It can be daunting to go into the doctor’s office knowing that you must face a surgery to help heal your specific condition or ailment. It can be even scarier when it has to do with your feet and ankles; after all, we use our feet and ankles every day to stay mobile and get us where we need to go. Surgery can be made a lot smoother and less scary if a patient pays special attention to their preoperative and postoperative care.

Before going through a foot surgery, a patient must go through specific tests and examinations before the surgery to better improve the success of their surgery. Before surgery, the podiatrist surgeon will review your medical history and all of your existing medical conditions. Certain diseases, illnesses, allergies and medications will be reviewed and evaluated. Sometimes blood studies, urine tests, EKGs, x-rays, vascular tests and other tests will occur before a surgery to help evaluate your overall health. Once these have all taken place, your podiatric surgeon can prepare for your surgery with confidence and is able to take all necessary precautions.

After your foot surgery you will need to undergo some post-operative care. The type of foot surgery that was performed will determine the kind of aftercare and length of aftercare required in order to fully recover. Some surgeries are done for bunions, breaks, plantar fasciitis and other foot disorders. Foot surgery is not a panacea but it can be very helpful for an array of problems.

Some basics of postoperative care include rest, ice, compression and elevation. Splints, casts, surgical shoes, bandages, canes, and crutches may also be necessary. If you follow your instructions carefully, it is likely that you will make a fast and speedy recovery.

Have questions about your upcoming foot surgery? Need a podiatrist to perform the surgery? Not sure if surgery is the right choice? We can help! Dr. James C. Ricketti can help you select the best treatment for your feet. James C. Ricketti DPM is located in Hamilton Square, NJ and offers friendly, professional care for your feet and ankles. Call (609) 587-1674 or make an appointment online today. Choosing a podiatrist and treatment plan can be scary, let us make the leap smooth and effortless.

In the world of podiatry, there are many ways to treat different types of foot and ankle conditions. One such way is the use of therapeutic injections to afflicted areas of the foot and ankle. These injections typically provide medicine to an area of the foot or ankle that is in pain. Plantar fasciitis is a condition that can be treated in this way.

The sole of the foot houses the plantar fascia which is a band of tissue that connects the foot together from the base all the way to the toes. It also helps support the arch of the foot.

Sometimes the plantar fascia becomes inflamed and causes a person chronic pain that starts with the first step of the morning. Usually this type of injury is the result of the overuse of the plantar fascia. It can often occur overnight but is sometimes a result of a traumatic injury to the foot. Sometimes the pain is worsened by flexing the foot.

When it comes to plantar fasciitis, corticosteroid injection is an option that can be used for treatment. This usually occurs after physical therapy, stretching, over the counter medication, heel cups, splints and exercises do not help improve the injury. These injections effectively provide pain relief but do have risks. They can cause the rupture of the plantar fascia and fat pad atrophy.

If you and your podiatrist choose this method, it can be done at a regular appointment in the office. Your podiatrist will help position you into a side-lying position with the affected side of the foot down. The podiatrist will then find the area with the most swelling and tenderness.

After positioning you and your affected foot properly, the podiatrist will prepare the injection. They will place the needle perpendicular to the skin and insert it approximately past the midline of the width of the foot. The podiatrist should not place the injection into the fat pad of the foot.

The injection will be administered slowly and evenly. The patient should remain in the position for a few minutes after the injection. The patient should also remain in the office for 30 minutes to be sure no adverse reaction occurs.

Having pain from plantar fasciitis? Tried all other routes? Dr. James C. Ricketti can help you select the best treatment for your feet. James C. Ricketti, DPM located in Hamilton Square, NJ, is friendly, professional, and knowledgeable about your feet and their care. Call (609) 587-1674 to schedule an appointment today.

If you are a parent then you know that nothing in the world is more important than the health of your child. It starts from the womb and continues on throughout their entire life. You always put them first and aim to give them the best care possible. From the moment they are set to come into the world, you change your nutritional habits, your sleep habits and even the products you use to protect them. You would do anything to keep them safe and health no matter the size or type of problem. Even their feet are important to you. Sometimes no matter how diligent parents are, their children still end up with a disease of the foot or other disorders. One such disease is called Kohler Disease.

Kohler Disease is a rare bone disorder of the foot that is more likely to develop in children. Kohler disease usually occurs during a critical point in development. It is said that due to multiple instances of high stress on the bone, the bone eventually weakens and succumbs to Kohler Disease. Children are constantly growing and are high risk for this disorder because of it. A telltale sign of the disorder is a limping child who is also complaining of pain in the leg or foot. Children ages 3-7 are most likely to get the disorder. One foot is usually affected instead of both. Male children are more likely to get the disease than females are.

