We all know that bizarre feeling. We have been sitting in the same position for the past hour and a half and all of a sudden, a tingling warm sensation overcomes out feet and legs. It feels like spiders crawling on our skin or even pin pricks. Quickly, we get up to try to walk the feeling off and find that we have lost all feeling in our foot. Did you know this happens to some people regularly, even when they aren’t sitting down? This disorder is called Peripheral Neuropathy.

Peripheral Neuropathy causes reduced feeling in the foot or feet. This feeling is similar to that half-asleep foot feeling that we can get from sitting in one position too long. It causes a tingling and numbing sensation at its onset, but over time it can be a much larger problem and it also can be a sign of Diabetes.

Peripheral Neuropathy can lead to ulcers or other serious injuries of the foot. When a patient cannot feel their feet, they cannot tell if they receive an injury on their foot either. Injuries to the foot with this disorder are often left untreated due to the lack of pain. These injuries grow and fester over time. They can cause serious infections and ulcers of the foot. If these infections and ulcers are left untreated it can mean that the foot and similarly affected areas need to be amputated.


There is a simple way to screen for Peripheral Neuropathy. First contact a local podiatrist office such as the office of James C. Ricketti, DPM in Hamilton Square, New Jersey. There Dr. Ricketti and Dr. Stephen J. Skokan can evaluate the affected foot. A device that is long and with bristles (similar to a toothbrush) will be rubbed against the patient’s feet. The patient will then indicate if they can feel the bristles. Dr. Ricketti or Dr. Skoan can then use the patient’s feeling indication paired with the amount of bend in the bristles to determine how severe a case they are treating.

Unfortunately, Peripheral Neuropathy is not reversible. Physical therapy can be helpful in the prevention of the disease but it cannot cure it. Similarly, the correct fitting shoes can help to slow the disease down and provide ample support for a patient suffering from the disease. If you have Peripheral Neuropathy it is important to test and check problem areas on a regular basis to be sure the disease is not spreading too rapidly. 

If you have numb and tingling feet please call the office of James C. Ricketti, DPM right away at 609-587-1674 so that you can be diagnosed and treated immediately.

Dr. James C. Ricketti and Dr. Stephen J. Skokan, of James C. Ricketti, DPM, would define biomechanics as both the internal and external forces and how we use them to move and interact daily. Our feet partake in biomechanics every day.  We run, walk, skip, and jump constantly. All of these movements cause great pressure and stress on our feet.  This buildup of strain can lead to foot problems.

Shoes or the lack thereof, can also cause foot and ankle issues while moving in or without them all the time. Not all shoes are made with podiatry friendly techniques in mind. Many are made purely for style and nothing else. Heels and flats are two very common styles of shoes that are horrible for your feet. They give no support or stability to the foot and ankle and can lead to serious problems later in life. Shoes with ample support and stability will cause less issues for your feet. Podiatrists prefer that you buy shoes that fit properly as opposed to shoes that only look good.


We acquire our genes from our mothers and fathers. Each parent donates their genes equally to a child and we inherit some of the traits of our family due to genetics. This is also true for foot and ankle problems, and how they play into our biomechanics. Those with hereditarily high arches are prone to pain while walking. Those with a family history of arthritis also tend to acquire the disorder, sometimes in their feet. These problems can impact our biomechanics negatively. Arthritis, pain, and other disorders can prevent us from walking, running, and jumping regularly.

Our genetics can also cause deformities in the feet. Bunions, Morton’s Neuroma, and other deformities have links back to genetics.  Some deformities can cause foot bones to be shorter than they ought to be, while others will misshapen them completely. The effects of genetics on our feet and ankles and wide and vast. If you suspect that you have a genetic deformity, pain that is causing trouble with the way you move, or any other foot or ankle disorder, you should contact our podiatric practice right away.

Call 609-587-1674 to make an appointment. Our office is conveniently located in Hamilton Square, New Jersey. Our staff has numerous years of experience dealing with the study of biomechanics and the effect of genetics on our daily lives. 

A week ago, you noticed a wart appeared on the side of your toe. At first, you ignored it, but now it has grown double in size and is irritated from rubbing against your shoes. Perplexed, you stare at it, google wart a few times, and panic at all the potential illnesses that could cause a wart. Do not fret my friend, it is merely time to call James C. Rocketti, DPM or your local podiatrist.

What is a podiatrist?

A podiatrist is a medical professional who specializes in the care of, and illnesses of the feet and ankles. A podiatrist is a specialist, not just a general practitioner. This means that they must earn a Doctorate of Podiatric Medicine (also known as a DPM) in order to practice in the foot and ankle field. In the United States, there is a limited amount of accredited Universities that offer this Doctorate.

Why Choose a Podiatrist?

When you go to the local home supply store, do you ask someone who specializes in small appliances how to paint your bathroom so that it is mold resistant? No, you ask the paint specialist at the store. Choosing a podiatrist has a similar concept. It is important to talk about your foot and ankle problems with someone who specializes in them. After all, your feet make up a total of one quarter of the bones in your entire body. While your regular physician has been trained in all basic concepts of the body, it is best to leave feet to the podiatrist. They are the experts. They diagnose, treat, and prevent foot problems every day.

