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Poor circulation in the feet can lead to several uncomfortable symptoms that may interfere with daily life. Numbness and tingling are often the first signs, creating a pins and needles sensation that can spread across the feet or toes. Swelling may also occur as blood flow becomes sluggish, causing fluid to build up in the tissues. Feet may feel unusually cold, and skin color can appear pale or bluish. Common causes of poor circulation include diabetes, peripheral artery disease, smoking, and prolonged inactivity. Wearing tight shoes or sitting for long periods may also restrict blood flow. Identifying and addressing the underlying cause is important, as poor circulation can lead to serious complications. If you have any of the above symptoms, it is suggested that you consult a podiatrist who can offer you effective relief and management tips.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one of our podiatrists of Livingston Footcare. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness   
  • Numbness or cramping in the legs 
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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

Read more about Causes Symptoms and Treatment for Poor Circulation in the Feet

Gait problems in children often begin with noticeable issues in the feet, toes, or ankles. These may include in-toeing or out-toeing. In-toeing happens when the feet point inward while walking and is often seen in younger children. It may be caused by a curved shape of the foot or the way the leg bones twist inward. Out-toeing, when the feet point outward, is more common in older children and may be due to outward twisting of the leg bones. Some children may also appear flatfooted, meaning the arches of the feet are low or missing, although the foot usually stays flexible. A podiatrist can examine how your child stands and walks to see if their walking pattern falls within normal growth changes. Many children outgrow these issues, but a podiatrist can track their progress to determine if treatment is needed. In rare cases, surgery may be recommended if the gait problem is severe and affects movement. If your child exhibits an unusual or abnormal gait, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and  appropriate treatment.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Livingston Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

Read more about What to Do to Keep Your Child’s Feet Healthy

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 08 April 2025

Toenail Damage Caused by Running

Running places significant stress on the feet and toes, making them prone to injury, especially over long distances or running downhill. One common issue is runner’s toe, medically known as a subungual hematoma, which develops when the toenail repeatedly strikes the inside of your shoe. This can lead to bleeding beneath the nail, resulting in changes in nail color, pain, and sometimes nail loss. Poorly fitting running shoes, tight socks, and heat-induced foot swelling can increase the risk. The big toe is most often affected, but the second through fifth toes may also suffer damage from shoe pressure or toe-on-toe friction. In some cases, the nail becomes thick, loose, or may fall off entirely. Repeated trauma may also lead to fungal infection or nail deformity. A podiatrist can assess the extent of the injury and determine if the nail bed or bone has been affected. Treatment includes draining any fluid buildup or in some cases removing the damaged nail. If you have problematic or painful toes that impede your running activities, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Livingston Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 01 April 2025

Managing Bunions

Bunions are bony bumps that form at the base of the big toe as the tip of the toe angles toward the second toe. Bunions are common among women, especially those who wear tight or high-heeled shoes, and older adults, whose joints may naturally weaken over time. Symptoms include pain, swelling, and redness surrounding the affected area, with the bunion becoming more noticeable as it grows. The condition can make walking uncomfortable and cause difficulty fitting into shoes. The primary cause of bunions is abnormal foot mechanics, often made worse by wearing ill-fitting shoes or having a family history of the condition. Arthritis or other joint conditions can also contribute to bunion development. A podiatrist can help by offering custom orthotics, padding, or shoe modifications to alleviate pain. In severe cases, surgery may be prescribed to correct the deformity. If you are have a painful bunion, it is suggested that you schedule an appointment with a podiatrist.

If you are suffering from bunions, contact one of our podiatrists of Livingston Footcare. 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?

Doctors 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 doctor.

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 our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions

Selecting the right marathon running shoes is essential for performance and injury prevention. Comfort should be the top priority, as a well-fitting shoe reduces the risk of blisters and discomfort over long distances. Cushioned shoes provide excellent shock absorption, helping to reduce impact on the joints and muscles during extended runs. Runners who prefer a more responsive feel may benefit from carbon plate running shoes, which enhance propulsion and improve efficiency. Foot type, arch support, and running style should also be considered when choosing the best shoe. Trying on different styles and testing them with a short run can help determine the best fit. Investing in high-quality marathon shoes tailored to individual needs can improve endurance, reduce fatigue, and enhance overall performance on race day. Foot conditions can develop as a result of wearing the wrong running shoes. If this applies to you, it is suggested that you contact a podiatrist who can treat various foot ailments, and guide you on what the best type of running shoe is for you.

For more information about walking shoes versus running shoes, consult with one of our podiatrists from Livingston Footcare. Our doctors can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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

Read more about Differences between Walking and Running Shoes

Pain on the bottom of the heel, also termed plantar heel pain, can make walking and standing difficult. Such heel pain is often caused by plantar fasciitis, which is the inflammation of the thick band of tissue along the bottom of the foot. Other causes include heel fat pad atrophy, stress fractures in the heel bone, nerve entrapment, or systemic conditions like rheumatoid arthritis. Symptoms of plantar heel pain include sharp or aching pain that is often worse in the morning or after prolonged standing. A podiatrist can diagnose the condition through a physical examination and imaging tests, such as X-rays, ultrasounds, or MRI scans.Treatment options include custom orthotics, footwear modifications, or medical interventions such as corticosteroid injections to reduce inflammation and pain. If symptoms persist, surgery may be considered to address any structural issues in the foot. If you are experiencing pain on the bottom of your heel, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Livingston Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

Read more about Heel Pain
Wednesday, 12 March 2025

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Prolonged inactivity may impose unintended pressure across various regions of the foot, leading to discomfort and reduced mobility. When one remains sedentary, muscles weaken and tissues lose resilience, causing abnormal weight distribution on the plantar surface. This uneven pressure is often concentrated beneath the heel, midfoot, and forefoot, resulting in callus formation and inflammation. Over time, restricted movement may compromise blood flow and nerve sensitivity, further aggravating foot pain and stiffness. These cumulative effects not only hinder everyday activities but also risk accelerating immobility. Integrating gentle stretching and regular exercise can mitigate these adverse outcomes while reinforcing natural foot mechanics. Regular movement not only alleviates pressure but also fosters significantly improved circulation and overall foot strength. For any persistent foot pain or emerging complications, it is strongly suggested that you consult a podiatrist for a comprehensive evaluation and advice tailored to your needs.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Read more about Foot Pain
Tuesday, 04 March 2025

Managing Sever’s Disease

Sever's disease, also known as calcaneal apophysitis, is a foot condition in growing children, particularly those active in sports. It occurs when the growth plate in the heel becomes irritated, causing pain and swelling in the heel. Symptoms typically include pain at the back or bottom of the heel, especially after physical activity or prolonged standing. The pain may be sharp or aching, and the child may have difficulty walking or running without discomfort. A podiatrist can help diagnose Sever’s disease through a physical exam and may suggest treatments to alleviate pain and reduce inflammation. This type of doctor can provide guidance on stretching exercises, custom orthotics, or cushioned heel pads to help relieve pressure on the heel. In some cases, changes in footwear or activity level may be necessary to prevent further irritation. If your child has heel pain, it is suggested that you schedule an appointment with a podiatrist who can effectively manage Sever's disease. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Livingston Footcare. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

Read more about Sever's Disease
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North Brunswick Office
602 Livingston Ave
North Brunswick, NJ 08902

Phone: (732) 246-1377
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