A person with a ruptured Achilles tendon may experience one or more of the following:● Sudden pain, which feels like they have been kicked or a stabbed, in the back of the ankle or calf—often subsiding into a dull ache● A popping or snapping sensation● Swelling or bruising on the back of the leg between the heel and the calf● Difficulty walking, especially upstairs or uphill, and difficulty rising up on the toes● Inability to bend your foot downward or to walk normally

In diagnosing an Achilles tendon rupture, a foot and ankle surgeon will ask questions about how and when the injury occurred, and whether the patient has previously injured the tendon or experienced similar symptoms. Your surgeon will examine the foot and ankle, feeling for a defect in the tendon that suggests a tear. Range of motion and muscle strength will be evaluated and compared to the uninjured foot and ankle, as well. If the Achilles tendon is ruptured, the patient will have less strength in pushing down, as on a gas pedal, and will have difficulty rising on the toes. The diagnosis of an Achilles tendon rupture is typically straightforward and can be made through this type of examination. In some cases, however, your surgeon may order a MRI or other advanced imaging tests.

Surgery is typically needed for a complete rupture. After surgery, your ankle will be kept stable in a cast or walking boot for up to 12 weeks. A torn ligament may also be managed non-surgically with a below-knee cast or boot, which would allow the ends of the torn tendon to heal on their own. This nonsurgical approach may take longer to heal, and there is a higher chance that the tendon could re-rupture. Surgery offers a better chance of full recovery and is often the treatment of choice for active people who wish to resume sports.

Many changes can be seen when the Achilles tendon becomes inflamed. Most of the time, there is no trauma or injury, but rather a slow progression of pain. Common symptoms of Achilles tendonosis include:● Pain and stiffness along the Achilles tendon● Pain along the tendon or back of the heel that worsens with activity● Severe pain the day after exercising● Swelling that is present all the time and gets worse throughout the day with activity
If you have experienced a sudden “pop” in the back of your calf or heel, you may have ruptured (torn) your Achilles tendon. See your doctor immediately if you think you may have torn your tendon.

To diagnose Achilles tendonosis, a thorough medical history is taken and an examination is performed. Patients will usually have pain right on the tendon or at the back of the heel. They may also have swelling and thickening of the tendon. X-rays may be taken to see if there are any bone spurs. A MRI or ultrasound may also be performed to further evaluate how much of the tendon is affected and to look for any tears.

Our foot and ankle doctors treat Achilles tendon injuries using cutting-edge techniques, such as radiofrequency coblation, platelet rich plasma injections and minimal incision surgery. These types of procedures expedite the healing process and allow patients to resume regular activities faster than conventional surgery options. In severe cases, the surgeon may recommend surgery to reattach a torn Achilles tendon or to remove the bone spur. Our foot and ankle surgeons will evaluate each patient’s medical history and customize a treatment plan to suit their individual needs.

Common symptoms of adult-acquired flatfoot deformity include:● Pain and/or swelling. As a result of inflammation of the nerve inside the tarsal tunnel, tenderness where the posterior tendon resides may occur and be accompanied by a burning, shooting, tingling or stabbing pain.● Difficulty walking. Individuals may experience a constant ache while walking long distances or an inability to walk altogether.● Change in foot shape. As an individual’s tendon stretches, the arch in their foot flattens, causing a change in the shape of the foot.● Inability to tiptoe. If an individual’s posterior tendon is damaged, he or she may find it difficult, painful or impossible to raise their heels or stand solely on their foot’s toes.

Diagnosis for adult-acquired flatfoot deformity is accomplished through a combination of physical evaluations and imaging tools, such as X-rays and MRIs.

If caught early, adult-acquired flatfoot can be effectively managed through non-surgical treatments, such as bracing, custom-molded orthotics, or cast immobilization. When conservative care fails, our physicians will select a surgical treatment that will restore mobility, reduce pain and stop the progression of this serious foot condition. Surgical treatment will be selected that best suits your needs. Procedure options include tendon transfer, tendon debridement, and joint fusion. Our foot and ankle surgeons may also perform an osteotomy, which involves surgically cutting and reshaping a bone to realign the foot.

