gout3According to a study conducted by the Framingham Heart Study cohort, chronic kidney disease (CKD) is a risk factor when it comes to obtaining gout. The study including 2,159 men and 2,558 women selected over a 54 year period from 1948 - 2002. The results showed that there were 371 cases of gout over the follow ups over the years. The study used the Cox proportional hazard models where the HR of CKD to incidental gout among men and women after adjusting age, alcohol consumption, smoking, and hypertension, diabetes, and BMI. The cross sectional and additional studies did not interfere with the results proving that CKD can be a risk factor in gout.

Gout is a foot condition that requires certain treatment and care. If you have any concerns regarding gout, consult with Dr. Christine Quinn of New Jersey. Our doctor will assist you with all of 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 our office located in Basking Ridge, NJ. We offer the newest diagnostic and holistic treatment protocols for all your individual foot and ankle needs.

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fungal-toenail2According to a study conducted at the University of Nevada and presented in the American Society of Biomechanics, when the foot hits in the ground while wearing rebound shoes, there is a 15% increase in force compared to a 96% increase when wearing standard running shoes. Rebound shoes, or boots with springs, are being used as a new trendy exercise with claims of reducing the intensity between the foot and the ground when jumping or running. Although more studies have found that the shoes reduce injuries, they have been known to cause an increase blisters on the feet.

Exercise efficiency involves biomechanics, which incorporates the moving parts that manage the movement of your feet. To learn more about biomechanics, see Dr. Christine Quinn from New Jersey Our doctor can provide you with the foot and ankle information you seek.  

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 to the area.

Modern technology improvements are based on past theories and therapeutic processes providing a better understanding of podiatry concepts for biomechanics. Computers provide accurate determinations about the forces, moments and patterns of the foot and lower legs with the most important information captured.

Advances in materials and more awareness of biomechanics have developed enhanced corrective methods, offering further options for foot-related injuries. Understanding foot biomechanics can help improve and eliminate pain, stopping further stress to the foot. 

If you have any questions, please contact our office located in New York, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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running3Paul Greenwood wants to make sure runners prepare their feet with the right running shoe to prevent injuries and make the experience more comfortable overall. When purchasing a running shoe, sellers should have customers go through a walking test to figure the natural pronation of the foot and then suggest one of three styles: stability, motion, and control. The fit, color, and feel are based on the level of activity each runner is going through. Runners should also take into consideration how breathable their socks and other clothing are to keep the body cool during runs.

The right running shoe for your foot type is vital in running well and preventing injury. If you have any concerns regarding your feet and ankles contact Dr. Christine Quinn of New Jersey. Our doctor will treat your foot and ankle needs.

Choosing the Right Running Shoes for Your Foot Type

Running is a physical activity although fun, can put a lot of stress on the joints, bones and ligaments of the body. Injury and stress on the foot can be an important factor on which kind of shoe you’re wearing. Running shoes should be worn based on your foot type. It is important to find out what fits you based on cushioning, stability and motion.

Determining your type

Speak with a shoe specialist or retail professional to see what your foot type is. They will be able to identify and measure your arch type, stride and gait.

Running Mechanics

When you are running or walking in your shoes, every step determines how your foot is landing. Pronation is the natural rolling of your ankle from outside to inside during foot strike.

Pronation is a correct form of walking or running. It helps absorb shock and store energy from your lower extremities. Neutral runners who pronate correctly do not need specific shoes, since they have stability and control.

Over-pronators

Those people who run with excessive ankle rolling. Over-pronators tend to have ankles that angle inward, flat feet, and or bowed legs. This can cause a series of injuries: of the knees, ankles and Achilles tendons.

Under-pronation

Is less common than over-pronation. This usually happens to those who have inflexible feet and high arches. Even though there is less rotational stress on the ankles and knees, it prevents any kind of shock absorptions. Under-pronation needs shoes with increase in cushion and flexibility.

If you are unsure which shoes accommodate your feet, always speak to your foot specialist, or professional.

If you have any questions please feel free to contact our office located in Basking Ridge, NJ. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

 

bunions10Compared to 15 years ago, bunion surgery has become easier in terms of recovery time and how painful the treatment is. Certain patients are even capable of participating in light sports up to six weeks after surgery. Bunion surgery is used to correct the alignment and bony forces around the toe. Although bunion surgery is very common, it is considered a last resort and is only recommended when daily routines are interrupted and tremendous amounts of pain are felt.

The pain and discomfort caused by bunions can put a halt to everyday activities. If you have any concerns contact Dr. Christine Quinn of New Jersey. Our doctor will treat your foot and ankle needs.

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 by 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 cause bunions to form

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 concerns please feel free to contact our office located in Basking Ridge, NJ. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about bunions.

 

obesity4Laura West of theSociety of Shoe Fitters shares that there is a link between foot size and obesity. The Celtic foot, for example, is significantly broader than the rest of the United Kingdom’s feet. “Feet size is very much linked to obesity,” explains West, “and we see children wanting wider and wider footwear.” Matthew Fitzpatrick, Dean at the College of Podiatry, elaborates, “Increased weight puts more strain on the foot, especially so with the soft tissue of a child’s developing feet.”

