As fall starts to roll in, the temperatures start to drop. Many people like these mild temperatures but some have a hard time with them because when it gets cold, their extremities begin to experience pain. The blood vessels in their lower extremities get very narrow and begin to shut down completely. Toes first turn white, then blue, and lastly red once the blood returns to them. This condition affects 5 to 10 percent of Americans but only a small portion of them choose to seek treatment for it. Females are 9 times more likely to suffer from this condition. This condition is Raynaud’s Disease.


The blood vessels in the extremities contract when the temperature drops. This contraction causes a lack of oxygen to the toes and tissue. Toes will feel very cold to the touch and also numb. There could be swelling as the toes turn white, then blue, and eventually back to red gain when blood is flowing as it should be. A painful throbbing sensation can also occur in the toes and feet. The toes are more commonly affected by Raynaud’s Disease but the fingers, lips, and ears can also be affected by this condition. Episodes usually last about 15 minutes in total.


The exact cause of Raynaud’s is unknown. What is known is that a hyperactive nervous system is to blame for the narrowing of the blood vessels, which is more commonly known as vasoconstriction. It can be caused by normal everyday activities, such as entering a cold place, opening a freezer, or submerging yourself in cold water. Some people who are under a lot of stress will experience these symptoms without the change of temperature.

There are two main types of Raynaud’s Disease. These types are known as primary and secondary Raynaud’s. Primary Raynaud’s is the more common type of the disorder. It affects people and does not come from a secondary medical condition. Secondary Raynaud’s is the result of an underlying medical condition. Both are manageable under the care of a podiatrist.

Some things that are thought to link directly to the cause of this condition are:


  • Stay warm
  • Relieve stress
  • Soak your feet in warm water (not hot)
  • Prescribed medication

If you are suffering from any pain or discoloration in your toes, it is important to contact James C. Ricketti, DPM, located in Hamilton Square, New Jersey right away. These symptoms could be due to Raynaud’s or another more severe condition. Dr. Stephen J. Skokan and Dr. James C. Ricketti will help you determine your condition and formulate a treatment plan that is right for you. Call 609-587-1674 or make an appointment online today to get your feet back into tip top shape.

As October strikes, many children are getting ready for Halloween. Some will dress up as vampires, ghosts, and even witches. They will walk around and delight in the festivities of the holidays. Some of them will take part in parties afterwards. When your little one comes home it will be so much fun to sort through candy and relish in the bounty. That is, until they take off their shoes and you discover a wart on the sole of their foot.

Plantar warts typically appear on the bottom of the foot. In the beginning stages of a wart, it appears as if a callus is developing. Over time, however, the thick skin will start to develop into a round wart. The arch area is highly prone to these warts. They can appear anywhere along the sole, including non weight bearing areas.


Warts are caused by a virus. Usually, they are transmitted via direct contact with the skin. This means, if you walk barefoot on an area that carries the virus, you are more likely to get a wart. Public showers, gyms, locker, rooms and other high traffic areas are breeding grounds for the wart virus. Sometimes these warts can even appear on the top of the foot.

Warts can appear in intervals. Sometimes they can last for days, go away and then come back for months. They are spontaneous and there is no time limit nor limit of number of occurrences.


Over the counter wart medicine can sometimes work for top foot warts, but does not usually work for plantar warts. If you try over the counter medication for a top foot wart and it doesn’t work, call a podiatrist so that they can prescribe a better treatment option.

A foot doctor may use excision, freezing, burning, strong acids, or lasers to remove plantar warts. If any of these methods are used, they are done under local anesthesia and are not felt by the patient.

Did your child develop a wart? Is your over the counter wart medicine not working? Call James C. Ricketti, DPM located in Hamilton Square, New Jersey. There, Dr. Stephen J. Skokan and Dr. James C. Ricketti will help rid you of your warts. Call 609-587-1674 or make an appointment online today. After all, warts are for witches, not feet.

Our feet are our main source of transportation. We use them every day to get wherever we need to go. We also use them to partake in numerous activities. Some of those activities include walking, jogging, dancing, and sports. Some of these activities cause us to use our feet over and over in the same manner. For example, jump rope requires to hop up and down over and over and continuously put pressure on our feet. As time goes on and this repetitive motion occurs, our feet start to wear down from the lack of shock absorbency and the abundance of pressure. Then the foot becomes injured from an overuse injury. There are four common overuse injuries that you should be aware of.

  1. Plantar Fasciitis – Plantar fasciitis is an overuse injury of the plantar fascia and its accompanying muscles, leading to inflammation of the sole of the foot. Rest, ice, compression and elevation is the most recommended course of treatment for this condition. Arch supports and orthotics can also help to reduce the pain and increase the healing rate of the injury. This injury typically is most painful at the beginning of the day and lessens over the course of the day.
  2. Stress Fractures – These are tiny fractures that are due to microtrauma. A sudden increase in exercise and physical activity is usually the main cause of this type of disorder. If these little fractures are ignored, they can become a large and more serious fracture. It is important to immobilize a stress fracture as soon as possible to help prevent it from increasing in size and severity.
  3. Achilles Tendonitis – This is a condition that is caused by the overuse of the Achilles Tendon. This condition is usually due to lots of jumping. Children ages 14+ are most prone to this injury. Rest, stretching, shoe change, ice, and anti-inflammatory medications tend to help.
  4. Sever’s Disease – This is caused by inflammation in the heel bone before the skeleton meets maturity. It mainly affects the growth plate where the Achilles tendon attaches to the bone. Rest, ice, stretching, and pain reducing medication are helpful in its treatment. Sometimes casting is needed to help correct the problem.

