Items filtered by date: July 2024

Total contact casting, or TCC, is a specialized technique used by podiatrists to treat diabetic foot ulcers by alleviating pressure on areas susceptible to skin breakdown. This method involves the application of a fiberglass or plaster cast molded to the foot's contours, which allows for even distribution of weight across the entire foot, rather than concentrating it on vulnerable spots. Total contact casting helps protect the ulcer and fosters a healing environment while allowing patients to remain mobile. It is primarily used for diabetic foot ulcers and Charcot foot, with careful monitoring required due to the potential for reduced sensation in diabetic patient's feet. Proper application includes cushioning, protective padding, and ensuring the cast is kept dry to prevent complications. The cast is typically replaced weekly until the ulcer heals sufficiently for normal footwear or orthotics. Consulting a podiatrist ensures appropriate application and monitoring of a total contact cast, preventing further complications. If you have developed diabetic foot ulcers, it is suggested that you schedule an appointment with a podiatrist to see if total contact casting is right for you.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Rosa Roman from Ankle and Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our office located in Bloomfield, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout, an inflammatory arthritic condition caused by the crystallization of uric acid in joints, often results in severe pain and swelling in the big toe. Recent research underscores the significant impact that footwear choices can have on individuals suffering from gout. Findings show that wearing improper footwear, such as sandals, flip-flops, and slippers, can lead to heightened foot pain, impairment, and disability. Notably, poor shoes often lacked proper cushioning, support, and stability, contributing to increased discomfort and functional impairment. In addition, shoes that were 12 months or older and showed excessive wear patterns are factors. For that reason, it is essential for gout sufferers to carefully choose footwear that offers ample cushioning, proper support, and stability to alleviate foot pain and improve function. A podiatrist can diagnose gout, prescribe medication, and offer advice on selecting the right shoes to manage gout symptoms. If you are suffering from the flare-ups of gout, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Rosa Roman from Ankle and Foot Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our office located in Bloomfield, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cuboid syndrome is a foot condition characterized by pain on the lateral side of the foot, caused by the displacement or subluxation of the cuboid bone. This bone is one of the seven tarsal bones in the foot and plays a significant role in stability and movement. Cuboid syndrome typically occurs due to repetitive strain, overuse, or an acute injury such as an ankle sprain. Though not as common as other foot injuries, cuboid syndrome is often seen in athletes, particularly dancers and runners, due to the high impact and stress placed on their feet. The pain is usually sharp and localized around the cuboid bone, exacerbated by weight-bearing activities and certain movements like pushing off the ground. Diagnosis involves a physical examination, focusing on the foot's range of motion and palpation to identify tenderness over the cuboid bone. Imaging tests are rarely necessary but may be used to rule out other conditions. Risk factors include wearing improper footwear, overtraining, having flat feet, or a pronated foot type. Treatment typically involves rest and manual manipulation of the cuboid bone, along with orthotic devices for support. If you have pain in this area of your foot, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and effective treatment plan.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Rosa Roman from Ankle and Foot Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our office located in Bloomfield, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic foot blisters are a concerning complication for people managing diabetes, primarily due to nerve damage and poor circulation. Friction blisters often occur in diabetics with neuropathy, where the lack of pain sensation leads to unnoticed skin rubbing and blister formation. One type of blister specific to diabetes can appear spontaneously and without inflammation, while posing a high risk for secondary infections. Certain fungal infections also contribute to blister formation, especially in warm, moist areas, such as between the toes. A podiatrist plays an essential role in managing these complications by providing regular foot exams and identifying early signs of blister formation. This foot doctor also can educate patients on proper foot care practices to prevent blisters, such as choosing suitable footwear and maintaining good hygiene. For fungal infections, a podiatrist can prescribe effective antifungal medications and monitor the healing process. If you are experiencing diabetic foot blisters, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Dr. Rosa Roman of Ankle and Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

If you have any questions, please feel free to contact our office located in Bloomfield, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Poor circulation, particularly from peripheral artery disease, or PAD, can significantly affect the health of your feet. PAD occurs when arteries narrow, reducing blood flow to the extremities, most commonly affecting the legs and feet. This diminished blood flow can cause leg pain, numbness, and weakness, which often worsen during physical activity and may persist even at rest. Additional symptoms can include cold feet, pale skin, and changes in toenail health, such as slower growth, thickening, deformation, or discoloration. These issues arise because the reduced blood flow prevents your feet from receiving adequate oxygen and nutrients. In severe cases, PAD can lead to critical limb ischemia, where chronic lack of blood flow results in ulcers, gangrene, and tissue damage. Managing PAD typically involves lifestyle modifications, such as quitting smoking, exercising regularly, and controlling diabetes. If you experience any signs of poor circulation in your feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and effective treatment plan to prevent serious complications.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Rosa Roman from Ankle and Foot Center. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

If you have any questions, please feel free to contact our office located in Bloomfield, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.