May 2021

The term “gait” refers to your pattern of walking. Your gait can impact the health of your feet. For example, an overpronated gait, in which the feet roll too far inwards while walking, is common in people with flat feet and can cause foot pain, strain on the big toe, shin splints, and instability.  A gait analysis is a method of assessing the way that your feet move while walking and running. The findings of this assessment can help your podiatrist determine if you have an abnormal gait that may be causing your foot problems. A gait analysis can also be used to locate the source of the problem, and to help find solutions, such as custom orthotics, that can be used to correct the gait. For more information about a gait analysis, please consult with a podiatrist.

If you have any concerns about your feet, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

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 in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Sever’s disease is a common heel injury among children caused by swelling in the growth plate of the heel bone. During early adolescence, bones often grow faster than muscles or tendons. While the heel bone grows slowly, the muscles and tendons attached to it can become tight and make the heel area less flexible. These tight heel tendons can put too much pressure on the back of the heel during weight-bearing exercises like running or jumping, thus injuring the heel and causing Sever’s disease. Symptoms of this condition include heel pain that may increase with physical activity, redness and swelling in the heel area, and difficulty walking or putting weight on the heels. If your child complains of foot or heel pain it is suggested that you consult with a podiatrist right away, and this will help to prevent any further complications. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

The most common symptom of a foot condition that is referred to as gout, is intense pain in the joints of the big toe. It is considered to be a form of arthritis, and can occur from elevated uric acid levels in the bloodstream. It can develop for a variety of reasons, including genetic factors, taking specific medication, or from eating foods that have high levels of purines. These can consist of red meat, shellfish, and drinks that are made with large amounts of sugar. It is beneficial to limit the types of foods that can cause gout, and specific medication may be prescribed that can bring mild relief. If you have been afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can offer you correct treatment options. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

The feet are made up of twenty-six bones, numerous ligaments, tendons, and muscles, and they bear the weight of the body.  Because of this, obesity can negatively affect the feet. Patients who are overweight may notice their feet have become larger, and flat feet may gradually develop. A type of arthritis which is referred to as gout may appear from eating unhealthy foods that can lead to excess uric acid in the blood. This condition often affects the joints in the big toe, which can cause severe pain and discomfort. Additionally, plantar fasciitis affects the heel and arch of the foot, and custom made orthotics may have to be worn that can alleviate the pain that is associated with this ailment. If you are overweight, and have any type of foot pain, it is strongly advised that you seek the counsel of a podiatrist who can help you with correct treatment options.

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. Charles Marchese from Manalapan Foot & Ankle. 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 our offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.