Items filtered by date: June 2025

Peripheral artery disease, or PAD, which reduces blood flow to the feet due to narrowed arteries, is often caused by fatty deposits known as atherosclerosis. When circulation to the lower limbs is restricted, people may experience cold feet, skin color changes, slow-healing wounds, or painful cramping while walking. Over time, symptoms of peripheral artery disease can progress and may lead to serious complications, including ulcers or tissue damage. Hair loss on the feet and slow-growing toenails are other indications of poor circulation. People with diabetes, high blood pressure, or a history of smoking are at a higher risk of developing PAD. A podiatrist may detect reduced pulses, temperature differences, or other signs during a foot exam and can recommend diagnostic testing, such as an ankle-brachial index. If PAD is identified early, a podiatrist may suggest medical treatment, and, in severe cases, surgery to restore blood flow and prevent further damage. If you are experiencing symptoms of peripheral artery disease, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Brandon M. Zuklie, DPM from New Jersey. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Piscataway, Jamesburg, and Branchburg, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Fungal toenails often begin with discoloration, thickening, or a crumbly texture near the edge of the nail. Over time, the nail may become distorted, separate from the nail bed, or develop an unpleasant odor. This condition is caused by fungal organisms that thrive in warm, moist environments, such as sweaty shoes or shared showers. It can spread from one nail to another or even to other people. Although not always painful, fungal toenails can become uncomfortable and make walking difficult. Treatment includes topical or oral antifungal medications, as well as professional trimming or debridement by a podiatrist. Laser therapy is another option some podiatrists may offer. Keeping feet dry, wearing breathable shoes, and avoiding walking barefoot in public areas can help prevent reinfection. If your toenails show signs of fungal infection and do not improve with over-the-counter products, it is suggested that you see a podiatrist for advanced treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Brandon M. Zuklie, DPM of New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact our offices located in Piscataway, Jamesburg, and Branchburg, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.