Posts for tag: Landing



About 25,000 ankle sprains occur daily in the United States, in adults and children alike. It is especially known to occur when playing sports and performing physical activities, but is also likely to happen when stepping on an uneven surface, or stepping on something slippery, such as ice. There are preventative measures that can be taken to protect you from slipping on ice and causing an ankle sprain. Some more obvious than others, this read will ensure that all your bases (and ankles) are covered.

But first, it might be important to know a little bit about the ankle and how it functions, particularly when it comes to holding itself in position. There are a number of ligaments of the ankle that hold the ankle bones and joint in position. They guard the ankle joint from irregular movements – namely twisting, turning, and rolling of the foot.

A ligament is like a rubber band, in that it possesses elastic qualities. Ligaments stretch within their ability, and then revert to their normal positions. Now, a sprain occurs when a ligament is forced to stretch past its limit. The severity of a sprain depends upon how badly the ligament is torn.

Let’s discuss a few tips before heading out into the cold: 

1). During your walk, avoid distractions such as your cell phone, and instead pay attention to the surfaces you are walking on or getting ready to walk on.

2). Teachers at elementary schools often yell “no running in the halls!” at their students, well, the same can be said here – take your time and walk slowly, that way you will maintain your balance.

3). Practice safety measures to prevent falls. For example, keep stairways, walkways and driveways free of snow and ice by salting regularly.

4). When walking down stairways or walkways, be sure to allow one hand to be free in order to use the handrail. That way you have something to hold onto in case you lose balance. If handrails are not present at your residence, be sure to have them put in.

5). Wear shoes with good traction. Rubber-soled shoes are best.

With this being said, Foot Care Associates is located in Hackettstown, Blairstown, Landing, and Washington. In case of a sprained ankle, be sure to visit Dr. Guiliana, Dr. Mullen, Dr. Nesheiwat, or Dr. Alessi to make sure you get back on your feet.

By Kyle Alessi

By John Guiliana
January 07, 2014
Category: Nail Fungus



Foot odor is a fairly common and embarrassing problem that affects many people. It can interfere with your social interactions and cause low self-esteem. Many people who suffer from foot odor are constantly worried about taking their shoes off in the presence of other people.

The good news is that you can get rid of foot odor with proper care of your feet and taking measures to ensure the problem does not recur.

Foot Care Associate’s Recipe for Foot Hygiene:         

1.  Get to the root cause of your foot odor problems. The best way to get rid of foot odor is to identify the cause and then take the appropriate steps to remedy the odor problem. Causes of foot odor include fungal or bacterial infections and sweating. Fungal infections like athletes foot can be treated using over-the-counter products like anti-fungal creams and sprays. This should always include disinfection of your shoes by using products that you can place inside the shoe. Here at Foot Care Associates, we use a variety of shoe disinfection techniques including at- home ultra violet light shoe trees.   

2. Invest time in your feet. Feet are sometimes ignored during the whole grooming process because they are mostly covered in footwear. Clean your feet well, making sure to get rid of dead skin, a contributing factor of foot odor. Get rid of any dirt under your toenails and keep them well-trimmed and short to avoid toenail infections.

3.  Use a home remedy to eliminate the foot odor. Dr. John Guiliana recommends soaking your feet in four parts of water mixed with one part of vinegar. Alternatively, you can soak your feet in strong, brewed and cooled black tea for about half an hour daily. Add essential oils like lavender or rose water to leave your feet with a pleasant smell. For excessive perspiration, occasionally special topical products are needed to dehydrate the sweat glands.

4. Air your feet at every opportunity you get. Moisture on the feet from sweating is a breeding ground for bacteria that causes foot odor. Limit wearing shoes and socks to the times when you really need to.

5. Always check with our doctors before initiation any foot treatments if you are a diabetic.

With this being said, Foot Care Associates is located in Hackettstown, Blairstown, Landing, and Washington for your convenience to get rid of that stinky smell that lingers on your feet for two long.


By John Guiliana

By Fawaz Nesheiwat
September 20, 2013
Category: Pain

We have all heard the fairy tale about the frog turning into a prince after being kissed by the princess. There is also an old wise tale that claims touching a frog or toad will give you warts. So the question now is whether the princess regretted kissing the frog or not. She got her prince, but being that warts can spread, did she sacrifice her beautiful face, hands, or even feet to do so?

Warts are an infected lumpy cauliflower growth on the skin, caused by the Human Papilloma Virus (HPV). This virus is highly contagiousand some are more susceptible to the infection than others: Children and individuals with weak immune systems. Warts tend to grow in areas that have the most pressure, like the bottom of our feet, which can be very painful.  The most common locations to find warts are on:

  • Feet
  • Hands
  • But they can be found anywhere, eek!

It is difficult for the body to fight this so called virus because warts only grow in the outermost layer of skin. There are very few cells and antibodies to fight the infection on the skins outer layer which is why the body can’t easily get to the infection that is causing the warts.

Treating warts has been done for thousands of years with various approaches, remedies, and cures.  At Foot Care Associates P.C.Dr. Giuliana, Dr. Mullen, Dr. Nesheiwat, and Dr. Alessi make sure the right treatment is given to each and every patient.

Treatment options include:

  • Time: Most warts will resolve on their own as the bodies immune system finds, recognizes and kills the infection.
  • Topical medications:  Are used to kill the infected tissue and if used repeatedly can eventually get to the bottom of the wart and kill all the infected cells.
  • Also:  Warts can be frozen, burned or surgically removed but only by the proper professional.

Foot Care Associates P.C.offers multiple treatment options for those potentially painful, pesky warts that have been hanging around too long.  We have four convenient locations in Northern New Jersey: Hackettstown,Landing, Washington, and Blairstown, to get you treated and protect your prince or princess at home. For more information, please contact us.

By Fawaz Nesheiwat