What Are Custom Orthotics?

custom orthotics

Custom orthotics are devices provided by a specialist or a podiatrist according to the anatomy of your foot. Custom orthotics can benefit anyone as they support the natural shape of the feet, alleviate pain in the foot, redistribute weight evenly on the feet, maintain equilibrium and greatly reduce the risk of forming foot sores in people with diabetes. They are frequently prescribed to people with bunions, hammertoes, high-arched feet, flat or webbed feet, plantar fasciitis, overpronation, diabetic foot, and supination.

How Can They Benefit You?

  1. Custom orthotics manufacturers use intelligent, innovative sensory technology to gauge the anatomy of their client’s feet and analyze pressure points for any dysfunctional gait issues while bearing weight. This way, the custom insoles are made to address an individual’s podiatric requirements.
  • A podiatrist would prefer prescribing custom orthotics to people seeking orthotic support for their feet, but insurance companies usually do not cover the expense of custom orthotics. The other suitable option could be supportive insoles formed by a rigid material that would lend stability to the feet instead of the widely available soft-bendable drug-store insoles. Foot structure misalignment, supination, overpronation, and plantar fasciitis can be corrected with custom orthotics or supportive insoles.
  • When choosing supportive insoles, bear in mind the right volume of insoles for the kind of shoes they would be inserted in and the type of place you would be wearing them. For example, insoles with low volume are better suited for people with low arches or cycling shoes. Medium volume insoles work well with a range of arch types, casual footwear, and some athletic shoes. Insoles with high volume are best for runners or trekking boots, hiking footwear, ski boots, and feet with high arches.

At Step by Step Family Foot Care, in Parsippany, New Jersey, we offer custom orthotics and supportive insoles for your podiatric needs after a thorough consultation with our board-certified podiatrist Dr. Debra B. Manheim. For more information and to schedule your appointments, contact us at (973) 917-3785.

A Traveler’s Guide to Ensuring Foot Health

Maintaining a proper foot care routine is not high on every traveler’s list while getting underway for a long-awaited vacation. With that in mind, we bring you a short guide to convince you to treat your feet with care even when you are in transit to ensure your foot health and safety.

Traveling for pleasure or work can lead to a lot of sitting in one place, narrow leg space, walking through community spaces, and standing in long lines. All these activities can take a toll on a traveler’s feet and cause pain in the feet and arches, injuries to the ankle, foot infections, and various podiatric issues. Here’s a list of few essentials to keep in mind before you pack your bags:

  • Pack the right footwear

Pick footwear according to the kind of place you will be visiting. It can save you from plantar fasciitis flare-ups, bruises, ankle sprains, and fractures. Flip-flops will be of no use on a trek to Mt. Kilimanjaro. Instead, pack a pair of sturdy shoes with good ankle and arch support.

  • Keep foot-care essentials with you

A travel case filled with your foot-care essentials like nail clippers, bandages, antibiotic creams, emery board, and moleskin can come in handy if you face cuts, scrapes, torn nails, blisters, or dry skin.

  • Bring along compression socks

If you anticipate long periods of sitting in a plane, bus, at a conference; then wear your compression socks to alleviate swelling in the feet. These socks also promote blood flow to the limbs. Ensure periodic breaks for stretches and walk to avoid deep vein thrombosis (DVT) and blood clots.

  • Keep ample sunscreen

The American Academy of Dermatology Association recommends the use of a sunscreen of SPF 30 with a water-based formula on the sun-burn-prone areas of the feet. A painful sunburn can worsen by the constant rubbing of shoes along the burnt skin.

  • Stretch your feet and keep hydrated

Stretching the ball and arch of your feet on a bottle of water or a tennis ball can relieve sore feet. Elevate your feet to bring down the swelling. Good hydration encourages blood flow and keeps in check the muscles cramping from exertion.

If you incur a severe foot injury, sprained ankle, or fracture while traveling, seek immediate medical attention. If you are in Parsippany, New Jersey area, we at Step by Step Family Foot Care are at your service to address all your podiatric issues. Our board-certified podiatrist, Dr. Debra B. Manheim, can evaluate your symptoms and treat you promptly. To schedule an appointment at your ease, contact us at (973) 917-3785.

