Old Bridge Office
2477 Highway 516
Old Bridge, NJ 08857
(732) 679-4330
Sayreville Office
53 Main Street
Sayreville, NJ 08872
(732) 679-4330

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Thursday, 19 October 2017 16:05

Autumn has arrived in New Jersey, bringing cooler temperatures and the beautiful landscape of the changing leaves.  So many of us are heading outside, taking in the beauty of the landscape with long walks and hikes, cameras in hand.

Any health care professional will applaud your choice of these activities, but hiking can be rough on your feet and ankles. Jason Grossman, DPM has some tips for staying safe while you’re on the trail.

Prepping for Your Adventure

Wash and dry your feet, then get ready for your hike by trimming your toenails with a clipper. Trim straight across; don’t round the corners, which can cause them to grow into the side of your toe and become ingrown

Minimize your risk of blisters and fungal infection with a pair of wool socks. They are available in a variety of weights and thicknesses and will keep your feet dryer than socks made of cotton. Bring an extra pair along in case your feet get sweaty and dampen your socks.

If you hike often, invest in a pair of lightweight, sturdy trail boots, and then break your new shoes in over a period of shorter walks, alternating new shoes with the old comfy pair, before you take them out for a long hike. They should be replaced annually, or after 500 miles.

Watch Where You’re Going!

Remember to keep your gaze on the trail ahead of you. Watch out for roots and stones that might trip you and lead to foot and ankle injuries. Stop to take photographs; don’t point and shoot while you’re on the move.

Coming Home

When you get home, put your boots on the porch to air out, wash and dry your feet once more, and rest for a little while with your feet up. If you’re feeling stiff or sore in the morning, an over the counter anti-inflammatory such as ibuprofen will help.

Did you hurt yourself hiking, or are you experiencing discomfort in your feet, ankles, or lower legs? Click here or call Advanced Feet and Ankle Care at (732) 679-4330 to schedule an appointment with Dr. Jason Grossman in our convenient Old Bridge or Sayreville offices. He will begin with a comprehensive examination and expert diagnosis, then work with you to create a unique treatment plan using the most-up-to-date methods available and provide thorough aftercare to keep you feeling great. 

Friday, 13 October 2017 23:26

What is Psoriasis?

Psoriasis is a chronic autoimmune condition. Its symptoms are primarily dermatologic, meaning that they appear on the skin.  Some of these symptoms occur on the feet. 

The most common type of psoriasis causes plaques — red, raised patches on the skin that are covered by a silvery layer of dead skin. Psoriasis plaques are commonly found on the elbows and knees. Two types of psoriasis can also occur on the feet. The milder form causes plaques, which can be intensely itchy and uncomfortable. A more severe form, called palmoplantar pustulosis, causes the formation of pus-filled blisters.

Who Is at Risk for Psoriasis?

As many as 7.5 million Americans are living with psoriasis. More women than men are affected. The disease is more commonly seen in adults than in children. Family history is significant: about 10 percent of people are born with genes that could cause psoriasis.

Treating Psoriasis

Are you noticing symptoms as described above? Are you concerned that you have developed podiatric psoriasis? The first step is to call your foot doctor for a complete exam and appropriate diagnosis. If your suspicions are correct, your foot doctor will work with you to create a treatment plan that may include a combination of prescription creams or oral medications, over the counter topical steroids, vitamins to slow down skin cell growth, and ultraviolet light treatment therapy.

If you are diagnosed with psoriasis, there is a great deal that you can do to take care of your health. Here are five suggestions from Jason Grossman, DPM:

  1. If you smoke cigarettes, quit or cut back. Not “tomorrow”...not “soon”…start today. Not only is smoking a detriment to your overall health and wellbeing, it also triggers psoriasis outbreaks in those with the disease.
  2. Limit your alcohol intake. Studies indicate that alcohol may lead to more outbreaks of greater intensity and duration.
  3. Twice a day, soak your feet in warm water and pat them dry, then slather them with an effective moisturizer and slip into cotton socks for a few hours or even overnight.
  4. Take good care of your feet. Avoid risky activities that could hurt them. Injury is known to trigger psoriasis outbreaks.
  5. Wear comfortable shoes and socks that allow feet to breathe.

Podiatric psoriasis is uncomfortable and can impact your ability to move through your daily routine comfortably. Dr. Jason Grossman will bring his years of education and experience to your case. Call Advanced Feet and Ankle Care at (732) 679-4330 or click here to schedule an appointment in our comfortable and convenient Old Bridge or Sayreville offices. Dr. Grossman will examine your feet, diagnose the source of your discomfort, and work with you to create a unique and effective treatment plan.

