Have you ever experienced a burning, tingling, or “pins and needles” sensation in your feet? While these symptoms can sometimes be temporary, persistent or recurring sensations may be a sign of an underlying condition that shouldn’t be ignored. Burning or tingling feet can have several possible causes, ranging from nerve irritation to vitamin deficiencies and…
Back-to-school season means new clothes, new supplies, busy schedules; and often, a lot more time on your child’s feet. From walking between classes to gym class, recess, and sports, healthy feet are an important part of keeping kids comfortable, active, and ready to learn. As families prepare for a new school year, don’t forget about…
As we age, it’s normal for our feet to change. Years of walking, standing, injuries, and everyday wear can affect the bones, joints, muscles, and skin of your feet. However, some changes shouldn’t simply be considered a normal part of aging. Recognizing potential problems early can help you stay mobile, comfortable, and independent. 1.…
Introducing NJFAI’s New Hackettstown Office We’re excited to introduce the new, New Jersey Foot & Ankle Institute Hackettstown office, located at 1 Edgeview Drive, Unit 1C, Hackettstown, NJ 07840; Opening August 17, 2026! Our new location allows us to continue providing convenient, comprehensive foot and ankle care to patients throughout Hackettstown and the surrounding communities.…
Your feet do much more than help you walk, they support your entire body. With 26 bones, 33 joints, and more than 100 muscles, tendons, and ligaments in each foot, they serve as the foundation for every step you take. When your feet aren’t healthy, it can affect your balance, posture, mobility, and even cause…
Healthy feet and ankles are essential for walking, running, exercising, and completing everyday activities comfortably. Whether you’re an athlete, spend long hours on your feet, or simply want to improve mobility, incorporating a few simple stretches into your daily routine can help relieve stiffness, improve flexibility, and reduce your risk of injury. At New Jersey…
If you’ve noticed thick, rough skin on your feet, you may be wondering whether it’s a corn or a callus. While both develop as your body’s natural response to pressure and friction, they are not the same, and knowing the difference can help you choose the right treatment. What Is a Corn? Corns are…
Arthritis is one of the leading causes of foot pain, affecting millions of people each year. Because each foot contains 33 joints, it’s no surprise that arthritis can make everyday activities like walking, standing, or exercising painful and difficult. The good news? Early diagnosis and treatment can help relieve pain, improve mobility, and keep you…
Summer is the season for vacations, hiking, sports, and outdoor adventures, but it’s also one of the busiest times of the year for foot and ankle injuries. As you’re spending more time walking, running, or enjoying the beach, your feet can take on extra stress during the warmer months. By knowing the most common summer…
Summer is the perfect time to enjoy vacations, outdoor activities, and longer days in the sun, but it’s also a season when your feet need a little extra attention. From flip-flops and sandals to hiking trails and pool decks, summer activities can increase your risk of foot pain, injuries, and infections. Use this summer foot…
What is Toe Walking? Toe walking refers to when a child walks on the balls of their feet with their heels off the ground. It’s common for toddlers to walk on their toes as they learn to walk. In most cases, children naturally begin walking heel-to-toe by around 2 years of age. However, if toe…
Running is great for your health, but the repetitive impact on your feet can lead to painful toenail problems. From black toenails and ingrown nails to fungal infections, runners commonly experience nail injuries that can interfere with training and everyday activities. Why Does It Happen? Every time your foot strikes the ground, your toes…
If you have diabetes, taking care of your feet is one of the most important things you can do to protect your health. Diabetes can affect circulation, nerve function, and the body’s ability to heal, increasing the risk of serious foot complications, such as infection and amputation. At New Jersey Foot and Ankle Institute,…
Heel pain is one of the most common reasons people visit a podiatrist. Whether it’s a sharp pain when you take your first steps in the morning or an ache that worsens throughout the day, heel pain can interfere with work, exercise, and daily life. Unfortunately, many people make mistakes that can prolong their pain…
If you’re searching for a trusted Morris County podiatrist or an experienced Warren County podiatrist, the New Jersey Foot & Ankle Institute now offers the most advanced non-surgical solutions available combining state-of-the-art laser therapy with cutting-edge regenerative medicine. With convenient locations in Succasunna and Hackettstown, patients across Morris County and Warren County have access to…
