- Osteoporosis
- Warts
- ArthritisVarious forms of arthritis may also cause ankle pain. Rheumatoid arthritis (RA) causes the immune system to attack healthy joints, like the ankle joint, by mistake, causing stiffness and swelling in both ankles. Osteoarthritis occurs when cartilage covering the ends of bones wears down, causing the bones to rub against each other. This results in pain, stiffness, and reduced range of motion in the ankle. Gout is a form of arthritis where excess amounts of uric acid in the bloodstream crystallize and build up on joints, causing severe pain and swelling. Reactive arthritis causes joint pain and swelling in the ankle in response to an infection in another part of the body.
- Plantar FasciitisOrthotics, unlike typical shoe inserts, are prescribed by a podiatrist to help provide your feet with cushion and support. They can also aid in correcting a specific foot condition that you may be dealing with. Conditions such as diabetes, plantar fasciitis, bursitis, arthritis, and flat feet can highly benefit from the use of orthotics, and orthotics may assist you in alleviating pain that often comes with those ailments.
- Medical Weight LossIf you’re experiencing any discomfort or pain due to one of the above forms of arthritis, consider over-the-counter pain medication and investing in comfortable footwear. Pain medication coupled with top of the line comfort footwear is a great way to ease the pain that often comes with arthritis. If you’re overweight, it’s also recommended to think about setting a weight loss goal to ease some of the pressure on your feet, as well stay as active as possible. Applying ice or heat to the affected area is another way to calm the discomfort you may experience. It’s important to do research and see whether inserts may be beneficial for you. General foot care, like pampering your feet and keeping them well maintained, is also recommended. Lastly, you should seek professional advice and learn about potential surgery options, if necessary.
- Pediatric CarePodiatrists treat people of all ages, and most podiatrists treat a variety of general foot and ankle conditions. These include heel pain, ingrown toenails, toenail fungus, bunions, arthritis, plantar warts, hammertoes, flat feet, neuromas, arthritis, and diabetic foot. Many podiatrists specialize in specific foot concerns or areas of foot medicine. These include bunion removal or correction, wound care, orthotics, sports medicine, fractures, and pediatrics.
- Family PracticeDr. Marchese is in private practice since 1989 in the office he started and constructed. He chose Avenue U because it was in the neighborhood he was born in, and it allowed him to develop the type of family practice he wanted. He has added to that practice by opening the Staten Island location in 1995, and now with his primary office in Manalapan, NJ. Both offices being in communities that he has family ties in.
- Emergency CareElderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds, and every 19 minutes, an older person dies from falling. In light of these striking statistics, one can see the importance of taking steps to prevent falls.
- Diabetic Foot CareDr. Marchese is available to treat foot and ankle ailments such as diabetic foot care, ingrown toenails, fungal toenails, warts and painful calluses. Our practice specializes in general foot care. Please call our office in Manalapan (732) 845-0100 for an appointment.
- Pregnancy
- Diabetes Care
- MRIPodiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.
- X-Rays
- Computed TomographyX-rays are the most common way to diagnose a broken ankle. X-rays show if the ankle is broken and where exactly the fracture is located. It will also show how many pieces of broken bone there are. A second method of testing to see if an ankle is broken is a stress test. To do this, the doctor will put pressure on the ankle and perform a stress test to determine if the fracture requires surgery. Other methods for diagnosis include CT scans and MRI scans.
- Wound CareWound care is particularly important for those with diabetes. It’s possible that what appears to be a small wound could turn into more severe foot complications down the road if left untreated. It’s common for those with diabetes to experience neuropathy. Neuropathy is a type of nerve damage that affects the body and can cause you to lose feeling in the feet. If you’re no longer experiencing feeling in your feet and a wound develops, it’s very possible it may go unnoticed if you don’t check your feet daily.
- Ankle SurgeryWhen it comes to receiving foot and ankle surgery, it’s typically a case by case situation. Some factors that play a role in whether or not you need surgery include the severity of your symptoms as well as your response to other conservative, noninvasive treatment methods.
- BunionsReasons that a person may develop a bunion can vary. Some patients may form bunions due to genetic factors, complications with arthritis, or a weak foot structure. General aging can also play a role in the formation of a bunion.
- GangreneElderly people who have diabetes are at risk of developing serious foot problems that may lead to amputation. Ulcers that are left untreated can lead to gangrene. Dry and cracked feet, fungus, and untended cuts under the nails may also lead to infections.
- Ingrown ToenailsThere are many reasons why an ingrown toenail may develop. Improperly cutting your toenails is a major cause of ingrown toenails. If toenails aren’t cut straight across or are cut too short, the likelihood of getting an ingrown toenail may increase. Other causes include having unusually curved toenails, wearing shoes that don’t give your toes an ample amount of space, and hereditary factors. Injuring the toe by stubbing it or having an object fall on it may also lead to ingrown toenails. If left untreated, an ingrown toenail can lead to further complications with the foot.