6 Ways Men Can Achieve a Healthier Lifestyle

Men's Health

Health is a priceless gift. The responsibility to conserve health lies in our own hands. Failing to do so can lead to irreparable loss. Fortunately, many of the ailments that are the leading cause of death amongst men are preventable if you lead a healthy lifestyle. After all, prevention is better than cure. Let us take this International Men’s Health Month to raise awareness about a healthy lifestyle and encourage men to be particular about their wellness.

Here are a few guidelines that can help in preventing adverse effects of disease amongst men:

  1. Sitting is the next smoking: Most men have desk-bound jobs, long working hours, and prolonged couch spells, all leading to a sedentary lifestyle. Statistics show sitting for long periods is as detrimental to your health as smoking. Pro-active habits spike the rate of metabolism, help reduce obesity, promote blood circulation, and save you from Type 2 diabetes, heart disease, and high blood pressure.
  • Maintain a healthy diet and a healthy weight: Obesity is considered the mother of all ailments. Take out the “junk” from your food and replace it with “healthy”. Keeping a diet balanced in good carbohydrates, high proteins, and moderate fats can help maintain your ideal weight and replenish the body with essential nutrients.
  • Incorporate consistent exercise in your routine: Regular physical activity helps promote immense physical and mental benefits. Even if you cannot attend the gym regularly because of your busy schedule, ensure that you remain active on your feet.
  • Park your car farther from your destination:
    • Avoid sitting at the desk, try a standing desk
    • Find an excuse to walk around the workplace
    • Try pacing while talking on your phone
    • Take the stairs to skip the elevator
  • Quit smoking and alcohol: Smoking destroys the lungs, healthy functioning of the heart, and overall wellness. Alcohol can severely damage the liver and nerve functions.
  • De-stress: Stress can cause heart disease, high blood pressure, and diabetes. If you are a workaholic, take a break from your busy routine, try deep breathing, and check your posture. Take time to indulge in your hobbies, plan a vacation and spend time with family.
  • Schedule annual checkups with your healthcare provider: Visit your physician for routine medical checkups and get your baseline health assessments sorted.

If you have concerns about your foot health, contact Step By Step Family Foot Care. Our board-certified podiatrist, Dr. Debra B. Manheim, can help you on your journey of transformation. You can call us at (973) 917-3785 to schedule a convenient appointment or visit our office in Parsippany, NJ.

Ways to Manage Your Arthritis Pain

Did you know that arthritis is not one disease – but an umbrella term used for over 100 different conditions of the joint? May is Arthritis Awareness Month and at Step by Step Family Foot Care, we think it’s essential to pass on information about this disease which has engulfed millions of people around the globe.

The prevalence of arthritis in the United States has grown exponentially. According to the Centers for Disease Control and Prevention (CDC), an estimated 54 million adults in the US have some form of arthritis, which is about 1 in 4. Even kids can get arthritis! Symptoms of arthritis may vary depending on the type. Still, some common characteristics include pain, stiffness, fatigue, inflammation, and swelling of the joints, loss of foot function, and mobility issues. The thirty-three joints in each foot are common targets of this disease.

There are no instant solutions for arthritis, but there are several steps you can take to mitigate its effects.

  • Weight loss can reduce the stress and pressure on the joints of the foot and ankle. Make sure that you eat healthily and stay active. A good diet and regular exercise or sport can help you maintain a healthy body weight while relieving pain and stiffness in the joints.
  • Customized orthotics can be very beneficial in redistributing pressure loads across the foot.
  • Use medication and anti-inflammatory drugs to reduce pain and inflammation.
  • Wear shoes that are not too tight around the toe area to minimize pressure points. Extra-padding in the shoes can be helpful.
  • Physical therapy can help enhance your foot function and mobility issues.
  • Joint surgery.

If you have arthritis symptoms or have any concerns about your foot health, contact Step By Step Family Foot Care. Our board-certified podiatrist, Dr. Debra B. Manheim, can evaluate your symptoms and treat you promptly. You can call us at (973) 917-3785 to schedule a convenient appointment or visit our office in Parsippany, NJ.

