A common foot condition that is known as plantar fasciitis may produce severe pain and discomfort in some patients. It is defined as an inflammation of the plantar fascia and this is the tissue that is located on the bottom of the foot and connects the heel to the toes. The pain is generally felt in the heel of the foot, and it may tend to make daily activities that require mobility difficult to perform. Research has shown calf muscles, which are tight may possibly contribute to the discomfort plantar fasciitis may generate. There are specific stretches that can be practiced, which may aid in achieving a moderate level of relief. These may include standing with your palms flat against a wall while bending one leg forward and keeping the other leg straight while the the heel lies flat on the floor. This stretch can be held for several seconds, then repeated on the opposite side. Additionally, the plantar fascia may be adequately stretched while rolling your foot on a tennis ball, a foam roller, or a frozen water bottle. If you are afflicted with plantar fasciitis, it is advised to seek the counsel of a podiatrist who can properly treat this condition.
Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Stretching the Feet
Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.
It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.
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.
The definition of neuropathy is nerve damage, and it may be a result of many medical conditions that may be present. There are several symptoms that may be indicative of this condition, including tingling in the feet, burning sensations, or extreme sensitivity or pain when touched. Additionally, many patients are aware of muscle weakness and may find it difficult to urinate. Neuropathy may develop as a result of elevated sugar levels in the blood, and research has shown that diabetes accounts for sixty percent of neuropathy issues. If you are a diabetic patient and are experiencing any of these symptoms, it is strongly suggested to confer with a podiatrist who can perform a proper diagnosis and determine the best course of treatment for you.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
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.
The foot condition that is referred to as flat feet simply indicates the feet are flatter on the bottom, which enables the foot to fully touch the ground while standing. Research has shown that most babies are born with flat feet, and the arch will generally develop as the aging process occurs. There may be several reasons why adults may develop flat feet, and these may include injuries that the feet may endure, wear and tear that may happen as a result of age, or possibly from a genetic trait. There may be additional factors that may contribute to flat feet, including medical ailments such as diabetes and obesity. Patients who experience this condition may notice pain in the heel or arch area of the feet, swelling in the ankle and surrounding area, or increased foot pain as activities are pursued. If you are born with or have developed flat feet, it is advised to seek the counsel of a podiatrist who can discuss proper treatment options with you.
Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Livingston Footcare. Our doctors will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
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.
Foot pain may occur for several different reasons. Helpful aids may include wearing orthotics, which may alleviate a portion of the pain and discomfort. They are described as an insert that is placed inside the shoes and may provide the additional support and stability that is needed. There are specific kinds of orthotics that are used, and the correct type that is needed is generally determined by the type of foot pain that is experienced. Some of the conditions that are treated with these devices may include plantar fasciitis, bunions, or rheumatoid arthritis. If you have foot pain and would like additional information about the benefits of orthotics, it is suggested to consult with a podiatrist who is able to provide the answers you are seeking.
If you are having discomfort in your feet and would like to try orthotics, 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.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
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 Foot OrthoticsA red, tender, and swollen area will appear on the side of the big toe if you are experiencing an ingrown toenail. This uncomfortable condition is typically a result of wearing shoes that fit too tightly, enduring an injury to the toe, or trimming the toenails incorrectly. In more severe cases, there may be an excess of fluid that builds up surrounding the affected area, or the toe could bleed or have pus draining from it. Ingrown toenails develop when the nail grows into the skin on the side of the toe, and pain generally accompanies this ailment. It is suggested to seek treatment as quickly as possible, and this may prevent infection. There are several ways to prevent ingrown toenails from developing, including wearing shoes that fit properly, wearing clean socks, and washing the feet daily. Research has shown that a common treatment method is referred to as a partial nail avulsion, and this involves removing a portion of the infected toenail. If you feel you have developed an ingrown toenail, it is advised to counsel with a podiatrist, so the best treatment option can be determined.
Ingrown toenails can become painful if they are not treated properly. 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 occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
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.
Many women enjoy wearing high heels despite having the knowledge that the feet may be negatively affected. Research has shown the Achilles tendon may become shorter and stiffness may occur as a possible result of frequently wearing high heels. Additionally, balance and posture may become affected as the center of gravity changes, and the muscles surrounding the ankle may be compromised. There may be solutions that can be implemented to protect the feet from wearing high heels, and these may include choosing to wear shoes that have a lower heel, reducing the amount of days and time spent wearing high heels, or wearing soft insoles, which may provide adequate cushioning for the feet. If you would like additional information about the effects high heels can have on your feet, please speak with a podiatrist who will be able to suggest proper foot strengthening exercises.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.
Effects of High Heels on the Feet
High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.
Which Parts of My Body Will Be Affected by High Heels?
What Kinds of Foot Problems Can Develop from Wearing High Heels?
How Can I Still Wear High Heels and Maintain Foot Health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.
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.
Research has shown that it may be beneficial for the feet and body to exercise bare foot. Professors at the department of Exercise and Sports Sciences at Ithaca College have stated that messages are received in the brain from the feet relating to the environment. When shoes are worn, these messages may get confused as a result of the feet not making direct contact with the ground. The outcome may be overcompensation of other muscle groups, which may ultimately lead to injury. The importance of increasing the strength of small foot muscles may lead to the development of large foot muscles and may decrease the risk of a potential injury. If you would like additional information about the benefits of exercising in bare feet, please speak with a podiatrist.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, 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.
Exercise for Your Feet
Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.
Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctors to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual.
Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.
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.
