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By Affiliated Foot & Ankle Care
January 12, 2017
Tags: Untagged

Pain and discomfort in the ankle can be a debilitating condition. One of the most common causes of ankle pain is a sprain, which is an over-twisting of the ligaments surrounding the ankle bone caused by an injury or severe blow. But what if you haven’t had a recent injury that involved twisting your ankle? At Affiliated Foot & Ankle Care we see patients with ankle pain from several very different causes. The first step to relief is tracking down the source of the pain and discomfort. Our board certified foot and ankle surgeons, Dr. Varun Gujral and Dr. Nrupa Shah will need to examine your ankle and possibly take x-rays or other imaging studies as well as get a complete medical history in order to accurately determine the reason for your ankle pain.

Possible conditions include:

Chronic Lateral Ankle Instability/Pain—this condition is characterized by pain on the outside part of the ankle and weakness in the ankle or a feeling that your ankle is going to “give out” while you walk. Swelling, stiffness and tenderness may also be present. It is usually due to a previous ankle sprain or injury that did not heal completely before the patient resumed normal activity.

Osteochondritis—this is another condition that can develop as a result of past ankle-twisting injuries. The primary symptoms of osteochondritis are stiffness, swelling and pain in the ankle joint which is caused by lesions that form on the joint surface.

Fracture—a fracture may occur at the same time as a bad sprain but not be detected if x-rays or other imaging tests are not performed. Stress fractures, tiny hairline cracks in the surface of the bone can happen in cases of repetitive, overuse of the ankle due to a sport or other activity.

Arthritis—inflammation of the ankle joint or the lining of the joint can cause considerable pain. Gout, a specific arthritic condition, can also affect the ankle.

Nerve Conditions—injury to the nerves that pass through the ankle or compression of the tunnel that encloses them can be another source of chronic ankle pain.

If you are experiencing ankle pain or other symptoms that you do not believe are due to an ankle sprain, contact our Edison, Monroe or Monmouth Junction office for an appointment to find the cause and correct treatment for your condition.

By Affiliated Foot & Ankle Care
January 04, 2017
Category: Senior Foot Care
Tags: Untagged

Icy roads, snowy driveways and slushy parking lots mean we at Affiliated Foot & Ankle Care will be seeing an increase in foot and ankle injuries caused by slips and falls. There’s not much chance of escaping winter weather here in New Jersey but there are ways to reduce your risk of taking a spill. Here are 5 ways to avoid a winter fall:

  1. When the weather outside is frightful, stay home! It may sound obvious, but avoiding going out when the conditions are slippery is the best way to reduce your risk of slipping on ice or snow. Try to keep a supply of staples on hand so that you can get by for a day or two without a trip to the grocery store if the weather is bad.
  2. Don’t rush. If you’re in a hurry to catch the bus, get into your office or make an appointment you’re more likely to miss that icy patch in the parking lot or slip in the slush. Rushing distracts you from being alert to the conditions of the places where you are walking. Quick steps cause you to be less stable as well.
  3. Wear weather-proof shoes. This means shoes or boots with heavy soles that have good traction. Dress shoes, pumps and high-heeled boots may make a fashion statement but they can also result in an ankle sprain or other injury if you count on them for navigating slippery conditions.
  4. Don’t forget your gloves. You want to be able to keep your hands out of your pockets to aid with balance. Also, avoid carrying children and packages on icy surfaces because that can also throw off your balance and increase the likelihood of a fall.
  5. Do the penguin. If you have no choice but to walk on snowy or icy spots, take short shuffling steps and keep your feet as flat as possible for greatest stability.

If you do take a tumble and injure your foot or ankle follow the RICE regimen: rest, ice, compression and elevation and make an appointment to come into our Edison, Monroe or Monmouth Junction office by calling 732-662-3050 as soon as possible. One of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah will examine your foot and determine if a sprain, fracture or other injury has occurred and if so, what the best treatment will be.

By Affiliated Foot & Ankle Care
December 29, 2016
Tags: Gout  

Chances are if you’ve had an attack of gout it was memorable. Extreme, throbbing pain in a very swollen big toe which often comes on in the middle of the night and lasts for several hours before subsiding is typical. Also known as gouty arthritis, this condition occurs as a result of an excessive amount of the salts or uric acid (known as purines) building up and crystallizing in the joints. At Affiliated Foot & Ankle Care we want our patients to know more about this condition and how to prevent it.

Why Here, Why Now?