Happy Feet This National Foot Health Awareness Month

April is National Foot Health Awareness Month and a great month to kick start everything foot and ankle-related. Your feet are complex structures that contain nearly a quarter of all the bones in your body. Good healthy feet are vital for mobility, independence, and overall wellbeing. So, it’s no surprise that when our feet hurt, our entire body hurts! Today Dr. Debra B. Manheim of Step by Step Family Foot Care in Parsippany, New Jersey, encourages everyone to take a step (or steps!) towards happy, healthy feet!

  • Inspect your feet daily: Everyday foot exams are essential, especially if you have diabetes. Look for anything unusual such as bumps, cuts, wounds, drainage, skin changes, or discoloration of the toenail. When foot problems are found and treated early, it prevents complications.
  • Find the perfect pair: If your favorite shoe is a source of any discomfort, it is time to bid them farewell. Choose shoes that are made for the activity you want to do. Tight and ill-fitted shoes can cause severe damage or even worsen current conditions like hammertoes and bunions. Wear shoes with a wide toe box so that the toes have enough room to move to avoid issues like blisters, corns, deformed toes, neuromas, or calluses.
  • Seek professional help: If you notice a foot problem or are unsure of your diagnosis, see a podiatrist immediately. Regular visits to your foot doctor can help you get to the root of the problem and avoid any future pain or issue with your feet or ankles.

Be proactive, and care for your feet every day. Show them some TLC! We have an experienced doctor, Dr. Debra B. Manheim, a board-certified podiatrist to care for all your foot problems. Call (973) 917-3785 or visit our office in Parsippany, New Jersey, to have a thorough check-up and learn some of the best ways to improve your foot and ankle health. Feel free to browse through our patient education library and blog section on our website.

Healthy Food Choices Keep Your Feet Happy

woman in supermarket shopping for healthy food

Most of us are either unaware or choose to ignore the link between the food choices we make and the health of our feet. In recognition of National Nutrition Month, the experts at Step by Step Family Foot Care would like to reinforce the importance of a nutritious diet as a way to keep your feet healthy and performing at their optimal level.

Here are a few tips to consider when you are finalizing your menu:

  • Go green! Eat various leafy vegetables to provide you with the necessary nutrients to strengthen your immune system and keep you healthy. Spinach, kale, soybeans are good sources of calcium and vitamin D.
  • Fill your plate with colors. Consuming a combination of produce, along with seasonal fruits and vegetables, will give your body a holistic boost. Not only will this replenish all your nutrient requirements, but you will feel fresh and upbeat.
  • Go nuts! Delight your taste buds with a range of nuts like almonds and walnuts.
  • Experiment while cooking. Explore cuisines from around the world and select all the healthy recipes. Try making new dishes at home and enjoy a family meal together.
  • Change your method of cooking. Avoid deep-fried foods as they tend to increase your cholesterol levels. You can always switch to baking or steaming for a change of taste.

Eating a nutritious diet is essential to maintain your body weight and prevent your feet from being overburdened. Excessive weight puts undue stress on your lower extremities, increasing your chances of problems like flat feet, heel and arch pain, ankle sprains, arthritis, and more.

To learn more about various health risks and their preventive measures, feel free to consult our board-certified podiatrist, Dr. Debra B. Manheim. In case of pain or discomfort in your lower extremities, schedule an appointment by calling our office in Parsippany, New Jersey, at (973) 917-3785 right away.

Walk Your Way to a Healthy Heart


February is American Heart Month and our experts at Step by Step Family Foot Care want to reinforce the importance of a healthy heart. You can avoid heart issues such as heart attacks, strokes, high blood pressure and more, by regularly engaging in a simple activity – walking!

Walking has numerous benefits including:

  • Improved blood circulation throughout the body, especially lower limbs
  • Feeling fresh and energetic
  • Reduced stress levels and mental pre-occupation
  • Weight loss or sustained healthy body weight
  • Controlled sugar and cholesterol levels
  • Improved sleep cycle and quality
  • Improved immunity and overall body strength

Walking is easy and is usually problem-free, however, as with any exercise, some precautions are necessary.

