
Peripheral Artery Disease
Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.
Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.
Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.
If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.
How Shoes Can Cause Rock Climbing Injuries

Foot injuries from rock climbing are more common than many people think, especially during falls or from wearing tight climbing shoes. Falls can lead to bruises, sprains, or broken bones in the heel or ankle, which may require surgery to heal properly. However, repeated impact and pressure from tight shoes can also cause long-term problems. These include pain in the toes, thickened skin, and blood under the toenails. Many climbers wear shoes that are too small in order to get a better grip, but this can change how the foot moves and put too much pressure on certain areas. Over time, this can lead to chronic foot pain and deformities that may limit movement or cause discomfort even when not climbing. Changes in toe shape, such as bunions, or stiffness in the big toe joint may also develop. A podiatrist can diagnose climbing-related foot and ankle injuries, help manage pain, and recommend the best medical treatment, which may include surgery if needed. If you have injured your foot while rock climbing, whether indoors or outside, it is suggested that you make an appointment with a podiatrist for treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Anas Khoury, DPM from North Eastern Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Passaic, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.
Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.
Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.
If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.
Custom Orthotics For Ankle Stability

Step with assurance, thanks to enhanced ankle stability from orthotics! If you're active and on the move, Custom Orthotics are your ally for stronger, steadier ankles. They align your foot and ankle, reducing the risk of sprains and offering solid support for every stride. Don’t let instability hold you back. Try Custom Orthotics from our office, and discover unshakable confidence in every step!
Causes and Symptoms of Flat Feet in Children

Flat feet in children occur when the arches do not develop properly, leading to the entire sole making contact with the ground. Causes vary and may include hereditary factors, muscle imbalances, or joint flexibility issues. Low muscle tone can prevent proper arch formation, while high muscle tone may cause stiffness and discomfort. Hypermobile joints allow excessive movement, making it difficult for the arch to maintain structure. Obesity places added pressure on the feet, contributing to flattening over time. Symptoms include foot pain, fatigue, difficulty walking long distances, and inward rolling of the ankles. Some children may also experience balance issues or discomfort when standing for extended periods. If your child has symptoms of flat feet, it is suggested that you contact a podiatrist who can offer treatment and relief management tips.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Anas Khoury, DPM from North Eastern Foot & Ankle Specialists. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our office located in Passaic, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What is Flexible Flat Foot?
Flatfoot is classified as having the entire sole of the foot in contact or near contact to the ground while standing. The disorder is also known as fallen arches, because those affected have no arch in their feet. Flexible flatfoot and rigid flatfoot are the two types of flatfoot.
A person has flexible flatfoot if when sitting or standing on their toes, they have an arch that disappears when they stand with the entire foot on the ground. Flexible flatfoot may also be called “pediatric flatfoot” because the condition first appears in childhood. It is common among infants because the arch does not develop until the age of 5 or 6 years. Rigid flatfoot is not as common in children as it is with adults. This type of flatfoot is developed due to the weakening of tibialis posterior muscle tendon, a major supporting structure of the foot arch. Development of this deformity is progressive and shows early signs of pain and swelling that begins at the inside arch of the foot and moves to the outside of the foot below the ankle. More severe cases can possibly lead to arthritis of the foot and ankle joints.
Although most cases of flatfoot involve people born with the condition, some less common causes are obesity, diabetes, pregnancy, and osteoporosis. In some cases, flatfoot may come with no symptoms at all and does not require any type of treatment. With other cases though, symptoms may include pain in the shin, knee, hips and lower back. If a person with flatfeet experiences such symptoms, a health care provider may suggest using orthotic devices or arch supports, which may reduce the pain. Wearing supportive shoes can also prove more comfortable with flatfeet and staying away from shoes with little support such as sandals. Other methods to relieve pain also include stretching the Achilles tendon properly and using proper form when doing any physical activity. In addition, losing weight can reduce the stress on your feet and reduce the pain.
Different Types of Foot Orthoses

