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Newton, NJ 07860


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Items filtered by date: September 2017

Have you ever heard of Haglund’s Deformity? Informally called “Pump Bump” in many podiatrist’s offices, Haglund’s Deformity is a bony enlargement on the back of the heel. Once formed, the bump rubs against the shoes and irritates the soft tissue near the Achilles tendon. A painful inflammation of the fluid-filled sac (bursa) between the tendon and bone often follows. This is called bursitis.

Symptoms of Haglund’s Deformity

How can you tell if you are developing Haglund’s deformity? Be alert to changes in one or both feet, including a bump on the back of the heel that you can see or feel, pain or discomfort where the Achilles tendon attaches to the rear of the foot, and/or redness or swelling at the back of the heel.

Causes and Prevention of Haglund’s Deformity

The cause of Haglund’s Deformity is simple to understand: the long-term daily wearing of dress shoes, especially high-heeled shoes. The rigid backs of those pumps create and aggravate the deformity and attendant bursitis. This is why foot doctors see the condition more often in women than in men. However, no one is immune. Any shoes with rigid backs can cause the deformity, including men’s dress shoes. You may also be at higher risk if you are someone with naturally high foot arches, have tight Achilles tendons, or tend to walk on the outside of your feet.

Once you understand the cause of Haglund’s Deformity, you can take the single most important step to prevent it. Save your dress shoes for special occasions. They might look great, but they’re tough on your feet! In addition to Haglund’s deformity, daily wearing of high heeled or rigid shoes can also contribute to bunions, hammertoes, and heel pain.

Treating Haglund’s Deformity

Your foot doctor may offer a variety of treatment options for Haglund’s Deformity, including over the counter and prescription medications to reduce inflammation, frequent and regular icing, physical therapy, exercises and stretches, shoe inserts including custom orthotics, and new shoes to minimize discomfort and reduce the risk of recurrence. If these approaches do not solve the problem, surgery may be needed.

With decades of education and experience, Craig Wexler, DPM is an expert at treating Haglund’s Deformity or any other foot or ankle issue you may be experiencing. He can help with non-invasive solutions and, if necessary, provide expert surgical care. At Wexler Foot Center, you will receive a thorough examination, correct diagnosis, and thorough follow up. Call our staff at (973) 383-3115 or click here to schedule a convenient appointment in our comfortable Newton location today.

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Osteoarthritis is a common type of age-related arthritis, a degenerative joint disease. It develops slowly after chronic wear and tear on the joints over a long period of time. Cartilage breaks down after years of inflammation and injury. Pain, swelling, decreased range of motion, and deformity result.

Each of your feet has 28 bones and more than 30 joints so, of course, they are prone to any disease that affects those areas. 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 are most commonly affected.

Be on the lookout for the following four most common symptoms of podiatric osteoarthritis:

  1. Stiffness in the joint
  2. Swelling in the joint
  3. Tenderness or pain
  4. Reduced ability to move, walk, or bear weight

After diagnosis, your podiatrist can treat your osteoarthritis in many ways. While surgery is occasionally necessary, your foot doctor will try non-surgical methods first. Options include:

  • Custom orthotics prescribed by your podiatrist
  • Physical therapy
  • Steroid injections
  • Anti-inflammatory and pain relieving medications
  • Weight management

Exercises for Feet with Osteoarthritis

  • Achilles stretch: With your palms flat on a wall, lean against the wall and step one foot toward the wall than the other. Lean forward, leaving your heels on the floor. Repeat three times on each side, holding for 10 seconds each time.
  • Toe stretches: Put your foot on a table or ottoman and flex the ankle. Pull the big toes away from the other toes, then squeeze all the toes together. Repeat five times on each side, holding each stretch for 10 seconds.
  • Toe curl: Put a small object, such as a pen or pencil, on the floor and try to pick it up and put it down with your toes. Repeat five times on each side.

Is standing or walking causing pain in your feet or ankles? It might be osteoarthritis. The best way to determine the source of your discomfort is with a visit to Craig Wexler, DPM. He will use state of the art equipment and technology to determine whether you’re dealing with arthritis or another condition and then will work with you to create an effective plan for moving forward. Click here or call Wexler Foot Center ‘s friendly staff at  (973) 383-3115 today to schedule an appointment in our convenient Newton office.

