An ankle effusion refers to a buildup of fluid inside the joint that causes swelling, pain, and stiffness. The ankle can feel tight or sore when walking. Some people notice warmth or difficulty when moving the joint. Ankle effusion often develops after a sprain, a hard blow to the foot, or repeated stress from sports activities. It can also result from arthritis, infection, or inflammation caused by the immune system. A podiatrist can examine the ankle and order imaging tests, such as X-rays or scans, to look for hidden injuries like small fractures or torn tissue. Treatment focuses on reducing the swelling and improving comfort. Care includes anti-inflammatory medication, ankle bracing, and removing excess fluid from the joint. Patients are also guided on ways to protect the ankle to avoid swelling and joint damage. If you have a swollen ankle, it is suggested that you schedule an appointment with a podiatrist for effective treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Scott Amoss, DPM of Advanced Foot & Ankle Specialists. our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our offices located in Whiting and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The arches of the foot play an important role in how people stand, walk, and move. Each foot has three arches that include a high inner arch, a lower outer arch, and a cross-arch near the ball of the foot. These structures are supported by strong tissues that help hold the foot together. The arches work like springs, helping to absorb shock and spread body weight with each step. They also help the foot stay flexible, which allows smooth movement while walking and running. When the arches do not function properly, too much stress can be placed on certain areas of the foot. This can lead to pain, poor balance, or changes in walking patterns. A podiatrist can examine foot structure, assess how the arches function, and order imaging tests to confirm a diagnosis. Treatment options include custom orthotics, bracing, or other methods to improve support and alignment. If you have arch pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you have any concerns about your feet, contact Scott Amoss, DPM from Advanced Foot & Ankle Specialists. our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Whiting and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A fungal toenail infection can be frustrating when it keeps coming back. This infection occurs when fungi grow under or within the nail, leading to thick, discolored, and brittle nails. Recurrence is common because the infection can linger in the nail or surrounding skin even after treatment appears successful. It may take up to a year and a half for a new, healthy nail to fully grow, so early improvement does not always mean the fungus is gone. Risk factors for recurring toenail fungus include poor circulation, diabetes, and repeated exposure to warm, moist environments. A podiatrist can confirm the diagnosis with an exam and testing to create a treatment plan that targets the infection at its source. Care may include prescription medications, nail care, and monitoring nail growth. If you have a stubborn fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment plan.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Scott Amoss, DPM of Advanced Foot & Ankle Specialists. our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our offices located in Whiting and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A detached toenail can occur from direct injury, fungal infections, psoriasis, or complications related to diabetes. Once a toenail separates from the nail bed, it cannot be reattached and must be allowed to grow out naturally as a new nail forms. Risk factors include repetitive trauma, wearing tight footwear, poor circulation, and underlying skin or metabolic conditions. Symptoms include pain, discoloration, thickening, or complete nail lifting. A podiatrist can evaluate the cause, safely manage the affected nail, help prevent infection, and support healthy regrowth with proper care. They can also help address underlying conditions that contribute to nail problems. If your toenail has fallen off, it is suggested that you consult a podiatrist who can determine the cause and guide you toward management tips as the new nail grows in.

Toe pain can disrupt your daily activities. If you have any concerns, contact Scott Amoss, DPM of Advanced Foot & Ankle Specialists. our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our offices located in Whiting and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.