By Nrupa Shah
November 20, 2014
Category: Diabetes

Diabetes is an extremely popular subject talked about amongst all healthcare professionals. But, even more so in the month of November. Why? November is American Diabetes Month (ADM) and despite how “popular” diabetes may be, many people are unaware ADM exists. With that said, there is a story circulating right now about singer Bret Michaels who was recently hospitalized six times in two weeks and had to have surgery on both of his kidneys which was secondary to his type 1 diabetes. Michaels was actually scheduled to perform in Campaign, IL earlier this month but because of the severe pain he was in, unfortunately he was unable to.

It’s extremely important to realize how complex diabetes is and what it’s capable of doing to the body. Diabetes is diagnosed by increased sugar in your blood and if the sugar stays elevated for long periods of time it can cause severe damage to many parts of your body. Most people know that diabetes causes your feet to feel numb and tingly but they are unaware that it can subsequently cause blindness and kidney damage; hence why Bret Michaels had to have surgery on his kidneys. Although these complications can arise, they are more likely to do so in patients who are not compliant with their medications. It is unknown how compliant Michaels is with his medications so this problem could have been persisting over a long period of time.

 It is extremely important to take your medication as prescribed by your physician. Likewise, it is also recommended that all diabetic patients see a podiatrist to get preventative foot care. If you have any questions about your diabetes and preventative foot care please do not hesitate to contact your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ today!

 By Nrupa Shah


It’s not every day you get to hear (or read) about a celebrity talking about diabetes. When you do though I think it would make the conversation/article a little more “entertaining” coming from one of the Kings of Comedy, Cedric the Entertainer. He was invited by Pastor Corey Brooks of the New Beginnings Church in Chicago on Sunday to give a talk about “Step On Up”, a program developed by Pfizer, Inc. and the American Diabetes Association.

Diabetes is a condition that affects approximately 29 million people in the United States (of that, 21M are diagnosed and 8M are undiagnosed). According to Pfizer’s chief medical officer Freda Lewis-Hall, however, approximately 86 million people live with pre-diabetes, meaning their blood glucose levels are high but not high enough for diagnosis. Mr. Cedric shared his story with the crowd about his father and diabetes and how he is starting to deal with the beginning complications of the disease. In his talk he related the feeling of “shooting, stabbing pains in his hands and feet”, and Mrs. Lewis-Hall affirms that it is called Diabetic Nerve Pain or Painful Diabetic Peripheral Neuropathy (PDPN). With diabetes occurring at such a high rate, your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ are highly trained medical professionals to risk stratify each and every patient. Risk stratifying patients who have recently been diagnosed with diabetes is something extremely important when performing preventative foot care. With that said, it is extremely important for recently-diagnosed diabetic patients to ask their primary care physicians for a referral to their local podiatrists to get an accurate diabetic foot screening and subsequent preventative foot healthcare thereafter.

Diabetes is a disease that is growing exponentially but it’s also something that, if caught soon enough, can be treated very easily without any of the major complications associated with it. If you have any questions at all, please don’t hesitate to call our office with any questions you may have.

By Varun Gujral

By Nrupa Shah
November 05, 2014
Category: High Heels

Running a marathon is something a lot of people like to do just to check it off their bucket list. Then there are those who run (marathons) for a living. To run a marathon one must train very hard at least six months prior to the event--at the least! With that said, marathons are NOT easy tasks to accomplish. They are even harder to accomplish if you plan on running one in high heels! Thirty seven year old mother of five, Natalie Eckert is planning on completing the 2015 London Marathon doing just that. She was inspired by the German-native Julia Plecher who ran a 100m-dash in gold high heels in a record time of 14.351 seconds.

