November is American Diabetes Month

diabetic foot care

Did you know that over 34 million Americans have diabetes and the numbers have more than doubled in the last 20 years alone? Its upward trajectory worldwide has made the disease a global public health crisis. Your feet are of particular concern because of the way this chronic disease affects the entire body. Foot problems can sneak up with the added threat of neuropathy and lack of proper blood supply.

Because November is American Diabetes Month, Dr. Debra B. Manheim at Step by Step Family Foot Care has a few tips that you can adopt to lower your risk of diabetes-related foot complications.

  • Healthy living

Living with any form of diabetes is not easy, especially when you must make changes in your lifelong habits or lifestyle. A healthy, balanced diet plan can control your blood sugar levels and help you achieve better health – including improved foot health. Add lean meat, grains, fruits, and vegetables to your diet. Keep up your exercise regimen to maintain a healthy weight. Try to quit smoking. The tar and nicotine from cigarettes can damage your artery walls.

  • Team up with your podiatrist

A podiatrist is an important member of your diabetic care team. No matter where you are in your journey with diabetes, a podiatrist can treat, counsel, and manage any chronic foot condition successfully. Regular foot screenings and practicing healthy foot care habits can ensure that any signs of trouble are detected and treated at first sight.

Live your best life with diabetes and know that you have the support you need. Take prompt measures and regularly see your podiatrist for excellent foot health.

Whether you have diabetic foot conditions or a painful ingrown toenail, contact Step by Step Family Foot Care. Dr. Debra B. Manheim is here to treat disorders of the foot and ankle and help you find solutions that best suit your podiatric conditions. Call us at (973) 917-3785 to schedule a convenient appointment or visit our office in Parsippany, NJ. For more information on podiatry related problems, you can browse through our patient education library and blog section.

Keeping Your Feet Injury-Free this Halloween Season

children and Halloween

Kids love Halloween. It’s arguably the most kid-focused holiday of the year. Costume selection, trick or treating, decorating the house with spooky art, watching horror movies, and visiting haunted attractions are all fun Halloween activities for kids of all ages.

Whatever your activities are for the night, make sure the little ghosts and goblins stay safe. Potential foot problems can give you and your kids a scare and spoil all the fun out of your Halloween night.

Here are some tips to keep your Halloween injury-free:

  • Costume check: If you are making your costume, picking one out from a shop, or ordering online, the most important thing is the right measurements. A costume can become a tripping hazard. Ensure the outfit does not fall below the ankle or has a loose band of cloth as these things can cause a nasty fall. You can add reflective tape on the costumes to stay visible in the dark.
  • Shoe check: If your child is to have an active day, make sure they wear proper shoes. The little ones need to wear shoes that are ideal for supporting their feet for long hours and protecting them from hazards like broken glass or wet and uneven surfaces. Avoid wearing over-sized shoes as they can affect your balance and cause blisters or a potential injury.
  • Light check: If your child is trick or treating at night, carrying a flashlight can help save him or her from a trip or fall. If the neighborhood is not well lit, make sure to have a flashlight or even a glow stick to avoid curbs, bumps, and unexpected obstacles.

The key to excellent foot health is taking proactive measures and seeing your podiatrist regularly.

If you run into a foot or ankle problem on Halloween, contact Step by Step Family Foot Care. Our board-certified podiatrist, Dr. Debra B. Manheim, can evaluate you for any risk factors and treat you promptly. Call us at (973) 917-3785 to schedule a convenient appointment or visit our office in Parsippany, NJ. Happy Halloween and stay safe!

4 Tips for Reducing Fall Risk in Older Adults

fall prevention, senior foot care

As we get older, our bodies tend to lose strength, balance, and flexibility, thus increasing the risk of falling and injury. Anyone can have a fall, but older individuals are most vulnerable. Seniors need to be proactive with their foot health to diminish the risk of falls.

September is National Falls Prevention Month, and at Step by Step Family Foot Care, we know how your foot health can play a significant role in preventing dangerous falls.

Here are some tips to help people reduce their risk of falling.