How to Find a Podiatrist?

  1. Call your insurance provider – on the back of most healthcare cards there is a member number. You can call that number and talk to a customer service representative who can give you a list of podiatrists that are covered with your plan.
  2. Get a referral – your regular physician knows many different specialists. Often times, they partner with different firms and will provide a referral to their practices. Not only does it get you the “in” in an otherwise long wait time, it also gives you comfort to know that your doctor recommends the person who will be treating your foot or ankle issue.
  3. Do a google search – the internet is a very fine tool. It has pages upon pages of data regarding podiatrists, their locations, and what insurances they take. All you have to do is type in, “How to Choose a Podiatrist” and endless amounts of options and reviews are given to you.

Still worried about that wart? Having some unexplained ankle pain? Is Diabetes effecting your feet? At James C. Ricketti, DPM we strive to answer all your concerns and treat them promptly. We provide a professional atmosphere that will allow you to feel at ease. Our office is conveniently located in Hamilton Square, New Jersey at the Golden Crest Center. Dr. James C. Ricketti and Dr. Stephen J. Skokan are waiting on their toes, to treat your feet. Call 609-587-1674 to make an appointment today!

We use our feet to walk every day. Often, they are barely a thought in our mind. At James C. Ricketti, DPM in Hamilton Square, New Jersey, your feet are our top priority. Dr. James C. Ricketti and Dr. Stephen J. Skokan are highly trained podiatrists who have treated everything from corns to sprains. At the end of the day the fruit of their efforts comes down to one simple thing: the formation of the foot.

Formation Facts

The foot is made up of three separate sections that combine to make your foot. These sections are the rear foot, the midfoot, and the forefoot.

The rear foot contains the talus bones the calcaneus bones, and the ankle joints. More commonly it is known as the “heel”. When walking, those with a rear foot stride, strike their heel to the ground and roll forward when walking.

The midfoot is the arch of your foot. This area connects the rear foot to the forefoot.  Those with no arch or high arches tend to have aching feet. Dr. Ricketti and Dr. Skokan can assist you in finding the right insert to remedy these issues.

The forefoot is the top of your foot. It houses the metatarsal bones and also the toe bones. These bones provide balance to the body. They also tend to strike last while running and walking.

Each foot has 26 bones. There are seven ankle bones, 14 toe bones, and 5 other inside bones.

The foot also has three arches. The main arch can be found in the midfoot area. This arch is known as the plantar arch. The plantar arch helps absorb shock when walking, running, and partaking in other various activities that use your feet.

The foot is held together by muscles and ligaments. These muscles and ligaments allow for vast mobility and flexibility. Although it is a small part of the body, it is complex in nature and plays a key role in daily activity.

The foot is an essential part of the body. If you experience any pain or want to learn more about the formation of the foot please contact our Hamilton Square, New Jersey office today. You can call us at 609-587-1674. Dr. Ricketti and Dr. Skokan will provide you with professional guidance and resources to help you better understand your feet.

Summer is just around the corner and that means it is time to get outside and go. The beautiful weather brings about a whole slew of activities. Running, biking, soccer, and other high stress sports are popular at this time. Ankles can be injured easily if they are weak and overexerted during these activities. It is important to take precaution and strengthen your ankles so that long lasting injury does not occur. Here are 4 ways to strengthen your ankles.


Stretching your ankles is a great way to help prevent injury. Stretching allows for the muscles and tendons to loosen and react to sudden movement and increased exertion. One way to stretch your ankles is to roll the sides of your feet in and out slowly. Rolling your ankles in circles will also help to limber up the muscles before a day in the outdoors.


Regular exercise is key to gaining strength. Using light 3 to 5 pound weights will help build muscle in the ankle over time, allowing for definition and longer periods of activity. Exercise bands are also helpful tools for ankle exercise. First, sit on the ground with your legs outstretched. Next, put the exercise band around your feet. Stretch the band back so that you are sitting straight and flex the tops of your feet. You will feel the burn in your ankles as they build up the muscle they need. Have an old jump rope lying around? Pick it up and get hopping. This simple and nostalgic exercise will also help your ankles build up endurance.


Too much stretching and exercise can actually cause injury. It is important to give yourself periods of rest to help your ankles heal after a long workout. Take the time to sit down and elevate your feet. Icing areas that are sore or swollen can help the recovery process.


Proper footwear is key to strengthening your ankles and avoiding pain. When choosing a sneaker be sure to have your foot measured so it fits properly. Good soles and support are also important when choosing a shoe. Every foot is different and so are it’s needs.

Contact Us

Have you tried stretching, exercise, rest, and new footwear? Are you still suffering from weak ankles and pain? It’s time to call a podiatrist to give you the proper diagnosis and treatment you deserve. The staff at James C. Ricketti, DPM , in Hamilton Square, New Jersey, are highly trained, Board Certified professionals. Dr.  James C. Ricketti and Dr. Stephen J. Skokan have had well over twenty-three years of experience working with patients to recover lost ankle strength and heal from injury. If you would like to make an appointment please contact our office at 609-587-1674. We look forward to meeting you and assisting you in your journey to obtain the endurance and confidence you deserve.

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