August 2021

Peripheral artery disease (PAD) is a condition in which circulation in the lower limbs is reduced, typically due to a buildup of plaque in the arteries that causes them to narrow and harden, thereby impeding blood flow. Common symptoms of PAD in the lower limbs include cramping, fatigue, aching, pain, or discomfort. The pain may be especially noticeable when walking or climbing stairs. It usually goes away when you are at rest, but returns when you resume activities. In some individuals, PAD is asymptomatic, going undiagnosed until it has progressed and begins to show symptoms. PAD can make heart attacks, strokes, amputation, and gangrene more likely. Because of this, it is important to get regular vascular testing, especially if you are older, have high blood pressure, high cholesterol, or a history of cardiovascular disease or type II diabetes. To learn more about PAD and to get tested, schedule an appointment with a podiatrist near you. 

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

A verruca is a small wart on the sole of the foot. They are more commonly known as plantar warts. Plantar warts can grow on the sole of the foot because of the human papillomavirus (HPV). This virus is contagious and thrives in warm and moist environments like locker rooms and swimming pools which makes plantar warts common for people who are barefoot in these communal areas. Plantar warts are not usually painful unless they are bearing weight. Some patients have found they may be tender to the touch as well. To avoid the spread of plantar warts, you should wear flip flops in communal areas such as pools, locker rooms, or showers. If you have a plantar wart that persists, consulting with a podiatrist and getting professional advice can be extremely beneficial.  

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

The foot condition that is known as hammer toe may also be referred to as contracted toe. It is considered to be a deformity, and can appear unsightly. It can cause the toes to resemble a hammer. This can be a result of the middle joints of the second and third toe that gradually bend upward, forcing the rest of the toe to bend down. It often happens from genetic factors, or from wearing shoes that do not have adequate room for the toes to move freely in. Additionally, there may be a muscle imbalance that can cause hammer toes to develop. Some of the symptoms that are associated with this ailment can include pain while stretching the affected toes, and corns may develop on top of the toes as the toes rub against the shoes that are worn. Mild relief may be found when larger shoes are worn, and it may help to wear a protective pad over the corns. In severe cases, surgery may be an option that can permanently straighten the toes. If you have a hammer toe, it is suggested that you speak with a podiatrist who can determine what the best course of treatment is for you.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please 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.

A fungal toenail infection is a common problem caused by fungi growing in and around your toenails. This condition can change the appearance of toenails making them brittle, thickened, crumbly, or discolored. In more severe cases, the toenail may separate from the nail bed causing pain, a foul odor, and an increased risk of infection. Some people are more at risk for developing a toenail infection than others. People with other medical conditions like diabetes, peripheral artery disease, peripheral neuropathy, or a compromised immune system, are more likely to incur an infection. Previous injury or prior deformities of the toenails can also increase risk. Wearing shoes and socks that prevent air from reaching your feet, having skin that is moist for prolonged periods of time (often due to excessive sweating), and walking barefoot in warm, moist, or public places, like swimming pools and locker rooms, should be avoided. If you are suffering from any kind of toenail fungus please seek the care of a podiatrist.

For more information about treatment, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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 tools and technology to treat your foot and ankle needs.