  • Use proper walking shoes. Walking in flip-flops or ill-fitting shoes will harm your feet.
  • If you encounter pain, take a break, and let your feet rest. If the pain persists, visit your foot doctor without delay to avoid any problems in the long run.
  • Use orthotics for strong heel and arch support. The extra padding will allow better shock absorption and reduce the risk of injuries.
  • Start slow and walk shorter lengths initially. Build your stamina and then target faster and longer distances.
  • Stay hydrated. Lack of water can result in muscle cramps and sprains that will disrupt your walking routine.
  • Be aware of your surroundings and watch where you are walking. Trips, bumps, and falls can lead to injuries or fractures that could make you immobile for an unknown time.

If you have any concerns regarding your feet or would like more information and guidelines to improve the quality of your health, feel free to make an appointment with our board-certified podiatrist Dr. Debra B. Manheim. Contact our office in Parsippany, New Jersey, by calling (973) 917-3785 so that our team can find, treat, and eliminate your source of foot discomfort.

What to Do If You Have an Ingrown Toenail?

ingrown toenail

Ingrown toenails can be very painful and tend to worsen quickly if proper care is not taken. At Step by Step Family Foot Care, our board-certified podiatrist Dr. Debra B. Manheim has often witnessed that people do not take ingrown toenails seriously until they become excessively painful or are infected with pus.

Keep these practices in mind if you feel you are developing an ingrown toenail:

  • Wear open shoes or ones with a spacious toe box. Avoid tight footwear that crams the toes together and pushes the nails to bend down and grow inwards.
  • Examine your feet regularly for any signs like tenderness, redness, swelling, or pain. Consult your doctor immediately if you have any symptoms.
  • If your nail sides feel tender, massage your feet in warm water so that the skin can be pushed aside from the nail.
  • Cut your nails short and straight across to prevent skin from overlapping on the nail.
  • Do not file your nails round as that increases the likelihood of ingrown toenails.
  • Do not try to “fix it” by meddling with the affected areas using sharp and/or pointed objects. One small nick in the wrong place could start the onset of a very painful infection.
  • Seek professional help right away to avoid aggravating the condition and suffering in pain unnecessarily.

Delaying your visit to your podiatrist will only intensify the situation. In worst cases, the nail could become infected with pus or bacteria, which could require several treatments, like surgical procedures, laser treatment, and more. Visit our office in Parsippany, New Jersey, to have a thorough check-up and get treated for any prevailing foot conditions that you may be encountering. Feel free to browse through our patient education library and blog section on our website.

Holiday Gifts for the Feet

foot gifts

If you still have some last-minute holiday gift shopping to do, foot pampering is the way to go. The team at Step By Step Family Foot Care has you covered with some great suggestions.

  • At-home spa kit—The perfect gift for someone special who needs a bit of pampering. A trip to the salon or spa may sound like a dream come true, but given the pandemic, it’s likely not practical. Instead, recreate a spa-like experience at home by putting together a set of amenities that will make your experience truly special. Be sure to include scented lotions, moisturizer or cream, multi-color nail polish, toenail clippers, toe separators, nail file, cuticle remover, and a pumice stone for callus removal.
  • Foot massager—Nothing says thanks like a soothing foot massage after a long, exhausting day at work. A wide variety of massage products are available for the feet. Invest in a good foot massager that can help you relax, improve circulation throughout the body, and reduce aches, pains, and stress in your feet.
  • Insulated water bottle—Water has a lot to do with the body and feet. The body functions best when adequately hydrated. Drinking the right amount of water can help flush out harmful toxins from the body, improve blood flow to the extremities, reduce the severity of gout flare-ups, promote healthy glowing skin/toenails, and prevent foot cramps. Doctors recommend that you drink 8 to 10 glasses of water a day.

If you need more gift ideas or have concerns about your foot health, contact Step By Step Family Foot Care. Our board-certified podiatrist, Dr. Debra B. Manheim, can help you with any foot or ankle pain or deformity you are experiencing. Call us at (973) 917-3785 to schedule a convenient appointment or visit our office in Parsippany, NJ. Step By Step Family Foot Care is well-equipped with state-of-the-art technologies and diagnostic tools to handle all your podiatric needs. For more information on podiatry related topics and the many services we offer, you can browse through our podiatric services and blog website sections.

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.