  1. Stay in shape. Regular exercise improves overall foot health. It strengthens the muscles and improves balance and flexibility, making injuries and falls less likely. Keeping a healthy weight also helps to reduce the stress on your feet.
  2. Annual eye exam. Low vision can increase the risk of falling and injury. An annual eye exam from your optometrists can play a significant role in reducing falls. Don’t ignore foot pain. If your feet hurt, you risk losing your balance as you try to alter the way you walk to avoid the problem. Foot pain is not normal – be sure to discuss any pains, aches, and symptoms with your podiatrist.
  3. Remove hazards at home. Over half of all falls occur at home. Inspect your home for any risks that could lead to a fall or injury. Make sure you have good lighting all around the house. Clear any clutter such as cords or small furniture items from the main living space. Make sure to clean up any spills on the floor immediately. Install handrails for the stairways and grab bars for the toilets and showers.

If you think that you or your loved one are at risk for falls, visit our office in Parsippany, New Jersey. Our board-certified podiatrist, Dr. Debra B. Manheim, can evaluate you for any risk factors and provide you the best advice on fall risk prevention so that you can get back to the life and activities you enjoy. Contact us at (973) 917-3785 to schedule your appointment today.

2 Common Running Injuries

One of the many benefits of running is that it keeps you healthy and in shape. It’s an easy sport to get started and doesn’t require much equipment. It is also an ideal way to clock in a workout while social distancing. While running has many health advantages, there is an ever-present threat of getting an injury. Runners’ feet endure the brunt of the punishment than any other part of the body. The stress across bones, joints, tendons, and muscles is part of the trade-off of this form of exercise. Anyone who takes up running as a sport or a hobby needs to pay special attention to their feet and take steps to prevent foot and ankle injuries.

Here are two of the common injuries experienced by runners:

  1. Plantar fasciitis: This injury occurs when the plantar fascia (a thick band of tissue that connects the heel to the front of your foot) becomes inflamed. The inflammation can cause heel pain and stiffness on the bottom of your foot. See your podiatrist if the pain worsens or lasts for two or more days. Plantar fasciitis is also commonly referred to as runners heel.
  2. Ankle Sprains: Often experienced by runners is an ankle sprain. It occurs as you overstretch the ligaments in your ankles beyond their capacity. A sprained ankle can cause a certain level of discomfort depending upon its severity. Everyone is prone to ankles sprains if they are not careful. A severe sprain can ultimately limit your mobility.

If you experience a running injury, contact your foot doctor for the best care. Call Step by Step Family Foot Care located in Parsippany, New Jersey. Dr. Debra B. Manheim and the dedicated staff will help you diagnose and treat your foot or ankle condition. For more information on podiatry related problems, you can browse through our patient education library and blog section.

6 Steps to Fabulous Summer Feet

Many outdoor activities such as family picnics, barbecues, visiting local beaches and other summer hangouts have come to a standstill throughout the country because of the Covid-19 pandemic. This summer is, undoubtedly, going to look different.

You can still enjoy the outdoors while social distancing. However, it is of utmost importance that people with high-risk conditions such as diabetes, arthritis, and circulation problems take specific measures to stay safe. Today Dr. Debra B. Manheim of Step By Step Family Foot Care recommends the following 6 steps to fabulous summer feet that will keep your feet safe, healthy, and looking their best even during the coronavirus outbreak.

  1. Avoid walking barefoot. Never go outdoors without shoes in the summer because of the increased risk of infection or injury to the feet.
  2. Wear activity-specific shoes. If you are going to pick an activity this summer like running or golf, be sure to wear appropriate footwear. The type of shoes you wear can help your feet stay healthy and safe. Wear flip-flops if you are out on the beach but avoid walking in them for prolonged periods as they lack cushioning and support.
  3. Keep shoes and socks dry. Podiatrists recommend that you switch your shoes periodically throughout the week. This helps your shoe air out properly between wearing, reduces moisture and bacteria buildup, and helps prevent foot odor. Change and wash your socks regularly.
  4. Use sunscreen. Don’t forget your feet when applying sunscreen. SPF helps guard against skin cancer and premature aging of the skin on your feet.
  5. Let your feet breathe. Open-toe shoes such as sandals are a good choice, but they may lack support. Wear shoes that offer plenty of support and are made of breathable materials to provide ventilation. This will help keep your feet healthy, dry, and sweat-free.
  6. Stay hydrated. As temperatures climb in the summer, make sure that your body is well hydrated. Drinking plenty of water will also help reduce swelling in the feet.

