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

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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.

Swelling of the feet, ankles and legs, also known as edema, is often caused by an abnormal build-up of fluids in ankle and leg tissues. Painless swelling of the feet and ankles is a common problem, particularly in older people. It may affect both legs, including the calves and/or thighs. Because of gravity, swelling is particularly noticeable in the lower legs. Swelling in the legs and feet may also be a symptom of other, more serious health issues, such as heart failure, renal failure, or liver failure.

Common causes of foot, ankle, and leg edema include:

  • Blood pressure-lowering drugs.
  • Body fluid overload.
  • Burns.
  • Certain antidepressants.
  • Congestive heart failure.
  • Diagnostic tests.
  • Environment.
  • Estrogens and progestin oral contraceptives.
  • Extremity surgery.
  • Generalized allergy.
  • Glomerulonephritis or other kinds of kidney disorders.
  • Infiltration of an intravenous site.
  • Injury or trauma to the ankle or foot.
  • Insect bite or sting.
  • Long airplane flights or automobile rides.
  • Long-term corticosteroid therapy.
  • Medical treatments.
  • Medications.
  • Menstrual periods (for some women).
  • Pregnancy (mild to severe swelling).
  • Prolonged standing.
  • Starvation or malnutrition.
  • Sunburn.
  • Testosterone.
  • Venogram.
  • Venous insufficiency (varicose veins).

You can mitigate swelling by elevating your legs above the heart while lying down. Avoid sitting or standing without moving for prolonged periods of time. Avoid putting anything directly under the knees when lying down, and don't wear constricting clothing or garters on the upper legs.

Exercising the legs causes the fluid to work back into the veins and lymphatic channels so that the swelling goes down. Mild pressure applied by elastic bandages or support stockings can help reduce ankle swelling. A low-salt diet may also help reduce fluid retention and decrease the ankle swelling.


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