Items filtered by date: August 2022
Understanding Navicular Stress Fractures

The navicular bone is one of the 26 bones in the foot and is located across the inside top of the foot just in front of the ankle joint. The navicular connects the ankle to the foot bones and helps to form the arch that enables you to walk. Navicular stress fractures, which are hairline cracks in the bone, are often sustained by athletes who kick, twist or sprint. The result is often a chronic midfoot ache, but the vague location of the pain may make it difficult to diagnose. Hopping or standing on tiptoe can be one way of recognizing a navicular stress fracture. Someone with extremely high arches or a longer second toe may be more likely to sustain this injury, experts believe. X-rays may not be able to recognize navicular stress fractures, but an MRI or other imaging test can be more successful. Treatment may involve staying off the foot and wearing a cast for up to six weeks, or longer. If midfoot pain is becoming a nuisance, please consult with a podiatrist for a complete exam, diagnosis and options for treatment.
Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain free and on your feet.
How Are They Caused?
Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.
Risk Factors
- Gender – They are more commonly found in women compared to men.
- Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
- Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
- Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
- Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures
Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Facts About Diabetes and Amputation

Nerve and circulatory damage resulting from diabetes is common and can lead to injuries to the feet and lower legs. In extreme cases, amputation is required. Amputations are the end result of foot or leg ulcers that did not heal or cannot heal. Diabetic neuropathy and peripheral artery disease (PAD) are contributing factors to this occurrence. Neuropathy makes it hard to detect cuts and sores, which may become infected. PAD then slows the healing process, causing ulcers, which if left unattended can lead to gangrene. At some point removing the ulcerated area can give way to removing the foot or limb. The two main actions that may help to keep this chain reaction from occurring are blood sugar maintenance and proper foot care. Reducing stress and eating healthy food is a good beginning. Refraining from smoking and alcohol consumption, both of which contribute to nerve damage and poor circulation, is highly recommended by experts. Losing weight and keeping track of blood sugar levels is essential. Daily foot care is imperative, including keeping feet clean and dry and checking for sores, cuts, and blisters. Moving the toes and feet to encourage better blood flow and wearing shoes that fit properly also help. If you have questions regarding proper diabetic foot care, please visit a podiatrist as soon as possible.
Diabetic Limb Salvage
Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Diabetic Limb Salvage?
Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
See Your Foot Specialist Regularly If You Work On Your Feet
Baby Foot Care

Feet are critical parts of everyone’s body and babies are certainly no exception. If you are caring for a baby, there are several steps that you can take to ensure that their feet are healthy and taken care of. First, baby feet should not be physically restrained or restricted because physical activity and movement are what enable the baby’s feet to grow and develop. For example, when a baby kicks their feet, they are developing muscles in their feet. Second, ensure that any foot coverings your baby is wearing fit correctly. If your baby is wearing socks or booties when they are taken outside in cold weather, it might be smart to check regularly that they are not too tight. A baby’s body grows and develops at an astounding rate. Therefore, what fits a baby’s feet one month may not fit next month. Third, it can also be wise to regularly wash your baby’s feet to make sure that they are perfectly clean. However, if you do give your baby a foot bath be sure to completely dry their feet. If the feet are not dried properly, they could become soggy, which might create complications. If you are taking care of a baby, do not take any chances with the health of their feet. Contact your podiatrist for more tips and tricks about caring for baby feet.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.