Please do not submit any Protected Health Information (PHI).



By Dr. Amannda Richline
June 27, 2016
Category: Uncategorized
Tags: Untagged

Dr. Richline and Dr. GuilianaWe consider our community and every member of our office a big family. We love our team and our patients, and work hard to make our practice a welcoming place where we’re able to fully meet people’s foot and ankle needs. As our patient “family” grows, our team does, too, to be able to provide better attention and care to you and your loved ones. Recently that is exactly what has happened: Pequest Foot & Ankle Specialists is thrilled to welcome Dr. Stephen Guiliana to our Belvidere office!

Dr. Stephen Guiliana knows and loves New Jersey, having spent much of his education and medical training here. He graduated with his bachelor’s degree from Ramapo College of New Jersey before going on to get his doctor of podiatric medicine (DPM) degree from Kent State University College of Podiatric Medicine in Cleveland, OH. After podiatry school, he returned to New Jersey for his residency.

He completed his extensive foot and ankle surgical residency through Inspira Medical Center in Vineland, NJ. As a result, he specializes in minimally invasive foot procedures to correct issues that won’t respond to conservative care. Because these procedures minimize incisions and surgical activity inside your foot, they significantly decrease your healing time compared to traditional surgery—another way to help our patients get the care they need without interrupting their lives!

Although he is a surgery specialist, Dr. Guiliana’s interests in foot and ankle health are much wider than that. He is fully certified with comprehensive training in conservative, noninvasive foot care. He’s particularly interested in pediatric foot care, treating sports injuries, and helping people with diabetes manage and care for their lower limbs.

Our whole team at Pequest Foot & Ankle Specialists are thrilled to have Dr. Stephen Guiliana onboard. He is a great asset to our practice and will help us continue to serve our community’s foot and ankle needs in better ways. If you’re at all concerned about foot pain, think you need a check-up, or just want to meet Dr. Guiliana and welcome him, contact us! You can reach us online or by calling (908) 475-8750.

By Dr. Amannda Richline
December 07, 2015
Tags: Guatemala   dogs   adoption  

On her last mission trip via the Mayan Families organization, Dr. Amannda Richline spent endless days treating and educating the poverty-stricken people of Guatemala, providing not just healthcare, but knowledge, support, and most importantly, hope.Amannda Richline with an adopted dog

Especially touched by a young boy stricken with Multiple Sclerosis, Dr. Richline decided to sponsor him—which she still does to this day—paying for his medical care and making sure that his healthcare needs are met.

As successful as her trip was, however, upon returning home, there was something still tugging at her heart. While she was in Guatemala helping the suffering people in need, she couldn’t help but notice the dogs and cats that were suffering horribly as well. Haunted by the images of these abused and neglected animals, Dr. Richline realized that while the Mayan people were able to benefit from missions and sponsorships, the dogs and cats were not. No one was providing care for them, something she just couldn’t get out of her mind—which is why she became determined to do something about it.  

When the Mayan Families affiliate, Hope for Animals, realized the persistence of Dr. Amannda Richline was not going to let up, the owners and operators stepped in to help. Knowing she couldn’t sponsor the animals from afar, Dr. Richline wanted to bring them to her, flying them to the United States. This was easier said than done.

In fact, it was a long and arduous process, starting with the capture of the animal, transportation to a veterinarian, and the provisions of medical treatment necessary to meet United States regulations. A series of tests had to be performed, immunizations given, and strict guidelines followed to pass American standards. Documented paperwork then needed to be forwarded to customs and the animals transported to the airport. Not surprisingly, none of this deterred Dr. Richline. With the help of Hope for Animals to make it happen, she paid for it all right down to the airline tickets that would begin the long journey “home.”

