Everyone has experienced cold feet. The winter is prime time for this occurrence and it can be quite uncomfortable. We layer up, stay indoors, and sometimes use heat packs to prevent the chill. What happens if your feet get cold even in the summer AC. They start aching, burning, and swelling. You have no idea how to keep them warm and why they hurt so much. They look a little red and blotchy and you are nervous. Should you call a podiatrist? Yes! You could have chilblains.

Chilblains, also known as Perino, chill burns, and Perniosis is a condition when an individual is exposed to cold and humidity for too long. This exposure slowly causes damage to the tissue in the foot. This condition is often confused with frostbite and trench foot due to its similar symptoms. 

Symptoms of Chilblains

  • Redness
  • Swelling
  • Inflammation
  • Itching
  • Blisters
  • Damage to capillary beds in the skin
  • Dermatitis
  • Ulcers
  • Pain

Ulcers and extreme pain only occur in severe cases of chilblains that have not been caught and treated in time. Although it is rare, it is important to call a podiatrist such as Dr. James C. Ricketti or Dr. Stephen J. Skokan, right away if any of the symptoms occur after exposure to the cold.

These symptoms can be reduced by keeping the feet warm in cold weather and by avoiding extreme temperature changes. 

In general, chilblains can be spontaneous and unrelated to other underlying conditions. However, it can also be due to some serious medical conditions. James C. Ricketti, DPM, located in Hamilton Square, New Jersey, can help you determine whether an underlying cause is provoking your chilblains.


When you suffer from chilblains, it is important to keep your feet warm at all times. Wear warm shoes and socks at all times. Merino wool tends to be warm and dry, so try to find this type of sock to help your feet.  Avoid tight fitting shoes and socks. Place cotton and wool between your toes to help to improve circulation and also to keep your feet warm. If you choose to soak your feet in water and Epsom salt, be sure not to use water that is too hot, as it will exacerbate the problem.

If you think you might have chilblains, it is important to act immediately. Waiting to treat the condition can cause permanent damage to the foot and tissue death. Call 609-587-1674 or make an appointment online with Dr. Ricketti and Dr. Skokan today.

Every day you go for a walk at your local park. You make sure to do at least three laps so that you can get your daily recommended steps in and live a happy, healthy lifestyle. You have your walking shoes on, your iPod in, and you are killing it. Your foot begins to ache as you walk, but the pain isn’t unbearable at first. After a week of the same actions though, the pain gets worse and worse, especially when your forefoot pushes off the ground. What is wrong with your foot? Should you call a podiatrist?

Sesamoiditis could be ailing your foot. This is a very painful condition where the sesamoid bones become inflamed and radiate pain. These bones are very tiny bones that help move your tendon when you are walking. They are about the size of a jelly bean and ensure that the joint and the tendon do not get too close to one another.

These little bones are embedded into the tendon and muscle of the foot, which is unlike other bones that are typically connected by the joint. The sesamoid bones help the tendon from completely flattening out, and allows it to snap back and stay strong.

Symptoms of Sesamoiditis

The most common symptom of this disorder is pain when walking. The pain is at its peak when the toes hit the ground and the weight shifts from one leg to another when walking.  The pain usually shows up around the big toe area. The pain usually only occurs during walking, but if it is not treated and is left to worsen over time, the pain can become constant and swelling can occur at the toe. The afflicted area is also painful and tender to the touch.

Causes of Sesamoiditis

If the patient is older, it is likely that they developed this condition due to arthritis or osteoporosis in the bones. If brittle bones begin to form another bone around the sesamoid area it can cause inflammation and pain.

For younger patients, those with an eating disorder, menstruation issues, or are athletic or wear high heels are all prone to this condition.

Does your big toe ache when you walk? Has the pain begun to flare up over time? James C. Ricketti, DPM and Stephen J. Skokan, DPM of James C. Ricketti, DPM in Hamilton Square, New Jersey can help determine whether or not you are suffering from sesamoiditis. Call 609-587-1674 or request an appointment online today. You won’t be disappointed!

The office of James C. Ricketti, DPM in Hamilton Square, New Jersey, has treated all types of ankle and foot ailments. James C. Ricketti, DPM and Stephen J. Skokan, DPM have practiced podiatry for many years, and their vast experiences have allowed them to treat heel spurs, bunions, deformities, diabetic feet and many other foot and ankle problems. Morton’s Neuroma is one of the many disorders they have treated.

What is Morton’s Neuroma?

Morton’s Neuroma (a neuroma is a growth that occurs in the nerve cell) is a painful condition that affects the ball of the foot. It usually occurs between the third and fourth toes, which is the area right in the middle of the foot. The pain and discomfort is similar to that of one feeling something stuck in a shoe. It also feels as if a sock is bunched up and will not flatten out. The nerve in the foot becomes thick and causes inflammation and swelling of the nerve tissue near the toes.


