Every foot is different. Some are long while others are short. Some have high arches but others are completely flat. In general, most feet look similar, as do the toes, but in some cases, a mutation can occur when a fetus is developing in the womb. This can lead to a foot that has a different look than the typical foot. Sometimes it is completely altered and the structure is deformed. Other times, only the toes are affected, causing a cosmetic deformity like webbed toes.

Webbed toes, also known as syndactyly, occur in about 1 out of every 2,000 to 2,500 live births. There are various severities of syndactylization. Sometimes toes are only partially webbed. Other times, they are completely webbed. The most common area on the toes to be affected by webbed feet are the second and third toes. Syndactyly is thought to be caused by a genetic defect. Some sort of DNA mutation in your family’s genetic history usually causes you to develop webbed toes.

Typically, this deformity is more of a cosmetic problem than a functional problem. It very rarely requires treatment due to lack of functionality or danger to the foot. It is also unlikely to require an x-ray to diagnose. A visual examination of the foot and toes is usually sufficient when making a diagnosis.

If parents feel strongly about their child’s webbed toes, they can opt for their child to have cosmetic corrective surgery. Most podiatrists recommend that parents wait until children are old enough to assist in making a conscious decision about the surgery before they have it done. This is because post-surgery care is very important. If the toes are not properly cared for, the syndactyly can come back due to a skin-flap slough. In order to avoid such a complication, it is easier to have an older child help in the after care of the surgery.

If you or your child suffers from webbed toes and want to consult with an experienced podiatrist, Dr. James C. Ricketti, and Dr. Stephen J. Skokan of James C. Ricketti, DPM, located in Hamilton Square, New Jersey, can help. Call 609-587-1674 or request an appointment online today. We will educate you and help you make an informed decision when it comes to you or your child’s webbed toes.

Many people know someone who has suffered from cancer. There are so many types of cancer in the world that it is hard to keep track of all the possibilities. There are three major types of cancers:

  1. Basal Cell Carcinoma
  2. Squamous Cell Carcinoma
  3. Malignant Melanoma

These three cancers plague thousands of people every day. They slowly sneak into our systems and fester until they are found. Of the three cancers, malignant Melanoma is the most aggressive cancer. It can also be the most lethal type.

Typically, skin cancers that appear on the foot are uncommon. When they do occur, they are usually not caught right away. The delayed diagnosis stems from the location of the skin cancer. Usually, our feet are hidden in socks, shoes, and are a second thought in our regular lives. Because of our feet being on the back burner, we often find problems with them a little too late. Another reason why skin cancer of the foot is often missed is because it can manifest in ways that look like other common foot conditions. These conditions include lesions, ulcers, and warts. Sometimes it’s hard to discern whether a lesion is really a cancerous lesion or an ulcer and hence the cancer diagnosis is delayed.

If you see any skin issues on your foot, you should see a podiatrist right away. It is better to get help immediately than to allow the problem to go untreated and become much more severe and potentially irreparable.


Typically, a skin lesion will be surgically removed by a highly trained podiatrist. The earlier the lesion is recognized as cancerous, the better. If cancer is caught at an early stage, it is much more likely that the patient will survive. Early stages of cancer can be treated with different courses of therapies and can potentially be cured.

If you have open wounds, lesions, ulcers, or any other condition on your foot, contact James C. Ricketti, DPM and Stephen J. Skokan, DPM of James C. Ricketti, DPM in Hamilton Square, New Jersey right away. Call 609-587-1674 or make an appointment online. Five minutes on the phone, making an appointment can make the difference of a lifetime.

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. 

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