Although gout can strike any joint, the big toe is the most common site of this affliction. Two reasons for this being: uric acid is sensitive to temperature and is more likely to crystallize when it’s cold. Not only is it winter, but your big toe is the part of your body farthest from the heart and therefore it’s the coldest. The other significant factor is that your big toe joint is exposed to an extreme amount of pressure when you walk. Your diet can also play a key role in triggering gout. Red meat, shellfish, rich sauces, brandy, beer and wine have all been linked to gout attacks and these types of food are served in abundance during the holiday season.

What Can Be Done?

Once you’ve had gout, it’s likely to reoccur in the same toe. One of our board certified foot and ankle surgeons, Dr. Varun Gujral or Dr. Nrupa Shah will want to examine your toe and also get a complete medical history. Most likely the foot doctor will ask questions about your recent activities and diet. During a gout attack, icing the big toe or applying a cooling lotion may help reduce the pain and swelling. On an ongoing basis, the podiatrist may prescribe medication and suggest dietary modifications to help prevent future attacks. Sometimes the foot doctor may recommend shoes that are specially made to help minimize gout-related pain.

If you have additional questions about the painful condition of gout, please contact our Edison, Monroe or Monmouth Junction office.

By Affiliated Foot & Ankle Care
December 22, 2016
Category: Uncategorized
Tags: Untagged

You’re probably making your list and checking it twice to be sure you’ve got something nice for everyone on your list. For those “hard to buy for” friends and family, we at Affiliated Foot & Ankle Care would like to suggest some treats for feet:

Personal Pedicure Set—getting a salon pedicure is certainly a treat but can carry the risk of fungal infection if proper sanitizing procedures are not followed. Clients who bring their own pedicure tools, however, eliminate that worry. Consider pairing with a gift certificate to a local salon.

Socks—doesn’t sound exciting but people rarely splurge on truly good socks. If there is a ski or other winter sports enthusiast on your list, a pair of warm wool socks is a great gift. Also, light-weight socks made of a moisture-wicking material are a good choice for outdoorsy types to wear underneath heavier socks to help keep feet warm and dry.

Luxurious Rich Moisturizer—skin tends to get dry in the winter. For feet, that can lead to flaking and painful cracks. Treat someone special to an extra emollient lotion or cream to rub into tired feet at the end of the day. Include a pair of super soft booty socks to put on after applying the moisturizer.

Gift Certificate to a Sport Shoe Store—avid runners and serious athletes should be wearing shoes specifically designed for their activities and replace them as soon as they wear out. Sport shoe stores will professionally measure your foot and may even ask you to run on a treadmill to analyze your individual gait and running pattern to help you find the best shoe to enhance performance and reduce the risk of injury.

Our board certified foot and ankle surgeons, Dr. Varun Gujral and Dr. Nrupa Shah, wish everyone happy holidays and remind you to contact our Edison, Monroe or Monmouth Junction office for all your podiatric needs by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
December 16, 2016
Category: Proper Foot Care
Tags: Untagged

At Affiliated Foot & Ankle Care we know that you have much to do during the holiday season but we want to remind all our patients to take good care of your feet at this busy time of the year. Not surprisingly, many foot problems surface during the holidays because patients are on their feet for an above average amount of time. If you do start to experience pain or discomfort in your toes, feet or ankles we urge you to make an appointment at our Edison, Monroe or Monmouth Junction office to be evaluated by one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah. Putting it off until after the holidays may create a far worse problem than simply treating the condition promptly while in its early stages.

You can also help prevent foot and ankle problems with a few simple tips:

Be sensible about shoes—tis the season for fashion boots and high-heeled party shoes but be aware that many boots lack adequate arch support and time spent in heels squeezes toes, leading to a host of problems such as bunions and ingrown toenails. Wear comfortable shoes with wide toe boxes for the majority of your walking and change into your fashionable shoes when you arrive at your event. Be sure that you have shoes with good gripping soles for icy sidewalks and slippery driveways to prevent ankle sprains and falls.

Wash, dry, moisturize—don’t neglect your winter footcare regimen. Wash feet daily with soap and water and dry completely, especially between the toes. Hot homes, offices and cars can lead to sweaty feet and create a breeding ground for fungal infections such as athlete’s foot.

Don’t overindulge—there are lots of tempting treats during the holidays but try to take small tastes rather than eating full portions of everything in sight. Excess weight increases the stress on your feet and can raise your risk for several foot conditions.

Know when to say when—and finally, when your feet are tired, get off them! Pace yourself and take good care of your feet this holiday season so they can help you do all that you wish to do.





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