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Screening Test for Peripheral Artery Disease

Peripheral artery disease, or PAD, occurs when fatty deposits, called plaque, build up in the arteries, narrowing them and reducing blood flow to the legs and feet. This lack of blood flow can result in pain, sores, infections, and, in severe cases, gangrene, which can be serious enough to require amputation. Risk factors include smoking, diabetes, high blood pressure, and an age of 65 or older. A key screening tool for peripheral artery disease is the ankle-brachial index, or ABI test, which measures blood pressure at the ankle and compares it to blood pressure in the arm. This helps assess how well blood circulates in the lower limbs. Symptoms of PAD include leg pain or cramping during walking that eases with rest and wounds on the feet that heal slowly, or not at all. Additional tests include a Doppler ultrasound, which uses sound waves to visualize blood flow and detect blockages and a toe-brachial index, or TBI test, to measure blood pressure in the toes. If you experience symptoms of poor circulation to the feet, it is suggested that you schedule an appointment with a podiatrist for testing and treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Robert Marcus from Foot & Ankle Center of Teaneck. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

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Myths About Orthotics for People with FSH Muscular Dystrophy

FSH muscular dystrophy, or facioscapulohumeral muscular dystrophy, is a genetic disorder that primarily weakens the muscles of the face, shoulders, and upper arms. Over time, it can also affect muscles in the feet, legs, abdomen, and hips. Symptoms often begin in adolescence or early adulthood, with progression and severity varying widely between individuals. Muscle weakness in FSH muscular dystrophy results from the gradual breakdown of muscle tissue, affecting mobility and balance. While there is no cure, treatments like custom orthotics can significantly improve function, reduce symptoms, and enhance quality of life. Many people with muscular dystrophy worry that orthotics might signal disability or be uncomfortable. This is a myth. Orthotics can support weakened muscles, reduce pain, enhance balance, and prevent falls. If you have a condition like FSH muscular dystrophy that affects strength and balance, it is suggested that you consult a podiatrist to discuss customized orthotics for your specific needs.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Robert Marcus from Foot & Ankle Center of Teaneck. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

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Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Understanding Plantar Fasciitis

Plantar fasciitis is a common foot condition that causes pain in the heel and bottom of the foot. It occurs when the thick band of tissue along the sole of the foot, called the plantar fascia, becomes irritated or inflamed due to overuse, improper footwear, or excessive pressure. The hallmark symptom is sharp, stabbing pain in the heel, especially with the first steps in the morning, or after long periods of sitting. Treatment options include rest, stretching exercises, and anti-inflammatory medications. Wearing supportive shoes or using custom orthotics can also provide relief. In more severe cases, corticosteroid injections or even surgery may be necessary. A podiatrist can offer personalized advice, diagnose the condition, and recommend the best treatment plan. They can also help prevent future flare-ups by addressing underlying issues like improper gait or foot structure. If you are experiencing heel pain, it is suggested that you schedule an appointment with a podiatrist to get the care you need.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Robert Marcus  from Foot & Ankle Center of Teaneck. 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 office located in Teaneck, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding Driver's Foot

Driving for extended periods can lead to various types of foot and ankle pain, commonly referred to as driver's foot. One prevalent issue is pain in the heel and arch, often caused by maintaining pressure on the accelerator or brake pedals for long durations. This repetitive motion can lead to conditions such as plantar fasciitis or tendonitis. Additionally, discomfort may arise in the toes, particularly from cramped foot positions, leading to conditions like Morton’s neuroma. Drivers may also experience ankle pain due to the constant flexing and extension required for operating the pedals. Poor footwear choices can make these issues worse, as shoes lacking proper support contribute to fatigue and discomfort. If you have foot pain from driving, it is suggested that you consult a podiatrist who can offer you relief and treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Robert Marcus from Foot & Ankle Center of Teaneck. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

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