My Blog
By Roche Podiatry Group
December 30, 2019
Category: Podiatry
Tags: bunions  

Do you have a large, bony bump on your big toe? It may be a bunion, a common toe deformity that is known for causing pain, pressure, and swelling, so intense that simple actions such as putting on shoes or taking a walk become excruciating processes.

While unpleasant visually and physically, bunions are not uncommon, and our foot doctor, Daniel J. Roche, DPM, in Edison and Woodbridge, NJ, knows just what do for you to restore your feet to optimum health. Here's how to tell if you have a bunion, what can cause it, and how to treat it:

What are the signs I have a bunion?

Depending on how much your bunion has progressed, you may have minor or major signs that your big toe is suffering from the condition. The most obvious indication is an oversized, hard-to-the-touch bump on the joint of your big toe. This may cause swelling and redness. If it is painful to bend the big toe, or if the toe is awkwardly bent, these can also be signs of a bunion. Bunions may also cause you to experience pain when you are wearing shoes, exercising, or even just moving around.

What can cause a bunion?

Improper footwear is a common reason for bunion development. Squeezing your foot into shoes that are too tight or narrow are culprits. Inflammation from conditions like arthritis may also cause bunions, and some people are genetically predisposed to the development of bunions.

How do I treat a bunion?

Bunions get worse over time, so it is important to visit your foot doctor in Edison and Woodbridge, NJ, at the first sign of a problem. Your bunion may respond to switching to roomy, sensible shoes, using small, cushioned pads that fit over the bunion or icing of the area. Custom made or pre-packaged orthotics for your shoes may also help.

If at-home treatments fail to help alleviate your bunion pain, your foot doctor may advise you to undergo surgery at either of our offices. The procedure realigns the bone, ligaments, nerves, and tendons in the big toe, allowing it to resume normal shape and positioning. If you undergo bunion surgery, you should be able to leave the office on the same day, but there will be a period of recovery when you need to rest the foot.

Concerned? Give us a call

If you need help treating your bunions, make an appointment at either our office in Edison, NJ, or our location in Woodbridge. Dial 908-753-0500 for Edison and 732-636-8500 for Woodbridge.

By Roche Podiatry Group
December 23, 2019
Category: Podiatry
Tags: Heel Pain  

Heel pain doesn't have to disrupt your life. Here at the Woodbridge and Edison, NJ, offices of Dr. Daniel Roche, your foot doctor offers treatments that may relieve your pain and make standing, walking, and running much more comfortable.

When rest doesn't help

Staying off your feet is an excellent strategy when you have heel pain. Unfortunately, sometimes pain lingers even if you've stayed off your foot as much as possible. If your heel isn't getting better despite rest, your pain is severe or worsening, or walking is difficult, it's a good idea to schedule an appointment with your Woodbridge and Edison podiatrist.

How treatment can ease your pain

Heel pain treatment varies depending on the cause of your pain, but they may include:

  • Orthotics: Orthotics are shoe inserts that are custom-designed for you by your foot doctor. The inserts cushion and support your foot and absorb shock. Full-length orthotics or heel cups may offer a simple way to ease your pain and can be helpful if your symptoms are caused by a stone bruise, arthritis, plantar fissure, heel spur, Achilles tendonitis, plantar fasciitis, or other conditions.
  • Physical Therapy: Therapy can be helpful for conditions ranging from plantar fasciitis to Achilles tendonitis to arthritis. Therapy sessions stretch and strengthen the muscles and tissues in your feet, easing your pain.
  • Corticosteroid Injections: When over-the-counter or prescription pain medication cannot relieve your pain, your foot doctor may recommend a corticosteroid injection.
  • Night Splints: Night splints may be recommended if you have plantar fasciitis, a condition that occurs due to inflammation in the tough band of tissue that runs along the bottom of your foot. The splints stretch the fascia when you sleep and help reduce pain.
  • Ultrasound or Shockwave Therapy: If other treatment methods aren't helpful, ultrasound or extracorporeal shock wave therapy may be recommended. These therapies improve blood flow to the heel and reduce pain and inflammation.

Need relief? Give us a call

Are you suffering from heel pain? Schedule an appointment with Dr. Daniel Roche by dialing (908) 753-0500 for the Edison office, or (732) 636-8500 for the Woodbridge office.

By Roche Podiatry Group
September 24, 2019
Category: Podiatry
Tags: diabetic foot care  

Diabetes affects more than just your blood sugar levels—for diabetics everywhere, proper foot protection and care is of the utmost importance for retaining overall health and safety.

The consequences of neglecting diabetic feet can be extreme, but fortunately, your foot doctor, Daniel J. Roche, DPM of Roche Podiatry Group in both Edison and Woodbridge, NJ, can help keep you in the best of health. Read on to learn more!

How does diabetes affect my feet?

For individuals with diabetes, nerve damage can take away your ability to feel pain/discomfort in your feet, making you unable to detect things like a rock in your shoe or stepping on a sharp object. This can then create cuts, sores, and ingrown toenails that may all lead to infection.

Additionally, because diabetes causes a reduction of blood flow to your feet, foot wounds are far more susceptible to slow or disrupted healing. In extreme cases, sores combined with poor circulation can cause gangrene, a condition in which skin tissue darkens and dies. In such a case, the foot, toe, or even a portion of the leg will likely require amputation.

