Blog
Reminder: When Was the Last Time...?
Definition and Causes of Black Toenails

Black toenails, though often alarming in appearance, are a common foot condition with various potential causes. This discoloration typically occurs when blood accumulates underneath the nail, resulting in a darkened appearance, and may cause significant toe pain. One common cause is trauma or injury to the toe, such as stubbing it against a hard surface or dropping something heavy on it. The trauma can damage the blood vessels underneath the nail, leading to bleeding and subsequent change of color. Additionally, repetitive pressure or friction on the toenails, such as from wearing ill-fitting shoes or strenuous physical activity, can contribute to black toenails. Long-distance runners, hikers, and athletes are particularly susceptible to this type of injury. In some cases, fungal infections or underlying medical conditions like diabetes or peripheral artery disease may also be responsible for black toenails. If you have endured a toe injury and have developed a black toenail, it is strongly suggested that you consult a podiatrist who can effectively treat this condition.
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.
Foot and Ankle Injuries Common Among Dancers

Foot and ankle injuries are common among dancers, posing significant challenges to their performance and well-being. Achilles tendonitis is the result of repetitive strain on the Achilles tendon and can lead to inflammation and tightness, affecting movement and stability. Ankle sprains, resulting from overstretching or tearing of ligaments, are among the most common dance injuries, causing pain, swelling, and reduced mobility. Stress fractures are hairline cracks in bones of the feet brought about by repetitive impact or overuse. By incorporating proper warm-up and cool-down routines, maintaining correct technique, and integrating strength and flexibility exercises into training, a dancer can help reduce the likelihood of injury. Additionally, wearing supportive footwear and listening to the body's signals can further safeguard against potential harm. When faced with such dance injuries, seeking assistance from a podiatrist is essential. These foot doctors can diagnose the root cause of the injury and recommend the appropriate treatment plan to aid in recovery. If you are a dancer, it is suggested that you include a podiatrist as part of your medical team.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Plantar Fasciosis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
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.
Facts About Plantar Warts

Plantar warts, though often considered minor nuisances, hold interesting facts worth exploring. These warts, caused by the human papillomavirus, or HPV, commonly appear on the soles of the feet, particularly in areas subjected to pressure or friction. Unlike other warts, plantar warts grow inward due to the pressure exerted by walking, leading to a flattened appearance. They may present as small, grainy growths or larger, cauliflower-like clusters. Plantar warts can be painful, especially while walking or standing, as they press into the skin and nerves. Despite their viral origin, they are not highly contagious and are more likely to develop in individuals with weakened immune systems or through direct contact with contaminated surfaces. If you have a plantar wart, it is suggested that you consult a podiatrist who can offer you the treatment option that is right for you.
Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Douglas Mckay from New Jersey . Our doctor 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
- Lesions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
Treatment
- Freezing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
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 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.
Common Symptoms of an Achilles Tendon Injury

The Achilles tendon, the largest tendon in the body, plays an essential role in facilitating movement and stability in the lower extremities. When injured, this vital structure can cause significant discomfort and impairment. One common symptom of an Achilles tendon injury is pain and stiffness along the back of the heel or calf, particularly during physical activity or when stretching the foot. Swelling and tenderness may also be present in the affected area, accompanied by a sensation of warmth or redness. In some cases, individuals may experience a noticeable decrease in strength or flexibility in the ankle joint. Achilles tendon injuries can range from mild strains to more severe conditions, such as tendonitis or ruptures, which may require medical intervention for proper management and healing. Recognizing these symptoms is vital for a prompt diagnosis and treatment. If you have endured this type of injury, it is strongly suggested that you confer with a podiatrist who can begin the appropriate treatment method.
Achilles tendon injuries need immediate attention to avoid future complications. 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 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
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
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:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
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.
Plantar Warts Can Be Treated!
Foot and Ankle Stretches to Prevent Running Injuries

