April 2025

A heel spur is a bony growth that forms on the underside of the heel bone, often linked with long-term strain on foot muscles and ligaments. It develops when calcium deposits build up over time, creating a pointed projection that can cause heel pain, especially during walking or standing. Heel spurs are commonly associated with plantar fasciitis, a condition involving inflammation of the connective tissue along the bottom of the foot. Diagnosis is typically confirmed through physical examination and imaging studies like X-rays. Contributing causes include repetitive stress from activities like running, wearing unsupportive footwear, or having flat feet or high arches. Risk factors include aging, obesity, and occupations that involve prolonged standing. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat heel spurs.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Manalapan, NJ, and Staten Island, NY . We offer the latest in diagnostic and treatment technology to meet your needs.

Sesamoiditis is an inflammatory condition that affects the small sesamoid bones beneath the big toe joint, often causing pain at the ball of the foot. These bones act like pulleys, helping the tendons move smoothly and bear the stress of walking, running, or jumping. When repetitive pressure or trauma irritates the area, pain can develop beneath the big toe, especially when bending or pushing off the foot. Symptoms  of sesamoiditis include swelling, tenderness, and difficulty walking, sometimes leading to a limping gait to avoid pressure on the forefoot. Although sesamoiditis is not life-threatening, it can disrupt daily activities. A podiatrist can confirm the diagnosis, recommend footwear modifications, and may prescribe custom orthotics to relieve pressure on the joint. Further treatment such as immobilization or surgery may be necessary in severe cases. If you are experiencing pain beneath your big toe, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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.

Instinct tells us to land on our feet during a fall, but that does not always mean it is safe. The force of impact can send shockwaves through the feet, ankles, and legs, leading to serious injuries like fractures, sprains, and even long-term joint damage. Heel fractures, known as calcaneal fractures, are particularly common when landing from a height. The intense pressure can also damage the metatarsals or overstretch the Achilles tendon. Even if bones remain intact, the sudden impact can cause soft tissue injuries that lead to chronic pain or instability. Proper footwear, balance training, and strengthening exercises can help reduce fall risks. If you do fall, rolling or distributing impact across the body can lessen injury severity. When in doubt, it is suggested you get checked by a podiatrist, as what seems like a minor ache can turn into a long-term mobility issue.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

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.

Plantar fasciitis causes pain in the heel, arch, and bottom of the foot, often making it difficult for people to walk comfortably, especially after periods of rest. Stretching the feet, toes, and ankles can help reduce discomfort by easing pressure on the plantar fascia, a band of tissue under the foot that supports the arch. Simple stretches, such as gently pulling the toes back while seated or rolling the foot over a round object, can improve flexibility and reduce strain on the plantar fascia. These plantar fasciitis exercises are most effective when done regularly and may support healing by loosening tight muscles and promoting better foot function. Continuing the stretches even after pain recedes may help lower the risk of recurrence. Warming up before physical activity and stretching the calf muscles afterward can also improve foot mechanics. Supportive footwear plays an important role in protecting the arch during daily movement. A podiatrist can diagnose plantar fasciitis and recommend exercises as well as footwear that support recovery. If you have foot pain associated with plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

A foot stress fracture is a small crack in a bone that develops due to repetitive stress rather than a sudden injury. It commonly occurs in athletes, especially runners, and individuals who engage in high-impact activities. Causes include overuse, sudden increases in physical activity, and inadequate rest between workouts. Symptoms often begin with mild discomfort that worsens with weight-bearing activities, progressing to persistent pain, swelling, and tenderness in the affected area. Risk factors include footwear that lacks adequate support and cushioning, poor biomechanics, and conditions like osteoporosis that weaken bones. Individuals with a history of stress fractures or nutritional deficiencies may also be more susceptible. If you have symptoms of a foot stress fracture, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.