Many people are unsure what happens during their first appointment with a podiatrist. Knowing what to expect can help you feel more comfortable and prepared. At New Jersey Foot & Ankle Institute, we take pride in offering a welcoming and professional experience for patients throughout Hackettstown, Belvidere, and Succasunna. Your First Appointment Your visit begins…
Waking up with sharp heel pain can be frustrating and confusing. Many people in Succasunna, Hackettstown, and Belvidere experience pain with their first steps out of bed and wonder what is causing it. The good news is that most heel pain can be treated effectively with the right approach. At New Jersey Foot & Ankle…
When it comes to foot and ankle health, circulation plays a critical role. Proper blood flow ensures that tissues receive the oxygen and nutrients they need to stay healthy and heal from injury. Unfortunately, many patients, especially those with diabetes, peripheral artery disease (PAD), or a history of smoking, may have compromised circulation. That’s where…
As the back-to-school season begins, parents are busy with supply lists, new clothes, and schedules. One important area that often gets overlooked is foot health. Children spend long hours on their feet—walking, running, and playing—and healthy feet are essential for comfort, mobility, and overall development. Why Children’s Foot Health Matters Children’s feet are still growing,…
Vein conditions are more common than most people realize. Millions of Americans suffer from some form of venous disease, ranging from cosmetic concerns to serious medical conditions that require intervention. As a vein specialist, I often encounter patients who have lived with symptoms for years without understanding what’s causing them. The good news? Most vein…
Foot pain can derail your entire day and for many people, the solution begins with better support. While prefabricated (or “prefab”) insoles found in pharmacies and online can provide some short-term comfort, they often fall short in delivering the lasting, targeted relief that custom orthotics provide. If you’re dealing with chronic foot pain, biomechanical issues,…
As the weather heats up and sandals come out of storage, it’s the perfect time to focus on keeping your feet healthy all summer long. While we often prioritize sunscreen and hydration, foot health can sometimes be overlooked—until problems arise. Whether you’re heading to the beach, hiking trails, or just enjoying a backyard barbecue, here…
Spring is here—and that means more time outdoors, lighter shoes, and a chance to reset your foot care routine. After months of being tucked away in winter boots, your feet deserve a little extra attention. Here are quick tips to get started: Inspect Your Feet – Look for dry skin, cracked heels, or nail changes.…
Especially around Valentine’s Day, the heart symbol is often used to represent the center of emotion, including affection and love, especially romantic love. But did you know that there is a surprising connection between foot health and heart health? When we think about heart health, we often focus on diet, exercise, and stress management. But…
The New Year is here, and it’s the perfect time to prioritize your health and well-being! Whether you’re just starting out or looking to elevate your fitness routine, setting realistic and achievable goals can transform your body and mind. At New Jersey Foot & Ankle Institute, we can help you achieve your “Steps to Success”.…
Your feet are the foundation of your body and choosing the right shoes for your foot type is essential for comfort, mobility, and overall health. Wearing the wrong shoes can lead to pain, injury, and long-term foot problems. Whether you have flat feet, high arches, or neutral feet, here’s how you can find the perfect…
In today’s fast-paced world, healthcare should never feel like a revolving door of rushed appointments and impersonal interactions. We believe that great customer service in healthcare is more than a courtesy—it’s a commitment to excellence in patient care. At New Jersey Foot & Ankle Institute, we pride ourselves on the dedicated, compassionate service that each…
As the weather turns cooler in New Jersey and the leaves start to change, it’s important to pay attention to your foot health. Fall brings new activities, weather changes, and footwear choices that can affect the health of your feet. Whether you’re hiking through the crisp autumn air or enjoying pumpkin-spice everything, here are some…
With the exciting grand opening of New Jersey Foot & Ankle Institute’s (NJFAI) new state of the art facility rapidly approaching (located at 274 Route 10, Succasunna, NJ and directly across Route 10 from our current location) we are proud to also emphasize how technology has changed over the years, allowing our physicians at NJFAI…
Growing up is a universal experience, yet the journey through childhood and adolescence is often marked by mysterious aches and discomforts that parents and children alike have come to refer to as “growing pains.” These pains have been a topic of discussion and debate for generations. Are they a genuine phenomenon or simply a myth…
