A bunion is a structural deformity of the foot that affects the joint at the base of the big toe. It develops gradually as the big toe shifts inward toward the second toe, causing the joint to protrude outward. This misalignment places ongoing stress on the surrounding bones, ligaments, and soft tissues, leading to discomfort and visible changes in the shape of the foot. Over time, bunions may worsen, particularly if the underlying causes are not properly addressed.

Common symptoms of bunions include persistent pain at the base of the big toe, along with swelling and inflammation in the affected joint. Many individuals also experience a burning or aching sensation, especially after long periods of standing, walking, or wearing restrictive footwear. The skin over the bunion may become red and irritated due to friction against shoes, which can increase discomfort. As the condition progresses, stiffness may develop in the big toe, limiting its range of motion and making everyday activities more challenging.

The primary cause of bunions is prolonged pressure on the big toe joint that gradually forces it out of alignment. Wearing tight, narrow, or poorly fitting shoes is a major contributing factor, as such footwear compresses the toes and increases friction. High-heeled shoes can further worsen the condition by shifting body weight forward onto the forefoot, adding extra strain. In addition, genetic factors and abnormal foot mechanics, such as flat feet or joint instability, can increase the likelihood of developing bunions.

Risk factors include wearing improper footwear, inherited foot structure, and certain biomechanical issues. Early recognition and intervention can help slow progression and reduce symptoms. Wearing supportive, well-fitted shoes and using custom orthotics may relieve pressure on the joint. If a bunion becomes painful or interferes with daily activities, consulting a podiatrist is recommended for appropriate treatment and long-term management strategies.

If you are suffering from bunion pain, 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.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

Toenail fungus, known as onychomycosis, affects the toenails. It develops when fungi enter through cracks in the nail or skin. Infection can cause nails to become thick, brittle, discolored, or misshapen. Affected nails may appear yellow, white, or brown and sometimes develop an odor. As the infection progresses, pain or tenderness may develop, especially when shoes place pressure on the toe. Thickened nails can become difficult to cut and maintain.

Several factors can increase the risk of developing toenail fungus. Warm, damp environments create conditions where fungi thrive. Sweaty feet and wearing closed shoes can increase moisture around the nails. Walking barefoot in shared showers, gyms, or locker rooms can increase exposure. Previous toenail injuries may provide an opening for infection. Poor circulation and certain chronic health conditions can increase vulnerability. Keeping feet clean and dry can help lower the risk.

A podiatrist can diagnose toenail fungus by examining the affected nail and skin while reviewing your symptoms and history. In some cases, a small nail clipping or scraping is sent for laboratory testing to confirm the infection and identify the fungus. Treatment depends on the severity and type of infection. Options may include professional nail trimming or thinning, prescription antifungal medication, or laser therapy. Because toenails grow slowly, recovery requires patience and consistent treatment.

Early evaluation can help prevent toenail fungus from becoming more severe or difficult to manage. If you notice changes in nail color, thickness, or shape, a podiatrist can determine whether fungus is responsible or whether another condition is causing the changes. Podiatric care can provide an accurate diagnosis, appropriate treatment, and ongoing monitoring as healthy nail growth occurs. If you have symptoms of toenail fungus, it is suggested that you consult a podiatrist for evaluation and treatment.

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. 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.

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 contact our office located in Gig Harbor, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel pain can make every step uncomfortable because the heel absorbs much of the body's impact while walking, running, and exercising. Repeated stress can cause small injuries faster than the body can repair them. Plantar fasciitis is one major cause. It affects the strong band of tissue connecting the heel bone to the base of the toes. Pain from plantar fasciitis is usually worse when standing after a long rest, especially with the first steps in the morning.

Heel pain has several other possible causes. Heel bursitis is inflammation of a fluid-filled sac beneath the heel bone and can cause pain that worsens throughout the day. Heel bumps can develop from repeated shoe rubbing or tissue changes linked to a tight Achilles tendon. A compressed nerve can produce burning, tingling, or numbness beneath the heel. Fractures can result from a fall or an awkward landing. Children between ages eight and 12 can also develop heel pain related to growth and physical activity.

A podiatrist can determine why the heel hurts and recommend treatment based on the cause. The evaluation can include checking the location of pain, foot movement, and areas of tenderness. An X-ray can help confirm a suspected fracture and show the extent of the injury. Treatment for plantar fasciitis can include padding, strapping, or prescription orthotics, which are special shoe inserts that improve foot function. Other heel conditions can require cushioning, shoe adjustments, or medication. Persistent cases of plantar fasciitis or recurring heel bumps can sometimes require surgery. Because different heel problems require different treatments, an accurate diagnosis is important when pain continues or affects normal activity. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Cracked heels develop when the skin around the heel becomes very dry, thick, and less flexible. As the skin loses moisture, it can split and form painful cracks. These cracks can become deeper when pressure is placed on the heel while walking or standing. Dry weather can contribute to cracked skin, but other factors can also play a role. Open-heeled shoes, shoes that do not fit properly, and certain health conditions can increase the risk. Severe cracks can become sore and allow germs to enter the skin. A podiatrist can examine the heels and determine why the skin is cracking.

A podiatrist can evaluate the condition of the skin and look for signs that the cracks are deeper or becoming irritated. Professional care can include removing thickened skin from the heel and recommending appropriate products to improve the skin’s condition. A podiatrist can also assess how pressure is placed on the heel when walking and determine whether foot structure or footwear is contributing to the problem. If cracked heels are linked to an underlying health condition, the podiatrist can consider that factor when developing a treatment plan. Severe or persistent cracks deserve professional attention because damaged skin can be more vulnerable to infection.

Cracked heels can cause pain, tenderness, and difficulty walking when the splits become deep. A podiatrist can monitor the affected skin and help manage problems that interfere with normal foot function. Professional treatment can also focus on protecting the heel while the skin heals and addressing factors that contribute to repeated cracking. Patients with severe cracks or symptoms that do not improve should have the area evaluated. A podiatrist can determine whether additional treatment is appropriate and check for signs of infection or another condition affecting the skin. If you have symptoms of cracked heels, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.