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Manalapan (732) 845-0100

February 2024

Tuesday, 27 February 2024 00:00

Exploring Surgical Options for Flat Feet

Surgery for flat feet, or pes planus, aims to correct the underlying structural issues in the foot and alleviate associated symptoms. The surgical approach depends on the severity of the condition and the individual's symptoms. In cases where conservative treatments such as wearing orthotic inserts fail to provide relief, surgical intervention may be considered. One common surgical procedure for flat feet is the realignment of the bones and tendons in the foot to restore the arch and improve stability. This may involve techniques such as tendon transfers, osteotomies, which are bone cuts, or fusion procedures to correct deformities and improve foot function. Another option is the insertion of implants or grafts to support the arch and provide long-term stability. Surgical correction of flat feet requires careful evaluation and planning by a qualified podiatrist to ensure optimal outcomes and minimize risks. If you have flat feet that are causing you pain, it is suggested that you consult with a podiatrist who can determine if surgery is an option for you to consider.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Read more about Foot and Ankle Surgery
Tuesday, 20 February 2024 00:00

Athletes and Cuboid Syndrome

Athletes often develop various foot issues. A male ballet dancer experiences sudden lateral foot pain after landing from a jump, fearing it may end his career. A basketball player suffers acute pain after twisting his ankle during a game, and is now using crutches. A female ballet dancer faces persistent lateral foot pain hindering her rehearsals, despite treatments over two years. These cases share a common condition often overlooked and known as cuboid subluxation. This involves injury to the joints and ligaments around the cuboid bone, causing lateral foot pain and weakness during push-off. Diagnosis involves physical examination, as imaging may not clearly show the condition. Treatment includes manipulation to realign the cuboid, followed by supportive measures like taping and orthotics. Addressing biomechanical issues is important for recovery, ensuring athletes can return to their activities safely. If you are an athlete and have foot pain, it is suggested that you schedule an appointment with a podiatrist as soon as possible to prevent worsening of symptoms and obtain appropriate treatment for the diagnosis.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.


The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.


A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.


Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.


Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.


Read more about All About Cuboid Syndrome
Wednesday, 14 February 2024 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

A diabetic foot wound refers to an open sore or ulcer that develops on the foot of individuals with diabetes, typically due to a combination of factors including neuropathy, poor circulation, and impaired wound healing. Neuropathy, a common complication of diabetes, causes nerve damage that diminishes sensation in the feet, making individuals less aware of injuries or pressure points that can lead to wounds. Poor circulation, another consequence of diabetes, reduces blood flow to the feet, hindering the delivery of oxygen and nutrients necessary for wound healing. These factors, coupled with compromised immune function, increase the risk of infections and slow the healing process. Symptoms of diabetic foot wounds may include redness, swelling, warmth, drainage, and foul odor. Recognizing these signs is crucial for prompt intervention and prevention of complications such as infections and amputations. If you have diabetes and have developed a foot wound, it is strongly suggested that you are under the care of a podiatrist who can provide you with the proper wound care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Read more about Wound Care
Tuesday, 06 February 2024 00:00

Stiff Big Toe and Orthotics

Hallux limitus is a condition where the big toe joint gets sore, stiff, and inflamed. If not treated, it can turn into hallux rigidus, where the joint cannot move, causing a lot of pain and difficulty walking. To help with these issues, foot doctors focus on making the joint move better to reduce pain and improve how it works. They often use special shoe inserts with a deeper heel and a part that supports the inside of the foot. The doctors also look at whether the problem is because the joint does not work well or if it is because of the shape of the foot. Depending on the issue, they may use different kinds of inserts. They usually avoid certain materials and features that can make things worse. When making these inserts for everyday shoes, podiatrists think about things like foot strength and how the foot lines up. They may suggest exercises, massage, and good shoes. If you have a stiff and painful big toe, it is suggested that you schedule an appointment with a podiatrist for treatment, which may include orthotics.

If you are having discomfort in your feet and would like to try orthotics, 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.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.

Read more about Foot Orthotics