Sprains are usually noticeable when they occur. But sometimes, a minor sprain will happen without your noticing. The primary symptoms of sprains include limited mobility, inflammation, pain, swelling and bruising. Strains are often accompanied by pain, cramping, swelling, muscle spasms, and stiffness or soreness in the muscle. As with sprains, you may be aware of the exact movement or activity that created the strain, or you may notice symptoms only later.

To diagnose ankle sprains and strains, your doctor will look at the impacted area and ask questions about the injury or accident. He or she may also order X-rays to ensure that you don’t have a broken bone in the ankle or foot. A broken bone can have similar symptoms of pain and swelling. If there is no broken bone, the doctor may be able to tell you the grade of your ankle sprain based upon the amount of swelling, pain and bruising. The doctor may order a MRI, after the period of swelling and bruising resolves, if he or she suspects a severe injury to the ligaments, injury to the joint surface, a small bone chip or other problem. The MRI can make sure that the diagnosis is correct.

Minor ankle sprains and strains may heal on their own with rest, ice, compression and elevation (RICE). Over-the-counter or prescribed anti-inflammatory medications and bracing may also be used to alleviate discomfort and swelling. Moderate sprains may need to be immobilized with air splits or cast-boots for 1 or more weeks. If symptoms persist or your sprain is severe, surgery may be required to repair the fully torn ligament. Surgery involves reconnecting the ligament to the bone. Your doctor will discuss the surgical options that best meet the needs of your injury.

Symptoms of arthritis may develop gradually over time or onset suddenly. Common symptoms include:● Flare-ups of pain in the affected joint when engaging in vigorous activity● Tenderness in the joint when pressure is applied● Swelling, warmth, or redness in the affected joint● Increased pain and swelling when first trying to walk either in the morning or after extended periods of sitting or resting● Experience difficulty in walking due to the aforementioned symptoms

Our physicians provide expert treatment for arthritis. Our specialists diagnose the condition through a thorough examination of a patient’s medical history and an evaluation of the patient’s symptoms. Gait analysis, which observes the way that the patient walks, will allow our physicians to better determine the severity and location of the condition, while diagnostic testing, including X-rays, CT scans, MRIs, and blood tests, will further confirm the presence of the condition.

Non-surgical techniques can slow the progression of the disease and lessen symptoms. Non-surgical treatment may include anti-inflammatory medication, wearing an ankle-foot orthosis (AFO), or undergoing viscosupplementation. During this procedure, lubrication fluid is injected into the joint, enabling it to move more smoothly. When debilitating arthritis pain still exists after conservative measures, our foot and ankle surgeons may recommend minimally invasive ankle arthroscopy, ankle arthrodesis or total ankle replacement. These surgical treatments can return patient’s to their normal daily activities and allow patients to remain active.

Though a visible bump on the side of the big toe is the most apparent symptom, there are several other indications that signal a bunion’s presence. These symptoms include:● Intermittent or chronic pain at the base of the big toe● Redness and inflammation● Hardened skin on the bottom of the foot● Possible numbness● A callus or corn on the bunion bump● A burning sensation● Stiffness and restricted motion in the big toe, leading to walking difficulties

In order to diagnose you properly, your doctor will consider your symptoms, examine your feet, and take X-rays to get a clearer view of the alignment of your toes and the condition of the joints in your feet.

Often, bunions are treated through nonsurgical treatment methods, which focus on reducing the pain and halting the bunion’s progression. Depending on your particular injury and symptoms, your doctor may recommend the following:● Proper Footwear. Make sure the shoes that you wear have a roomy toe box and a low heel so that the toes are not crowded.● Manage the Pain. Your doctor may prescribe or recommend the use of anti-inflammatory medications that will help to reduce inflammation, as well as the pain associated with your bunion. Sometimes a corticosteroid injection at the base of the big toe helps to further reduce inflammation.● Get the Right Support. Custom-molded orthotic devices provide support, and may have the added benefit of helping to reposition the misaligned joint.
For a more permanent solution that’s intended to eradicate the presence of the condition and restore your mobility, our physicians will perform bunion surgery to remove the unwanted bony growth and re-align the big toe. Your surgeon will customize the procedure based on your needs and anatomy.

