Ankle and foot orthotics, known as AFOs, are custom-made inserts, shaped and contoured to fit inside a shoe and used to correct an irregular walking gait or provide cushioning. Orthotics come in a variety of different models and sizes, including both over the counter and customizable variants. Customizable ones should be prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

AFOs are often used by athletes including track and field runners, cyclists, professional dancers, ice skaters, and even golfers. They benefit a lot from custom made AFOs by preventing injuries from occurring and provide cushioning to keep pain levels down to a minimum. Ankle foot orthotics allow for the correct positioning of the feet and also act as shock absorbers to help keep pressure and stress off the foot and ankle. They can also relieve back pain and hip pain while restoring balance and improving an athlete’s performance.

The way they help alleviate pain is by controlling the movement of both your feet and ankles. They are custom designed by a podiatrist or orthopedic specialist to help treat foot problems such as flat feet, spurs, arthritis of the ankle or foot, ankle sprains, weakness, and drop foot, a condition in which the patient cannot raise their foot at the ankle joint.

With custom orthotics, a patient will go through a complete examination of the foot and ankle, followed by the ankle and foot being cast and fitted for the proper orthotic. Depending upon the final result of the tests, a stretching treatment is created with specific shoe fitting in mind. After they have been fitted to the shoes, adjustments can be made in order to get the perfect fit and completely fill out the shoe. Evaluations are then usually set up to monitor the patient in the coming weeks to see how they are adjusting.

AFOs are also available over the counter and are more common than custom fit ones. Athletes that have generally low aches and pains in the foot, ankle, or lower back area can use an over the counter version of these orthotics. Weight is still distributed evenly throughout the bottom of the foot thanks to the arch support they give, but when an injury or ailment occurs, it is usually not enough to try and remedy it with an over the counter version. In either case, a podiatrist will be able to offer the best advice and treatment when it comes to foot and ankle orthotics and handle all your foot care needs.

Jacboy Jones, wide receiver for the Chargers, has been temporarily sidelined for what appears to be a minor ankle sprain. The injury occurred during the Week 1 win over the Lions. While Jones is a key player for the team, Branden Oliver and Keenan Allen are likely to take over for him until he is ready and healthy enough to join the team again. Should Oliver and Allen not be available or prepared fourth receiver Dontrelle Inman will step up.

Ankle sprains are common, but need immediate attention. If you have any concerns about your potential ankle sprain contact one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors will treat your foot and ankle needs.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits can aid in prevention

Treatment of a Sprain

Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Fair Lawn and Riverdale, NJ. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Detroit Lions rookie Alex Carter is doing his best to get back into shape after suffering an ankle injury. “I’m still doing as much as I can right now. We’re still working on the progression, getting back. But this week will be a good week for me,” Carter stated during a press conference. Although the Detroit Lions are pleased to potentially have Carter back, Coach Jim Caldwell has stated that they are in no way rushing the healing process.

Getting back into sports after injuring a foot or ankle can be very difficult for both the body and mind. See one of our podiatrists of Active Foot and Ankle Care. Our doctor will attend to all of your foot and ankle needs.

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.

If you have any questions, please feel free to contact our offices in Fairlawn, Englewood, and Riverdale, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Athletes will often sustain sprained ankles; they are one of the most common injuries sports players receive. It is general knowledge that sprained ankles are painful and debilitating conditions that often keep players off their feet and away from activity. Once an ankle is sprained, the occurrence of re-injury is much more likely.

After sustaining a sprained ankle, the sports medicine doctor and physical therapist recommended the RICE method as a method to get back on one’s feet and get back into playing sports. RICE is an acronym that stands for rest, ice, compression, and elevation—the four things one should do to recover from a sprained ankle. Along with the RICE method, an athlete should wear an ankle brace to help alleviate the pain and secure the ankle until it has fully healed. A brace will stabilize the ankle as well as prevent it from sustaining other more serious injuries. People often suffer from sprained ankles due to weak ligaments located in or near the ankle; because an ankle brace keeps the ligaments in the foot from experiencing excessive movement, injuries can be avoided.

Another common injury many athletes experience are foot and ankle fractures. Stress fractures in particular often occur when there is an increase in athletic training for an athlete. There are two types of stress fractures: stable and displaced. Stable stress fractures are marked by a lack of shifting in bone alignment, whereas displaced stress fractures are characterized by bones that are not properly aligned.

Stress fractures warrant an immediate trip to the hospital or doctor. Treatment for stress fractures often involves significant rest and refraining from taking part of the sport that caused the injury. Strenuous activities should also be avoided. Certain doctors or specialists have the ability to specifically determine what in an athlete’s training caused the stress fracture. If this can be pinpointed, the athlete can therefore adjust his or her training accordingly without having to worry about refraining from playing the sport.

Special attention must be paid to treatment for foot and ankle injuries such as sprained ankles and stress fractures. Athletes should be sure to rest before engaging in activity. With great care and attention to treatment comes a faster and more successful recovery.

Many patients often have the misconception that conditions such as hammertoes can only be treated and cured through surgery. But such minor conditions can effectively be managed with treatments such as ultrasound-guided injections, which send anti-inflammatory medication directly to the source of pain, and shock wave therapy, which promotes soft-tissue healing. Physical therapy and insoles that ease pressure on the foot are other nonsurgical treatments that have proven successful.

Hammertoes can be a painful condition to live with. If you are suffering from hammertoes, contact one of our podiatrists of Active Foot & Ankle Care, LLC. Our doctors will treat your foot and ankle needs.

Hammertoe

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 Fair Lawn, Englewood, and Riverdale, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics: the person’s particular gait or the manner in which they walk, or shoes that do not comfortably fit the deformity. Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time, causing the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is pertinent. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted her or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half-inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses; trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.

According to a study reported at the American Pain Society Annual Scientific Meeting chemotherapy induced neuropathy has been found to hurt more in the feet than in the hands making every day routine difficult. The study included 184 patients from the San Francisco Bay area completing taxane or platinum based chemotherapy where chemo-induced neuropathy was in their hands and feet. With the help of questionnaires such as the pain interference scale and brief pain inventory, chemotherapy induced neuropathy was found to cause treatment delay, decreased functioning of the feet, and poorer quality of life since the pain reduced everyday activities.

When dealing with systemic disease of the feet, is extremely important to check the affected areas routinely so that any additional problems are caught quickly. For professional help, see one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors will ensure that your feet receive the care that they need.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.

If you have any questions feel free to contact our offices located in Fairlawn, Englewood, and Riverdale, NJ. We offer the latest in diagnostic and treatment technology to meet your needs.

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There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid, crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Good ways to stretch your feet are:

• Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
• Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
• Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

If you have any questions please feel free to contact our offices located in Fair Lawn, Englewood, and Riverdale, NJ. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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