My Blog
December 19, 2019
Category: Podiatry
Tags: Hammertoes  

Have hammertoes? Hammertoes are toes that are bent because of weakened muscles. In the early stages, hammertoes are flexible and the symptoms can be managed with non-surgical treatments. If left untreated, a hammertoe can become rigid and will not respond to noninvasive treatments. The Foot and Ankle Group with offices in Mount Laurel, Philadelphia, Bordentown, and Columbus can help you if you are dealing with hammertoes.

About Hammertoes

A hammertoe is a foot condition that causes your toe to curl or bend downward instead of pointing forward. This condition can affect any toe on your foot. Because of the progressive nature of the deformity, it should receive early attention. Hammertoes will not get better without treatment.

Causes of Hammertoes

Hammertoes are often caused by wearing too-narrow, ill-fitting footwear with little to no arch support. In some people, hammertoes are inherited. Sometimes, hammertoe is the result of an earlier trauma to the toe. In addition, neuromuscular diseases can contribute to the development of hammertoes. Diabetics can be at increased risk for complications from a hammertoe.

Symptoms of Hammertoes

Hammertoes may cause pain or irritation of the toe when wearing shoes. The toe joint may swell and takes on a red color. The ball of the foot under the bent toe may be painful. It may be hard to move the toe joint -- and it may hurt when you try. Corns may form on the top of the toe joint.

Treatments for Hammertoes

Drugs that reduce inflammation can ease the swelling and pain. Sometimes, a podiatric doctor will use steroid shots to relieve pain. Padding the areas around the bony point of the toe may help to reduce pain. Splinting the toe may help in the early stages. Your podiatrist may also give you custom-made shoe inserts to treat your hammertoes. Your doctor may recommend surgery if you have severe hammertoes.

You don't have to hurt anymore. If you need a qualified Philadelphia podiatrist, call one of the Foot and Ankle Group's offices- Mount Laurel- (856) 234-0195; Philadelphia- (215) 332-5300; Bordentown- (609) 291-0960; Columbus- (609) 298-7000. We offer many non-surgical, highly effective solutions for hammertoes.

By Robert Filoramo DPM Mike Miller DPM
October 01, 2019
Category: Foot Health
Tags: neuropathy  

Neuropathy is a condition that occurs due to nerve damage within the peripheral nervous system. The condition can result in a variety of foot-doctorsymptoms, including tingling, numbness, and paralysis. Neuropathy can affect different areas of the body. When it affects the feet and legs, treatment is best sought through a podiatrist. The doctors at The Foot & Ankle Group are your podiatrists for the treatment of neuropathy in Philadelphia.


What is neuropathy?

Neuropathy is a condition that develops when a person has sustained nerve damage. The condition typically affects the feet and legs, but can also affect the hands and arms. In some cases, neuropathy can even affect the face. In Philadelphia, neuropathy that affects the feet and legs can be treated by a podiatrist at The Foot & Ankle Group.


What are the symptoms of neuropathy?

Neuropathy can produce many different symptoms. Common symptoms include:

  • Tingling
  • Numbness
  • Burning sensation
  • Heavy feeling in the legs
  • Sharp, stabbing pains
  • Paralysis


What causes neuropathy?

There are several possible causes of neuropathy. Suffering nerve damage following trauma or an injury is one cause of neuropathy. Having diabetes can also increase a person’s risk for developing neuropathy. Other causes of neuropathy include having high blood pressure, being overweight, exposure to toxins, or having an autoimmune disease.


Can neuropathy be treated?

Neuropathy can be treated, and there are several options available from our Philadelphia practice, including medications, therapy, and surgery. Anti-Inflammatory medications, whether over-the-counter or prescription, can minimize the pain and discomfort associated with neuropathy. Other types of medications that can be used to alleviate neuropathy pain include immunosuppressants and anti-seizure medications.