As parents, we often pay close attention to our children’s growth and development, but one area that can sometimes be overlooked is their foot health. Just like adults, children can experience a range of foot problems that may require attention and care. In this blog, we’ll explore some common foot issues in children, their causes,…
As the temperatures rise and the sandals come out, our feet become more exposed to the elements, leading to a host of potential problems. From blisters to fungal infections, summer can wreak havoc on our feet if we’re not careful. Here’s a rundown of some common summer foot problems and tips and how to prevent…
As we age, our bodies undergo various changes, and our feet are no exception. Yet, foot health is often overlooked in the realm of healthcare, despite its critical importance for overall well-being. For many older adults, foot problems can significantly impact mobility, independence, and quality of life. In this article by Dr. Stephen Guiliana, we’ll…
The following article is a guest-post by Jared Ferreira, Global Product Manager at Meta. As the healthcare landscape continues to evolve, so does the role of podiatrists. In this dynamic environment, artificial intelligence (AI) is emerging as a powerful ally, transforming the day-to-day practices of podiatrists in remarkable ways. Gone are the days of labor-intensive…
If you have ever had an ingrown nail then you know that it can be extremely painful and can cause serious discomfort. An ingrown nail can become red and swollen and if the nail punctures the skin then bacteria could get in to the wound and lead to an infection. New Jersey Foot & Ankle…
Introduction: Your daily journey starts with a step, and the position of your feet during that step can have a profound impact on your overall comfort and well-being. Yet, many of us may not even realize how our foot posture affects our daily lives. Whether it’s the subtle discomfort of ‘flat-footedness’ or the challenges posed…
Heel pain is a prevalent ailment affecting individuals of all ages and lifestyles. This discomfort can disrupt daily activities and hinder mobility, often prompting individuals to seek relief and understanding. While various factors contribute to heel pain, understanding its root causes is pivotal in finding effective remedies. Let’s understand what the causes can be: …
If you are a patient living with diabetes, are you aware that according to the National Institute of Health, over your lifetime you have approximately a 25% chance of developing a foot ulcer? Even worse is that 14% to 24% of patients who develop a foot ulcer unfortunately eventually wind up with an amputation! But…
At New Jersey Foot & Ankle Institute, we are dedicated to enhancing foot health, promoting overall wellness, and ensuring the longevity of your mobility. Our commitment to your well-being extends to providing essential foot care tips, which are especially crucial for individuals with diabetes. In this article, we share valuable insights on how to maintain…
Rarely in a foot surgeons career does a surgical procedure come along that truly renders a better outcome and makes patient recovery easier. Almost always, the outcome is dependent on the surgeon performing the surgery. Although there is no procedure that can overcome poor technique there is now finally a new way to correct bunions…
So, one morning while taking your first step out of bed you experience severe pain of your heel. It takes about 10 minutes for the pain to subside. This scenario repeats itself every time you sit and then stand up again. These are the classic symptoms of plantar fasciitis. The plantar fascia is a flat…
So it’s that time of the year. Time to put on your prettiest sandals and get those nails painted. Some of you may have had your nails painted all winter (my wife still can’t explain why she does this). So let me ask you: After removing your nail polish after having it on for a…
Just one thing to point out before we unveil our recommendations: This list is not exhaustive but just remember that if the foot bed is flat and you plan on doing a lot of walking you’ll end up in our office 🙂 Birkenstock Love ’em or hate ’em their support is second to none. Not…
The most common bunion corrective procedure performed in America and in my office is the Austin bunionectomy. It is also called a Chevron bunionectomy. Most bunions are easily repositioned with this procedure. Like all the surgeries, the results vary from near perfect to having to perform it over. Why? I will answer that later. The…
Many of us know an older individual who is a parent or the parent of a friend who’s sustained a fall. As most people are aware, the occurrence of a fall is a snowball of adverse events and health related problems. Every year, there are 3 million older adults who are treated in emergency departments…
Choosing a shoe is a process where we evaluate three basic criteria. Those are form, fit and function. For most of us form becomes a major reason for a shoe choice because, lets face it, nobody wants to wear ugly or un-fashionable shoes. Function is also important in that the shoes should properly support your feet.…
The term Orthotics, also known as orthoses, refers to any device inserted into a shoe, ranging from felt pads to custom-made shoe inserts that correct an abnormal or irregular walking pattern. Sometimes called arch supports, orthotics allow people to stand, walk, and run more efficiently and comfortably. While over-the-counter orthotics are available and may help…
