Posts for tag: footwear

By Fawaz Nesheiwat
January 28, 2014
Category: Injury Prevention

I Think I’m Cracking Up!



Cracked heels are a common foot problem that is often referred to as heel fissures. Cracked heels are commonly caused by dry very skin and made more complicated if the skin around the rim of the heel is thick (callus). For most people this is a nuisance and a cosmetic problem but when the fissures or cracks are deep, they are painful to stand on and the skin can bleed and in severe cases this can become infected. If you are diabetic, this can lead to devastating issues!


Some people tend to have a naturally dry skin that predisposes them to the cracks. The thickened dry skin (callus) around the heel that is more likely to crack is often due to mechanical factors that increase pressures in that area (for example, the way that you walk).

Other factors that can be involved in the cause of cracked heels include:

  • Prolonged standing, especially on hard floors
  • Open back on the shoes (this allows the normal fat pad under the heel to expand sideways and increases the pressure leading to the cracking)
  • Some medical conditions predispose to a drying skin (for example, diabetic neuropathy where diabetes leads to less sweating or an underactive thyroid lowers the body's metabolic rate and there is a reduction in sweating, leading to a dryness of the skin)
  • Skin conditions  such as psoriasis, fungus and eczema)


At Foot Care Associates,  treatment of cracked heels may involve the following:

  • Investigating the cause of the problem and addressing it.
  • Removing the hard thick skin. Regular maintenance may be the best way to prevent the problem.
  • If very painful, strapping may be used to 'hold' the cracks together while they heal (a maintenance program after this to prevent recurrence is very important).
  • Prescription and advice regarding the most appropriate moisturizer or emollient. Emollients with Urea are often very effective but if a skin condition such as fungus is present, that might also need to be addressed.  
  • Advice about footwear and self care of the problem.
  • A heel cup may be used to keep the fat pad from expanding sideways. This is worn in the shoe and can be very effective in prevention if used regularly.
  • A heel “sleeve” to sleep in that is embedded with moisturizers is often employed.

If you suffer from this sometimes disabling and cosmetic problem, contact our physicians at Foot Care Associates in Hackettstown, NJ to help.  

By Fawaz Nesheiwat


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