February 2025

While plantar fasciitis is the most common cause of heel pain, Baxter’s nerve entrapment accounts for about 20% of cases. This condition occurs when the inferior calcaneal nerve, or Baxter’s nerve, becomes compressed, often due to foot structure abnormalities, repetitive stress, or scar tissue. The Baxter’s nerve runs along the inner side of the heel, branching off the lateral plantar nerve and passing between the abductor hallucis muscle and the heel bone. The pain mimics plantar fasciitis but involves nerve-related pain rather than ligament inflammation. Symptoms include burning, tingling, or sharp pain along the inner heel, often worsening with prolonged standing. Unlike plantar fasciitis, pain may persist at rest or worsen throughout the day. Diagnosis involves clinical examination, nerve conduction studies, and imaging to rule out other conditions. If you have heel pain, it is suggested that you see a podiatrist for a proper evaluation and treatment, which might include custom orthotics, targeted exercises anti-inflammatory medications, or possibly corticosteroid injections to relieve pressure.

Many people suffer from bouts of heel pain. For more information, contact Dr. Robert Fink of Brunswick Foot & Ankle Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot and ankle swelling can occur for various reasons, often related to lifestyle, health conditions, or prolonged periods of immobility. One common cause is being overweight, as excess body weight places additional pressure on the feet and ankles, leading to fluid retention and swelling. Age is another factor, as older individuals may experience reduced circulation, which can contribute to swelling in the lower extremities. Leg infections can also cause swelling, as the body’s immune response leads to inflammation in the affected areas. Prolonged periods of immobility, such as on long airplane flights, can reduce circulation and lead to fluid buildup in the feet and ankles. A sedentary lifestyle, in which an individual remains seated or inactive for long stretches, can further cause swelling by preventing proper blood flow. If you have swollen feet or ankles, it is suggested that you confer with a podiatrist who can determine what the cause is, and offer appropriate treatment solutions.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Robert Fink of Brunswick Foot & Ankle Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Clubfoot, or talipes equinovarus, is a congenital condition where a baby’s foot turns downward and inward, often affecting the alignment and mobility of the foot and ankle. In true clubfoot, structural abnormalities in the bones or underdevelopment of the calf muscles are present. In positional clubfoot, this condition is the result of how the baby was positioned in the womb. Other congenital foot deformities include metatarsus adductus, where the foot turns inward and joint mobility may be limited, and metatarsus varus, which causes the foot’s bottom surface to turn inward, raising the arch. Talipes calcaneovalgus presents with a backward-bent foot and outward-facing heel. These congenital abnormalities can affect a child’s ability to bear weight and walk as they grow. A podiatrist can assess the severity of these conditions and recommend corrective casting, bracing, or surgery, if needed. If your child is born with a foot abnormality, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Dr. Robert Fink of Brunswick Foot & Ankle Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in North Brunswick, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Hammertoe is a condition where one or more of the smaller toes develop an abnormal bend at the middle joint, often due to muscle imbalance. Wearing tight footwear and high heels are common causes of hammertoes, as they force the toes into unnatural positions, which can shorten tendons over time. Women are more frequently susceptible to hammertoe formation, largely due to footwear choices, but anyone with a history of diabetes, arthritis, or prior foot injuries is also at greater risk. Symptoms of hammertoe include the formation of calluses, pain during movement, and impaired balance or mobility. A podiatrist can diagnose hammertoe by evaluating the flexibility of the affected toe joint and determining whether custom orthotics or footwear modifications may relieve discomfort. For fixed joints or persistent pain, surgery might be needed to realign the toe. If you have problems with a hammertoe, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Robert Fink from Brunswick Foot & Ankle Group. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our office located in North Brunswick, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.