keratin, the protein substance found in the nail. This leads to changes in color and thickness of the nail. Debris may collect under the nail plate and a foul smell may accompany these changes. Sometimes fungal toenails open the door to a secondary bacterial infection which can cause crumbling or loosening of the nail. Both fungal and bacterial infections can spread to other nails and the skin.

Common Causes

Ultimately a fungal nail infection is spread by direct contact but there are several scenarios that make a patient more prone to becoming infected including:

  • Injury to the nail bed
  • History of chronic athlete’s foot
  • A tendency to perspire excessively
  • Certain diseases: diabetes, circulatory problems, immune-deficiency

Treatment and Prevention

If you notice symptoms of a fungal toenail (even if you are not experiencing pain) let one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah evaluate it. In most cases, a topical and/or oral medication will help get rid of the infection and the foot doctor will clean out the infected area. In particularly resistant cases, a portion of the nail may need to be removed.

Of course, the best solution is prevention. Protect your nails by not going barefoot in public places, practicing good daily hygiene and keeping feet dry by wearing socks that are made of moisture wicking material that are not tight-fitting and using a talcum powder on your feet.

If you have additional concerns or questions about foot or nail infections, contact our Edison, Monroe or Monmouth Junction office by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
March 30, 2017
Category: Uncategorized
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At Affiliated Foot & Ankle Care we know that the health of your feet is dependent on the health of the rest of your body. In honor of National Nutrition Month, we want our patients to be aware of how your diet can impact your podiatric health.

  1. Your weight is largely controlled by your diet. This is the most obvious reason to pay attention to what you eat but it’s also one of the most important. Being overweight increases the risk and severity of a number of foot problems, including plantar fasciitis, arthritis, and metatarsalgia, as well as non-specific foot pain. Carrying excess weight can also make you less active which in turn can have a negative impact on your circulation. It’s important to not only eat nutrient dense foods—vegetables, whole grains and lean proteins—but also to watch portion size.
  2. Inflammation can be affected by what you eat. Sugary foods and fried foods are known to trigger an inflammatory response, while strawberries, cherries, olive oil, salmon, bok choy, turmeric and almonds can decrease inflammation. Why does that matter to your feet? The pain caused by many foot conditions like Achilles tendonitis, capsulitis and plantar fasciitis is due to inflammation.
  3. You can increase the strength of your bones. The 26 bones in each of your feet do a tremendous amount of work every day. Keeping them strong is an important part of maintaining an active lifestyle. Including lots of dark green leafy vegetables, white beans, fish and low fat dairy products, as well as fortified cereals and juices in your daily food plan will protect bone health.

To learn more about how your diet may be affecting your foot health, contact our Edison, Monroe or Monmouth Junction office and make an appointment with our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah by calling: 732-662-3050.





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