Patients with calcaneus fractures usually experience:● Pain● Bruising● Swelling● Heel deformity● Inability to put weight on heel or walk
With some minor calcaneus fractures, the pain may not be enough to prevent you from walking—but you may limp. This is because your Achilles tendon acts through the calcaneus to support your body weight. If, however, your calcaneus is deformed by the injury, your muscle and tendon cannot generate enough power to support your weight. Your foot and ankle will feel unstable, and you will walk differently.

After discussing your symptoms and medical history, your doctor will perform a careful examination. He or she will examine your foot and ankle to see if your skin was damaged or punctured from the injury, and then check your pulse at key points of the foot to be sure that there is a good blood supply to the foot and toes. Your doctor will also check to see if you can move your toes, and can feel things on the bottom of your foot. Our foot and ankle experts use advanced diagnostic testing during examinations to determine the extent of the injury.

Your doctor will consider several factors in planning your treatment, including the cause of your injury, your overall health, the severity of your injury and the extent of soft tissue damage. To restore function and the heel’s original dimensions, Dr. Rappaport may recommend:● Nonsurgical treatment. If the bones have not shifted out of place, temporary immobilization devices, such as a cast, may be used.● Surgical treatment. When the bones are displaced, patients may require:● Ankle Fusion. In traumatic fractures where the cartilage is severely damaged, the calcaneus bone will be fused to the joint to stabilize the foot for walking.● Reduction. Use small incisions to correct bone displacement, then insert screws and metal plates to keep the heel bone in place.

Clubfoot symptoms appear in newborns at birth:● The top of the foot is twisted downward and inward, increasing the arch and turning the heel inward● The foot is turned severely to the point where it looks as if the foot is upside down● Calf muscles in the affected leg are noticeably underdeveloped● The affected foot is anywhere from 1 centimeter to roughly ½ of an inch shorter than the unaffected foot.
If treated immediately and effectively, clubfoot typically doesn’t cause any tremendously noticeable or lasting problems with regards to difficulties later in life. That being said, mobility may be slightly limited on that side, shoe sizes may vary, and the calf on the affected side may appear smaller from its initial underdevelopment. Of course, it is extremely important that clubfoot is treated properly to prevent more serious problems from occurring later in life.

Physicians can quickly diagnose clubfoot by detecting shape or position abnormalities in newborns’ feet. After diagnosis, X-rays may be administered to determine the condition’s severity. Fetal ultrasounds allow doctors to diagnose clubfoot while a baby is still in the mother’s womb, allotting parents more time to research and absorb the knowledge that’s necessary to find qualified health experts with the most efficient treatment for their child’s condition.

Our podiatric specialists use a number of cutting-edge surgical and non-surgical techniques to treat patients dealing with clubfoot. A proactive approach will be taken to prevent long-term disabilities from clubfoot while improving the appearance and function of your foot and ankle. Non-surgical methods involve manipulating the foot into the correct position. This may include repeated stretching, casting, splinting, and bracing for several weeks or months. Once the foot is correctly aligned, the infant may continue to wear a brace. The foot muscles can return to their original position, so the foot will have to be monitored by a foot specialist. When clubfoot is severe or doesn’t respond to non-operative methods, surgery may help lengthen the tendons or adjust the ligaments in the foot and ankle.

● Thick and hardened skin● Bump on the skin of the foot that is hardened and raised● Tenderness or pain under the skin● Flaky, dry or waxy skin● Pain or bleeding occurring in a centralized area of the foot

A physical exam of your feet and an X-ray will help doctors to determine if corns are present and whether or not there are any other physical abnormalities that are causing this condition to arise.

Rather than using over-the-counter (OTC) corn remedies, it is best to seek advice from your doctor. Self-treatment can result in cuts and burns that lead to infection, and patients with diabetes or circulation problems may have trouble healing. Experienced podiatry specialists can relieve corn discomfort without harmful risk to your foot and ankle. Depending upon your unique situation, one of the following treatments may be recommended:● Preventing the spread of infection with antibiotics● Carefully shaving or trimming thickening skin during an office visitIf the presence of a foot deformity is instigating the production of corns, our doctors will concentrate on addressing the underlying problem through the performance of minimally invasive surgery or other techniques.