- CornsCorns are hardened bumps, normally found on the top or on the side of the toes. Some may also be found on the bottom of the feet. Corns are typically small and circular and have either hard or soft centers. Hard corns are generally found on the more firm areas of the foot, while soft corns are typically found in areas prone to be more moist, such as in between the toes.
- UlcerThere are several different causes of cracked heels. One of the most common reasons for this ailment is dry skin. This problem may make your keeps feel rough tight and itchy. Dry skin may be caused by cold air, extremely hot water, harsh soaps, and aging. Skin disorders such as eczema and psoriasis may eventually lead to dry skin. In some cases, complications may arise from cracked heels. Some of these complications are a loss of feeling in the heel, cellulitis, or a diabetic foot ulcer.
- CallusesCorns and Calluses are both hardened layers of thickened skin that develop because of friction. Both ailments are typically found on the feet and may be unsightly. Although they have similarities, corns and calluses are different from each other.
- Eczema
- FungusThe area of the toes is generally warm and damp, unfortunately making it a great area for fungus to grow. If left untreated, the fungal infection can spread, which is why it’s so important to get professional help early on and look into your treatment options.
- PsoriasisDiagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.
- Sports MedicineSome common contributors that lead to foot and ankle injuries in the realm of sports include not stretching properly or failing to warm up, wearing the incorrect footwear needed for your particular sport, as well as not taping or providing your feet and ankle with the needed support. There are a number of foot conditions that can develop if certain safety measures are ignored. Some of the most common conditions related to sports injuries include Achilles tendinitis, plantar fasciitis, and stress fractures, to name a few.
- Physical TherapyPossible conditions that may arise due to injury of the Achilles tendon include tears, ruptures, tendinitis, peritendinitis, tendinosis, tendinopathy, and bursitis. When trying to diagnose if one has issues with their Achilles tendon, a podiatrist will commonly check for any pain, swelling, or discoloration around the heel or lower leg area. Different treatments for issues concerning the Achilles tendon vary, but may include over-the-counter or prescribed pain relievers for intense discomfort, alternating ice and heat therapy, custom-made orthotics, physical therapy, and in severe cases, surgery. To help prevent injury to the Achilles tendon, it’s recommended to regularly perform stretches involving the muscles of the lower leg.
- Flatfoot Correction
- Heel Pain
- Ankle SprainThere are many factors that play into the cause of ankle sprains. Simple, everyday activities like walking can lead to an ankle sprain if the activity is being done on an uneven surface. The same goes for running or exercising. Those who partake in sports may be more susceptible to obtaining a sprained ankle because they’re more likely to fall or land uncomfortably after a jump, which can lead to an injury.
- Back Pain
- Orthotics and Prosthetic Therapy
- General PodiatryTo ensure your convenience, below is the information you need about our podiatry office, including our hours, locations, appointment scheduling and insurance acceptance.
- Achilles TendonitisThere are many different causes of heel pain, including strains or sprains, tarsal tunnel syndrome, stress fractures, Achilles tendonitis, and heel bursitis. One of the most common causes of heel pain for children and teenagers specifically is Sever’s disease. Sever’s disease can develop due to overuse or repetitive microtrauma of the heel bone's growth plates. This condition is often seen among those who are active in sporting activities.
- Ankle InstabilityOther forms of ankle pain include bursitis (an inflammation of a cushioning bursa sac between tendons and bone), scleroderma (a thickening of connective tissues), chronic ankle instability (caused by improperly healed ankle sprains), Achilles tendon injuries, flat feet, or an infection in the ankle.
- Ankle SprainAnkle pain, while initially thought of as an issue for athletes, can affect anyone at anytime. Simple, everyday activities, such as walking or running on an uneven surface, have the possibility of causing serious harm to one’s ankle. That is, however, not to discount athletic injuries; in fact, half of all ankle sprains are inflicted during an athletic activity. The most common causes of ankle injuries include tripping or falling, landing awkwardly after jumping, a sudden impact such as a car crash, or twisting, rolling, and rotating of the ankle.
- Arthritic Foot Care
- Bunions ProblemsA bunion is a bony, painful swelling that is often formed on the first joint of the big toe. Bunions can be extremely painful due to the weight of all your body resting on it each time you take a step. Everyday activities, such as walking and wearing shoes, can cause you extreme discomfort if you have a bunion.