Foot orthoses come in many forms, each designed to meet specific needs and conditions. Some are rigid and made from plastic or carbon fiber to control foot motion and support structural problems. Others are softer and more flexible, providing cushioning and pressure relief for conditions like arthritis or diabetes. Semi-rigid options offer a balance of support and comfort, often used in athletic or active settings. Orthoses can be full-length, extending from heel to toe, or shorter, targeting just the heel or arch area. They may also be custom-made for a precise fit or pre-fabricated for general support. The choice depends on the individual’s foot structure, activity level, and medical needs. Since the form and function of orthoses vary, it is important to match the right device to the right condition. If you have foot pain, it is suggested that you see a podiatrist for a proper diagnosis and treatment, which may include custom orthotics.
If you’re experiencing foot discomfort, have a history of foot and ankle injuries, or are interested in exploring Custom orthotics, don’t hesitate to contact Anas Khoury, DPM at North Eastern Foot & Ankle Specialists. Our doctor is dedicated to offering the care required to help you remain pain-free and stay on your feet.
What are Custom Orthotics?
Custom orthotics refer to custom inserts designed for placement in different shoe types, including athletic and formal footwear, with the purpose of alleviating a spectrum of foot-related problems such as flat feet, heel pain, and overall foot discomfort. These inserts are instrumental in providing relief and comfort for a diverse range of foot conditions, including heel pain, and can also act as a proactive approach to injury prevention.
Medical Grade Shoe Inserts:
A diverse array of shoe inserts is available for addressing foot pain, heel discomfort, and minor issues. For instance, you can place arch supports in your shoes to rectify overarched or flat feet, and gel and cushioned insoles are frequently chosen for the comfort and relief they provide from foot and heel pain by reducing pressure.
If you have any questions please contact our office located in Passaic, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Investing in Custom Orthotics Means Investing in Foot Health
Custom orthotics offer a tailored approach to foot health, providing a host of benefits that extend far beyond conventional shoe inserts. One of the primary advantages lies in their ability to address specific biomechanical issues. Unlike off-the-shelf inserts, custom orthotics are crafted based on an individual's unique foot structure, gait, and any existing foot conditions.
The personalized design of custom orthotics ensures optimal support for the arches, promoting proper alignment and distributing pressure evenly across the feet. This can be particularly beneficial for individuals dealing with issues such as overpronation or underpronation, as custom orthotics help correct imbalances that may lead to discomfort or injury.
Beyond biomechanics, custom orthotics can alleviate a range of foot problems, including plantar fasciitis, bunions, and metatarsalgia. They provide targeted relief to areas under stress, reducing pain and inflammation. Additionally, for those with specific medical conditions like diabetes, custom orthotics can play a crucial role in preventing complications associated with poor foot health.
Comfort is another key aspect of custom orthotics. By accommodating the unique contours of an individual's feet, these inserts enhance overall comfort, making daily activities more enjoyable. Whether for athletes looking to optimize performance or individuals seeking relief from chronic foot pain, custom orthotics offer a versatile solution.
Investing in custom orthotics is an investment in long-term foot health. They not only provide immediate relief but also contribute to the prevention of future issues. With the ability to seamlessly integrate into various types of footwear, custom orthotics empower individuals to prioritize foot comfort without compromising on style. In essence, custom orthotics are a personalized prescription for happy, healthy, and pain-free feet.
Recovery Time for Ankle Sprains

Ankle sprains occur when the ligaments that support the ankle stretch too far or tear, often due to the sudden twisting or rolling of the foot. Recovery time for a sprained ankle varies depending on its severity. For instance, a mild ankle sprain, involving slight overstretching, may heal in one to three weeks, but a moderate sprain, which includes partial tearing of the ligaments, usually requires three to six weeks of healing. Severe sprains that involve a full tear of the ligament can take up to three months or even longer to recover, especially if surgery is necessary. Healing time can also be affected by a person's age, body weight, activity level, and any previous ankle injuries. Trying to walk on an injured ankle too soon or ignoring symptoms can prolong the recovery timetable and lead to chronic ankle instability. A podiatrist can assess the extent of the sprain, confirm the diagnosis with imaging as needed, and develop a treatment plan that protects the ankle and promotes full healing. If you have injured your ankle, it is suggested that you make an immediate appointment with a podiatrist for an exam, diagnosis, and treatment.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact Anas Khoury, DPM from North Eastern Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Swelling
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
If you have any questions please feel free to contact our office located in Passaic, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.