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Physical therapist and University of Central Florida instructor Carey Rothschild, recently conducted a study on barefoot running which was published in the Journal of Strength and Conditioning Research. Rothschild surveyed 785 runners for her study. She concluded that barefoot running may help some people, but that others could potentially injure themselves if they do not allow their bodies to adjust properly to barefoot running.

Allowing your body time to adjust properly to barefoot running is essential, and part of this preventative care involves talking to a podiatrist like Dr. Howard Hyman of The Podiatry Center, P.C. Dr. Hyman can advise you on a running regimen, as well as provide information on techniques of barefoot running to help avoid foot pain, heel pain, and injury.

Barefoot Running

The Impact of Barefoot Running

- Running without shoes changes the motion of your running, as most running is done by landing on the heel of the feet.
- Running barefoot requires a different way of running; the landing is done on the front part of the feet.

The Advantages of Barefoot Running

- When running and landing on the front feet, the impact on the feet and ankle is reduced, this can reduce stress injuries.
- It strengthens muscles in the feet and ankles and the lower legs.
- Balance of the body is improved and there is a greater sensory input from the feet to the rest of the body.

The Drawbacks of Barefoot Running
- No protection while running, makes it likely that runners will land on sharp objects and scrapes, bruises and cuts on the feet will result.
- Blisters may form.
- Possibility of plantar fascia problems.
- Risk of getting Achilles tendonitis.

So what can runners do to make barefoot running safe? It’s best to make a slow transition from running shoes to barefoot running. Once the feet begin to adjust, try walking, then jogging and gradually increasing the distance. Minimalist running shoes may also be an option.

If you have any questions, please feel free to contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Although smoking’s ill effects on the lungs and heart are well known, it can be equally harmful to the feet. James Mahoney, associate professor of podiatric surgery at Des Moines University, can sometimes tell whether a person smokes or not just by the condition of their feet, which are often reddish and thin skinned. Because feet are so far away from the heart, under optimal conditions they don’t receive as much blood circulation as the rest of your body. However, smoking raises the risk of peripheral artery disease, which further limits circulation and harms the feet even more.

As James Mahoney points out, poor circulation in the feet can be serious and detrimental to your health. If you notice that your feet are often reddish and thin skinned, as Mahoney explained, it is recommended to seek the care of a podiatrist, like Dr. Howard Hyman of The Podiatry Center, P.C. will determine whether or not you suffer from poor circulation in your feet and provide treatment options for you.

What is Poor Circulation?

Poor blood circulation in the feet and legs is caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. It usually restricts the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs is sometimes caused by inflammation in the blood vessels, known as vasculitis.


Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development.

It can also cause:

- Muscle pain  
- Numbness in legs
- Cramps
- Skin discoloration
- Weakness
- Slower nail & hair growth
- Stiffness
- Erectile dysfunction

Those who have diabetes and or smoke are at greatest risk for poor circulation, or people who are over 50.

If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintain a healthy lifestyle will dramatically improve conditions

As always, see a doctor as they will help try and fit a regime that suits you. A doctor will also prescribe you medication which will help with PAD.

If you have any questions, please feel free to contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Houston Astros relief pitcher Francisco Cordero was placed on the disabled list during the last half of the season, after suffering painful inflammation on his big right toe that has been diagnosed as sesamoiditis. Cordero was only recently acquired after a ten man trade with the Blue Jays. Cordero is currently on the 15 day disabled list, but is scheduled to visit a doctor soon, who will determine if surgery is necessary, though Astros manager Brad Mills is hopeful Cordero will recover with conservative treatment.

Foot and ankle injuries like sesamoiditis are painful and may potentially require surgery, as Cordero has learned. If you are experiencing sesamoiditis or any other foot pain, it is important to speak to a podiatrist like Dr. Howard Hyman of The Podiatry Center, P.C. to determine the appropriate treatment options for your condition.


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 office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Thursday, 25 October 2012 21:30

Improper Foot Support Costs Klum Toenails

Supermodel Heidi Klum revealed that she tries to avoid showing her feet after experiencing mishaps such as a broken toe and losing her toenails.  She said she had to glue her toenails on after they fell off following a poor footwear choice.  “The Halloween before I had these shoes on that were too high, too tight…I lost both of the toe nails.  First it went blue and I kept colouring them and then it just fell off.  I’m like, ‘What am I gonna do now?’ and, especially in my job, I just superglued them both on,” said Klum.

While Klum may have to resort to such measures as gluing on toenails and continuing to wear tight heels for her job, it is not something that you should have to do.  If you think you have sustained an injury as a result of a lack of proper foot support you should seek out the care of a podiatrist such as Dr. Howard Hyman of The Podiatry CenterDr. Hyman can diagnose any foot pain you might be experiencing and also provide treatment options for any foot problems that might result from improper foot support.

The Importance of Proper Foot Support
Walking is an everyday function for both men and women, and in order to keep your body’s balance in order, you are going to need shoes that provide the proper kinds of support.

