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When Your Feet Stop Talking to Your Brain
Your feet are constantly sending messages to your brain, about temperature, pain, and pressure, until one day, they do not. Foot neuropathy occurs when nerve damage disrupts these signals, leading to numbness, tingling, burning pain, or even a complete loss of sensation. For some, it starts subtly, like pins and needles that come and go. For others, it is sharp, electric-like pain that worsens at night. Diabetes is a major cause, but injuries, infections, chemotherapy, and even vitamin deficiencies can trigger nerve damage. The danger in this is that without feeling pain, small cuts or pressure sores can go unnoticed, leading to serious complications. There is no quick fix, but early intervention helps slow progression. Managing underlying conditions, improving circulation, and using protective footwear can reduce discomfort. If your feet feel different than they used to, it is suggested that you see a podiatrist for evaluation and appropriate treatment.
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 Dr. Douglas Mckay from New Jersey . Our doctor 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:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Symptoms and Causes of Gout
Gout is a form of arthritis that often affects the feet. The joint of the big toe is the most common site, but the ankles and midfoot can also be affected. Gout develops when uric acid builds up in the blood and forms sharp crystals in the joints, leading to sudden, intense pain, swelling, and redness. These gout symptoms often come on quickly, frequently at night, and may reach peak severity within a day. Gout attacks, termed flare-ups, usually resolve within a week, but without treatment, the condition often returns and can affect multiple joints over time. Risk factors for gout include being overweight, having high blood pressure or diabetes, and consuming foods and drinks high in purines, such as red meat and beer. Repeated attacks may lead to hard crystal deposits called tophi, which can permanently damage bone and joint tissue. A podiatrist can help confirm a diagnosis of gout and provide treatment to manage its symptoms and prevent further joint damage. If you have symptoms of gout, it is suggested that you schedule an appointment with a podiatrist for an exam and effective treatment solutions.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Douglas Mckay from New Jersey . 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Early Symptoms of Bunions
Bunions are a foot deformity that may begin with subtle signs and gradually progress to more noticeable discomfort. Early symptoms of bunions include swelling around the joint at the base of the big toe, along with redness that signals inflammation. Many people experience numbness and a burning sensation in the affected area. Over time, the foot shape may change as the big toe shifts toward the other toes, altering normal alignment. The altered pressure distribution often leads to the formation of calluses and corns on the inner side of the foot. Pain and discomfort during walking or prolonged standing may indicate that the condition is worsening. If you have any of the above symptoms, it is suggested that you visit a podiatrist who can offer you relief and treatment options.
If you are suffering from bunion pain, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Warts Can Be Treated!
Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!
Causes of Pain on the Bottom of the Foot While Walking
Pain on the bottom of the foot while walking can result from several conditions affecting the nerves, bones, and soft tissues. Metatarsalgia occurs when the ball of the foot experiences excessive pressure, leading to inflammation and discomfort. Peripheral neuropathy, often linked to diabetes, causes nerve damage that leads to tingling, burning, or sharp pain. Morton's neuroma is a thickening of nerve tissue between the toes, creating a sensation similar to stepping on a pebble. Additionally, sesamoiditis, an inflammation of the small sesamoid bones beneath the big toe, can cause pain with every step. If you have foot pain, it is suggested that you consult a podiatrist who can determine what the cause is, and offer effective relief and treatment solutions.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Douglas Mckay from New Jersey . Our doctor 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Risk Factors and Types of Toenail Fungus
Toenail fungus, medically termed onychomycosis, occurs when fungi grow excessively in or under the toenail, resulting in thickened, brittle, or discolored nails. The risk of developing fungal toenails increases with prolonged exposure to warm, moist environments, such as wearing closed-toe shoes for extended periods or walking barefoot in gym showers and pool areas. People with diabetes, poor circulation, a weakened immune system, or a history of nail injuries are more susceptible to infection. Aging also plays a role, as slower nail growth and reduced blood flow to the feet increase the risk. Improperly sanitized tools at nail salons can spread fungal infections from one person to another. Symptoms may develop gradually, making early detection difficult. If left untreated, the infection can worsen, causing pain or the nail to separate from the nail bed. A podiatrist can assess the severity of the infection and provide treatment, including topical or oral medication, laser therapy, or possible nail removal. If you believe you have a toenail fungus, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and appropriate treatment options.
For more information about treatment, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Common Toenail Problems and Their Causes
Toenail problems can indicate underlying health issues, with several distinct conditions affecting the nails. Beau's lines are horizontal indentations that can occur when growth is temporarily disrupted by illness, injury, or stress. Clubbing refers to a rounding of the toenails and fingertips, often associated with lung or heart disease. Green nail syndrome is a bacterial infection caused by Pseudomonas bacteria, leading to a green discoloration of the nail. Koilonychia, also known as spoon nails, causes nails to become thin and concave, potentially linked to iron deficiency anemia. Additionally, median nail dystrophy is a condition where the nails develop vertical grooves or splits, which may be a result of trauma or skin conditions. These toenail problems should not be ignored, as they may be a sign of nutritional deficiencies, infections, or systemic health conditions that require attention. If you have any of these toenail conditions, it is suggested that you consult a podiatrist who can offer effective treatment remedies.
Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Douglas Mckay of New Jersey . Our doctor 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Facts About Hammertoe
Hammertoe is a deformity of the toes where one or more toes become bent at the middle joint, resembling a hammer shape. This condition typically affects the second, third, or fourth toes and can cause significant discomfort. The most common cause of hammertoe is wearing tight or ill-fitting shoes, which put pressure on the toes and cause them to bend abnormally. Other factors include muscle imbalances, arthritis, or genetic predisposition. Symptoms of hammertoe include pain or irritation in the affected toe, swelling, and difficulty walking or wearing shoes comfortably. Over time, the condition can worsen, leading to more pronounced deformities. Treatment options range from wearing properly fitting shoes to corrective surgery, depending on the severity of the condition. If you have developed hammertoe, it is suggested that you consult a podiatrist who can offer effective treatment solutions.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact Dr. Douglas Mckay from New Jersey . Our doctor 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
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Arthritis Can Cause Pain in the Feet and Ankles
If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.
Laser Treatment for Fungal Toenails
Laser treatment is a non-invasive option for addressing toenail fungus. This procedure uses concentrated light energy to target fungal infections beneath the toenail. It penetrates the nail and reaches the nail bed where the fungus resides. The heat generated by the laser toenail treatment disrupts fungal cells, preventing further growth and reducing infection. Some laser systems vaporize infected tissue, while others sterilize the area to prevent recurrence. Most patients require multiple sessions over several months to see improvements, as toenails grow slowly and healthy regrowth takes time. While laser toenail treatment is generally safe, some people may experience mild discomfort or temporary changes in the treated nail. A podiatrist can assess the severity of your fungal toenail infection, determine if laser therapy is appropriate, and monitor progress. Unlike oral antifungal medications, laser therapy does not typically cause systemic side effects, making it a preferred option for some patients. If you have a fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist to see if laser treatment is right for you.
Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Dr. Douglas Mckay from New Jersey . Our doctor will assess your condition and provide you with quality treatment for fungal nails.
What Are Toenail Fungal Infections?
Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.
Symptoms of Toenail Fungal Infections Include:
- Nail thickening
- Brittleness of the nail
- Discoloration of the nail
Diagnosis for Fungal Nails
Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.
What Is Laser Treatment?
Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
More...
How to Properly Fit Shoes
Fitting shoes correctly is essential for comfort and foot health. Shoes should fit snugly around the heel and midfoot without causing pressure or rubbing. The toe box should offer enough room for the toes to move freely without feeling cramped. While trying on shoes, it is important to ensure that the toes do not touch the end of the shoe, as this can cause discomfort and may gradually lead to foot problems. Ideally, there should be about a half-inch of space between the longest toe and the shoe’s front. The concept of breaking in shoes is real but limited. While new shoes may feel stiff at first, they should not cause persistent pain. If shoes are excessively tight, they are likely too small. It is important to try shoes on later in the day when the feet are slightly swollen to ensure they will remain comfortable throughout daily activities. If you have developed foot conditions from wearing shoes that do not fit correctly, it is suggested that you consult a podiatrist who can treat various foot ailments, and guide you on specifics for proper shoe fitting.
Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Dr. Douglas Mckay from New Jersey . Our doctor will treat your foot and ankle needs.
Proper Shoe Fitting
A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:
- Be sure the shoes fit correctly right away
- Ensure the ball of your foot fits comfortably in the widest portion of the shoes
- Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
- Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity
Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Causes and Treatment of Drop Foot
Drop foot, sometimes called foot drop, occurs when the muscles responsible for lifting the front part of the foot become weakened or paralyzed, making it difficult to walk without dragging the toes. Drop foot often leads to changes in gait, such as lifting the knee higher to avoid tripping. Causes of drop foot include nerve damage in the leg or spine, diabetes, or strokes. Symptoms may also involve numbness in the foot, loss of sensation, or a noticeable limp. Treatment by a podiatrist focuses on improving mobility and preventing further complications. Ankle-foot orthoses, or AFOs, can stabilize the foot and ankle, keeping the foot in a neutral position to reduce the risk of falls. Functional electrical stimulation may also be used to activate the muscles, improving walking patterns. A podiatrist can assess the underlying cause of drop foot and provide solutions to improve mobility and function. If you have symptoms of drop foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.
If you have any concerns about your feet, contact Dr. Douglas Mckay from New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Symptoms and Treatment of Bunions
Bunions, medically referred to as hallux valgus, occur when the joint at the base of the big toe begins to protrude, often causing discomfort or difficulty in wearing shoes. A bunion develops as the tip of the big toe leans toward the other toes, leading to a wider foot structure. Symptoms of bunions include pain in the affected joint, swelling, redness, or numbness in the toes. In severe cases, bunions may limit mobility or contribute to other deformities like hammertoes. Risk factors include genetic predisposition, rheumatoid arthritis, or structural issues like flat feet. Wearing improper footwear, such as high heels or narrow shoes, can worsen the problem. A podiatrist can diagnose and manage bunions by evaluating the foot's alignment and identifying the severity of the condition. This foot doctor may recommend custom orthotics, adjustments to footwear, or, in persistent cases, surgery to correct the deformity and alleviate symptoms. If you have problems with bunions, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.
If you are suffering from bunions, contact Dr. Douglas Mckay of New Jersey . Our doctor 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout Pain Can Be Managed
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