Do you suffer from an overuse condition? Do you have pain in your arch, heel, or any other part of your foot? It is time to call Dr. James C. Ricketti and Dr. Stephen J. Skokan of James C. Ricketti, DPM located in Hamilton Square, New Jersey. Dr. Skokan and Dr. Ricketti will examine, diagnose, and treat your overuse injury using the most up to date skills and technologies. Call 609-587-1674 or make an appointment online today to get the quality footcare that you deserve!

Buying shoes can be a lot of fun. There are so many types, styles, colors and fashions that it can be both exciting and overwhelming. It is important to keep proper fit in mind when purchasing shoes. These can make or break your overall foot health. Here are some tips and tricks for getting those perfect pair of kicks.

  • Have your feet measured while standing. It is the most accurate way to measure them.
  • Always try on both shoes and walk around in them for a while. This gives you a better idea of their overall fit.
  • When buying shoes, always buy the size that corresponds with the larger foot. If you shove your feet into shoes that are too small you can get blisters, bunions, hammertoes, and even spurs.
  • Shoes should fit comfortably right off the bat. They should not require a break-in period under any circumstances. If one piece of the shoe doesn’t feel right, put them back!
  • Do not assume your foot is the same size as the last time you had them measured and bought shoes. Your feet can get larger. Also, not all shoes are made with the same mold for size.
  • Evening shoe shopping is the prime time to shop. This is because feet swell after being used all day. At this time of the day, your feet will probably already be swollen and be as big as they will get for the day. Buy a shoe that fits your swollen feet comfortably.
  • Buy a shoe with a stiff heel counter, a leather upper, cushion, and flexibility. Specifically, there should be a lot of cushion and flexibility at the heel of the shoe.
  • Make sure shoes DO NOT pinch your toes.
  • Try shoes on with the same type of sock or other foot covering you plan to wear them with regularly.
  • If you use orthotics bring them with you and try them on with the shoes you are looking to buy. It is important that your orthotic fits in the shoe and that your foot feels comfortable in both.

Are you wondering whether the shoes you just bough fit your foot properly? Still having a hard time finding a pair of shoes that fit you, just right? Dr. James C. Ricketti and Dr. Stephen J. Skokan of James C. Ricketti, DPM located in Hamilton Square, New Jersey can help you. Call 609-587-1674 to make an appointment today. Dr. Ricketti or Dr. Skokan will meet with you to help determine the right shoe for your foot. 



Children encounter foot and ankle problems everyday. Some are related to the development of the body over the course of time. Many conditions can be fixed if caught in their early stages. Some of the most important developmental disorders of the foot to look for in your growing child are as follows:

  1. Flat Feet – Having flat feet is a very common occurrence in children all over the United States. Usually, if a child has flat feet, one of their relatives also has flat feet. This is because flat foot syndrome is genetic. Specifically, it is caused by the lax tendons and ligaments in the arch of the foot. Shoes are not known to aid in the growing of an arch. If a flat foot is soft then it is normal and you can proceed regularly. If the flat foot is rigid it is important that you call a podiatrist right away. By age 5 you can usually tell whether or not your child has a flat foot. Patients that suffer from a painful flatfoot can use orthotics to aid them.
  2. Intoeing – This is also known as being “pigeon toed.” Usually the root cause of intoeing is not actually the feet, but is actually the hips and lower body. The hips and lower body rotate inward and create an abnormal gait called intoeing. Twisting a shin bone is one of the most common causes of intoeing in children between ages 1 and 2. Thigh bone torsion usually causes intoeing for children ages 3 to 15. Sometimes in more severe cases, surgery is used to help correct the problem.
  3. Knock-Knees – This is a condition where the knees touch but ankles do not during standing. It usually affects children between ages 3 and 7 and typically improves and straightens out by age 11. Sometimes bracing is used to help aid in the correction of the disorder.
  4. Bowlegs – This condition in which knees are apart while ankles stay together is typical for infants 12-24 months in age and can occur all the way up to age 2. Many people with this condition have legs that are stable and symmetric. A lot of the time, the condition spontaneously resolves itself. Bracing and surgery are sometimes used to correct this disorder.

Does your child have flat feet? Are their feet angled inward when they walk? Do they knock their knees? It is time to consult with a podiatrist. James C. Ricketti, DPM, located in Hamilton Square, New Jersey can help you examine, diagnose, and treat your child and their developmental disorder. Dr. James C. Ricketti and Dr. Stephen J. Skokan have been helping patients with all severities of developmental disorders for years and is confident that he can help you too. Call 609-587-1674 or request an appointment online today.

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