Diabetic foot symptoms commonly come from the underlying issue that arises within the nerves and circulation of the peripheral extremities. Normal injuries to the foot or ankle, such as a twisting of the ankle or a puncture wound, can be exacerbated by an underlying diabetic issue. An infection of the foot, on the other hand, will cause redness, swelling, localized warmth, change in skin characteristics, fever, and chills.Several common conditions that arise from diabetic foot include:● Peripheral Neuropathy. More commonly known as nerve damage, this complication results in loss of pressure, temperature, and trauma to the feet, causing diabetics to be unaware that they have injuries or puncture wounds on their feet. Unattended cuts and wounds expose patients to open sores and potentially life-threatening infections. They may also state that they feel some numbness or tingling or a “pins and needles” feeling in the toes.● Charcot foot. Caused by numbness, this condition is a degenerative joint disease in which the bones disintegrate and fracture. Continuing to walk on the affected foot may result in more serious injuries that eventually warp the shape of the foot, leading to abnormalities or deformities.● Poor circulation. Diabetes can reduce the efficiency of the body’s circulation, which restricts the flow of nutrients and oxygen needed for natural repair and healing.

Diagnosing diabetic foot relies on a doctor thoroughly examining a patient’s medical history, including his/her diabetic history, and performing a physical exam, X-ray, ultrasound, angiogram and lab tests.

The best way to treat diabetic foot is by preventing small wounds from escalating into larger problems. Our physicians will provide a professional inspection of your feet, checking for the presence of any wounds or abnormalities, and provide the necessary care for any abnormalities that are found. They will also use tools to test the sensation that is able to be felt in the foot and lower extremities to determine how at-risk you are with diabetic neuropathy. All abnormalities and injuries—even the most minor—should be reported to our physicians. Diabetic foot treatment options are centered on increasing sensation and improving blood flow to the feet. Options include:● Proper-fitting footwear to maintain the integrity of the bone structure and improve circulation● A total contact cast or a custom-walking boot to promote blood flow● Surgical procedures to correct foot and ankle deformitiesOur foot and ankle doctors utilize diagnostic and treatment innovations to manage foot complications from diabetes. Diabetic foot care can help to alleviate pain and prevent further health problems.

Symptoms of hammertoe range in severity, but include:● Toes that are fixed in a downward bending position● Corns or calluses forming on the top of the toe joint● Difficulty walking● Inability to flex, wiggle, or move the affected toe joints● Pain or irritation on the top of a bent toe when putting on a shoe● Red coloring and swelling of the toe joint● Pain on the ball of the foot, under the bent toe

The physical characteristics of hammertoe make diagnosis readily apparent, but our physicians will perform a physical examination to further certify that the toe deformity is, in fact, hammertoe. During the exam, our physicians will manipulate the patient’s foot in ways to reproduce the symptoms that are being experienced and study the contractures of the affected toes. X-rays can help to determine whether other deformities are present and to further clarify the severity of the condition.

In the early stages, flexible hammertoes may be treated with non-surgical methods. Our foot and ankle experts may prescribe:● Orthotic devices to correct muscle imbalances● Padding to prevent corns and calluses● Proper fitting shoes● SplintingIf conservative measures fail or the toe has become tight and painful, our surgeons may suggest minimally invasive surgery to reposition the tendons and straighten the toe. The procedure reduces trauma to surrounding tissues, minimizes scarring and offers a faster recovery time. In some cases, traditional surgical correction may be required.

The main symptom of chronic heel pain is a discomfort that resides on the bottom of the heel and in the arch of the foot, which escalates upon arising and worsens over an extended period of time. Extended periods of inactivity, including waking in the morning or sitting for an extended period of time, increases heel pain. When the heel has been inactive, stiffness in the heel occurs along with heel pain.

Though plantar fasciitis is the most common diagnosis for heel pain, there are still several potential conditions that may cause this condition. It is important to have one of our physicians properly evaluate and examine your heel to determine the true underlying source behind your chronic heel pain. In doing so, our team can offer the best treatment approach for you.