 Now, running a 100m dash and running a marathon are two completely different things. To put it in perspective, a marathon (26.2 miles) is 42,164.81 meters...that’s approximately 420-times the distance compared to the 100m dash. Running marathons are dangerous if one hasn’t trained properly, but even experienced runners who train yearly for these events can sustain the unwanted trauma that running a distance of this magnitude causes. Injuries frequently associated with marathon runners are, but not limited to: stress fractures (of the foot), meniscal tears (of the knee), and ligamentous injuries (i.e., ankle sprains). Your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ see these injuries all the time during the New York and Boston Marathon months and they are experts when it comes to managing and treating these conditions.

 Wearing high heels puts a lot of pressure on the balls of the feet and greatly increases a person’s chance of a lateral ankle sprain. Knowing that, running 26.2 miles in heels is extremely dangerous and certainly advised against. It is one thing to want to make history but is it really worth the pain and agony she’ll be in after? I don’t think so. If she does go through with it though, I wish her the best and hope she has a speedy recovery.

 By Nrupa Shah


It’s one thing to have your foot run over by a car. It’s another thing when the person riding in the car is Oprah Winfrey. On October 27, 2014 Lori Bender had the opportunity to meet Oprah--but probably not under the circumstances she had hoped for. Bender was on her way into the same restaurant Oprah was leaving and on her way in she somehow managed to find her foot (more specifically, her toe) under the tire of Oprah’s SUV. Oprah was very concerned and got out of the SUV to check and see if she was alright. Bender was fine and did not suffer any injuries although she said if the vehicle would have went any further it would’ve crushed her ankle.

 Crush injuries of the foot and ankle are something your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ are highly trained to manage and treat. Although this mechanism of injury is more rare, it is still treated the same. The more common crush injury is the person who drops a heavy object on their foot. These types of injuries can be very detrimental to the patient as it can cause tingling and numbing of the foot, disruption of the blood supply to a bone causing it to die, infection if something penetrates the skin, and compartment syndrome which is increased pressure and edema in specific regions of your foot and leg. If you have sustained one of these injuries it is extremely important that you get medical help as soon as possible because the quicker a crush injury is cared for the better the results and quality of life later on down the road.

 Lori Bender was fortunate that she did not suffer any injuries and that only her toe was involved. Likewise, she also got to meet one of the most powerful women in the world today! Now, I’m not a proponent of people running around trying to get their foot run over to meet celebrities, but this story is intriguing in that that’s how Mrs. Bender was able to meet the one-and-only, Oprah Winfrey.

 By Varun Gujral



With only a few games left in the MLB post-season, players not competing in the World Series action are getting healed up and ready to go for another long season next year. Of those players is 9-time All-Star Miguel Cabrera of the Detroit Tigers. Miguel Cabrera is the starting first baseman for the Tigers and one of their most valued assets. He underwent surgery to remove some bone spurs and to repair a stress fracture on the inside of his foot near his arch.

Bone spurs can be extremely painful and uncomfortable especially for high-level athletes. A bone spur is most commonly found on the bottom of your heel bone and is usually a result of plantar fasciitis--your plantar fascia (a ligament) actually pulls on your heel bone resulting in a pointy bone spur. Most of the time, however, these spurs are asymptomatic meaning they don’t cause any pain or discomfort. This is usually true for the day-to-day persons but for professional athletes, they are on a whole other level in terms of movement patterns, weight distribution, and physical activity so their tendons and ligaments are pulling on their bones at a much greater force than we’re used to. If you are experiencing pain, though, please don’t hesitate to call your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ. There are many treatment options available to help negate those painful symptoms. Conservative treatment consists of padding under the heel, custom insoles/orthotics, and steroid injections. If these treatments do not work, usually after six months, there is the option to have it surgically removed.

Heel spurs are quite common but do not usually cause pain or discomfort. In fact, many of you may have heel spurs right now and not even know about it. On the other hand, if you are experiencing pain under your heel, do not wait for it to go away as it can become very burdensome and you will want to get treated as soon as possible. Always remember that your local podiatrists at AFA Care are just a phone call away.

 By Nrupa Shah


This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.