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Chronic tophaceous gout is a severe stage of gout that impacts the feet, toes, and ankles, causing significant discomfort and potential joint damage. Chronic tophaceous gout occurs when uric acid levels remain consistently high, leading to the formation of tophi, which are hard, chalky deposits of urate crystals that form under the skin around joints and tissues. These tophi often appear as painful lumps that can contribute to swelling, redness, warmth, and tenderness in the affected areas, commonly the big toe or ankle. Left untreated, chronic tophaceous gout can lead to cartilage damage, bone erosion, and a decreased range of motion in the feet and ankles. Kidney issues, diabetes, or consuming a diet high in purine-rich foods can increase the likelihood of developing tophaceous gout. A podiatrist can identify tophi, offer guidance on lifestyle adjustments, and recommend treatment to control uric acid levels and minimize joint damage. If you are suffering from gout in your feet, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Livingston Footcare. Our doctors 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 North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
A broken toenail can be painful and distressing. It often occurs after stubbing your toe, dropping something heavy on it, or injuring it during physical activities like running or sports. Symptoms of a broken toenail include pain, swelling, and redness surrounding the nail. In some cases, the nail may turn black and blue, indicating bleeding under the nail, or it may even break off completely. The severity of a broken toenail depends on the type of injury. If the nail is cracked but still attached, treatment usually involves cleaning the area and protecting the nail with a bandage. However, in more severe cases, the nail may need to be removed to prevent infection. A podiatrist can assess the damage and provide proper treatment, including draining any pooled blood or addressing signs of infection like increased redness or swelling. If necessary, this foot doctor may offer guidance on proper nail care during the healing process. If you have a broken toenail, it is suggested that you schedule an appointment with a podiatrist.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
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.
A broken ankle occurs when one or more bones in the ankle joint fracture due to trauma, falls, or twisting injuries. Symptoms include intense pain, swelling, bruising, inability to bear weight, and in severe cases visible deformity. Common causes include sports injuries, car accidents, or missteps on uneven surfaces. Treatment depends on the severity of the fracture. Minor breaks may only require a cast or boot, while complex fractures might need surgical intervention to realign the bones. Recovery typically takes six to twelve weeks, with targeted stretching exercises often necessary to restore strength and mobility. If you suspect a broken ankle, seek immediate care from a podiatrist especially if there is severe swelling, deformity, or numbness.
Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Livingston Footcare. Our doctors can provide the care you need to keep you pain-free and on your feet.
Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.
When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.
Symptoms of a Fractured Ankle
If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.
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.
Morton’s neuroma is a condition that causes pain in the ball of the foot. The sensation is often described as stepping on a pebble or experiencing a burning feeling. Morton’s neuroma arises when tissue surrounding a nerve thickens due to irritation or compression. It frequently affects the area between the third and fourth toes. A podiatrist can assess your symptoms and may recommend orthotics to redistribute pressure, reducing nerve irritation. For more persistent pain, corticosteroid or anesthetic injections might provide relief by addressing inflammation or numbing the affected area. In severe cases, surgical options, such as neurectomy or decompression, may be considered to alleviate pain and restore mobility. These procedures aim to remove the affected nerve tissue or reduce surrounding pressure. A podiatrist can conduct a thorough evaluation and determine the best way to confront Morton’s neuroma. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of Livingston Footcare. Our doctors will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
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.
You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.
Poor circulation in the feet can lead to discomfort and long-term health issues if left untreated. Common signs of poor circulation include cold feet, numbness or tingling sensations, and swelling in the feet and ankles. People may also experience cramping or a feeling of heaviness, especially after standing or walking for extended periods. Discoloration, such as a bluish or pale appearance, is another warning sign. The causes of poor circulation in the feet often include conditions like diabetes, peripheral artery disease, or varicose veins, which affect blood flow. Additionally, smoking, obesity, and a sedentary lifestyle can contribute to poor circulation. Wearing tight footwear or sitting for long periods can also restrict blood flow to the feet. If these symptoms persist, it is suggested you seek treatment from a podiatrist to prevent further complications and improve circulation to the feet.
While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. 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
Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.
Symptoms
Some of the most common symptoms of poor circulation are:
Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.
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 care needs.
Sever’s disease, or calcaneal apophysitis, is a common cause of heel pain in growing children, typically between ages eight and 14. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress. This condition is often seen in active kids participating in sports like soccer, basketball, or gymnastics, where running and jumping place pressure on the heel. The pain usually develops at the back or underside of the heel and worsens during activity. Swelling and tenderness may also be present. Diagnosing Sever’s disease involves a physical exam and ruling out other causes of heel pain. Treatment focuses on reducing inflammation and relieving discomfort. Rest, stretching exercises, and wearing supportive footwear are often recommended. If your child has persistent heel pain, it is suggested that you visit a podiatrist for a proper diagnosis and treatment, which may include orthotics.
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.
