Trench Foot is not a disease that you see every day but it can be a big problem for the patient who has acquired it. Trench foot occurs when feet are exposed to damp and cold conditions for long periods of time. “Trench” refers to trench warfare from World War I. Many of the soldiers fought in trenches that filled up with water and soaked their feet for long periods of time. Due to exposure and lack of a podiatrist, many of these soldiers acquired trench foot and suffered.

3 Stages of Trench Foot

  1. First the blood vessels begin to constrict due to the cold conditions and the wetness inside of the shoe. The shoe has little oxygen and the feet do not get enough of it. The foot starts to feel cold to the touch. It swells and becomes discolored and numb. It feels like cold feet at first, maybe even the onset of frostbite but is completely different. If feet are warmed and remedied at this stage the foot will become red, puffy and tender.
  2. If the foot is not healed and warmed within stage one, it progresses to stage two. The tissues in the foot become damaged from lack of good circulation. The vessels open and tissues swell from the excess fluid in the shoes. If the foot is warmed at this stage, ulcers and blisters will appear. The ulcers will fall off and dead tissue will remain. Sometimes infection and gangrene occur at this stage.
  3. At the last stage of trench foot, the foot has been exposed to harsh temperatures and extreme moisture for long periods of time. Swelling will lessen and go away. The foot will begin to look normal. The foot will start to sweat more frequently and have a tingling sensation. It will be itchy, feel prickly and be extremely sensitive to cold.

Trench foot does not solely occur from standing in a trench. Fishermen with improper shoes can get the disease from standing in water for too long. People with extremely sweaty feet can also get this disorder due to moisture being trapped in their socks and shoes from the excessive sweat.

Have you stood in cold and damp situations for long periods of time? Does your foot tingle, have a sensitivity to cold, and ache? Call James C. Ricketti, DPM located in Hamilton Square, New Jersey at 609-587-1674. There Dr. James C. Ricketti and Dr. Stephen J. Skokan can examine your feet and make a diagnosis. Don’t want to fill out all that paperwork? Go to the patient portal and get a head start!

Your toe has been aching and has begun to bulge. Frantically you Google causes of your symptoms and give yourself a fright. According to the many websites out there, your foot could be broken or need to be amputated. The results are so far and wide that you decide you need to call a podiatrist like Dr. James C. Ricketti. After an examination in his office located in Hamilton Square, New Jersey, he determines that you do not need to amputate and that you merely have a stone bruise.

A stone bruise, also known as metatarsalgia, is a condition when one experiences pain in the metatarsals. This pain is centralized in the forefoot and often appears right behind the big toe. The second most common location of this condition is under the second metatarsal bone in the foot

A stone bruise is often the result of one of the heads of the bones becoming enlarged and irritating the surrounding tissues. Repetitive motion and use of the forefoot can activate the pain that the bulge causes. These conditions make it so the patient has a hard time walking and living a normal and mobile daily life.


Over the counter pain medication can be helpful when it comes to easing the pain and inflammation that a stone bruise can cause. Another alternative would be the use of pads in your shoes. These pads are specially designed for people with metatarsalgia and help to ease discomfort and pain. These pads can be placed in virtually any shoe. The user can choose whether they want to wear socks while using them.

Did that Google search scare you a little too much? Are your signs and symptoms similar to that of a stone bruise? At James C. Ricketti, DPM we are here to help. Call 609-587-1674 or request an appointment online today. Dr. Ricketti will examine, diagnose and treat your stone bruise and any other issues your feet and ankles might have. “Our experience and use of the latest diagnostic tools allows us to make the correct diagnosis of your problem and apply the appropriate treatment to get you back on your feet as fast as possible.”

The human foot is made up of 26 bones per foot. That is about a quarter of all the bones in our entire body! Within the foot there are joints, tendons, and muscles too. All feet are unique, and you will never find a set that is exactly the same as another. In essence, they are like snowflakes, no two feet are exactly the same as another person’s two feet. They all typically have a similar structure, but each set has its own footprint, gait, and formation. 

One common formation of the foot is the flat foot. This type of foot has a very low arch and is fairly common. You probably pass at least 10 people a day who have feet that are considered flatter than a pancake. Many podiatrists see flat feet that are also considered pronated. Pronated means that the feet rotate or roll in towards the arches.

Signs and symptoms of flat pronated feet are:

  1. The heel bone is turned away from the center of the body
  2. The inner ankle is bulging
  3. The leg is rotated inward
  4. The forefoot is shifted outward from the heel

What problems can flat feet cause?