Your podiatrist is the best resource for any foot and ankle problem. Dr. Debra B. Manheim is here to help get your summer started on the right foot. Call us at (973) 917-3785 or visit our office in Parsippany, NJ.

4 Tips to Stay Safe During Reopening

As states start to ease lockdown measures and reopen their economies during the coronavirus pandemic, essential questions loom. How can we venture out safely into the world knowing that a vaccine is most likely months or years away from development, approval, and finally distribution?

The best thing to do at our end is to stay safe and take the necessary precautions at all times. At Step By Step Family Foot Care, we recommend four essential tips that can protect you, your loved ones, and others from the risk of developing complications from COVID-19 and prevent its spread at the same time:

  1. Avoid unnecessary outings: If you have to go out, plan in such a way so that multiple tasks can be accomplished in a single trip. The fewer trips you make, the less chance you have of contracting the virus.
  2. Avoid crowds: We know everyone is missing their loved ones; however, it is strongly advised that you avoid close contact with people who have severe underlying medical conditions like diabetes. Keep a safe distance of 6 feet or more with one another. Use hand sanitizer, especially when you are outdoors.
  3. Wear a face mask: Research has proven that wearing masks not only helps in reducing the risk of contracting the virus, but it also prevents it from spreading as well.
  4. Practice good hygiene: Wash your hands regularly and thoroughly (take 20 seconds at least).

In case you are experiencing any foot or ankle problem, be sure to see your foot doctor for proper care. Our board-certified podiatrist, Dr. Debra B. Manheim, provides the highest quality of skilled and compassionate care. For more information on our practice and the many services we provide, call our office in Parsippany, NJ, at (973) 917-3785.

Maintain Distance but Don’t Lose Touch

talking on phone

Has social distancing made you feel as though you are losing touch with your loved ones? Staying at home and adapting to the lockdown situation can be tiring and agitating.

However, staying in contact with your family and loved ones will not only make you feel better; it will make them happy too.

Here are some easy and creative ways to stay in contact:

  • Video calls: with internet accessibility, video calls are easy and a fun way to contact your loved ones. Facebook, Skype, Whatsapp, FaceTime are only a few apps; there are many to choose from. 
  • Online movie streaming: Many apps like Netflix Party, lets you enjoy movie nights with your friends and buddies by streaming the movies at the same time. You may be miles apart, but you’ll be watching the movie together!
  • Virtual games are on the rise. Not only can friends team up and play the game, but they can also interact with each other via audio.
  • Virtual workout groups are not new anymore. Groups of people can sign in and enjoy an exhilarating exercise session virtually.
  • Dine together: With so many things happening online, virtual lunches and dinners are on the rise too. Make the food you like and enjoy it with a friend or a group of friends by eating at the same time.  
  • Staying connected is not difficult anymore. A simple phone call to check up on your family and relatives will brighten up their days too.

For your concerns or troubles with foot and ankle health, our expert at Step by Step Family Foot Care, Dr. Debra B. Manheim, is here for you. Feel free to contact us at (973) 917-3785 or visit our office in Parsippany, NJ. Remember staying healthy and having a positive attitude will help you fight through these tough times!

4 Tips to Keep in Mind for Outdoor Exercise

outdoor exercise

If you are one of those people who like to exercise outdoors with nature, rather than being confined indoors with your gym equipment, be sure that you practice social distancing.

At Step by Step Family Foot Care, our experts recommend 4 important tips before you head out:

  1. Keep hand sanitizer with you all the time and use it frequently, especially if you happen to touch some objects outside. We cannot overemphasize the importance of hand sanitizer.
  2. Protect your skin from the sun. Sun rays can cause damage by burning your skin or making it crack due to dryness. Use sunscreen before leaving the house and reapply frequently. Similarly, you may want to carry your sunglasses along to protect your eyes.
  3. Drink plenty of water! Staying hydrated is extremely crucial if you want to continue with your outdoor workout. Dehydration can result in painful cramps, dizziness and you may even collapse if you are not careful. Avoid caffeine and sugary drinks in the heat as they accelerate dehydration.
  4. If the weather outside is pleasant, you may want to extend your exercise routine. However, listen to your body and stop if you are feeling drained. Overdoing it can lead to many problems like sprains, muscle damage, ankle swelling, dehydration and more.

