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Common Toenail Problems and Their Causes
Toenail problems can indicate underlying health issues, with several distinct conditions affecting the nails. Beau's lines are horizontal indentations that can occur when growth is temporarily disrupted by illness, injury, or stress. Clubbing refers to a rounding of the toenails and fingertips, often associated with lung or heart disease. Green nail syndrome is a bacterial infection caused by Pseudomonas bacteria, leading to a green discoloration of the nail. Koilonychia, also known as spoon nails, causes nails to become thin and concave, potentially linked to iron deficiency anemia. Additionally, median nail dystrophy is a condition where the nails develop vertical grooves or splits, which may be a result of trauma or skin conditions. These toenail problems should not be ignored, as they may be a sign of nutritional deficiencies, infections, or systemic health conditions that require attention. If you have any of these toenail conditions, it is suggested that you consult a podiatrist who can offer effective treatment remedies.
Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Facts About Hammertoe
Hammertoe is a deformity of the toes where one or more toes become bent at the middle joint, resembling a hammer shape. This condition typically affects the second, third, or fourth toes and can cause significant discomfort. The most common cause of hammertoe is wearing tight or ill-fitting shoes, which put pressure on the toes and cause them to bend abnormally. Other factors include muscle imbalances, arthritis, or genetic predisposition. Symptoms of hammertoe include pain or irritation in the affected toe, swelling, and difficulty walking or wearing shoes comfortably. Over time, the condition can worsen, leading to more pronounced deformities. Treatment options range from wearing properly fitting shoes to corrective surgery, depending on the severity of the condition. If you have developed hammertoe, it is suggested that you consult a podiatrist who can offer effective treatment solutions.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact Dr. Douglas Mckay from New Jersey . Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Arthritis Can Cause Pain in the Feet and Ankles
If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.
Laser Treatment for Fungal Toenails
Laser treatment is a non-invasive option for addressing toenail fungus. This procedure uses concentrated light energy to target fungal infections beneath the toenail. It penetrates the nail and reaches the nail bed where the fungus resides. The heat generated by the laser toenail treatment disrupts fungal cells, preventing further growth and reducing infection. Some laser systems vaporize infected tissue, while others sterilize the area to prevent recurrence. Most patients require multiple sessions over several months to see improvements, as toenails grow slowly and healthy regrowth takes time. While laser toenail treatment is generally safe, some people may experience mild discomfort or temporary changes in the treated nail. A podiatrist can assess the severity of your fungal toenail infection, determine if laser therapy is appropriate, and monitor progress. Unlike oral antifungal medications, laser therapy does not typically cause systemic side effects, making it a preferred option for some patients. If you have a fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist to see if laser treatment is right for you.
Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Dr. Douglas Mckay from New Jersey . Our doctor will assess your condition and provide you with quality treatment for fungal nails.
What Are Toenail Fungal Infections?
Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.
Symptoms of Toenail Fungal Infections Include:
- Nail thickening
- Brittleness of the nail
- Discoloration of the nail
Diagnosis for Fungal Nails
Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.
What Is Laser Treatment?
Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
How to Properly Fit Shoes
Fitting shoes correctly is essential for comfort and foot health. Shoes should fit snugly around the heel and midfoot without causing pressure or rubbing. The toe box should offer enough room for the toes to move freely without feeling cramped. While trying on shoes, it is important to ensure that the toes do not touch the end of the shoe, as this can cause discomfort and may gradually lead to foot problems. Ideally, there should be about a half-inch of space between the longest toe and the shoe’s front. The concept of breaking in shoes is real but limited. While new shoes may feel stiff at first, they should not cause persistent pain. If shoes are excessively tight, they are likely too small. It is important to try shoes on later in the day when the feet are slightly swollen to ensure they will remain comfortable throughout daily activities. If you have developed foot conditions from wearing shoes that do not fit correctly, it is suggested that you consult a podiatrist who can treat various foot ailments, and guide you on specifics for proper shoe fitting.
Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Dr. Douglas Mckay from New Jersey . Our doctor will treat your foot and ankle needs.
Proper Shoe Fitting
A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:
- Be sure the shoes fit correctly right away
- Ensure the ball of your foot fits comfortably in the widest portion of the shoes
- Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
- Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity
Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Causes and Treatment of Drop Foot
Drop foot, sometimes called foot drop, occurs when the muscles responsible for lifting the front part of the foot become weakened or paralyzed, making it difficult to walk without dragging the toes. Drop foot often leads to changes in gait, such as lifting the knee higher to avoid tripping. Causes of drop foot include nerve damage in the leg or spine, diabetes, or strokes. Symptoms may also involve numbness in the foot, loss of sensation, or a noticeable limp. Treatment by a podiatrist focuses on improving mobility and preventing further complications. Ankle-foot orthoses, or AFOs, can stabilize the foot and ankle, keeping the foot in a neutral position to reduce the risk of falls. Functional electrical stimulation may also be used to activate the muscles, improving walking patterns. A podiatrist can assess the underlying cause of drop foot and provide solutions to improve mobility and function. If you have symptoms of drop foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.
