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Toe Pain at Night

Some people experience pain, cramping, or numbness in their toes at night. Prolonged time on the feet, dehydration, wearing ill-fitting shoes, and mineral deficiencies can trigger this type of pain. Overexertion can drain minerals from the body through sweat and cause cramps in the toes. Wearing shoes that do not fit well can restrict blood flow to the toes. People over age 50 and women who have entered menopause can lose calcium in their bones, which can cause toe cramping during the night. Other medical conditions, including arthritis, peripheral neuropathy, and gout, can result in the same symptoms. If you are experiencing persistent toe pain during the night, it is suggested that you seek counsel from a podiatrist who can evaluate what might be going on and provide appropriate treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Excess Body Weight and the Feet

Being overweight increases the risk of many health-related issues, including foot problems and pain. One’s gait can become altered from obesity, putting one at greater risk for foot, ankle, and other injuries. Eating healthy and exercising regularly is the recommended route to losing weight, however, it can be challenging to accomplish movement when experiencing foot pain. Tips to overcome this conundrum include starting an exercise program slowly. Wear well-fitting, comfortable, and supportive shoes along with padded socks to help protect the feet from injuries. Practice good foot hygiene to avoid potential trouble spots that might interfere with progress. If you are overweight and want to begin a movement program but are concerned about the ability of your feet to cooperate without excessive discomfort, it is suggested that you consult with a podiatrist about how to best proceed.
The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned about your feet, contact Dr. Douglas Mckay from New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Obesity and Your Feet
People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.
Problems & Complications Stemming from Obesity
- When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
- Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
- Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel Pain in Children May Indicate Sever’s Disease

Heel pain can be common in children and young teenagers who frequently participate in running and jumping activities. It may indicate Sever’s disease, which is an inflammation of the growth plate in the heel. Sever's disease occurs due to overuse and increased body weight, and it generally happens in the early teenage years during a growth spurt. Parents may notice their child is limping or walking on their tiptoes, and the pain may be worse in the morning. A diagnosis consists of having a physical examination performed, and treatment can begin by learning how to manage the symptoms. It is beneficial to stop the activity that caused the condition. Some relief may be found when the foot is frequently elevated. There are specific stretches that can be performed to strengthen the affected foot. If your active child has heel pain, it is strongly suggested that a podiatrist is contacted who can diagnose and treat Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Douglas Mckay from New Jersey . Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
Arthritis Can Cause Pain in the Feet and Ankles
Why Might a Foot Break?

A foot is fractured when any of the bones located in the foot become broken. As a result, the foot may be painful, and it can be difficult to put weight on it. There are many different reasons why the foot might fracture. For example, since humans use their feet everyday for significant periods of time, the feet are susceptible to slipping and twisting. Thus, the bones in the feet can break. They also can develop stress fractures from repetitive pounding during activities that involve running. Due to their close proximity to the ground, the feet can likely be impacted by heavy objects falling that can cause fractures. Of course, a foot might fracture due to some kind of sports injury, as well. If you are someone who has fractured their foot, it is suggested that you immediately schedule an appointment with a podiatrist who can provide treatment options.
A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. Douglas Mckay from New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Broken Foot Causes, Symptoms, and Treatment
A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury.
Common Symptoms of Broken Feet:
- Bruising
- Pain
- Redness
- Swelling
- Blue in color
- Numbness
- Cold
- Misshapen
- Cuts
- Deformities
Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.
Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
All About Gout Crystals

An arthritic condition known as gout is primarily caused by having an excess amount of uric acid in the system. This buildup produces uric crystals that form in the joints, frequently in the big toe. The result is extreme pain, swelling, redness, and tenderness to the touch. Gout crystals, also known as monosodium urate crystals, accumulate in the joints when the body is unable to remove excess uric acid through the digestive system or kidneys. People with diabetes, weakened kidneys, or metabolism issues may be more likely to experience a buildup of gout crystals. The likelihood of developing them increases if you eat foods that contain high levels of purines. These include seafood, fish, alcoholic drinks, shellfish, and red meats. Other factors that can produce gout crystals are obesity, heart disease, certain types of medication, and genetics. Men tend to be more at risk for gout, especially those between the ages of 30 and 50. In women, symptoms are more likely to develop after menopause. For help with recurring gout flare ups, it is suggested that you consult with a podiatrist who is trained to deal with this condition.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Douglas Mckay from New Jersey . Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Changes in Children's Feet

Children’s feet differ greatly from adult feet. When comparing the two, the shapes are different. In the first year, the cartilage is soft, and there are additional fat pads on the soles. This can give the feet added flexibility that may diminish as one ages and the bones become stronger. Research has shown it may be beneficial for the child to walk barefoot while indoors, which may help to strengthen the overall foot. It is desirable for children to wear shoes while walking outside, and this can help to protect the feet. When it is time for the first pair of shoes to be purchased, many parents will buy shoes that are lightweight and have flexible soles. A child’s foot changes during the first five years. It is helpful to properly measure their feet often during this time, as different size shoes are often needed. Many parents notice the average life of a pair of shoes is approximately four months, and this can vary, depending upon the quality of the shoes. If you have questions about your child’s foot health, it is suggested that you consult with a podiatrist who can provide you with the knowledge you are seeking.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Douglas Mckay of New Jersey . 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Women Are More at Risk for Heel Pain