Children usually grow out of the disorder as the bones begin to go back to their usual size, density and structure. This usually happens in the span of a year but can sometimes take up to two full years.

Signs and Symptoms

  • Pain in the foot
  • Swollen foot
  • Arch tenderness
  • Difficulty walking
  • Difficulty bearing weight on the foot
  • Flow of blood to one bone is interrupted
  • Bone degeneration


Most podiatrists will make recommendations to watch the affected foot and wait to see what happens.  Most cases resolve themselves over time. If there is a severe case that does not seem to be getting better on its own, surgery can be used to remedy the disorder.

We can’t always control what happens to our children but we can control which medical professional takes care of them in their time of need.  James C. Ricketti, DPM, located in Hamilton Square, NJ can help. Dr. Stephen J. Skokan and Dr. James C. Ricketti are both highly trained podiatrists with vast experience with foot disorders in children. Call 609-587-167 or make an appointment online today. Your children’s feet are important, let us help them.

When you work as an electrician, production worker, oil rigger, or any other job with a high risk of injury, it is important to take all of the precautions necessary to protect yourself and your friends. Most jobs will let you know right away if you need to buy a pair of safety shoes before you start your first shift. These requirements aren’t just meant to be annoying, they are there to protect you and your employer. There are all kinds of safety shoes on the market and each have a different set of uses. Some shoes come with anti-slip while others come with steel toe to prevent traumas. Here are some tips to know what you need:

What you should know:

  • Choose footwear according to your workplace hazards, not by style or fashion.
  • Use top of the foot and toe protection, if there is a chance that your toes and forefoot can be injured due to trauma.
  • You need safety shoes if there is any risk of a foot injury in your workplace.
  • If foot protection is required at your workplace, your new employer should have information on the types and criteria of the type of safety shoes they expect you to buy.
  • Make sure your selection has proper soles. Improper soles can cause plantar fasciitis, strains and calluses.
  • Impact, compression and puncture are the most common types of work related foot injuries.

What built in features come with safety footwear?

  • Reinforced safety toes can help absorb the blow of a heavy object.
  • Reinforced metal soles prevent foot punctures (i.e. nails or staples).
  • Steel mid soles help protect from inadvertent penetration of sharp objects.
  • High cut shoes and boots give ankle support and prevent unwanted material from entering the safety shoe.
  • Non-slip footwear prevents slipping on certain surfaces or surfaces known to become damp, oily etc.
  • Insulated footwear helps keep feet warm in cold temperatures and can help prevent frostbite.

It can be hard to choose the right pair of safety shoes. It can be especially hard determining what shoes have the minimum requirements and what shoes go above and beyond. James C. Ricketti, DPM, located in Hamilton Square, NJ can help. Dr. Stephen J. Skokan and Dr. James C. Ricketti are both highly trained podiatrists with vast experience with workplace foot injuries and shoes that can be used to prevent them. Call 609-587-167 or make an appointment online today. Your feet are important to us. Let us make them our priority.

If you have a job that requires that you are on your feet constantly, then you likely already know the pain of plantar fasciitis all too well. Those who use their feet constantly or overuse their feet are highly susceptible to the pain of plantar fasciitis. Some individuals seek relief using personal methods. Others rely on their workplace to implement best practices to better care for their feet. With a combined effort, a person in the workforce as well as their employer can help prevent plantar fasciitis.

Employers can use 3 basic methods to help prevent their employees from suffering from plantar fasciitis. Anti-fatigue mats, shoe inserts, and material on proper stretching practices are all great methods for employers to use to help their employees prevent plantar fasciitis.

  • Anti-fatigue mats are made to decrease stress on the feet by providing a cushioned surface for people who stand for long periods of time. These mats have proven to help support and cushion feet.
  • Shoe orthotic inserts are great for workers who are constantly on the go. They cushion the arch, absorb shock, and provide stability to the foot. Also, be sure to wear proper fitting shoes. Proper fitting shoes can help prevent problems for those who stand on their feet all day.
  • Lastly, proper stretching can have a huge impact on the prevention of plantar fasciitis. Using specially crafted exercises during the morning, lunch and evenings, a person can keep their muscles warmed up and ready for increased stress. This prevents the of the muscles and their strain.

Although it’s impossible to completely eradicate the problem of plantar fasciitis, it isn’t impossible to battle against it. Do you need a consult for your employees? Call us. If you are suffering from a sports injury and need to see a podiatrist, look no further. James C. Ricketti, DPM, located in Hamilton Square, NJ can help. Dr. Stephen J. Skokan and Dr. James C. Ricketti are both highly trained podiatrists with vast experience with sports injuries. Call 609-587-167 or make an appointment online today. Your feet are important to us.

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