The most common cause of pediatric heel pain is a disorder known as Sever’s Disease. This is not a disease but when named over a hundred years ago this is what it became known as. To make it even harder to remember its medical diagnosis is calcaneal apophysitis. This is an inflamed growth plate in…
Weak ankles or medically known as “lateral ankle instability” is a condition described by a “giving way “of the outside of the ankle. This can develop after repeated ankle sprains. A condition known as ligamentous laxity can also cause an ankle to turn over. Turning your ankle usually occurs while walking or running, but can…
Each day, with every step you take, your big toe takes a tremendous amount of stress—a force equal to about twice your body weight. Most of us don’t realize how much we use our big toe. We tend to take it for granted, unless a problem develops. One problem that afflicts the big toe is…
WHAT ARE HAMMERTOES? Hammertoe is a bending in one or more joints (knuckles) of the small toes. Because of the deformity that this causes, the tops of the toes press against shoes and can hurt. The toes can also be uncomfortable at the tip where they press into the floor or sole of the shoe.…
So if you’re the young adventurous type or anything like I used to be you are most likely familiar with the craze called Slacklining. This is a sport similar to walking a tightrope. The difference is that you would walk on a 2” wide nylon strap that’s strung between two points with less tension than…
Although there are multiple factors responsible for ankle sprains in soccer players, several studies have shown that weak hip extensor muscles contribute to this type of injury. In a joint study by the University of Isfahan in Iran, The University of Southern California in Los Angeles as well as a Belgian study of youth athletes,…
Sounds scary, but it’s just common sense. Diabetes may cause nerve damage in the smallest nerves of your feet; therefore, a small cut will not be noticed until a large infection takes effect. In some patients, blood flow may also be decreased and make healing take longer. Because of these potential problems, a diabetic may…
Hallux rigidus, or arthritis, of the great toe is often mistaken as bunion pain. Classical bunions consist of the great toe bent in relation to the foot. Arthritis of the great toe is more painful and the toe is straight. There can be a combination of the 2, but for this discussion the great toe…
Patients will come to the complaining of a wart or callus on their foot. So, which is it? They are 2 completely different things. Treatments are also different and sometimes not needed. Warts are caused by a virus. A virus is so small it cannot be seen with a microscope. The virus can be picked…
So school has once again begun and school sports of course are beginning as well. This is when we as Podiatrists experience many injury visits. According to studies, 40% of all sports injuries are ankle sprains. The most common age groups for these sprains are between the ages of 15 and 19. Proper ankle sprain…
At least once a week, I have a patient that comes to our Northern NJ office with the complaint of a neuroma in his or her foot. How do they know? They read it on the internet or their next door neighbor told them. Although not uncommon, these are typically misdiagnosed. I also have patients…
Summer is finally upon us and we can finally kick off our shoes and slip on our beloved flip flops that we practically live in all summer. As a Podiatrist I am no different than all of you and also love to wear flip flops. The difference is the kinds of flip flops I wear…
There have been quite a few studies that have correlated increased body mass index (BMI) to increased risk of foot pain. Increased weight also increases plantar (bottom of the foot) pressure, changes foot function and places increased stress the numerous structures of the foot. Obesity as defined by the World Health Organization is defined as…
It’s has been 2 ½ months since I had surgery for my arthritic bunion. I started wearing loose sneakers around week 5 but continued taking anti-inflammatory medications for pain and swelling. I can wear all my shoes now but am not pain-free. When I have time I go to Roxbury Physical Therapy for treatments, my…
I have been suffering from arthritis in my left great toe for many years. When wearing certain shoes, my big toe joint would swell and turn red. To ease the pain, I wore orthotics and stiff soled wide shoes. Cortisone injections and anti-inflammatory medication also became an essential part of my daily routine. All of…
What Is Neuroma? Neuroma by definition is the thickening and inflammation of a nerve. The most common Neuroma occurring in the foot is the Morton’s Neuroma. Morton’s Neuroma most commonly occurs between the 3rd and 4th toes of the foot. The second most common location is between the 2nd and 3rd toes. This condition is…