Poor foot support can cause pain and discomfort in the lower back, hips, knees, neck and shoulder. It also can lead to emotional stress, and physiological changes in the body. In order to avoid these problems, you must have proper foot support.

The arch is the most important part of the foot, which is where most of the support and balance of your feet lies. The arch of your foot varies in height, and as you age, this height can change. Proper foot support will help musculoskeletal issues, which causes inactivity or disability.

When looking for shoes that give proper support to your feet, you should refrain from wearing ill-fitting shoes.  If footwear is too tight, this can affect the body’s posture, stress, bone deformities, and other foot and back pain. Therefore, it is important that shoes fit well in order to avoid these complications.

Shoes to Consider:

  • Good heel and arch support
  • Have proper length and width for your feet
  • Avoid tight/cramped shoes
  • Have many eyelets –will give feet better support when the laces are tied

Your body deserves the attention it needs, and proper foot care is essential for a healthy moving body. Always wear shoes that fit your best.

If you have any questions, please feel free to contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Singer Huh Gak is underwent treatment for his right Achilles tendon after falling over and injuring his ankle back in July. According to Cube Entertainment, Gak’s ankle will have to undergo a series of tests and therapy; in the meantime he will be wearing a half cast to speed up recovery.

Because the Achilles tendon is such a vital part of our bodies and our movement, getting the proper treatment for it right away is highly recommended. If you have suffered an Achilles tendon injury, you should seek the care of a podiatrist like Dr. Howard Hyman of The Podiatry Center. Dr. Hyman will examine your ankle pain, determine if it is an Achilles tendon injury, and then provide the appropriate treatment options for you.

What is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body, and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can cause severe difficulties and should immediately be presented to a doctor.

What are the symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

- Inflammation
- Dull to Severe Pain
- Increased blood flow to the tendon
- Thickening of the tendon

Rupture Symptoms

- Extreme pain and swelling in the foot
- Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation. Often the doctor will order an MRI to confirm the diagnosis. Treatment will involve rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
- Proper fitting shoes
- A healthy diet

If you have any questions, please contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Wednesday, 10 October 2012 21:29

British Women Wear Heels Despite Foot Pain

Jill Foster of the Daily Mail, spoke with three British women regarding their relationship with high heels.  Of the three women, two developed bunions on their feet, while the other had an arthritic toe and needed surgery.  Two of the women wore heels daily until foot pain prevented them from continuing to wear them, while the other woman plans to continue wearing heels despite the bunions she is developing.  

Even though high heels are a popular footwear choice for many women, as the Daily Mail points out, there can be some serious complications that can result from excessive high heel use. If you are experiencing foot pain, ankle pain, or think you are developing a bunion or arthritic feet, it is highly recommended to seek the care of a podiatrist, like Dr. Howard Hyman of The Podiatry Center, immediately. Dr. Hyman will be able to examine your feet, diagnose any foot problems you might be having, and provide treatment options that work for you.

Effects of High Heels on the Feet
High heels are popular shoes among women because they are associated with femininity.  Despite their appeal, they can cause many health problems if worn too frequently.
What parts my body will be affected by high heels?

  • Ankle Joints
  • Achilles Tendon – may shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – heels cause the knees to bend constantly, creating stress on them
  • Back – they decrease the spine’s ability to absorb shock, which may lead to back pain.  Also, the vertebrae of the lower back may compress.

What kinds of foot problems can develop from wearing high heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How can I still wear high heels and maintain foot health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock; you can buy either full inserts or metatarsal pads. 
If you have any questions, please contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

A glass of wine is proven to save you from arthritis, which has shown to be big problem in the role of women’s health. The study shows that women who drink at least three medium size glasses of wine a week are 52 percent less likely to develop arthritis.

This is great news for people who are worried about developing arthritis and dealing with foot pain due to arthritis later in life. However, if you do suffer from arthritis, there is still a good way to get the proper care by seeking the aid of a podiatrist like Dr. Howard Hyman of The Podiatry Center. Dr. Hyman can help you manage your arthritic foot care problems and symptoms and provide treatment options to you.
Arthritic Foot Care

In an average lifetime, we walk approximately 75,000 miles. This can put a great deal of stress on the 26 bones and 30 joints that we have in our feet. As we get older, our feet lose flexibility and elasticity. Our shock absorbers weaken, and if arthritis comes into play, the joints become inflamed and distorted. Arthritic foot care and treatment would become imperative at this point.

It is best to take care of your feet by wearing well-fitted shoes. Certain conditions may develop when you wear shoes that don’t fit properly, for example hammertoes, neuroma, and bunions. Wearing shoes that have a lower heel and extra room in the shoe can help your feet be comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with arch support will help; it is also a good idea to buy shoes that contour to your foot.

Alleviating Arthritic Pain
- Specific exercises may help; stretching the Achilles tendon can prevent further pain and injury. Stretching can also increase your mobility.
- Most of the pain can be alleviated with anti-inflammatory drugs, heat, as well as topical medications with Capsaicin.
- Massages can also help to alleviate pain temporarily.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions may vary, and a foot specialist can help you determine the right health care for your feet.

