An ingrown toenail develops when the edge of a toenail grows into or presses against the surrounding skin. The big toe is affected most frequently, although the problem can occur on other toes. Pressure from shoes that are too tight, an injury, or the natural shape of the nail contribute to an ingrown toenail. Cutting the nail too short or rounding its corners also encourages the nail edge to press into the skin. Symptoms include pain, redness, and swelling along the side of the nail. The area may become sensitive when pressure is placed on the toe. An ingrown toenail also can become infected, leading to increased swelling or drainage around the nail.

A podiatrist evaluates an ingrown toenail by examining the nail and surrounding skin. The examination determines how deeply the nail edge is pressing into the skin and whether signs of infection are present. A podiatrist identifies factors that could contribute to repeated ingrown toenails, including nail shape or pressure from shoes. Treatment depends on the severity of the condition and the amount of irritation around the nail. A podiatrist carefully removes the portion of the nail that is pressing into the skin. Treatment also addresses irritated or infected tissue around the affected area. For recurring problems, the podiatrist uses techniques designed to prevent the troublesome section of nail from growing back.

An ingrown toenail makes standing, walking, and wearing shoes painful. Patients can change the way they walk to avoid pressure on the affected toe, which places added stress on other parts of the foot. A podiatrist treats the painful nail while helping protect the surrounding skin from further irritation. Level of care is based on the condition of the nail and the severity of the symptoms. Prompt evaluation helps prevent increasing pain and related complications. If you have symptoms of an ingrown toenail, it is suggested that you make an appointment with a podiatrist for diagnosis and 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 Franklin Harry, DPM of Best Foot Forward. 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 offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a form of inflammatory arthritis that develops when uric acid builds up in the blood and forms sharp crystals in a joint. These crystals can trigger sudden inflammation, making gout extremely painful. Gout commonly affects the big toe because the joint is relatively cool and receives repeated pressure from walking. Lower temperatures can encourage crystal formation. Recognizing gout symptoms can help you seek care before pain becomes difficult to manage.

A gout attack often begins suddenly, sometimes during the night. The big toe may become intensely painful, swollen, and extremely tender. Even light contact from bedding or a shoe can feel uncomfortable. Some people notice shiny skin around the affected joint. Without treatment, an attack may last for days. Repeated flares can damage the joint and contribute to the formation of tophi, which are firm deposits of uric acid crystals beneath the skin.

Several factors can increase gout risk. High uric acid levels are the main cause, but kidney problems can make it harder for the body to remove uric acid. Family history can also play a role. Certain medications, dehydration, and a diet high in purine-rich foods may increase risk. Obesity and some metabolic conditions can further contribute. A podiatrist can review your symptoms and examine the foot. Testing may also help confirm the diagnosis.

Treatment depends on the severity and frequency of attacks. A podiatrist may recommend rest, supportive footwear, and measures that reduce pressure on the painful joint. Medication may help control inflammation and pain during an acute flare. Long-term care may focus on lowering uric acid levels and preventing future attacks with guidance from your healthcare provider. If you have intense pain in your big toe, or other symptoms of gout, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Franklin Harry, DPM from Best Foot Forward. 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 our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bone spurs are areas of extra bone that can form near a joint. In the foot, they often develop around the big-toe joint, heel, or ankle. A bone spur does not always cause symptoms. However, it can press against nearby tissue, restrict movement, and make wearing shoes uncomfortable. Pain, stiffness, or a hard bump can interfere with walking. Arthritis, injury, and repeated stress can contribute to their formation. A podiatrist can examine the foot and use X-rays to confirm the spur's location and size.

Bone spur surgery is usually considered when pain continues despite treatment or when joint movement is severely limited. The procedure depends on the spur's location and the condition of the joint. For a spur on the big-toe joint, the podiatrist may remove the extra bone through an incision. The podiatrist may also remove damaged tissue around the joint. In advanced cases, another procedure may be necessary to stabilize or realign the joint. Before recommending surgery, the podiatrist reviews circulation, nerve function, and overall health. These factors help determine whether the foot is likely to heal properly.

Recovery varies with the procedure. After bone spur removal, care includes resting the foot, using a special shoe, and keeping the incision clean. The podiatrist provides instructions about weight-bearing and a safe return to regular shoes. Follow-up visits allow the podiatrist to check healing, remove stitches, and monitor joint movement. Possible problems include infection, delayed healing, and continued pain. Stiffness or another spur can develop later. Patients should report redness, drainage, or severe pain. Follow-up care can protect the incision and help the foot regain movement. The goal of surgery is to reduce pain and improve function, although results depend on the amount of joint damage. If you have symptoms of a bone spur on the big toe, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Franklin Harry, DPM of Best Foot Forward. 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 our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Athlete’s foot, also called tinea pedis, is a fungal infection that affects the skin of the feet. The fungi responsible for the infection grow well in warm, damp areas. Athlete’s foot can spread through direct contact with infected skin or contaminated surfaces. Locker rooms, swimming areas, and shared showers can provide conditions where the fungi survive. The infection frequently begins between the toes, where moisture can collect. People whose feet sweat heavily can have a greater risk, especially when shoes keep their feet warm and damp.

Symptoms of athlete’s foot can vary depending on the type of infection. Skin between the toes can become cracked, peeling, or irritated. Itching and burning can also develop. Another form can cause dry, scaly skin across the sole and sides of the foot. Some infections cause small blisters or areas of inflamed skin. Scratching affected skin can spread the fungi to other areas of the body. Athlete’s foot can also return after treatment, especially when the feet are repeatedly exposed to environments where the fungi thrive. Certain cases can spread to the toenails and cause additional problems.

A podiatrist can examine the affected skin and determine whether the symptoms are caused by athlete’s foot or another skin condition. In some cases, a small skin sample can be tested to confirm a fungal infection. A podiatrist can recommend antifungal treatment based on the location and severity of the infection. Prescription treatment can be considered when an infection is persistent or more difficult to control. Proper diagnosis is important because other skin problems can resemble athlete’s foot and require different care. If you have symptoms of athlete’s foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Franklin Harry, DPM from Best Foot Forward. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

If you have any questions, please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.