Preventing running injuries is important for runners of all levels, and incorporating preventive measures into your routine can make a significant difference. Start by investing in proper running shoes that offer adequate support, cushioning, and stability for your foot type and gait. Additionally, prioritize ankle mobility through exercises such as ankle circles, calf stretches, and heel lifts to maintain flexibility and range of motion. Strengthening exercises for the feet, toes, and ankles, such as toe scrunches, calf raises, and resistance band exercises, can help improve stability and reduce the risk of strains and sprains. Incorporating dynamic warm-up routines before running sessions and static stretches afterward can also promote muscle elasticity and prevent tightness. It is beneficial to listen to your body and avoid overtraining, gradually increasing mileage and intensity to allow for proper adaptation and recovery. If you have incurred a foot or ankle injury while running, it is suggested that you visit a podiatrist who can offer effective treatment solutions, and guide you on additional running prevention methods.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. Douglas Mckay of New Jersey . Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.
What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.
Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.
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.
Understanding Flat Feet in Children

Flat feet, also known as fallen arches, are a common condition where the arches of the feet touch the ground when standing. While it is normal for babies and toddlers to have flat feet due to underdeveloped arches, most children develop arches by the age of six. However, some children continue to have flat feet into adolescence and adulthood. In many cases, flat feet do not cause any problems or require treatment, although some children may experience foot pain, stiffness, or difficulty with activities like running or sports. It is important for parents to monitor their child's foot development and seek medical attention if they have concerns about flat feet. A podiatrist can assess the child's feet and recommend appropriate interventions, such as wearing supportive footwear or custom orthotic inserts. By understanding flat feet and seeking timely intervention when needed, parents can help ensure their child's foot health and overall well-being. If your child has maintained flat feet beyond the age of six, it is strongly suggested that you confer with a podiatrist who can monitor your child’s condition.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Douglas Mckay from New Jersey . Our doctor 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
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
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 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.
The Impact of Obesity on Foot Health

Obesity casts a profound shadow over foot health, influencing various aspects of function and well-being. Excessive body weight places immense pressure on the feet, exacerbating biomechanical stress and strain. The increased load on weight-bearing structures, such as joints, ligaments, and tendons, can lead to structural changes, including flattening of the arches and misalignment of the foot bones. Consequently, individuals with obesity are more susceptible to foot ailments such as plantar fasciitis, osteoarthritis, and stress fractures. Moreover, the excess fat tissue surrounding the feet may impede circulation and impair healing processes, predisposing to conditions like peripheral artery disease and delayed wound healing. Mobility and balance may also be compromised, increasing the risk of falls and injuries. Addressing obesity through lifestyle modifications, including dietary changes and regular exercise, is essential not only for overall health but also for managing the adverse effects on foot health. If you are overweight and have developed foot pain, it is suggested that you contact a podiatrist who can help you with relief and management tips.
Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned 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.
Obesity and Your Feet
Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.
Problems & Complications
Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.
Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.
Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of 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.
Football Injuries Affecting the Ankle

The ankle, a complex joint connecting the foot to the leg, plays a vital role in mobility and stability during various sports and activities. Football, with its rapid direction changes, sudden stops, and high-impact collisions, places significant stress on the ankle joint, increasing the risk of injury. Football players are at high risk for a sprained ankle, resulting from stretching or tearing of the ligaments surrounding the joint. Symptoms of a sprained ankle include pain, swelling, bruising, and difficulty bearing weight on the affected foot. Additionally, fractures of the ankle bones, particularly the lateral malleolus, or fibula, can occur due to forceful impacts or twisting motions. Prompt medical evaluation and appropriate treatment are essential for managing ankle injuries effectively and preventing long-term complications. If you have suffered an ankle injury while playing football or other sports activities, it is suggested that you consult a podiatrist for a tailored treatment plan.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Douglas Mckay from New Jersey . Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
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...
Vitamins May Support Foot Circulation