If you notice a sizable bump on the second toe of your foot, you may have what can develop into a hammertoe. Many people experience a bunion first, and this will typically occur on the side of the big toe. As this condition develops, the toes push against each other causing the middle toe to bend downward, and this may cause pain and discomfort. Research has shown this condition may be more apt to develop in people who are experiencing arthritis in the bones of the feet. There may be preventive measures to halt this ailment from happening, including wearing shoes that have adequate room for the toes to move about it in. Moderate relief may be found by performing specific exercises that can stretch the toes. One example would be to try soaking the feet in warm water daily, followed by pointing the toes. This may benefit in stretching the tendons of the toe. If you feel you are developing this condition, please consult with a podiatrist for treatment options that are correct for you.
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.
Research has shown that wearing shoes that fit properly may aid in preventing uncomfortable foot conditions from developing. Ingrown toenails may occur if the shoes that are worn fit too tightly, possibly causing the toenails to grow into the skin. It’s important to have your feet measured before purchasing shoes, and it may be beneficial to do this at the end of the day when the feet are typically at their largest. The shoe may feel comfortable when the ball of the foot fits properly in the widest portion of the shoe and there is adequate room for the longest toe to move about in. Many people make the mistake of expecting the shoes to stretch and become broken in as they are worn, and this may produce foot conditions such as corns or blisters. Please consult with a podiatrist for additional information about what to look for when buying shoes.
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 one of our podiatrists from Livingston Footcare. Our doctors 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
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 North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
One of the most common types of arthritis is referred to as rheumatoid arthritis. Many people may experience symptoms of this condition in the feet and are aware of the pain and discomfort that typically exists with this ailment. There are specific symptoms that may accompany this type of arthritis, including swelling and soreness in the feet, difficulty waking, which may be a result of unstable joints, or the foot possibly changing shape. Research has shown the part of the foot that may be affected the most are the toes, which consist of smaller joints. They may begin to look deformed and may have difficulty in moving or bending. There may be additional foot conditions that may arise including the development of corns and calluses. This may be a result of changes in the foot shape. If you are afflicted with rheumatoid arthritis, it is suggested to consult with a podiatrist who can offer proper treatment techniques.
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.
If you notice a large bony protrusion on the side of your big toe, you may have what is referred to as a bunion. It is considered to be a deformity, and there may be several reasons why this condition may occur. Research has shown that genetics may play a significant role in the formation of bunions. If you happen to have a pre-existing case of bunions, wearing shoes that do not fit correctly could possibly make it even worse. This type of footwear may include shoes that have a narrow toe area, which does not have adequate room for the toes to move about in. This may result in the toes being forced to squeeze into an area that is too small. There is a significant reduction in the development of bunions in non-western countries and this may be a result of wearing shoes that fit correctly. If you feel you have a bunion, it’s suggested to speak with a podiatrist who can begin treatment options that are right for you.
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?
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 What Are Bunions?Many people mistake a stubbed toe with a broken toe. This may be a common error because they both produce considerable pain and discomfort. If a toe is broken, it’s important to obtain proper treatment as quickly as possible. If the toe is left untreated, it may affect walking and running ability in addition to experiencing chronic pain. There is known to be a few differences between a broken toe and a sprained toe. These may include bruising, pain in the exact area of the break, or a possible dislocation, which may accompany a fractured toe. A sprained toe may have more generalized pain in the surrounding area where the injury has occurred, although there may be considerable bruising. If you feel you have broken or sprained your toe, it may be beneficial to seek the counsel of a podiatrist to obtain a correct diagnosis and offer the best course of treatment.
Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact one of our podiatrists from Livingston Footcare. Our doctors will treat your foot and ankle needs.
What Is a Broken Toe?
A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.
Symptoms of a Broken Toe
Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.
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.
If you enjoy the sport of running or jogging, you may develop a stress fracture. This may gradually occur from the frequent repetitive motion that accompanies this type of activity. Despite the fact that many people who engage in sports may endure the discomfort of a stress fracture, certain individuals may be prone to developing this ailment. This may include having a medical condition that may weaken the bones, or experiencing a disorder that may affect the nerves. This may result in a loss of feeling. The pain that is associated with this condition may not be felt. The noticeable symptoms may include pain and discomfort and may be more intense in one foot. After an MRI or bone scan is performed, the proper treatment options can be discussed, such as possibly wearing a cast or boot or taking certain medications. Please consult with a podiatrist if you have endured a stress fracture and would like information about correct treatment techniques that are right for you.
Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Livingston Footcare. Our doctors can provide the care you need to keep your pain free and on your feet.
Dealing with Stress Fractures of the Foot and Ankle
Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use. The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.
What Are Stress Fractures?
Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:
Symptoms
Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate 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 and ankle needs.
Many people who are involved in sporting activities have experienced the pain and discomfort of foot and ankle injuries. It may typically result in significant downtime from running or jumping to allow for proper healing to begin. There are several ways to possibly prevent foot and ankle injuries from occurring, including warming up the muscles before starting to run, properly stretching the muscles in the foot and ankle, in addition to gradually increasing the time spent on the chosen activity. It’s important to wear proper shoes for walking and running, and this may aid in preventing any trauma inflicted on the foot and ankle. Ankle sprains are a very common injury to endure, as well as an Achilles tendon rupture or tear. This type of injury may affect the plantar fascia, which is tissue that is located on the bottom of the foot that connects the heel to the toes. If you are experiencing any pain in the foot or ankle, it’s suggested to speak with a podiatrist as soon as possible.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from Livingston Footcare. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
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.