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A corn is a hard, thickened area of skin on your foot. There are three different common kinds of corns, each typically appearing in a different spot:

  1. Seed corns are tender clusters of tiny corns that tend to appear on the bottom of the feet. Seed corns may be the result of blocked sweat glands.
  2. Hard corns generally occur on the tops and sides of the toes, usually appearing as a small patch of thickened, dead skin with a small, dense plug of skin in the center.
  3. Soft corns occur between the toes. They have thinner surfaces and more smooth centers than hard corns, and they usually appear whitish and rubbery.

Other less common corns include neurovascular corns, fibrous corns, Durlacher’s corns, and subungual corns.

A callus is a patch of hard, dead skin that can develop as a result of friction anywhere on your body. On your feet, the most common callus is called a plantar callus and are typically found at the ball on the bottom of the foot.

Preventing and Treating Corns and Calluses

The good news is that corns and calluses are can be both prevented and treated. Here are some tips from Craig Wexler, DPM to help keep your feet corn and callus-free:

  • Buying new shoes? Always have both feet professionally measured. Changes in foot size are common as we age.
  • Insist on properly fitting shoes.  If you can't wiggle your toes, your shoes are too tight.
  • If you have bunions or hammertoes, make sure that the shape of your shoes offers plenty of room to accommodate the affected toes.
  • Avoid pointy shoes and high heels. They squeeze the toes and cause friction.
  • Replace worn out sneakers or hiking boots after 6 months or 500 miles.
  • If the soles or heels of your shoes are wearing unevenly, talk to your podiatrist. Custom orthotics might even out your gait.

Avoid at-home remedies and over-the-counter corn and callus removal pads containing any sort of acid. These can cause complications, especially for patients with diabetes, compromised immune systems, or other chronic health conditions. The best course of treatment for your corn or callus always begins with a visit to your foot doctor. Your podiatrist will draw on years of education and experience to determine the source of your discomfort, then use state of the art technology to remove your corn or callus as painlessly as possible.

Corns and calluses affect more people than any other podiatric complaint. Do you have a hard, painful spot of skin on your foot? Click here or call Wexler Foot Center today at  (973) 383-3115 to schedule an appointment in our convenient and comfortable Newton office. Dr. Craig Wexler will examine your feet, diagnose your condition, and work with you to implement to most effective solution for your problem.

Published in Blog
Friday, 08 September 2017 15:59

What Is Morton’s Neuroma?

A neuroma is a thickening of nerve tissue that can occur anywhere in the body. This results from compression and irritation and creates the swelling and enlargement of the nerve. In the feet, Morton’s neuroma develops between the third and fourth toes most commonly, although neuromas may also occur in other locations in the foot.  If left untreated, neuromas can lead to permanent nerve damage.

Anything that squeezes or bothers the nerve can lead to the development of a neuroma.

Common causes of Morton’s neuromas include:

  • Long-term engagement in activities involving repetitive irritation to the ball of the foot such as running or court sports
  • Pre-existing foot deformities such as bunions, hammertoes and flat arches
  • Repeated, frequent wearing of high-heeled shoes with pointed toe boxes
  • Injury or other trauma to the foot

Typically, the symptoms of a Morton’s neuroma begin gradually. At first, you may notice them only occasionally when wearing certain shoes or engaging in particular activities. They may improve or even disappear when you take off your shoes or massage your foot. In time, the symptoms will worsen and may persist for days or even weeks at a time, becoming more intense as the neuroma enlarges and the temporary irritation to the nerve becomes permanent damage.

You may notice any or all of these symptoms especially in the area between your third and fourth toes if a Morton’s neuroma is developing:

  • Persistent discomfort
  • Tingling, burning, or numbness
  • A feeling like there is something inside the ball of your foot, in your shoe or like a sock is bunched up under your foot

The treatment for your Morton’s neuroma will depend on the severity of the problem. The sooner your neuroma is diagnosed, the more likely it is that non-surgical treatments will be effective.  These may include icing, orthotics, activity restrictions, practical shoes, over the counter or prescription medications, and injection therapy. Surgery is sometimes necessary for patients whose neuromas have not responded to nonsurgical treatments.

It’s best to visit the podiatrist’s office as soon as possible if you notice the symptoms of a Morton’s neuroma or any other changes in the look and feel of your feet. With years of specialized training and experience, your podiatrist is the best-qualified professional to diagnose and treat issues of the feet, ankles, and lower legs.

Is foot pain interfering with your ability to stand or walk comfortably? Call Wexler Foot Center at  (973) 383-3115 or click here to schedule an appointment in our comfortable and convenient Newton office. Dr. Craig Wexler will examine your feet, diagnose your issue, and work with you to create an effective plan for treatment.

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