Transcutaneous electrical nerve stimulation (TENS) is a therapeutic treatment that involves the placement of electrodes on the skin. Electric current from the electrodes blocks pain signals from traveling to the brain, which helps alleviate pain and discomfort. Another option for treating neuropathy is nerve decompression surgery. Affected nerves are given more space, thus reducing pressure on those nerves and alleviating pain.


What can happen if neuropathy is left untreated?

If left untreated, neuropathy can cause balance problems, the development of skin ulcers, and put an individual at the risk of infection. For individuals with diabetes, severe cases of neuropathy that go untreated, and lead to amputation of the foot or leg.


Contact us

You do not have to struggle with the pain and discomfort of neuropathy. Help is available. For the neuropathy treatment in Philadelphia, PA, schedule an appointment with one of the podiatrists at The Foot & Ankle Group by calling (215) 332-5300. New Jersey office locations include Mount Laurel at (856) 234-0195, Bordentown at (609) 291-0960, or Columbus at (609) 298-7000.

July 02, 2019
Category: Foot Problems
Tags: heel pain  

According to the American Podiatric Medical Association, heel pain is the most common foot problem facing podiatric patients today. Heel-PainFortunately, if you are dealing with heel discomfort, The Foot and Ankle Group in Mount Laurel, Bordentown, Columbus, NJ, and Philadelphia, PA, can help you receive the relief you need.

Here are some of the most common causes of heel pain that we can treat

Heel Pain Symptoms
Although you may not think about it much, the exercise, running, jumping, and standing we do every day puts an enormous amount of strain on our feet. Over time, this can cause pain at several pressure points, including the heels. These are a few signs that you may have a heel pain problem that requires treatment:

- Intense pain that causes you to limp or avoid stepping down on the heel.
- Pain or throbbing in the heel when you wake up in the morning, even before you take your first steps.
- Heel spurs (bony tissues growing under the heel).
- Inability to participate in your usual sports activities or exercises.

Causes of Heel Pain
When your Mount Laurel, Bordentown, Columbus, NJ, and Philadelphia, PA, podiatrist examines your case of heel pain, one of the first questions you’ll be asked is “what type of shoes do you wear?” That’s because ill-fitting shoes (especially high heels, flip flops, and shoes without a supportive arch) are the most common culprits behind heel pain. Other patients may have this pain because they are overweight, or have old, unhealed heel fractures.

Is It Time to Seek Help?
When you come to visit one of our offices in Mount Laurel, Bordentown, Columbus, NJ, or Philadelphia, our podiatrist may recommend:

- Ice therapy, during which the feet are submerged in icy water or wrapped with ice packs.
- Orthotic supports, lifts, and inserts.
- A night splint, which helps stretch the feet while sleeping.
- Corticosteroid injections and OTC medications for pain relief.

Make Your Heel Pain Go Away
The more advanced heel pain becomes, the more difficult it will become to get around comfortably. Get ahead of the problem by calling a podiatrist at The Foot and Ankle Group in Mount Laurel, Bordentown, Columbus, NJ, and Philadelphia, PA. Call one of our four convenient locations today to schedule your appointment.

Dial (856) 234-0195 for the Mount Laurel, NJ, office, (609) 291-0960 for the Bordentown, NJ, office, (609) 298-7000 for the Columbus, NJ, office, or (215) 332-5300 for the Philadelphia office.

Find out the best way to prevent diabetic ulcers from happening to you.

What is a diabetic foot ulcer and how do you know what to look for if you suspect that you might have one? When it comes to ulcers and Diabetic-Footother foot issues, it’s important that you seek immediate medical attention from one of our Philadelphia, PA, and Mount Laurel, Bordentown, and Columbus, NJ podiatrists if you have diabetes, as even small issues can lead to more serious complications.

What is a diabetic foot ulcer?

These are open sores or wounds that develop on the feet. These sores are often red, warm to the touch, and tender. In some cases there may be pus present or the sore may smell.