If you have any concerns about your feet, contact Dr. Douglas Mckay from New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Symptoms and Treatment of Bunions
Bunions, medically referred to as hallux valgus, occur when the joint at the base of the big toe begins to protrude, often causing discomfort or difficulty in wearing shoes. A bunion develops as the tip of the big toe leans toward the other toes, leading to a wider foot structure. Symptoms of bunions include pain in the affected joint, swelling, redness, or numbness in the toes. In severe cases, bunions may limit mobility or contribute to other deformities like hammertoes. Risk factors include genetic predisposition, rheumatoid arthritis, or structural issues like flat feet. Wearing improper footwear, such as high heels or narrow shoes, can worsen the problem. A podiatrist can diagnose and manage bunions by evaluating the foot's alignment and identifying the severity of the condition. This foot doctor may recommend custom orthotics, adjustments to footwear, or, in persistent cases, surgery to correct the deformity and alleviate symptoms. If you have problems with bunions, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.
If you are suffering from bunions, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout Pain Can Be Managed
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
The Importance of Treating Gout
Gout is a type of arthritis that causes sudden, intense pain, swelling, and redness, often in the big toe. The pain usually starts abruptly and can be severe, making it difficult to walk or even touch the affected area. This condition occurs when uric acid builds up in the blood, forming crystals that deposit in the joints and leading to inflammation and pain. Common causes of gout include consuming too much alcohol, red meat, or sugary foods, which can increase uric acid levels. Genetics, obesity, and certain medications can also contribute to the condition. Treatment for gout typically involves medications like NSAIDs to reduce pain and inflammation, along with lifestyle changes, such as avoiding purine-rich foods. In some cases, a podiatrist may recommend prescription medications to lower uric acid levels. Left untreated, gout can lead to joint damage and more frequent flare-ups. If you have gout attacks, it is suggested that you schedule an appointment with a podiatrist.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Douglas Mckay from New Jersey . Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
When Treatment Is Necessary for Flat Feet
Flat feet, or fallen arches, occur when the arches of the feet flatten causing the entire sole to make contact with the ground. While some people experience no symptoms, others may suffer from foot pain, swelling, or discomfort, especially after standing or walking for long periods. Flat feet can be congenital, develop over time due to aging, injury, or arthritis, or may result from weakened tendons. Treatment becomes necessary if flat feet cause persistent pain, affect mobility, or lead to other complications like knee or back issues. Non-surgical options include wearing supportive footwear, custom orthotics, and targeted stretching exercises. In severe cases, surgical intervention may be required to correct structural damage. If flat feet are interfering with your daily life, it is suggested that you visit a podiatrist for a proper assessment and personalized treatment plan.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Douglas Mckay from New Jersey . Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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How Obesity Affects the Feet
Obesity can impact the foot and ankle due to the added weight and increased pressure. The excess weight can lead to joint strain and increased wear on the bones, particularly in the feet and ankles. Over time, this added stress can contribute to the development of arthritis, causing pain, swelling, and limited mobility. Musculoskeletal problems, such as tendonitis or plantar fasciitis, are also more common in individuals who are obese due to the constant pressure on the foot structures. Walking up a flight of stairs or on an incline can further worsen this pressure, increasing ankle stress by four to six times compared to walking on level ground. This added strain can accelerate joint deterioration and lead to more severe foot and ankle conditions, making it vital for individuals with obesity to manage their weight and seek proper care for their feet. If you are overweight and have foot or ankle pain, it is suggested that you consult a podiatrist for treatment.
The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned about your feet, contact Dr. Douglas Mckay from New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Obesity and Your Feet
People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.
Problems & Complications Stemming from Obesity
- When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
- Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
- Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What to Expect After Ankle Surgery
Recovering from ankle surgery requires patience and proper care to ensure the best outcome. After the procedure, it is important to follow your podiatrist’s instructions closely to prevent complications and promote healing. In the first few days, rest is vital, and the foot should be elevated to reduce swelling. Ice can also help manage swelling and pain. Depending on the surgery, a cast or boot may be prescribed to immobilize the ankle and support the healing process. Specific stretches and exercises are often recommended once the initial healing phase is over, helping to restore strength, flexibility, and mobility. Full recovery can take several months to a year, depending on the severity of the injury and intricacy of the surgery. Throughout the recovery process, avoiding weight-bearing activities and carefully performing rehabilitation exercises are key to ensuring the ankle heals properly and that normal function is restored. If you have ankle pain, it is suggested that you consult a podiatrist who can discuss whether ankle surgery is right for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Douglas Mckay of New Jersey . Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Various Types of Toenail Fungus
Toenail fungus, or onychomycosis, is a common condition caused by fungal infections affecting the nail. Different types include distal subungual, white superficial, and proximal subungual onychomycosis. Distal subungual onychomycosis is the most common, causing thickened, yellow nails that separate from the nail bed. White superficial onychomycosis appears as white, chalky spots on the nail surface, which can become brittle. Proximal subungual onychomycosis is rarer, starting at the nail base and spreading outward, often linked to weakened immune systems. Risk factors include warm, moist environments, trauma to the nail, and conditions like diabetes. Left untreated, fungal infections can cause discomfort and damage. If you suspect some type of foot fungus, it is suggested that you visit a podiatrist for an accurate diagnosis and effective treatment, including advanced options for stubborn nails.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Are Bunions Affecting Your Everyday Life?
Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.