Thursday, 05 October 2017 20:40

Haglund’s Deformity, casually referred to as “Pump Bump” by some podiatrists, is a hard, bony enlargement on the back of the heel. Because the most common cause is the long-term daily wearing of rigid shoes, especially those with high heels, Haglund’s Deformity is seen more often in female patients. However, men are not immune: any shoes with rigid backs can cause the deformity, including men’s dress shoes. Whether you are male or female, you may also be at increased risk for Haglund’s deformity if you have naturally high foot arches, a tight Achilles tendon, or if you tend to walk on the outside of your heel.

Symptoms and Complications

Haglund’s Deformity can develop in one foot at a time, or bilaterally, meaning that both feet can be affected. Once formed, the deformity can irritate the soft tissue near the Achilles tendon. Inflammation of the bursa, a fluid-filled sac that creates cushioning between the tendon and bone, often results. This is bursitis, and it’s typically very painful.  If you experience discomfort in your heel, especially at the site where the Achilles tendon attaches, or if you notice redness, swelling, or a bump on the back of the heel, it’s time to call the foot doctor for an exam.

Preventing and Treating Haglund’s Deformity

The very best thing that you can do for to prevent Haglund’s deformity and a host of other foot problems to invest in a pair of sensible shoes for everyday use. Choose a soft pair with a low heel and wide, comfortable toe box. Save your dress shoes for special occasions. In addition to Haglund’s deformity, they can contribute to bunions, ingrown toenails, hammertoes, and more.

Your podiatrist may offer a variety of treatment options for Haglund’s Deformity, including icing and anti-inflammatory medications. He or she may also recommend shoe inserts or orthotics for cushioning, exercises to stretch the Achilles tendon, or physical therapy. In rare cases, when these approaches don’t succeed, surgery may be appropriate.

Whether you’re dealing with Haglund’s Deformity or any other issue of the feet, ankles, or lower legs, Dr. Jason Grossman can offer a thorough examination, accurate diagnosis, and modern treatment. Click here or call Advanced Feet and Ankle Care at (732) 679-4330 today to schedule your appointment in our comfortable and convenient Old Bridge or Sayreville offices.

Friday, 29 September 2017 15:34

Understanding Osteoarthritis

 

Osteoarthritis, also called degenerative joint disease or degenerative arthritis, is the most common chronic disease of the joints. Any joint can be affected, but with 26 bones and more than 30 joints, the feet are especially susceptible.

In normal joints, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. Osteoarthritis causes a breakdown in the cartilage, a soft tissue that covers the end of each bone and allows them to glide smoothly in the joint. Pain, stiffness and swelling can result. Other symptoms of osteoarthritis in the feet and ankles can include tenderness or pain and reduced ability to bear weight, move, or walk.

There are 26 bones and more than 30 joints in each of your feet. Osteoarthritis commonly affects the joints of the foot that involve the heel bone, the inner mid-foot bone, and the outer mid-foot bone; the joint of the big toe and foot bone; and the joint where the ankle and shinbone meet.

Living with Osteoarthritis

There is one element of your podiatric health and wellbeing that is more important than any other, and it’s one you can control: your choice of footwear.  If you have been diagnosed with osteoarthritis, it’s time to get some sensible shoes for every day use. Put those pointy stilettos on a high shelf and save them for your next gala event.  Have your feet professionally measured, as osteoarthritis can be a factor in age-related foot size changes. Select your new shoes carefully. Invest in a quality pair that will last. Choose comfortable, flexible shoes with a wide toe box and a low heel and rubber soles for additional comfort and stability.

After diagnosis, your foot doctor may approach treatment of your osteoarthritis in a variety of ways. While surgery may eventually become necessary in severe cases, you can schedule an exam and be confident that your podiatrist will try non-surgical methods first. Your initial treatment plan will be unique to your situation and may include over-the-counter or prescription medications to relieve pain and inflammation, steroid injections, shoe inserts or custom orthotics, physical therapy; stretches or exercises, and physical therapy.


Has standing or walking become painful? Osteoarthritis may be a factor. A visit to Advanced Feet and Ankle Care is the best way to find out what’s causing your discomfort.  Jason Grossman, DPM will examine your feet and ankles with state of the art equipment, carefully diagnose the source of your pain, and work with you to create an effective treatment plan. Click here or call our friendly staff at (732) 679-4330 today to schedule an appointment in our comfortable and convenient Old Bridge or Sayreville offices.