What are the signs of unhealthy feet?

You may not be properly caring for your diabetic feet if you are experiencing thickening or yellowing toenails, a tingling or burning sensation, numbness, or repeated blisters, sores, or infected corns.

How do I care for my diabetic feet?

In addition to seeing your foot doctor in Edison and Woodbridge for regular exams and at the first sign of infection, it is important to take the following steps and precautions:

  • Inspect your feet daily for any injuries, cuts, swelling, pus, or inflammation
  • Moisturize your feet, avoiding the tight area between your toes where fungus can grow when moisture is trapped
  • Cut your toenails straight across, taking care not to cut them too short
  • Clean your feet gently in lukewarm water and dry thoroughly
  • Keep your feet, and socks, dry and wear socks to bed if your feet get cold
  • Abstain from smoking and maintain a healthy diet
  • Wear shoes at all times, including indoors
  • Wear properly fitting shoes, and make sure there are no foreign objects like pebbles inside before putting them on

If you have any concerns about the health of your diabetic feet, your foot doctor in Edison and Woodbridge is just a call away at 908-753-0500.

By Roche Podiatry Group
June 26, 2019
Category: Foot Conditions
Tags: Warts  

Foot WartsAlthough foot warts are not usually harmful, they can cause quite a bit of discomfort as well as spread to other areas of the body. Fortunately, if you have started developing foot warts, a podiatrist can prescribe an appropriate treatment to stop the issue before it starts negatively affecting your day-to-day life. Here at Roche Podiatry Group, Dr. Daniel Roche is your foot doctor in Edison and Woodridge, IL, for the treatment of foot warts.

Plantar Warts

There are many different types of warts, but one of the most common types of warts to develop on the feet are plantar warts. They tend to grow on the soles of the feet and are typically hard and flat with a rough surface. Plantar warts are commonly brown or gray in color with one or more black dots in the center of the wart. Plantar warts are caused by a virus that readily thrives in areas that are warm and damp. Consequently, it is best to avoid walking barefoot in such areas as locker rooms or public pools where the virus is often found.


Although some types of warts do eventually go away on their own, it is advisable to seek treatment in order to eliminate any discomfort caused by warts and to prevent them from spreading to other areas. Professional treatment can also prevent warts from returning at a later time. Dr. Roche, your foot doctor in Edison and Woodridge, IL, offers a variety of treatment options for treating warts, including:

  • Laser cautery
  • Cryotherapy
  • Electrosurgery
  • Prescription ointments
  • Prescription medications

Wart Prevention

Several proactive measures can be taken to prevent warts from developing in the first place. As mentioned above, avoid walking barefoot on damp surfaces, especially in public places. Other measures for preventing warts include keeping the feet clean and dry, as well as changing socks daily. If warts are already present, avoid touching them to prevent the spread of warts to other areas of the body since they are often contagious.

Contact Us Today

Treatments are available for eliminating your foot warts and preventing their return. To schedule an appointment with Dr. Roche, your foot doctor, contact Roche Podiatry Group at (732) 636-8500 for the Woodridge office or at (908) 753-0500 for the office in Edison.

By Roche Podiatry Group
June 19, 2019
Category: Foot Conditions
Tags: toenail fungus  

Caring for your feet becomes even more vital as summer approaches. Toenail fungus grows slowly over a long period of time and may not Fungusstart presenting symptoms until its advanced stages. However, catching toenail fungus early allows your doctor to treat it early. Find out more about toenail fungus and its treatments with Dr. Daniel Roche, a podiatrist at Roche Podiatry Group in Edison and Woodbridge, NJ.

Here are some FAQs about toenail fungus


What is toenail fungus?

Toenail fungus, onychomycosis, is caused by bacteria and fungi. It is a slow-growing infection with annoying and unsightly symptoms. Symptoms include:

  • Swelling
  • Yellow or white toenails
  • Thickening or crumbling of your nail
  • Yellow discoloration of the nail
  • Misshapen nails
  • Nails which separate from the nail bed


How do people get toenail fungus?

Damp areas such as public gyms, shower stalls or swimming pools usually harbor bacteria and fungi. The other issue is that it's contagious.

Other ways to get toenail fungus is,

  • Wearing tight-fitting shoes or tight hosiery causing trauma to feet, making it easy for bacteria to enter.
  • Athletes using showers without proper footwear, like flip flops, and being injured make it easier for bacteria to enter.
  • Dry feet have a higher risk for developing toenail fungus.
  • Diabetics, who have a higher risk of contracting a toenail fungus because of a compromised immune system.


How do you properly care for feet?

Preventing toenail fungus is as easy as preventing contact with the fungus itself. It often grows in damp, dark areas and is passed from person to person by direct contact. Always wear shower shoes in places like public pools or locker rooms. Be sure to always keep your feet clean and dry and never share socks or towels. Those with diabetes, who sweat heavily, have conditions which cause reduced blood flow or having a minor skin condition can increase your chances of toenail fungus.


Treating Toenail Fungus

Treating toenail fungus will usually begin with over-the-counter antifungal lacquers or ointments. If over-the-counter treatments fail to provide results, prescription-strength versions may prove more effective. Partial or full toenail removal may become necessary in severe situations.

For more information on toenail fungus and its treatment, please contact your podiatrist Dr. Roche at Roche Podiatry Group in Edison and Woodbridge, NJ, today!

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