Items filtered by date: April 2025
Anterior Tibial Tendonitis and Why It Happens

Anterior tibial tendonitis is the inflammation of the tendon that runs along the front of the ankle and connects the shin to the foot. This condition develops when the tendon becomes irritated or overused, often due to repetitive stress from walking, running, or activities that involve frequent ankle movement. Common symptoms include pain along the front of the ankle or shin, swelling, and stiffness, especially during or after activity. The discomfort may worsen when walking uphill or climbing stairs. Risk factors include overuse, sudden increases in activity, improper footwear, flat feet, or weak supporting muscles. Individuals who are active or have biomechanical imbalances may be more prone to developing this condition. If you have ankle pain, it is suggested that you consult a podiatrist who can offer effective treatment solutions.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Toms River Podiatrist . Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendonitis
- Achilles tendon rupture
- Stress fractures
- Bursitis
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact our office located in Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Painful Gout Attacks at Night

Gout attacks at night can be particularly debilitating, causing severe pain, swelling, and redness in the feet that can interfere with sleep. This form of arthritis is caused by a buildup of uric acid in the joints, often targeting the big toe, which is more susceptible to stress and cooler temperatures. Factors such as dehydration, lower body temperature, and reduced cortisol levels during sleep, can trigger these nighttime flare-ups. The pain from a gout attack can be so intense that finding relief becomes a challenge without professional help. A podiatrist can evaluate your symptoms, confirm the diagnosis, and provide treatment to help prevent future flare-ups. Recommendations may include lifestyle adjustments like dietary changes, weight management, and anti-inflammatory treatments to ease pain and swelling. Effectively managing gout not only helps protect your feet and joints but also promotes better sleep. If you are struggling with painful gout attacks at night, it is suggested that you schedule an appointment with a podiatrist.
Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Toms River Podiatrist . Our doctors will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Bunions and Surgical Treatment Options

A bunion is a bony bump that forms at the base of the big toe due to misalignment of the foot’s bones. This condition causes the tip of the big toe to shift toward the smaller toes, leading to discomfort, swelling, and difficulty walking. When conservative treatments are not effective, bunion surgery may be necessary to relieve pain and correct the deformity. An osteotomy involves cutting and realigning the bone to restore proper positioning. An exostectomy focuses on removing the bony prominence without realigning the joint. An arthrodesis fuses the affected joint to eliminate movement and pain, while a resection arthroplasty removes a portion of the bone to create more space within the joint. Each procedure is chosen based on the severity of the bunion and the patient’s individual needs to improve function and comfort. If you have a bunion that is painful, it is strongly suggested that you consult a podiatrist who can determine if surgery is right for you, and which type you would most benefit from.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Toms River Podiatrist . Our doctors will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions please feel free to contact our office located in Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.