350 Franklin Avenue, Wyckoff, NJ 07481  201-891-4930

Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.

 

Phone: 201-891-4930

Fax: 201-891-4715

 

 

or simply fill in the form below.

Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided on the left.

Foot and ankle problems usually fall into the following categories:

  • Acquired from improper footwear, physical stress, or small mechanical changes within the foot.
  • Arthritic foot problems, which typically involve one or more joint.
  • Congenital foot problems, which occur at birth and are generally inherited.
  • Infectious foot problems, which are caused by bacterial, viral, or fungal disorders.
  • Neoplastic disorders, usually called tumors, which are the result of abnormal growth of tissue and may be benign or malignant.
  • Traumatic foot problems, which are associated with foot and ankle injuries.

The top foot problems are:

  • Bunions - misaligned big toe joints that can become swollen and tender, causing the first joint of the big toe to slant outward, and the second joint to angle toward the other toes. Bunions tend to be hereditary, but can be aggravated by shoes that are too narrow in the forefoot and toe. Surgery is frequently performed to correct the problem.
  • Hammertoe - a condition, usually stemming from muscle imbalance, in which the toe is bent in a claw-like position. It occurs most frequently with the second toe, often when a bunion slants the big toe toward and under it, but any of the other three smaller toes can be affected. Selecting shoes and socks that do not cramp the toes will alleviate aggravation.
  • Heel spurs - growths of bone on the underside, forepart of the heel bone. Heel spurs occur when the plantar tendon pulls at its attachment to the heel bone. This area of the heel can later calcify to form a spur. With proper warm-up and the use of appropriate athletic shoes, strain to the ligament can be reduced.
  • Ingrown nails - toenails whose corners or sides dig painfully into the skin. Ingrown toenails are frequently caused by improper nail trimming, but also by shoe pressure, injury, fungus infection, heredity and poor foot structure. Women are much more likely to have ingrown toenails than men. Ingrown nails can be prevented by trimming toenails straight across, selecting proper shoe style and size - not too tapered or shallow - and paying special attention to foot pain.
  • Neuromas - enlarged benign growths of nerves, most commonly between the third and fourth toes. They are caused by tissue rubbing against and irritating the nerves. Pressure from ill-fitting shoes or abnormal bone structure can also lead to this condition. Treatments include orthoses (shoe inserts) and/or cortisone injections, but surgical removal of the growth is sometimes necessary.
  • Plantar fasciitis (heel pain) - usually caused by an inflammation on the bottom of the foot. Our practice can evaluate arch pain, and may prescribe customized shoe inserts called orthoses to help alleviate the pain.
  • Sesamoiditis - inflammation or rupture of the two small bones (sesamoids) under the first metatarsal bones. Proper shoe selection and orthoses can help.
  • Shin splints - pain to either side of the leg bone, caused by muscle or tendon inflammation. It is commonly related to excessive foot pronation (collapsing arch), but may be related to a muscle imbalance between opposing muscle groups in the leg. Proper stretching and corrective orthoses (shoe inserts) for pronation can help prevent shin splints.
  • Stress fractures - incomplete cracks in bone caused by overuse. With complete rest, stress fractures heal quickly. Extra padding in shoes helps prevent the condition. Stress fractures left untreated may become complete fractures, which require casting and immobilization.

As always, you can contact our office to answer any questions or concerns.

The Foot Health Foundation of America offers this simple quiz to pinpoint any warning signs of foot and ankle problems: (See bottom for scoring.)

1.
 
How much time do you spend on your feet each day?
 
  a. less than 2 hours 0
  b. 2 - 4 hours 1
  c. 5 - 7 hours 2
  d. 8 hours or more 3
 
 
2.
 
How old are you?
 
  a. under 40 0
  b. between 40 and 59 1
  c. 60 and over 2
 
 
3. How would you describe your weight?  
  a. less than 20 pounds overweight or at ideal weight 0
  b. 20 - 39 pounds overweight 2
  c. 40 or more pounds overweights 3
 
 
4. Have problems with your feet or ankles ever prevented you from participating in:  
  - leisure/sports activities  
  a. yes 2
  b. no 0
  - work activities?  
  a. yes 3
  b. no 0
 
 
5. Have you ever received medical treatment for problems with your feet and/or ankles?  
  a. yes 3
  b. no 0
 
 
6. Do you regularly wear heels two inches or higher?  
  a. yes 2
  b. no 0
 
 
7. What types of exercise do you engage in or plan to engage in? (check all that apply)  
  a. walking 1
  b. field sports (e.g., softball, golf) 2
  c. winter sports (e.g., skiing, ice skating) 2
  d. court sports (e.g., tennis, basketball) 3
  e. aerobics 3
  f. running 3
  g. none (if you shose answer g, skip to question 11) 0
 
 
8. Do you have the appropriate shoes for your sport or sports?  
  a. yes 0
  b. no 3
 
 
9. Do you experience foot or ankle pain when walking or exercising?  
  a. rarely 1
  b. sometimes 2
  c. often 3
  d. never 0
 
 
10. Do you:  
  - exercise in footwear that is more than one year old or in hand-me-down footwear?  
  a. yes 3
  - stretch properly before and after exercising?  
  a. yes 0
  b. no 3
 
 
11. Do you:  
  - have diabetes?  
  a. yes 3
  b. no 0
  - experience numbness and/or burning in your feet?  
  a. yes 3
  b. no 0
  - have a family history of diabetes?  
  a. yes 2
  b. no 0
 
 
12. Do You: (Mark all that apply)  
  - sprain your ankles frequently (once a year or more) or are your ankles weak?  
  a. yes 2
  b. no 0
  - have flat feet or excessively high arches?  
  a. yes 2
  b. no 0
  - experience pain in the achilles tendon or heel or have shin splints
(pain in the front lower leg)?
 
  a. yes 2
  b. no 0
  - have corns, calluses, bunions or hammertoes?  
  a. yes 3
  b. no 0
  - have arthritis or joint pain in your feet?  
  a. yes 3
  b. no 0
  - have poor circulation or cramping in your legs?  
  a. yes 3
  b. no 0

 

Scoring

0-20 Points: Congratulations! Your feet and ankles are very healthy and you can maintain your active lifestyle and/or exercise regimen. With proper attention and care your feet and ankles should remain healthy; however, you may want to schedule an annual exam with a podiatric physician to ensure their long-term health. Furthermore, if you scored points for questions 4, 5, 9, 11 or 12 you should consider visiting a podiatric physician in the near future for a check-up.

21 - 40 Points: Pay Attention. Your feet and ankles are showing signs of wear, placing you in the moderate risk category. Although you can continue your normal activities, you should strongly consider visiting a podiatric physician for a check-up. If you participate in a rigorous exercise regimen on a regular basis or plan to - or if you scored points for questions 4, 5, 9, 11 or 12 - you should visit a podiatric physician soon to safeguard your foot and ankle health.

41 Points or Higher: Caution. Your feet and ankles are at high risk for long-term medical problems and you should contact our office as soon as possible. If you exercise, you should pay particular attention to your feet and ankles until you are seen by our practice. If you have not begun exercising, it is advisable to contact our office before undertaking any type of exercise.

Now that you've assessed the health of your feet and ankles, you are armed with knowledge that will enable you to maintain their health over a lifetime.

Please note: Even if you scored well, this self assessment is not a substitute for a physical exam.


Call Today 201-891-4930