When it comes to foot health, circulation plays an important role. Poor circulation can lead to discomfort, swelling, and severe complications. However, there is a natural solution that often gets overlooked, which is vitamins. Incorporating essential vitamins into your diet can significantly improve foot circulation and overall vascular health. Vitamin E, known for its antioxidant properties, aids in widening blood vessels and promoting efficient blood flow to the extremities, including the feet. Similarly, vitamin C supports collagen production, strengthening blood vessel walls and enhancing circulation. Additionally, vitamin B3, or niacin, has vasodilating effects, meaning it helps widen blood vessels, thus improving blood flow. Additionally, omega-3 fatty acids, while not vitamins per se, are essential for cardiovascular health. Found in abundance in fish oil and certain seeds, omega-3s can reduce inflammation and enhance blood circulation throughout the body, including the feet. By incorporating these essential nutrients into your diet through whole foods or supplements, you can effectively improve foot circulation, ensuring optimal foot health and comfort for years to come. If you have poor foot circulation and are seeking relief techniques, it is suggested that you consult a podiatrist who can discuss how vitamins can play a role in treatment.
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 Dr. Douglas Mckay of New Jersey . Our doctor 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:
- Numbness
- Tingling
- Throbbing or stinging pain in limbs
- Pain
- Muscle Cramps
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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Arthritis Can Cause Pain in the Feet and Ankles
Definition and Causes of Athlete’s Foot

Athlete's foot, medically known as tinea pedis, is a common fungal infection affecting the skin of the feet. This condition thrives in warm, moist environments, making it particularly prevalent among athletes, hence its name. The fungus responsible for athlete's foot, known as dermatophyte, thrives in communal areas such as locker rooms, swimming pools, and showers, where it can easily spread through direct contact with infected surfaces or through sharing of towels and footwear. Additionally, individuals who wear tight-fitting shoes or frequently sweat excessively are at a higher risk of developing athlete's foot due to the conducive environment it provides for fungal growth. The characteristic symptoms of athlete's foot can include itching, burning, and stinging sensations between the toes or on the soles of the feet. In some cases, the infection may lead to the development of red, scaly patches or blisters. Athlete’s foot can be a stubborn foot condition. If you have developed this ailment, it is strongly suggested that you contact a podiatrist as quickly as possible who can guide you toward the best methods for relief and treatment.
Athlete’s Foot
Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Dr. Douglas Mckay from New Jersey . Our doctor will assess your condition and provide you with quality treatment.
What Is Athlete’s Foot?
Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.
Prevention
The most effective ways to prevent athlete’s foot include:
- Thoroughly washing and drying feet
- Avoid going barefoot in locker rooms and public showers
- Using shower shoes in public showers
- Wearing socks that allow the feet to breathe
- Changing socks and shoes frequently if you sweat a lot
Symptoms
Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:
- Redness
- Burning
- Itching
- Scaly and peeling skin
Diagnosis and Treatment
Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.
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.
Foot Protection in Construction Environments

Construction sites are bustling hubs of activity, where safety should always be first and foremost. Among the many precautions taken, ensuring adequate foot protection stands as a cornerstone of construction site safety protocols. Heavy materials, sharp objects, and unpredictable terrain pose constant threats to the feet of workers. To mitigate these risks, wearing sturdy footwear is essential. Boots with reinforced toes and soles provide an essential barrier against falling objects and punctures from nails or debris. Additionally, non-slip soles offer stability on slippery surfaces, reducing the likelihood of slips and falls, which can lead to serious injuries. Wearing footwear that fits properly is equally important. Ill-fitting boots can cause discomfort, blisters, and fatigue. Regular inspection of footwear for signs of wear and tear is also necessary to ensure continued protection. It is suggested that you consult a podiatrist to help with foot problems related to working in construction environments.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Douglas Mckay from New Jersey . Our doctor will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
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.