Our expert foot and ankle doctors provide innovative nonsurgical options to alleviate chronic heel pain and restore full range of motion. The following may be recommended:● Icing● Stretching● Orthotic devices● Anti-inflammatory medication● Physical therapy● Extracorporeal shockwave therapy (a procedure that uses high-frequency impulses to break up scar tissue in the hindfoot)In rare cases when nonsurgical treatments are ineffective, our foot and ankle experts may suggest performing surgery to relieve heel pain. In cases of plantar fasciitis, specifically, the goal is to release tension in the plantar fascia ligament.

As the condition progresses, so do the symptoms. Early symptoms include:● Tender, swollen, or hard skin surrounding the toenail● Pain when applying pressure to the affected toe● Fluid build-up around the disturbed toe
A progressed condition typically indicates an infection, with symptoms including:● Red, swollen skin● Pain● Bleeding● Oozing Pus● Overgrowth of skin around the toe

Our physicians expertly diagnose and treat podiatric problems. Our specialists will physically examine the affected toe, and possibly perform X-rays to determine the depth of the nail under the skin and the severity of the condition.

If the toenail has pierced the skin, any sign of infection develops, or if you have diabetes or another medical condition that causes poor circulation and puts your feet at an increased risk for future injury or infection, consult our team right away. Our surgeons will examine the affected area and select the treatment best suited for your particular condition. Whether we perform minimally invasive surgery to fix the toenail or execute other tactics for pain relief, our team skillfully treats ingrown toenails, taking our every precaution to avoid harming the nail bed.

Because of intoeing’s substantial abnormal physical appearance, the condition’s symptoms reflect its exterior form:● Crescent moon-shaped feet● Inward turned shins or thighbones● Presence of pain or swelling in the feet and ankles● Development of limping as the condition progresses● Tripping, unusual clumsiness, and other walking complications

If pain, swelling, or a steady limp continues throughout the later years of childhood, contact the podiatric experts at Kayal Orthopaedic Center. Our physicians will provide a physical examination, diagnostic testing to evaluate the alignment of your child’s leg bones, and a standard X-ray or X-ray video to observe the child’s leg bones while in motion to come to an effective treatment solution.

In time, most intoeing conditions will heal and correct themselves. However, more severe cases may require further treatment. Oftentimes, if a baby between 6 and 9 months has a drastic case of intoeing with rigid or severely deformed feet, a cast or a pair of corrective shoes will be used to realign the feet, reduce the pain, and may be the only treatment the child will need. But, if intoeing does not dissipate with age or worsens as the child matures, our physicians are able to evaluate the patient and provide the proper treatment, based on the condition type and its severity.

The most common symptoms of a Lisfranc injury include:● The top of foot may be swollen and painful● There may be bruising on both the top and bottom of the foot; bruising on the bottom of the foot is highly suggestive of a Lisfranc injury● Pain that worsens with standing or walking

The diagnosis of a Lisfranc injury is made using several things: your symptoms, a foot exam, X-rays, and other imaging tests. Your orthopaedic foot and ankle specialist will examine the middle part of your foot to identify the location of pain, and then perform tests to check the stability of this area. X-rays may show broken and/or shifted bones in the middle of the foot. An MRI scan may be helpful, too, to determine if the ligaments in the foot are damaged. A CT scan can help determine the extent of the bone injury and is particularly useful when planning surgery.

If there are no fractures or dislocations in the joint, and the ligaments are not completely torn, nonsurgical treatment may be all that is necessary for healing. In these instances, a Lisfranc injury may be treated with casting, followed by custom-molded orthotics. However, a majority of Lisfranc fractures are unstable and displaced, so they require surgery. Your doctor will carefully assess your injury to determine the precise type and severity of the fracture. If you require surgery, your foot and ankle surgeon will reposition the joints and realign fractured bone fragments. Once bones are in their proper place, screws and metal plates are used to stabilize the joint and allow injured tissues to heal. In cases of severely ruptured ligaments and irreparable bone damage, your surgeon may even recommend fusion to “weld” together with the joints as a single piece.