- Calluses
- Diabetic Foot CareAlways washing and thoroughly drying the feet are pertinent parts of diabetic foot care. There should be a focus on cleaning between the toes. Even if no pain is felt, the entire foot should be examined for redness and sores. Neuropathy can often mask the pain of sores and ulcers and can cause these conditions to be overlooked. Use a mirror to examine the underside of your feet if needed. It is recommended that diabetics wear well-fitting socks.
- Flat FeetWhen it comes to treating flat feet or fallen arches, it’s suggested you get plenty of rest. Frequently ice the affected area to help reduce swelling. Performing daily stretches are a great way to loosen up your muscles and relieve strain. It may also be beneficial to look into orthotics or shoe inserts to help relieve the pain.
- Fungus ToenailsFungal infections occur due to fungus getting through the cracks of the toes or cuts in your skin. Common signs that you may have a fungal infection include thicker than normal toenails, oddly shaped toenails, discoloration, a yellowish hue to the nail, and separation of the nail and nail bed. Fungal infections can affect anyone but are most common among men, those with diabetes or athlete’s foot, and smokers. The risk of having toenail fungus also increases as you age, if another family member has it, and if you have a weaker immune system.
- Geriatric Foot Care
- HammertoesHammertoes can be identified by an abnormal bend in the middle joint of the toe. This abnormal bending can lead to added pressure on the toe when wearing shoes. It can also cause pain or discomfort when walking or running. Because hammertoes typically worsen overtime and become increasingly more rigid, it’s recommended that you seek the help of a podiatrist for treatment options if you believe you’re experiencing the symptoms of this deformity.
- Heel SpursThere are different causes that may lead to a heel spur including poorly fitted shoes, excess weight or obesity, repetitive stress from running or jogging on hard surfaces, and arthritis. Treating a heel spur often requires a lifestyle change as well as getting plenty of rest. Using cold compresses is another method to help alleviate the discomfort of a heel spur. To prevent further damage, it may be useful to look into wearing shoe inserts or custom orthotics.
- Heel Pain
- Foot Pain
- Ingrown ToenailsTreatment for an ingrown toenail will vary on a case by case basis. One form of treatment requires lifting the ingrown nail and placing a splint or piece of cotton underneath. Another method for a more severe case would involve partially removing the nail. For cases that need extreme care, the nail itself and tissue would have to be removed.
- Foot NeuromaMorton’s neuroma may develop when the tissue around one of the nerves leading to your foot begins to thicken. When this occurs, you may experience some discomfort as if you were standing on a pebble stuck in your shoe. Most symptoms will not appear outwardly and will be experienced in the form of a sharp, burning pain in the ball of the foot, as well as a stinging or burning feeling in the toes that may sometimes lead to numbness.
- Foot OrthoticsAnkle foot orthotics are shoe inserts that offer support to control the placement and movement of the ankle, correct deformities, and compensate for weakness. These inserts are used to stabilize the foot and ankle and provide toe clearance during the swing phase of gate.
- Pediatric Foot CareBeing a parent involves caring for your child in every way you can. You make sure they are eating the right food, being nice to others, and staying out of any trouble. However, it is also important that you are watchful of their health, more specifically their foot health. Maintaining good foot health in childhood is important in preventing later conditions in life from happening. As children continue to develop, their feet require different techniques of care. Here are some various ways in which you can help your child’s feet stay healthy.
- Plantar FasciitisIf you’re feeling pain after sitting, walking, or standing for a long period of time, as well as when you first step out of bed or climb stairs, you may be showing signs of plantar fasciitis. To know for sure what’s causing you pain, it’s best that you get an x-ray taken of your foot.
- Podiatric DeformitiesSome factors that contribute to the formation of Morton’s neuroma include wearing high heels or ill-fitting shoes that put extra pressure on your toes or the balls of your feet. There has also been a tie to the development of Morton’s neuroma and certain high-impact sporting activities. Activities you may want to avoid from participating in too frequently include both jogging and running. Too much repetitive trauma can cause a strain on the feet and increase the chances of developing a foot complication. Other sports that require the use of tightly worn shoes, such as skiing or rock climbing, may also increase your chances of getting Morton’s neuroma. Certain foot deformities can also lead to the development of Morton’s neuroma. Some of these deformities that increase the likelihood of getting this condition include bunions, hammertoes, and flat feet.
- Podiatric SurgeryPodiatrists finish 4 years of podiatry school and a 3-year hospital residency. After residency, podiatrists are certified by the American Board of Podiatric Medicine. Podiatrists can pursue specialized fellowship training and advanced certifications granted by various institutions. Podiatric surgeons, for example, are podiatrists who specialize in foot surgery. They are certified by the American Board of Foot and Ankle Surgery. Like all doctors, podiatrists must be licensed to practice in the state they work in.