If you have been inactive or idle for a while, you may feel the urge to jump into intense workouts to shake off the laziness. However, it is advised to take it slow, increase your pace gradually and always allow for proper stretching to prevent injury. This will enable you to build stamina and avoid unexpected breaks due to injuries or burnouts.

For your questions and concerns about exercise routines and health in general, contact our office in Parsippany, NJ by calling (973) 917-3785. For the safety of our patients and staff, we’re offering telemedicine. Dr. Debra B. Manheim is available by phone for a consultation.

We’re Open and Treating Patients

Step by Step Family Foot Care has been closely monitoring information and recommendations from the CDC and NJ Department of Health about the COVID-19, Coronavirus. Even before the outbreak, our medical staff already used standard infection control practices. By following current guidelines and recommendations, we have put extra protocols in place to reduce risk to our patients and medical staff members.

  • We ask that any patient or family member, that displays symptoms such as cough, fever, shortness of breath, to reschedule appointments until they are free from symptoms for at least 24 hours. We ask this of our medical staff members as well.
  • We are asking patients to cooperate in a rescheduling effort for non-emergency appointments.
  • We are asking that all patients call our office when they arrive in the parking lot for their appointment. We will then call you back when we are ready for you to come in and have you go directly to a patient room.
  • We are trying to limit the number of people in the office at any one time. You may bring one additional person with you to your appointment (i.e. caregiver or parent of a child) if necessary.
  • Dr. Manheim will be available by phone for consultations if needed.
  • We are currently not treating patients going to assisted living, senior apartments or taking any house calls during this crisis. We will notify you when this has changed.

CDC recommends taking everyday precautions to prevent the spread of respiratory illnesses, including COVID-19 and influenza, by doing the following:

  • Cover your coughs and sneezes with a tissue and then throw the tissue in the trash.
  • Wash your hands often with soap and water for 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer that contains at least 60% alcohol.
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Clean and disinfect surfaces that are often touched.
  • Take care of your health overall. Staying current on your vaccinations, including flu vaccine, eating well and exercising all help your body stay resilient.
  • Consult the CDC’s travel website for any travel advisories and steps to protect yourself if you plan to travel outside of the US.

For more information, check out the following:


Debra Manheim, DPM

March Your Way to Nutritious Foods

grilled salmon

March is National Nutrition Month and we at Step by Step Family Foot Care would like to urge our patients to monitor what they eat, as that has a direct impact on the health of your feet.

Your feet carry your body weight and allow you to move around. What you eat will not only provide nutrition for your feet but will also maintain your weight, so that your feet are not overly burdened.

Dr. Debra B. Manheim has some useful tips to ensure that your feet are safe and healthy:

  • Keep moving; however, go slow and steady. It is important to exercise, make sure that your feet and ankles are flexed and stress-free before you begin. Moreover, if you are springing into action after a period of idleness, be sure to start slowly and proceed to more intense workouts gradually.
  • Use orthotic inserts to support your heels and arches. Customized orthotic inserts are more effective than over-the-counter orthotics, as they are made to fit the shape of your feet alone. Not only do they support your feet by redistributing pressure, but they also correct your posture and fix your gait.
  • Your bones need to be strong and healthy if you want your feet to be pain-free. Ensuring that your diet plan includes multi-vitamins, especially vitamin D and calcium, is integral for stronger bones.
  • Examine your feet regularly to check for any warning signs such as numbness, swelling, redness, discoloration of toenails, thickening of the skin and more. Poor circulation causes numbness and may be a sign of diabetic neuropathy. Swelling may indicate water retention or high blood pressure. Changing colors or texture of the skin and toenails is a sign of an infection that should not be ignored.

A healthy diet and a regular workout routine are ideal measures for healthy living. If you would like some more information in this regard or have any questions for any of your foot conditions, visit our office in Parsippany, NJ or contact us at (973) 917-3785 to schedule your appointment today.