Morton’s Neuroma symptoms are typically felt, rather than seen, and intensify as the neuroma grows. These symptoms include:● Tingling or numbness in the toes● A sensation that resembles walking on marbles or pebbles● Burning pain in the ball of your foot that may radiate into the toes

Often times, to diagnose Morton’s Neuroma, doctors will physically evaluate a patient’s foot by pressing on the foot in the affected area to feel for a mass or tender spot. Physicians will also keep an eye out for the presence of a “clicking” feeling between the bones of the foot. Our physicians will use X-rays, ultrasound or an MRI for further diagnosis and to determine the severity of the condition.

After diagnosis, the treatment approach is evaluated. The severity of the Morton’s Neuroma condition determines the treatment method. For early stages or less severe cases, conservative treatment may be used, which involves the use of custom foot orthotics and footpads to lessen the pressure that’s being put on the affected nerve and the balls of the feet. For more severe cases or instances where conservative treatment methods fail, our physicians will use alternative treatment measures to treat Morton’s Neuroma. These methods include:● Injections. Steroid injections temporarily alleviate pain in the affected area.● Decompression surgery. This procedure aims to relieve the pressure that’s being applied to the nerve by cutting nearby structures, such as ligaments that bind together some of the bones in the front of the foot.● Removal of the nerve. Surgically removing the growth that formed on the nerve may be necessary if other treatments fail to provide pain relief.

Pain is the most reported symptom of posterior tibial dysfunction. Typically, the pain will occur along the inside of the foot and ankle or on the outside of the ankle, due to the foot collapsing and the heel bone shifting into a new outward position.

The physicians at Kayal Orthopaedic Center will perform a thorough physical examination, where they will observe the foot and ankle’s movement, and check for several distinguishing physical characteristics that indicate the condition’s presence. Our physicians will look for:● Swelling from the lower leg to the inside of the foot and ankle● Change in the shape of the foot, with either the heel tilted outward or the arch collapsed● The presence of “too many toes” where, if looking at the heel from the back of the foot, more toes are visible than should be● Ability to stand on one leg and rise up on the tiptoes● Foot flexibility● Limitations in the ankle’s range of motion
Imaging tests, such as an X-ray, an MRI, a CT Scan, or an ultrasound, may be performed for further diagnosis confirmation.

When caught early, PTTD symptoms often improve without surgical intervention. Traditional treatment methods, like bracing and orthotics, short leg casts (for immobilization), physical therapy and/or medication, may eliminate pain. When conservative measures fail, surgery is an effective option to relieve pain. Depending on the severity of PTTD, our expert surgeons may recommend:● Hindfoot fusion in advanced stages when arthritis is present● Minimally invasive arthroscopic surgery to repair inflamed or torn tendons● Osteotomy to cut, reshape and realign the foot● Viscosupplementation for arthritic pain relief, which involves injections to lubricate the bones for better range of motionOur physicians customized approach to foot and ankle treatment ensures that patients receive the best possible outcome.

Rheumatoid arthritis symptoms often begin in small joints such as the knuckles of the hands and the toes of the feet. The most common symptoms are pain, swelling, and stiffness in the joints. Typically, these symptoms transpire in multiple joints throughout the body. Since this condition is a systemic disease, an affected individual may feel more diffuse symptoms including fever, loss of appetite, body tiring easily, and lumps developing near the joints.

Diagnosis of rheumatoid arthritis involves a thorough physical examination of the affected area and an evaluation of the patient’s medical history. The Kayal Orthopaedic Center physicians in Bergen County will look for specific physical characteristics that indicate the presence of RA. These include:● Skin. The presence of callouses indicates areas where abnormal pressure is being applied.● Joint shape. RA weakens ligaments, which causes joint deformities, such as bunions, claw toes, finger angulation, and flat feet to arise.● Flexibility. A joint’s flexibility directly relates to the stage of the condition. If the joint still has a decent level of flexibility, then the condition is in its early stages. If flexibility is limited or barely present, it’s a good indication that there has been a significant loss of cartilage and the condition has progressed.● Tenderness. To determine which joints RA has affected and the severity of treatment required, our physicians will apply pressure to specific areas to see which joints react to the pressure and which remain unbothered.There are other tests our physicians may request to further confirm the affected patient’s diagnosis, including an X-ray, a CT scan, and an MRI scan, which can be conveniently scheduled at Kayal Medical Imaging in Bergen County. A blood test is frequently utilized to test the patient’s blood for certain autoimmune markers.