Canela found a loving home

What started with one dog that had especially touched her heart, became 5 dogs and 2 cats. After going through the difficult process in Guatemala, upon landing in America, the process continued. The animals had to pass customs, the accuracy of the paperwork confirmed, and once all U.S. standards required to enter the country were met, they could only be released to a veterinarian experienced in international rescue. In all it took 6-8 weeks and an unmentionable amount of money. Again, Dr. Richline was not deterred.

To date, 35 dogs and 4 cats have been rescued. When asked, “Why help these animals when there are plenty suffering here?”, Dr. Richline shared that she does make efforts to help suffering animals here, but the sheer cruelty, abuse, neglect, and inconceivable treatment the Guatemalan dogs and cats endure is something that cannot be compared to nor ignored. The sad life of animals in American shelters would be like paradise to those found on the streets of Guatemala. 

That’s why Dr. Richline is covering the expenses of the care and boarding for the rescued dogs and cats she has brought here in cooperation with Wrights Veterinary Medical Center. (This includes all shots and immunizations, spaying or neutering, surgery if necessary, medical attention, and basic training)—yet, she insists that adoptions are free. She asks only to end the one thing these animals have ever known—immeasurable suffering—by giving them a loving and permanent home.

Happy dogs rescued from Guatemala

Remember, when you adopt you are saving two lives—the dog you rescue, and the next dog that can be saved by taking the space you’ve just created.

If you are interested in adopting, follow these simple steps:

Like Dr. Amannda Richline’s Facebook page to follow posts and view dogs currently available for adoption. The posts are updated daily and provide pictures, stories, and information about personalities so you can make sure the dog you choose is the right fit for you. Then, call Dr. Richline’s office at (908) 475-8750 or speak to Janet at (610) 462-9941 to set up an appointment to visit the dogs.

If you are unable to adopt, you can still help by making a donation to Hope for the Animals at

When asked why she is doing so much to rescue these suffering animals, Dr. Richline responded, "It is in giving that we receive more than we ever imagined and should be our purpose in everything we do. You always get back more than you give.”

One look at these precious animals, and you will surely agree. 

By Dr. Amannda Richline
September 01, 2015
Category: Heel Pain

Everything has a beginning somewhere. Our own town of Belvidere, New Jersey, was originally part of Greenwich (often called Greenwich on the Delaware). It played a role in supplying General Washington’s troops when they were camped at Morristown during the Revolution, and appears to have gotten the name “Belvidere” sometime before 1800. Issues with health and pain have beginnings, too, often with many factors playing a role. You see this with Haglund’s deformity, or a “pump bump,” and how it begins in your lower limbs.

Haglund’s deformity is a bony bulge on the back of your heel bone that makes wearing most shoes very uncomfortable for people. Several different factors can play a role in developing this minor deformity and irritating it. Knowing how you might have gotten a pump bump might help you get more accurate treatment and potentially prevent the pain in the future.

This is a bone problem, so it is possible that you have a bump on the back of your heel because that is your natural foot shape. This is something you can’t prevent—your bones grew that way. For many others, however, the painful bump has outside forces that enlarge it. One of the most common is actually stiff backs on shoes. Pumps, dress shoes, ice skates, and other stiff footwear can put a lot of abnormal pressure on the back of the heel bone, aggravating it and causing pain.Women with Haglund's deformity

Sometimes tension from your Achilles plays a role. A tight or short Achilles tendon pulls on the back of your heel bone, irritating it and contributing to a bump there. Abnormally high arches can have a similar effect. Because high arches don’t handle pressure and body weight well, they direct it back to your heels and possibly add to tendon tension.

In the end, however your Haglund’s deformity developed, you’ll need to relieve the pressure on the back of the foot to eliminate the pain. Our team at Pequest Foot and Ankle Specialists in Belvidere, NJ, can help you with this. Don’t wait until you run out of shoes you can wear comfortably to get help. Contact us through our website, or call us directly at (908) 475-8750.

