Curled toenails, also known as involuted or pincer nails, occur when the sides of the nail begin to curve inward, sometimes digging into the surrounding skin. This condition can be caused by genetics, wearing improper footwear that puts pressure on the toes, or fungal infections that can gradually distort nail shape. Other causes may include trauma or long-term neglect of proper nail care. Symptoms can range from mild discomfort to sharp pain, especially when walking or wearing tight shoes. The skin around the nail may become red, tender, or swollen, and, in some cases, an infection may develop. A podiatrist can assess the severity and underlying cause of the curled toenail. Treatment options include trimming and reshaping the nail, treating fungal infections, recommending proper footwear, or using special devices to gradually correct the nail’s shape. In more severe cases, partial nail removal or minor procedures may be necessary. If you are experiencing this condition, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
Improper toenail trimming
Genetics
Improper shoe fitting
Injury from pedicures or nail picking
Abnormal gait
Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Sever's disease is a common cause of heel pain in children and young teens, especially those who participate in sports. It is not actually a disease but a growth-related condition that affects the heel’s growth plate. As the foot grows, the Achilles tendon can pull on the developing heel bone, causing pain and swelling. Running and jumping often make it worse, and the heel may feel sore to the touch. The pain usually comes and goes, and may be more noticeable after activity. Rest and stretching can help ease symptoms. Wearing supportive shoes or heel cushions may also reduce strain. Most children outgrow the condition once their bones finish growing. If your child complains of heel pain during or after sports, it is suggested you see a podiatrist for a proper diagnosis and appropriate treatment.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
A bunion is a bony bump that forms at the base of the big toe as the top of the toe leans inward toward the others. This deformity develops over time due to pressure on the big toe joint, leading to changes in the bone structure. Common causes of bunions include wearing tight or narrow shoes, genetic predisposition, and conditions like arthritis that affect the joints. Risk factors include having a family history of bunions, flat feet, and occupations that involve long periods of standing or walking. Symptoms of a bunion often include swelling, redness, tenderness, and pain surrounding the big toe joint. Over time, the discomfort can worsen, making it difficult to wear shoes comfortably and affecting overall foot function. If you have a bunion, it is suggested that you are under the care of a podiatrist who can offer treatment options to manage this condition.
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 our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout is a form of inflammatory arthritis that often affects the joints of the toes, particularly the big toe. This happens when excess uric acid in the blood forms sharp crystals that deposit in the joints, leading to sudden and intense pain, swelling, and redness. Several factors contribute to high levels of uric acid. Dietary triggers such as red meat, seafood, and alcohol can increase uric acid production. Genetic factors also play a role, making some individuals more prone to developing gout. Certain medical conditions, including kidney disease, high blood pressure, and diabetes, can interfere with uric acid removal. A sedentary lifestyle or obesity further increase the risk. The toes are especially vulnerable due to their cooler temperature, which encourages crystal formation in that area. If you have symptoms of gout, it is suggested that you promptly contact a podiatrist who can help you to manage this painful condition.
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Diabetic foot ulcers are open wounds that develop on the feet, toes, or ankles due to reduced blood flow and nerve damage caused by diabetes. Diabetic foot ulcers are often painless, which means patients may not realize they have one until it becomes infected. Infections can spread quickly into deeper tissue, increasing the risk of bone involvement or even sepsis. Poor circulation slows the healing process, making these ulcers harder to treat. A podiatrist can help by assessing the severity of the ulcer, cleaning the wound, and applying protective dressings to reduce infection risk. In some cases, patients may need pressure-relieving footwear, a cast, or surgery to remove damaged tissue. Infected ulcers often require antibiotics, and severe infections may need hospital care. Regular foot care is important to avoid complications from diabetic foot ulcers. If you have foot ulcers as a result of diabetes, it is suggested that you are under the care of a podiatrist for ongoing treatment.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
Routinely inspect your feet for bruises or sores.
Wear socks that fit your feet comfortably.
Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!
Ankle sprains occur when the ligaments that support the ankle stretch beyond their limits or tear, often resulting from a sudden twist or roll of the foot. Common causes include uneven surfaces, improper footwear, lack of warm-up before activity, and previous ankle injuries that weaken stability. Athletes and individuals with poor balance or weak ankle muscles are especially at risk. To help prevent ankle sprains, it is important to maintain strength and flexibility in the lower legs and ankles. Wearing supportive shoes and practicing good technique during physical activity also play a key role. Avoiding sudden changes in movement and being mindful on unstable surfaces can reduce the chance of injury. If you have sustained a foot or ankle injury while running, it is suggested that you consult a podiatrist who can treat foot problems and help you with additional running injury prevention methods.
All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.
More Tips for Preventing Injury
Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
“Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
Cross-Training is Crucial
Wear Proper Running Shoes
Have a Formal Gait Analysis – Poor biomechanics can easily cause injury
If you have any questions, please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown toenails occur when the edge of a toenail, usually on the big toe, grows into the surrounding skin. This can lead to pain, swelling, and infection. Surgery for ingrown toenails is often recommended when the problem does not improve or keeps coming back. A podiatrist may perform a procedure called a wedge excision, where part of the toenail and the tissue it grows from are removed. In more severe cases, the entire nail may be taken out, termed nail avulsion. A chemical or heat may be used afterward to prevent the nail from growing back, a process known as nail-bed ablation. Another option, Zadek’s procedure, involves removing both the nail and the underlying tissue that causes the nail to regrow. Ingrown toenail surgery is typically done under local anaesthetic and takes about 10 minutes. Infection or toenail regrowth can occur, but many patients experience no such repercussions. If you are experiencing ongoing pain from an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for an exam, treatment, and possible surgery.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
Bacterial infections
Improper nail cutting such as cutting it too short or not straight across
Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
Ill-fitting shoes that bunch the toes too close together
Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