Studies show that women experience heel pain more frequently than men. Wearing high heels is thought to be the number one cause of heel pain in women. This leaves them more at risk for developing plantar fasciitis, the main complaint of which is heel pain. The band of tissue that runs beneath the foot, called the plantar fascia, becomes inflamed resulting in pain. However, other types of footwear common among women can also contribute to heel pain. Among them are shoes of any type that have a narrow toe box and pointy toes. Changing to footwear that properly supports the foot is one sure way to lower the risk of heel pain. Try to limit the height of heels to 1.5 inches, and check footwear for ample cushioning, arch support, and flexibility in the sole. In addition, starting a regular routine of foot stretches can help relieve tightness in the arch and heel. In some cases, special orthotic inserts for the shoes can diminish pain in the heels. For any type of heel pain that impedes your daily activities, it is suggested that you make an appointment with a podiatrist for an exam to determine the cause and prescribe custom orthotics if needed.
Many people suffer from bouts of heel pain. For more information, contact Dr. Douglas Mckay of New Jersey . 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Cold Toes May Indicate Raynaud’s Phenomenon

A condition known as Raynaud’s phenomenon is a circulatory problem that causes the blood vessels in the extremities to narrow and restrict blood flow. This can cause the toes to become cold and even turn blue. There are two types of Raynaud’s phenomenon, primary and secondary. Primary has no known cause, but secondary may occur in conjunction with another underlying condition, such as lupus or rheumatoid arthritis. This type is far more serious and can lead to the formation of skin ulcers that may become gangrenous if ignored. Women are more at risk for Raynaud’s phenomenon, and it usually occurs in people in their 30s or younger. Emotional stress and smoking also can trigger attacks. When an attack occurs, the toes become exceedingly cold and may change color, which can evolve into burning and tingling when the toes finally get warmer. If you are having increasing problems with coldness and discoloration in the toes, it is suggested that you meet with a podiatrist who can properly diagnose your condition and offer treatment options.
Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Douglas Mckay of New Jersey . Our doctor will treat your foot and ankle needs.
Poor Circulation in the Feet
Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.
Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.
Causes
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:
- Muscle pain, stiffness, or weakness
- Numbness or cramping in the legs
- Skin discoloration
- Slower nail & hair growth
- Erectile dysfunction
Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.
As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Gout Pain Can Be Managed
More...
When a Hammertoe Causes Toe Pain

A hammertoe is a deformity that develops at the middle joint of a toe and causes the tip of the toe to turn down, resembling a hammer or claw. This generally happens in the foot's second toe when it is longer than the first toe or when the foot's arch is flat. Hammertoes can be caused by ill-fitting shoes that crowd the toes, genetics or a bunion that can overlap and crowd smaller toes. If the hammertoe remains in a bent position for a prolonged time, the tendons can tighten and shorten and remain this way even if shoes are not worn. A hammertoe can cause pain or discomfort when walking, and the skin can thicken on the toe causing corns or calluses to form. It can also be challenging to find shoes that fit well. If you have a hammertoe and it is causing you pain, it is suggested that you see a podiatrist for an evaluation and treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Pain From Tarsal Tunnel Syndrome

There is a narrow passageway in the ankle that is called the tarsal tunnel. The tibial nerve runs through this tunnel and can become damaged if an injury has occurred or if there is consistent pressure on it. Some of the symptoms that are associated with this condition can include a numbing sensation, or it may feel like it is burning with sharp, shooting pains. Existing medical conditions may lead to getting tarsal tunnel syndrome. These can include arthritis, flat feet, or diabetes. The pain is often felt in the ankle, and a diagnosis is needed to properly confirm tarsal tunnel syndrome. In addition to examining the affected foot, a test may be performed which is called Tinel’s test. This is done by gently tapping on the tibial nerve which will tingle if this condition is present. There may be an MRI that is taken that is successful in determining if there is a bony growth or mass that can cause tarsal tunnel syndrome. Effective treatment methods can include frequently elevating the feet, and possibly wearing a brace or a splint that can limit mobility. If you have this type of pain in your ankle, please consult a podiatrist for a correct diagnosis and treatment plan.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.
Common Cause of Tarsal Tunnel Syndrome
- Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
- Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
- At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.
The Effects of Tarsal Tunnel Syndrome
- Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
- The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
- If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.
A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Is Podiatry Right for Me?

People who have foot or ankle pain are typically treated by a podiatrist. These are doctors that specialize in ailments that occur in these parts of the body, and many podiatrists can perform surgery. There are several years of mandatory education required to become a Doctor of Podiatric Medicine, or DPM. This begins with obtaining a bachelor's degree, followed by enrolling in podiatry school. Oftentimes podiatrists obtain a Bachelor of Science degree. Medical school will focus on the feet and ankles, and it is helpful to pursue volunteer work and internships. This is a four-year program, and education continues with a residency program, totaling seven years after obtaining a BS. A residency involves working in a hospital or clinic setting, which must be completed before working independently. If you are interested in pursuing podiatry as a career, please plan to spend some time conferring with this type of doctor who can answer any questions you may have.
If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Dr. Douglas Mckay from New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.
Podiatric Treatment
A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:
- Physical therapy
- Drugs
- Orthotic inserts or soles
- Surgery on lower extremity fractures
A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Should I Cut an Ingrown Toenail?

Even if you do not know all that much about the field of podiatry, there is a chance that you might already be familiar with what an ingrown toenail is. This condition is essentially characterized by the growth of the side of the toenail into the skin, such that inflammation and redness occurs. Many individuals living with an ingrown toenail often like to ask whether or not they can cut their ingrown toenails by themselves. The answer is that if a toenail is already ingrown, it is best not to attempt to cut it by yourself. Trying to do this by oneself can essentially increase the risk of possible infection. It might also make the ingrown toenail worse. Rather, an individual should seek out the guidance of a medical professional such as a podiatrist. If you are someone who is currently living with an ingrown toenail, it is suggested that you contact a podiatrist today.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.