Peripheral artery disease, known as PAD, occurs when the blood vessels in the legs and feet become narrowed or blocked, reducing blood flow. This leads to symptoms like leg pain, cramping, or fatigue, particularly when walking or exercising. PAD can also cause sores or ulcers that are slow to heal, or cold, pale feet. In severe cases, it can increase the risk of infections or even amputation, if left untreated. The primary cause of PAD is atherosclerosis, a condition where fatty deposits build up in the arteries. Risk factors include smoking, diabetes, high blood pressure, and high cholesterol. Treatment for PAD often involves lifestyle changes, such as quitting smoking, exercising, and managing blood sugar and cholesterol levels. Medications or surgery may be necessary in more advanced cases. A podiatrist can assess your condition, provide effective treatments, and help prevent complications. If you are experiencing symptoms of PAD, it is suggested that you schedule an appointment with a podiatrist.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
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.
Plantar warts are small, rough growths that appear on the soles of the feet. They are caused by an infection with the human papillomavirus, commonly known as HPV. This virus enters the skin through tiny cuts or breaks, causing the skin to grow abnormally. Plantar warts are typically firm, flat, and may have a rough surface with black dots in the center, which are blood vessels. The condition is highly contagious and can spread through direct contact with an infected surface, such as public showers or swimming pools. People with weakened immune systems, children, and those with frequent barefoot contact in communal areas are more likely to develop plantar warts. The warts can become uncomfortable, especially when pressure is applied from walking or standing for long periods. If you have developed a plantar wart, it is suggested that you consult a podiatrist who can effectively treat this condition.
Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Livingston Footcare. Our doctors will assist you with all of your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
Treatment
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
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.
Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
Achilles tendon heel pain, medically known as Achilles tendon enthesopathy, occurs where the Achilles tendon attaches to the back of the heel bone. Patients with this condition often feel pain at the back of the heel, especially during walking or ankle movement. The condition is caused by repetitive strain on the Achilles tendon, which can result from a sedentary lifestyle, being overweight, or overuse from athletic activities. Risk factors may also include age, certain medications, or underlying arthritis. Diagnosis typically involves a podiatrist performing a physical examination to check for tenderness and flexibility of the ankle. Effective treatments include reducing strain on the tendon, such as using heel lifts, creating a personalized stretching regimen, and addressing any biomechanical issues. A podiatrist may also recommend supportive footwear or other therapeutic techniques to improve healing and alleviate discomfort. If you have heel pain caused by an Achilles tendon injury it is suggested that you schedule an appointment with a podiatrist for treatment.
Achilles tendon injuries need immediate attention to avoid future complications. 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 Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
Rupture Symptoms
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
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.
Joint pain in the feet is a common symptom of rheumatoid arthritis, or RA, an autoimmune disease that causes inflammation in the joints. RA typically affects both feet and hands, often starting in the smaller joints. The pain is usually accompanied by swelling, stiffness, and redness, especially in the morning or after periods of inactivity. As the disease progresses, the inflammation can damage the cartilage and bones in the feet, leading to deformities and difficulty walking. In some cases, the pain can become chronic, limiting mobility and affecting daily activities. Early detection and treatment of RA are vital in managing symptoms and preventing further joint damage. Medications and lifestyle changes can help reduce inflammation and improve joint function. If you experience persistent foot pain, it is suggested that you consult a podiatrist to determine if RA or another condition may be the cause.
Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Livingston Footcare. Our doctors will assist you with all of your podiatric concerns.
What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.
Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.
Symptoms
Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.
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.
Hammertoe is a deformity in which one or more toes bend downward at the middle joint, causing a claw-like appearance. This condition can result from a variety of causes, including muscle imbalances, poor footwear choices, or inherited traits. In some cases, hammertoe is associated with underlying health conditions such as rheumatoid arthritis, or RA, where joint inflammation can lead to deformities in the toes. Charcot-Marie-Tooth disease, a genetic disorder that affects peripheral nerves, can also cause muscle weakness and imbalance, contributing to the development of hammertoe. Another common cause is an elongated second metatarsal bone, which can lead to abnormal pressure on the toes, causing them to bend. Symptoms of hammertoe include pain, difficulty walking, and corns or calluses forming on the affected toes. If you have developed a hammertoe, it is suggested that you consult a podiatrist who may guide you toward wearing corrective footwear, splints, or, in severe cases, surgery to realign the toe.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Livingston Footcare. Our doctors will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
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.
Determining whether to pursue limb salvage or amputation for problematic diabetic feet is a critical decision that involves careful evaluation of several factors. Podiatrists assess the severity of the foot condition, considering factors such as the extent of infection, blood flow, and the overall health of the patient. Imaging tests may be conducted to understand the degree of damage and the presence of viable tissue. In cases where blood circulation is sufficient and the infection is manageable, limb salvage techniques, including surgery and advanced wound care, may be preferred to preserve the foot. If you have diabetes and your feet are severely affected, it is strongly suggested that you are under the care of a podiatrist who can discuss effective limb salvage methods.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
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.