Once a diagnosis has been made, Dr. Kayal and his team will assist patients, who can choose from several convenient offices in Bergen County, with deciding on treatment options. Although there is no existing cure for rheumatoid arthritis, there are progressive approaches that may alleviate symptoms and slow down the progression of the condition. Conservative, non-surgical treatment measures may involve steroid injections, orthotic devices, and viscosupplementation, in which lubrication fluid is injected into the joint. Medications can also help to slow down the progression of the disease. For more severe cases, surgical options may be recommended based on our physician’s discretion. Possible surgical treatment options include:● Minimally invasive arthroscopy to remove diseased cartilage● Fusion for severely damaged joints or ligaments● Total ankle replacement to restore the ankle’s range of motion

Our physicians will examine the patient’s foot to look for tenderness at the sesamoids bones, while strategically manipulating the big toe to see which movements intensify the pain. In addition, our foot and ankle specialists may take X-rays of the forefoot to confirm diagnosis.

Once a diagnosis has been made, Dr. Kayal and his team will determine the best treatment plan for the patient. Possible non-surgical treatment options include:● Discontinuation of any activities that stimulate pain● Use of padding to cushion the inflamed area● Wear soft-soled, low-heeled shoes● Take oral medications to reduce pain and inflammation● Wear custom orthotic devices designed to assist with chronic sesamoiditis
Despite the rarity of the need for surgery, our expert podiatrists may recommend it as a treatment approach for extremely severe cases and when no other methods manage to provide the patient with relief.

Patients with talus fractures usually experience:● Acute pain● Inability to walk or bear weight on the foot● Considerable swelling, bruising, and tenderness

After discussing your symptoms and medical history, your doctor will do a careful examination. To minimize future complications, our New Jersey foot and ankle specialists will promptly pinpoint the site of the fracture, check to see if there is an adequate blood supply to the foot, and look for damaged nerves. Then, your doctor will order imaging tests to determine whether surgery is required.

Our podiatric specialists treat talus fractures with the latest technology, including innovative surgical procedures, to restore motion, function and strength. Treatment options vary based on the magnitude of the talus fracture. If bones are in their proper positions, your doctor may suggest wearing a cast. After the cast is removed, prescribed exercises can restore strength and range of motion. Unfortunately, though, most fractures require surgery to reset the talus. During surgery, your surgeon will remove small bone fragments and insert screws or pins to hold the bone in place while it heals. Patients should avoid placing weight on the injured foot and ankle during the recovery period.

Because tendinitis can develop in various areas of the body, the symptom’s severity can range from a minor ache to an extreme, shooting pain throughout the joint. Common symptoms include:● A dull or extreme ache, especially when moving the affected limb or joint● Tenderness● Swelling

Typically, our physicians can diagnose tendinitis by listening to the patient’s description of discomfort and conducting a physical examination of the affected area, looking for inflammation and tenderness. Using applied resistance, our physicians can further assess the affected area to measure the patient’s austerity of pain and mobility limitations. Our physicians may order an X-ray or other imaging tests for additional diagnosis confirmation and to evaluate the severity of the condition.

Once a diagnosis has been made, the first step of tendinitis treatment is to discontinue the activity or repetitive motion that was determined to be causing the condition to develop. To reduce inflammation and swelling, our physicians may recommend the use of a splint or brace to immobilize the affected area. Other non-invasive treatments include taking non-steroidal anti-inflammatory medications to reduce inflammation and ease pain and engaging in physical therapy to stretch and strengthen muscles and tendons. For instances where non-invasive treatments fail to resolve tendinitis, our sports medicine specialists may perform steroidal injections into the affected area to accelerate healing. In severe cases, our physicians may recommend minimally invasive surgery to remove the inflamed tissue.