If you have any questions, please feel free to contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

A recent study has shown that MRI’s may prove an invaluable tool for diagnosing bone lesions caused by diabetic feet. The study examined the MRI’s of 85 diabetic patients to assess the prevalence of bone marrow changes. The MRI’s were able to identify a number of traumatic changes in the feet, including dislocation, osteochondritis, and osteomyelitis. The researchers concluded that “The use of intravenous contrast with MRI may help in the diagnosis” of these various diabetic foot ailments.

Your feet can be one of the most commonly affected areas of your body if you suffer from diabetes. Early diagnosis of diabetic foot issues is important to allow for appropriate treatment options, avoid amputations, and alleviate foot pain. If you do develop diabetic foot problems, it is recommended to consult a podiatrist like Dr. Howard Hyman of The Podiatry Center, who can work with you to develop a treatment plan.

Diabetic Foot Care

Diabetes affects millions of people of all ages each year. Diabetes damages blood vessels in many parts of the body, including the feet. When damage occurs to nerves in the feet, they may be unable to send the proper signals to the peripheral nervous system, resulting in a condition known as neuropathy. Once a diabetic patient develops neuropathy, it is imperative that the feet are well taken care of to avoid possible amputation of the feet.

The Importance of Caring for Your Feet
- Regularly check your feet for bruises or sores.
- Wear socks that fit your feet; socks shouldn’t be tight.
- Wear properly fitting shoes that are comfortable.

Patients with diabetes should have their doctor monitor their Hemoglobin A1C levels as this test lets the physician know how well the blood sugar levels have been controlled during the past 3 months. It is important to keep the blood sugar levels in a normal range (70-110mg/dl). It is advisable to visit a podiatrist if you are experiencing any conditions involving the feet.

It is always best to let your healthcare professional know of any concerns you may have regarding your feet, no matter how big or small the issue may be. For diabetic patients, it is better not to wait to seek help, because the longer you wait, the worse your symptoms may become. The risk of amputation and sepsis heightens if you do not seek medical treatment right away. Early treatment and daily inspection of the feet are essential to maintaining your health.

If you have any questions, please feel free to contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Wednesday, 19 September 2012 21:27

Russell Brand Shops Barefoot

While vintage car shopping in West Hollywood, Russell Brand was spotted walking barefoot.  His feet appeared unclean and it is surmised that he was not allowed to test drive the cars because of his dirty feet.  It is not known why Brand is currently not wearing shoes.

Because Brand has not been protecting his feet regularly by wearing shoes, he is putting himself at serious risk of getting infections or injuries. On top of this, his unclean feet are also causing him overall health problems and walking around barefoot everywhere is not making them any better. Instead of doing this, Brand should be practicing better everyday foot care techniques and seeking the care of a podiatrist, like Dr. Howard Hyman from The Podiatry Center. Dr. Hyman can assist you with any foot care issues you might be having as well as provide treatment for any injuries you might experience in your daily routine.

Every Day Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. After all, without our feet, we would not be able to perform most daily tasks. It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before, for example.

For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops.
Also, wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent athlete’s foot, fungi problems, bad odors, and can absorb sweat. Also make sure that the socks fit properly and are not uncomfortably tight.
If you have any questions, please feel free to contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Ultimate Fighting Championship fighter Mark Munoz will possibly be out for months due to a ‘nasty foot injury that could keep him on the sidelines,’ according to Fightline. “I hurt my foot training; I was training with Jason (Mayhem Miller) inside the cage and my foot got caught, said Munoz in an interview with Fight Hub TV. According to Munoz, he is unsure whether his foot is broken, he is expected to get an MRI and wait for diagnosis.
Munoz like other competitive sports athletes know the importance’s of training and how an injury can hamper their performance. Seeing a podiatrist like Dr. Howard Hyman from The Podiatry Center will help evaluate your foot injury. Dr. Hyman will provide an accurate diagnosis, and then provide you with some of the available treatment options.

Getting Back into Sports after Foot and Ankle Injuries
While one of the most common injuries among athletes may be a sprained ankle, there are still many other types of injuries that plague athletes in any sport. But for less severe foot and ankle injuries, it is recommended by physical therapists and sports medicine doctors that athletes use the R.I.C.E. method to help alleviate pain and to speed up the healing process.

The acronym R.I.C.E. stands for rest, ice, compression, and elevation. These four steps help in the healing process, not only to reduce pain, swelling, and inflammation, but also to improve overall health of the affected area, allowing you to get back on to your feet again. Although resting is usually the key to all healing, it is necessary to see a doctor to ensure treatment for any other problems that may not be obvious to you right away.

It is best for injured athletes to allow themselves time to heal. Some athletes need hours of re-training, exercise, check-ups with their physical therapist, and other remedies. But with the right attitude and motivation, it is not hard to get back into sports after foot and ankle injuries.

If you have any questions, please feel free to contact our office in Milburn NJ. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

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