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.

Plantar fasciitis is one of the most common causes of heel pain. It affects the plantar fascia, a strong band of tissue that runs along the bottom of the foot and connects the heel bone to the toes. This tissue helps support the arch and absorbs stress during walking. When it becomes irritated or inflamed, pain can develop, especially near the heel. Many people notice sharp discomfort with their first steps after getting out of bed or after sitting for a long period of time. The pain may improve with movement but often returns after standing or walking for extended periods of time. Because heel pain can have several causes, a professional evaluation is important to determine whether plantar fasciitis is responsible for the symptoms.

Several factors may increase the risk of developing plantar fasciitis. These include prolonged standing, repeated stress from physical activity, and foot mechanics that place extra strain on the plantar fascia. Carrying excess body weight may also increase pressure on the feet. Ongoing irritation can make daily activities more difficult and change the way a person walks. This altered movement may place additional stress on the ankle, knee, or hip. A comprehensive podiatry examination helps identify the source of heel pain while evaluating foot structure, movement, and overall function. Early diagnosis allows treatment to begin before symptoms become more persistent or interfere with normal mobility.

A podiatrist specializes in diagnosing and treating plantar fasciitis while evaluating the overall health of the feet. Professional care focuses on relieving heel pain, improving foot function, and reducing stress on the plantar fascia. Treatment is tailored to each patient's symptoms, activity level, and foot structure. Regular follow-up visits also allow recovery to be monitored and treatment plans to be adjusted as needed. If you have consistent heel pain or discomfort on the bottom of your foot, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.