  • Abnormal bone alignment
  • An imbalance of the muscles in the feet, ankle, leg, hips, and back
  • A combination of the two aforementioned problems

It is important to note that not all flat feet are pronated and not all pronated feet are flat. People with flat feet often feel discomfort in their back, their feet, and their legs. This discomfort can be remedied with orthotics, proper fitting shoes, or if the issue is severe at birth, surgery. Flat feet typically develop  during a child’s youth and do not typically cause too many issues. 

Is your lower back causing you pain and suffering? Are your feet tired after walking for short distances? You may have flat feet. At James C. Ricketti, DPM located in Hamilton Square, New Jersey, Dr. James C. Ricketti and Dr. Stephen J. Skokan can determine whether or not you have flat feet and if they are what is causing all that grief. Call 609-587-1674 or request an appointment online today. Your feet are our number one priority.

Many people take it as a compliment when they are told that they have tough skin. In the world of podiatry, this “tough skin” can become problematic. Corns and calluses can become tender and painful very quickly. A trained Podiatrist such as Dr. James C. Ricketti or Dr. Stephen J. Skokan from James C. Ricketti, DPM in Hamilton Square, New Jersey, can help.

Corns and calluses are both from a whole lot of dead skin. Usually there is so much pressure in one area of the foot that it leads to the skin slowly dying and building up to become a corn or a callus. The more weight and stress the area is dealt, the thicker the corn and callus becomes. Essentially the dead skin continues to build up on itself and create a barrier of protection. This is helpful initially because it protects the foot in the beginning, but over time it can become a lesion and cause more grave problems.

While corns are typically found on the toes, calluses are found on the bottom of the foot. Both corns and calluses are the same type of lesion. The main difference is their location and their formation.


A trained podiatrist such as Dr. Ricketti or Dr. Skokan can cut down the corn or callus. After they are cut the foot doctor would then wrap them up with a protective covering, such as gauze, for temporary relief. True relief comes from relieving the pressure that is causing the corns and the calluses to begin with. In order to permanently prevent pressure, you can buy new shoes, acquire custom orthotics, or have foot surgery. Shoes that are too tight or too narrow will cause pressure at the top of the foot. This pressure slowly builds and can cause corns on the sides of the toes. People who are on their feet all day with ill-fitting shoes tend to get these corns. Shoes that have a lot of support, have enough room at all points, and are laced appropriately can help alleviate corns. Orthotics that are inserted into shoes can also assist in relieving pressure on the foot. The right orthotic can help the heel, and the bottom of the foot with stability and prevent calluses from forming. Surgery, can help remove a corn and callus, and can reconstruct a deformity that may be causing the corn or callus to begin with.

If you suspect that you have a corn or callus and want it treated. Call our office at 609-587-1674 or make an appointment. Healthy feet are our top priority.

After a long workout, you get home and strip off your shoes. Then you strip off your socks. At first you don’t notice it – but then it hits you like a brick wall. Your feet reek!

Foot odor or bromhidrosis is something many people deal with. It is caused due to the decomposing bacteria in sweat. Essentially, these bacteria eat the sweat on your body and produce a byproduct that has an unpleasant scent, causing our feet to smell. It is not uncommon to have occasional smelly feet, but some people have it worse than others. There are some easy ways to try to reduce and prevent the stench coming from your feet.

How to Beat the Smell

  • Soak your feet! – Use salt and add it to warm water. Once it dissolves dip your feel into the water and let them soak for about a half hour. The salt will draw out excess moisture, eliminating the home for bacteria to breed.
  • Tea – Tea works as a natural antibiotic. If you put a black tea bag into a tub of water and let it soak, along with your feet, it will help cut down on their smell.
  • Vinegar – Vinegar will dry out your feet just like salt. Bacteria cannot survive a dry environment and will perish. This is good news for your smelly feet.
  • Foot Spray – Lysol sprayed into your shoes will help prevent smelly feet. The Lysol will kill the lingering bacteria and dry out the shoes. This will prevent the bacteria from sneak onto your feet and causing them to smell even more.
  • Cotton – Cotton is a wonderful material. It allows feet to breathe, prevents moisture buildup, and prevents the growth of stench causing bacteria.
  • Powder – There are many different types of over the counter foot powders you can try. They absorb the moisture in the shoes and in the material, creating a dry environment.

If your feet still stink after trying all the methods listed above, it is time to call a podiatrist. The office of James C. Ricketti, DPM located in Hamilton Square, New Jersey houses Dr. James C. Ricketti and Dr. Stephen J. Skokan. These doctors are high trained professionals who will help you get your feet smelling like roses in no time. Call 609-587-1674 or make an appointment online.


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