By Dr. Amannda Richline
August 18, 2015
Category: Bunions
Tags: Bunions   bunionettes  

People love contests. You see this in boxing matches, races, and even chess games. Who would win in a fight? Who is faster? Who plays better? Match-ups are exciting, especially when you aren’t sure what the results will be. They allow you to compare and contrast people and their skills. You can compare and contrast health issues, too, though not necessarily to see who “wins.” Knowing how conditions are similar and how their different can help you manage them better. So here’s our own foot match-up: bunions vs. bunionettes.

In the far corner of our match-up ring you find bunions. Big and tough to deal with, bunions are a fairly common condition. The big toe and the first metatarsal become misaligned and begin drifting in opposite directions. As a result, the joint where those bones meet bulges outward to the side. The bump this creates gets larger the more damage it suffers. Contrary to popular belief, bad shoes don’t cause bunions, though they certainly contribute to the problem. Poor biomechanics and foot weakness cause this issue.

On the other side of our imaginary ring are your bunionettes. Although much smaller and less common than ordinary bunions, they still affect plenty of people. They form the same way that ordinary bunions do—excessive pressure on the forefoot. It’s the opposite side of the foot that’s effected, though.  You end up with a bulging bump on the outside of your smallest digit. Sometimes bone spurs develop that accentuate the bugle. Usually the condition is a side effect of other foot problems, rather than the source of them.

Both of these can make wearing shoes difficult and unpleasant for you. Both can make walking more challenging. Both can get worse if you don’t take care of them—but both can be managed with the right care.

bunions vs. bunionettes

These two conditions are pretty similar, but they aren’t the same. There’s no way to tell which is “better” or “worse” for your feet, either, since they both create painful problems. The key take-away from this match-up is that whether you have a bunion or a bunionette, you shouldn’t ignore the pain. Our team at Pequest Foot and Ankle Specialists will help you take care of your feet instead. Make an appointment with us at our Belvidere, NJ, office by calling (908) 475-8750. You can also use our online request form to connect with us.

By Dr. Amannda Richline
August 11, 2015
Category: Bunions

People are afraid of a lot of things. Arachnophobia is the fear of spiders. Ophidiophobia is the fear of snakes. Acrophobia is the fear of heights. These are the three most common fears people live with. They certainly aren’t the only ones, of course. Glossophobia is an intense fear of public speaking. Globophobia is a fear of balloons. Podophobia is, believe it or not, a fear of feet! Being afraid makes people do strange things to deal with or avoid the source of their distress. Unfortunately, this can also include avoiding treatment for a problem. This is particularly common with bunion surgery. People fear the results and the process of recovering after the procedure.

Bunion surgery is a safe, effective procedure that has many misconceptions and misunderstandings related to it. It is not the “excruciatingly painful” experience many people expect it to be. It does, however, take time for a full recovery.

Immediately following the procedure, you’ll wear a cast or special boot to hold the bones immobile while they heal. You’ll wear this for a couple of weeks and have minimal to no weight on your recovering foot. Once the cast comes off, you’ll most likely continue wearing a brace or protective shoes for a little longer.

You’ll gradually be able to increase the weight on that foot. When you’re not standing or walking, you may need to keep the foot propped up to minimize swelling and inflammation. You may actually have some degree of swelling for a few months. Wearing wide, comfortable shoes will help accommodate this. Avoid high heels and narrow shoes, especially in the first several months after the procedure. Wearing them could cause the bunion to return. Our team may also recommend physical therapy to help restore motion and power in your forefoot.

Performing bunion surgery

Like any other procedure, your bunion surgery recovery is a process. It will take time for you to be completely and totally healed. It isn’t something that will keep you bedridden for weeks. Exactly how well and how fast you heal, though, depends largely on you and how well you take care of your foot. The staff of Pequest Foot and Ankle Specialists in Belvidere, NJ, will be with you every step of the way. Contact us online if you have any questions, or call (908) 475-8750 for an appointment for your bunion right away. 

This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.