  • Pain
  • Burning
  • Sharp ache at the ball of the foot
  • Stinging
  • Numbness
  • Burning of the toes

Cause of Morton’s Neuroma

Podiatrists have linked high heels to the cause of Morton’s Neuroma and as such, people who wear high heels and suffer from this disorder are advised to switch to shoes with a lower heel. Once the shoes are swapped out, most people report feeling immediate relief. A shoe that fits properly can prevent and treat Morton’s Neuroma.


Those who are suffering from Morton’s Neuroma can take steps to help ease their pain and alleviate the problem. One of the most important steps to take is to go out and buy a pair of shoes that fit properly. Orthotics and other medically prescribed inserts can help as well aid the patient in finding pain relief inside their shoes. If the nerves are not too damaged, it is likely that a patient can experience a normal lifestyle again. If the nerve damage is severe, it is sometimes irreversible.

Are you wearing high heels with a narrow toe? Are your feet aching when you walk? It is time to call Dr. Ricketti and Dr. Skokan at 609-587-1674 or make an appointment online today. Your foot health is important to use. Let us help you live a healthy, painless lifestyle. 

Many of us have danced or have kids who have danced. Dancing is a fun, great activity for the mind and the body. A dancer’s most important piece of equipment is dance shoes. Sometimes you may run into problems and need to do some troubleshooting for shoe-related issues. Here are some hacks for your dance shoes.

Shoes too Tight?

  • Use a hair dryer to heat the inside of the shoes. Pop on some thick wool socks and put on those warm shoes. The heat and pressure will help the shoes stretch out and fit more comfortably.
  • Use rubbing alcohol on parts of the shoe that are uncomfortable. The alcohol will soften the shoe but not damage it.

Pain in the ball of your feet when wearing heels?

  • Buy some foam at your local craft store. Cut it into the shape of your foot and round it out to match the fit and sole of your shoe. Wear your shoes with the newly made foam insert. Not only will it provide a lot of cushion, it will be much more comfortable.
  • Tape together your third and fourth toes. This can lessen pressure on the nerve between the toes and prevent further pain. Make sure not to wrap them too tightly though, as it could cause further injury.

Do your dance shoes smell?

  • If you have more than one pair of shoes, try alternating them. This will give each shoe a chance to dry after being used.
  • Put your dance shoes in the freezer. The extreme cold will kill the odor and wick away the moisture that is causing your shoes to stink.
  • Use teabags. If you put a teabag into the front of your shoes right after you wear them it will help to absorb moisture and odor.

Are you in need of more tips for your dance shoes? Received an injury while dancing and not sure if it is severe? At James C. Ricketti, DPM, we are here to help you! Dr. Stephan J. Skokan and Dr. James C. Ricketti have an office that is conveniently located in Hamilton Square, New Jersey. Their combined experience and vast knowledge will help you get back to dancing in no time. Call 609-587-1674 or request an appointment today.

Just like adults, babies and children need to wear shoes. Shoes protect our feet from the weather, debris, and germs. Without shoes our feet can be riddled with disease, wounds, and other serious illness. Protecting our feet is critical because we use them to stay mobile every single day. Without our feet, we would not be able to walk, move, and play the way we are used to. From the time your child is born until the time they are adults, it is important to make sure you are outfitting them with the right shoe for their ever-evolving feet.

Cute shoes might look fun to buy, but think again. Usually, the cuter the shoe is, the least likely it is to be beneficial to a child’s foot. Cute shoes are typically rigid, sturdy, and lack a good grip. For normal day to day wear, try to find your child a shoe that is non-restrictive and allows freedom to use their normal range of motion. If a child wears a pair of shoes that do not fit properly, it can permanently deform their feet.

Shoes and socks should both be non-restrictive on all parts of the foot. Socks should not fit tightly around the ankle, or have seams that lift, or have flaps of extra fabric. Shoes should not be too tight, should have a soft flexible bottom and have good grip to prevent slipping. Crib shoes tend to be a great choice due to their well-made nature. Sneakers and closed toed shoes are also helpful for foot protection and breathability. Try to save all the cute shoes for quick photo shoots and special occasions.

When children are learning to walk, they do not always need to wear shoes. Shoes should be worn outside to prevent splinters and to prevent slipping but if a child prefers to have bare feet when learning to walk in the house, that is perfectly fine. Children tend to do better when learning to walk with bare feet as they feel out their surroundings and test their boundaries. If you want your child to wear socks, make sure that they have grip on the bottom so they do not slip and hurt themselves. Also, be sure to check the size of your child’s foot regularly. Small feet grow quickly and outgrow their shoes at a rapid rate.

Are you having a hard time deciding whether or not your child is wearing the right shoe? Do you need to talk to a professional to get the basics and discuss your child’s foot health? Look no further. Dr. James C. Ricketti and Dr. Stephen J. Sokan of James C. Ricketti, DPM, located in Hamilton Square, New Jersey, can help you and your child learn about the right shoe. Call 609-587-1674 and request an appointment today.

Joomla templates by a4joomla