Foot ulcers in those with diabetes are actually quite common. In fact, about 1 in 4 people with diabetes will develop at least one ulcer during their lifetime. Even though they are common, it’s still important to take them seriously if the issue arises, as it can cause serious and life-threatening complications including infection, ischemia and amputation.

What does a diabetic foot ulcer look like?

Many times an ulcer occurs after the foot has sustained an injury, such as stepping on something or developing cracks from dry skin. While these minor injuries will often go away on their own in those without diabetes, if you have diabetes even the slightest foot injury can lead to diabetic foot ulcers and other problems.

What causes diabetic foot ulcers?

If you also have any of these conditions or factors below then you are at an increased risk for developing diabetic foot ulcers,

Diabetic neuropathy

  • Peripheral artery disease (PAD)
  • Chronic kidney disease
  • Being male
  • Being over the age of 60

When should I seek treatment for a diabetic ulcer?

It’s important to turn to your foot doctor in Philadelphia as soon as you notice an ulcer. Waiting more than 6 weeks for treatment could prevent the ulcer from healing properly.

Our podiatrists know the best treatment options to help you manage and effectively get rid of a diabetic foot ulcer. If you have diabetes it’s important that you have a foot specialist you can turn to for regular and immediate care.

The Foot & Ankle Group offers comprehensive foot care to patients of all ages living in Philadelphia, Mount Laurel, Bordentown and Columbus, NJ. If you are dealing with any changes in your diabetic feet call us right away.

Do you know the signs that may mean you have a diabetic ulcer? Prompt identification and treatment can help you avoid serious infections Diabetesthat may threaten your foot or leg. Your Philadelphia, PA, and Mount Laurel, Bordentown, and Columbus, NJ, podiatrists at The Foot & Ankle Group offer effective treatments for diabetic ulcers and other foot and ankle conditions.


What is a diabetic ulcer?

Diabetic ulcers are open sores that develop on the bottoms of your feet. In some cases, ulcers may be hidden under calluses, making them more difficult to detect. Signs and symptoms of diabetic ulcers may include:

  • Pain when pressure is applied to the sore or callus (If you have diabetic neuropathy in your feet, you may not be able to feel pain, even though you have an ulcer.)
  • Swelling, redness, and warmth around the ulcer
  • Discharge
  • Foul odor
  • Fever and chills


What causes the ulcers?

Even minor cuts or scratches can lead to ulcers if you have diabetes, particularly if the disease isn't well controlled. Blisters and calluses may have been minor issues before you developed diabetes, but that shouldn't be ignored now. A burst blister or the constant pressure from a callus can easily lead to an ulcer. Unfortunately, if you can't feel your feet due to neuropathy, you may not realize that you have a problem.

Daily self-exams are very important and can help you avoid serious infections. Call your Philadelphia, Mount Laurel, Bordentown, or Columbus foot doctor if you notice any of these signs or symptoms during your exam:

  • Broken skin
  • Skin that feels hot or cold to the touch
  • Redness or swelling
  • Foot, ankle, or leg pain
  • Sores
  • Ingrown toenails
  • Toenail fungus
  • Corns and calluses


How are diabetic ulcers treated?

Your foot doctor will clean your wound, teach you how to use protective dressings, and prescribe antibiotics. Given the importance of eliminating pressure on your foot while the ulcer heals, your podiatrist may also recommend using a brace or a pair of special shoes to help hasten healing. Although surgery isn't usually needed, it may be required to decrease pressure on the ulcer in some cases. Keeping your blood sugar level under control is also an important factor in healing.


Concerned? Give us a call!

Are you concerned about a diabetic ulcer or other foot or ankle problem? Schedule an appointment with the podiatrists at The Foot & Ankle Group by calling (215) 332-5300 for the Philadelphia, PA, office, (856) 234-0195 for the Mount Laurel, NJ, office, (609) 291-0960 for the Bordentown, NJ, office or (609) 298-7000 for the Columbus, NJ, office.

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