Any additional problems in the feet of those with obesity can be detrimental to foot health. If you have any concerns about your feet contact Dr. Christine Quinn of New Jersey. Our doctor will treat your foot and ankle needs.

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.

Solutions

Footwear – Specially made footwear that supports your joints, arches, and ankles, and allows room for good circulation is a great option to mitigate pressure and pain. A podiatrist will help you decide what works best for your specific needs.

Exercise – Exercise will help alleviate the pain and give your feet the strength it needs to support your body. Exercise also increases blood flow to your feet, allowing them to remain healthy and strong.

Most importantly, seek the help of a podiatrist for foot care if something is wrong or doesn’t seem to be working. A podiatrist will help you with any questions or information needed.

If you have any questions please feel free to contact our office located in Basking Ridge, NJ. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about obesity and the feet.

feet3Australians have recently been found to reduce hyperhidrosis of the feet with the help of Botox injections. According to neurologist and clinical professor Dr. Peter Silbert of University of Western Australia, when Botox is injected near a sweat gland, it blocks communication between the gland and the nerves. This is said to prevent excessive sweating in the area, but the area must be injected every six months which comes with side effects such as weakness.

If you are suffering from hyperhidrosis contact Dr. Christine Quinn from New Jersey. Our doctor will treat your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

If you have any questions, please feel free to contact our office located in Basking Ridge, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about hyperhidrosis of the feet.

plantar-fasciitis6APMA spokesman Dr. Howard Osterman stresses the importance of regularly exercising the feet. Easy exercises such as trying to pick up a towel, washcloth, or marbles with the feet kick starts the muscles that build arch strength. Building core strength can be down by standing on one foot for 10 seconds. “(It) stimulates the nerve endings from the brain down to the small nerves in the feet,” he said. “It’s especially important to train the brain of elderly people at greater risk for falls.”

Proper foot care is something many older adults forget to consider. For more information, consult with Dr. Christine Quinn of New Jersey. Our doctor will assist you with all of your podiatric concerns.

The Elderly and their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions

Neuropathy – can reduce feeling in the feet, and can hide many life threating medical conditions.

Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.

Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:

Gouging toenails affecting nearby toe

Shoes that don’t fit properly

Pressure sores

Loss of circulation in legs & feet

Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions, please feel free to contact our office in Basking Ridge, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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pregAccording to a study conducted by the University of Iowa, pregnancy can permanently change the size and shape of women’s feet. Typically pregnant women experience a range of different foot problems: flattened arches, swollen feet, and because of the weight gain, these changes can become long term effects.

The study included 49 pregnant women that had their arches measured during their first trimester of pregnancy and five months after birth. Nearly 60 – 70% of women showed signs of longer and wider feet. Women who were experiencing their first pregnancy also showed the greatest amount of foot change. “It is possible that these foot changes that occur during pregnancy may help explain why, in comparison with men, women are at higher risk for pain or arthritis in their feet,” stated Neil Segal, researcher of the University of Iowa.

Pregnancy can put a significant strain on women’s feet. If you have any concerns on pregnancy and the feet contact Dr. Christine Quinn of New Jersey. Our doctor will treat your foot and ankle needs.

What foot problems can arise during pregnancy?
One problem that can occur is over-pronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  
Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy, but tends to occur in the later stages. 

How can I keep my feet healthy during pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions feel free to contact our office located in Basking Ridge, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about pregnancy and the feet.

flatfeetAccording to the Wichita Eagle, babies have many bones in their body that need to close and grow to become a proper joint later in life. Many of these bones are in the feet and make up the arch that usually starts out as flexible flat feet. For 80-90% of children, those flat feet will eventually turn into arches, but for the rest pediatric flat feet occurs.

Children with pediatric flat feet may experience pain, tenderness, cramping in the feet and legs and should seek treatment especially if they have difficulty walking. Treatment for flat feet includes activity modifications, such as cutting down on sports, orthotic inserts, physical therapy, and surgery.

Certain sports and physical activities may become difficult for children with flat feet. If you suspect that your child has the condition, speak to Dr. Christine Quinn of New Jersey. Dr. Quinn will answer any of your foot and ankle related questions and attend to all of your podiatric needs.

What are Flat Feet?
Flat feet are 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. Standing about 20-30% of the population generally has flat feet because their arch 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 contact our office located in Basking Ridge, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Flat Feet

brokenewAnkle injuries are very prevalent in fast-paced sports such as basketball, where repetitive lateral movement allows plenty of room for injury.

Alex Len and Brandon Knight of the Phoenix Suns have both sprained their ankles and consequently missed games. Sprains are typically treated initially with RICE therapy, or rest, ice, compression and elevation.

Players returning to the court should tape the ankle or wear an ankle brace to provide additional support to weakened ligaments. Physical therapy will often follow, with an emphasis on balance training to help strengthen muscles.

Ankle sprains are very pain and inconvenient. If you have any concerns about your foot and ankle needs contact podiatrist Dr. Christine Quinn of New Jersey. Our doctor will treat your foot and ankle needs.

How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits can aid in prevention

Treatment of a Sprain
Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Basking Ridge, NJ. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about ankle sprains.

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