Roxbury Foot & Ankle Center now provides Extracorporeal Shock Wave Therapy for the treatment of heel pain as well as other foot and ankle conditions. This is a non-invasive procedure that is performed in the office. Call our office for information, pricing and scheduling! How Useful Was The Information On This Page [rating_form id=”1″]
Laser Nail Treatment is a great option for those not willing to risk the adverse-effects/drug interactions of anti-fungal pills or who want to avoid applying ineffective topical nail medication. Call our office for information, pricing and scheduling. Make an appointment now! 973-927-2525 How Useful Was The Information On This Page [rating_form id=”1″]
In part 1, we discussed the inability of the body to learn its limits of range of motion and strength. Let’s begin now with Pediatric Sports Injuries in Kids – Part 2 with ankle sprains. The rates of sprains in children are high and climbing. The only known predictor of an ankle sprain is a…
By Dr. David M. Pizzano | If you’re as old as I am, you may have been subjected to, or know people who were subjected to archaic foot aligning devices, that were attached to shoes and usually worn at night. On a lesser scale perhaps your mom and dad brought you to a children’s shoe…
Sports related injuries in pediatric patients have been on the rise for 2 decades. Most research has been on 13-18 year olds, but this discussion will be limited to the grammar school athletes. In this segment I will try to explain the theory of pediatric sports injuries in kids – part 1. These blogs are…
So the time has finally come. It is now possible to make 3D printed orthotics. 3D printing started out with many industrial applications, but not until recently have there been health care applications. The company leading the 3D printed orthotic revolution is Sols. You can read about the company and their amazing start up here:…
By Dr. Stephen Guiliana | Patients enter the office every day with a complaint regarding their big toe joint. I can write a 1,000 page book describing all the problems that may occur in this area but I don’t have time to do that. The most common painful condition is arthritis of this joint. This…
So you’re a woman who’s had nail polish on for the past month and decide it’s time to remove it. That’s when you notice a yellow discoloration or white substance on your nail. Or you’re a guy and every month it seems harder and harder to cut through your ever thickening and discolored toenails. In…
If you have ever had an ingrown nail then you know that it can be extremely painful and can cause serious discomfort. An ingrown nail can become red and swollen and if the nail punctures the skin then bacteria could get in to the wound and lead to an infection. That and the fact that…
So you’ve just gotten a quote from a builder to do a major renovation on your home. What do you do next? You get another quote of course. When it comes to our health care very few of us do the same. In a study by Harris Interactive, 70% of adults stated that they would…
The summer is here, and for many of us, that means taking long walks and/or long runs barefoot on the beach while listening to music and letting the ocean breeze hit us in the face. The exercise is great way to stay in shape and burn calories. According to the University of Western Australia, athletes…
The first known shoe was worn 40,000 years ago. It’s safe to assume that they were first worn as means of protecting the foot. Today’s shoes serve many other functions other than their original purpose. Styles and fashions have changed throughout history, but it is beyond the scope of this discussion to go into historical…
It’s summer and that means kids go away to sports camps. Although they’re young, chances are they’re at more of a risk to foot and ankle injuries. Summer sports camps get very intense and competitive, which is the main reason why you might see an increase in injuries to feet and ankles. The most common…
The minimalist running and shoe revolution was inspired by the book Born To Run by Christopher McDougal. Although the book is quite convincing, the transition to barefoot, or minimalist running, is more challenging than it appears. I would also add that some people may never successfully make the transition without risking injury. Here are some…
Unlike the old days, sneakers of today are made with the dynamic function of the foot in mind. Modern running shoes are made with synthetic foam midsoles usually Polyurethane (PU) and Ethylene vinyl acetate (EVA) that improve shock absorption. The outsoles are made from synthetic rubber that resists abrasion and improves traction. The uppers are…
In the Podiatric community, the benefits of custom foot orthotics for the treatment of foot and ankle pain is very well documented. Many of us however have noticed secondary benefits in patients with knee and back pain. A common response from patients with a history of back pain is: “the Orthotics really helped my foot…
Diabetes is a disease, which afflicts a large percentage of our population. It is caused by the body’s inability or reduced ability to produce insulin. This in turn caused blood sugar to rise. This rise in blood sugar reduces the body’s ability to heal from wounds or injury. In addition it will affect the small…
