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Monday, 19 March 2018 00:00

Possible Causes of Bunions

A lump that is hard, swollen, and red that forms on the outside edge of the foot is referred to as a bunion. It typically causes pain and discomfort and often becomes worse by wearing tight shoes. The big toe commonly turns out toward the other toes, and the skin is painful when the bunion is touched. Additionally, it may feel warm, which may be a result of inflammation. Having a predisposed, inherited gene is a contributing factor for this condition. Once it’s confirmed that you have the ailment, a decision will be necessary for treatment. Although removal of the bunion through surgery is the permanent way to relieve yourself of this condition, there may be a level of comfort that can be attained by purchasing shoes that are wider to accommodate the bunion. Additionally, specialty insoles and bunion pads may aid in providing relief. If you are experiencing discomfort from a bunion, a consultation with a podiatrist is suggested.

If you are suffering from bunions, contact Dr. Charles Marchese of Avenue U Podiatry. 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 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 questions, please feel free to contact our offices located in Manalapan, NJ and Oakwood, Staten Island. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Typically, the feet grow during pregnancy and in many instances, will remain bigger. There are numerous bones, ligaments, and tendons that the feet are comprised of, and it’s common that they tend to loosen and relax during pregnancy. The additional weight gain that pregnant women endure will cause the feet to become wider, in addition to stretching the joints. A distinguishing difference between foot growth and swollen feet is to notice differences in how your feet feel and look all day. Your feet will tend to be bigger at night if they’re swollen and will remain bigger all day and night if they’re growing. There are several ways to reduce the chances of incurring larger feet, and these may include keeping as much excess weight off as possible, performing proper foot exercises and stretches that will strengthen the feet, and possibly wearing supportive insoles.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Charles Marchese from Avenue U Podiatry. Our doctor will attend to all of your foot and ankle needs.

What foot problems can arise during pregnancy?

One problem that can occur is overpronation, 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 please feel free to contact our offices located in Manalapan, NJ and Oakwood, Staten Island. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Wednesday, 07 March 2018 00:00

Do your Child's Feet Hurt?

Have your child's feet been examined lately?

feet 2Fungal nail infection, also known as Tinea Ungium or Onychomychosis (on-ih-koh-my-koh-sis), is the result of an infection caused by a dermatophyte, candida (yeast), or non-dermatophytic mold.

This condition results in thickened, discolored, disfigured, and brittle nails.  Approximately 3-12% of the population is affected.  Certain diseases, such as Diabetes, PVD, and Psoriasis, can predispose you to fungal infections.  Aging will also make you more susceptible to fungal infection.

Nail fungus can easily spread to your skin, and when it does, it is called tinea pedis. This results in cracking, scaling, redness, and itching of the skin on the feet and between the toes.

After making a diagnosis, treatment usually includes a topical regime to eradicate the pathogen.  In some cases oral medication, laser therapy, or surgery is employed.

The earlier the treatment, the more effective and less likely it is to spread and permanently damage the nail.

It’s not too late to have summer-ready nails!

Monday, 05 March 2018 00:00

What Are PRP Injections?

If you experience an injury to the muscles and tendons in the feet, you may want to consider an approach for relief known as PRP therapy. PRP therapy, or Platelet Rich Plasma Injection Therapy, has had moderate success in treating several foot conditions, including plantar fasciitis and injuries to the Achilles tendon. This procedure is performed by taking a small portion of the patient’s blood, and once the plasma has been extracted, it is then injected into the affected area. Many foot and ankle injuries have improved from this procedure due to its stimulation of the healing process. Please consider a consultation with a podiatrist to learn more about the benefits of PRP injections and how they can help certain foot conditions.

If you are suffering from a foot condition, contact Dr. Charles Marchese of Avenue U Podiatry. Our doctor will assist you with all of your podiatric concerns.

What is PRP?

Platelet Rich Plasma, or PRP, is blood taken from a patient and spun in a centrifuge, concentrating the amount of platelets. The plasma is then re-injected into the site of injury or damage, assisting the body in repairing damage to muscles, tendons, ligaments, and tissue. PRP helps the body speed up its healing process.

Uses of PRP

Injuries affecting the foot sometimes don’t heal properly because of poor blood circulation. The healing time slows down and recovery time is affected by poor blood supply. PRP injections will speed up recovery and resolve this issue.


PRP is the first regenerative treatment for damaged muscles, tendons, and ligaments. No surgery needed. It is only applied with an insertion of a needle.

Ultrasound – An ultrasound is needed for proper placement of the platelets.

Injection – When the first injection is received, the patient will return to the doctor in about 2 to 3 weeks and monitor the recovery process.

Recovery time – Some people respond to treatments differently. Therefore, depending on your condition, the doctor will make any remaining decisions on how many more injections are needed, or if any additional ones are even required.


One may be able to avoid major surgery, and recovery time will be cut down. PRP injections also avoid creating scar tissue and damage to the area. Risks are also very low using PRP as a treatment. There is no risk of rejection, contracting a disease from using another person’s blood, or infection.

If you have any questions please feel free to contact our offices located in Manalapan, NJ and Oakwood, Staten Island. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about PRP Injections In Your Feet