July 2024

Thick toenails can be more than just a cosmetic issue. They often signal underlying health problems. One of the primary causes of thickened toenails is fungal infections, known as onychomycosis. This occurs when fungi infiltrate through small cracks or cuts in the nail or surrounding skin, where they thrive in the moist environment under the nail bed. This condition can worsen, leading to thicker nails that may change color, emit a foul odor, and become painful. Besides fungal infections, health issues such as psoriasis, congenital disorders, or chronic illnesses can also cause your toenails to thicken. Prompt and proper treatment from a podiatrist is essential, as untreated thick toenails can lead to further complications, including difficulty in walking and wearing shoes comfortably. If you notice a thickening of your toenails, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

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 the podiatrists of New England Family Foot Care. Our doctors 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 our office located in Milton, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sharp pain in the big toe can be caused by various conditions, each requiring different treatments. Common culprits can include bunions, ingrown toenails, turf toe, arthritis, sesamoiditis, gout, and injuries like sprains or fractures. Bunions cause deformity and pain at the base of the toe, often due to wearing ill-fitting shoes or prolonged standing. Ingrown toenails, usually from improper nail trimming or pressure from tight shoes, can cause significant pain and swelling. Turf toe results from excessive stress on the big toe joint, which is common among athletes. Sesamoiditis, affecting the tiny bones under the big toe, causes dull, intermittent pain. Gout, a metabolic disorder, triggers sudden, severe pain due to uric acid crystal buildup. Lastly, sprains and fractures from trauma or overextension cause throbbing pain and swelling. Persistent or severe symptoms require an evaluation from a podiatrist. This foot doctor can diagnose the cause and suggest appropriate treatments, including orthotics, medication, or possibly surgery. If you are suffering pain in the big toe, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact the podiatrists of New England Family Foot Care. Our doctors 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 our office located in Milton, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Surprisingly, about 70 percent of people wear shoes that don’t fit well, leading to discomfort and potential long-term issues affecting the feet and ankles, as well as other body parts. To ensure a proper fit, start by measuring your feet, as sizes can vary between brands and your feet change over time. Shop in the afternoon when your feet are slightly swollen, ensuring a fit that accommodates daily activity. Look for shoes with adequate support and structure, avoiding overly soft footwear that lacks stability. Check for a thumb’s width of space at the toe and consider the shape of the shoe to avoid cramped toes. Heels higher than 1.5 inches can worsen foot problems. For those on carpets or with mobility issues, lightweight polyurethane soles are a better option than heavy rubber. Breathable materials and appropriate socks are also important to prevent moisture buildup and subsequent issues, like corns or blisters. Special features can accommodate specific conditions like diabetes, bunions, or hammertoe. For personalized advice and to address any foot-related concerns, it is suggested that you make an appointment with a podiatrist. 

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact the podiatrists from New England Family Foot Care. Our doctors 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 our office located in Milton, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fibromatosis is a benign condition characterized by the growth of fibrous nodules in the plantar fascia, a thick band of tissue located along the bottom of the foot. These nodules typically develop in the arch and can vary in size, The condition progresses through three phases. In the early phase, small, painless nodules form, and in the intermediate phase, these nodules grow larger and may cause discomfort. In the late phase, the nodules become more fibrous and can lead to significant pain and difficulty walking. Symptoms include firm lumps in the arch of the foot, pain when standing or walking, and stiffness in the affected area. If you have lumps or nodules on the bottom of your foot, it is suggested that you make an appointment with a podiatrist who can discuss effective treatment options with you.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact the podiatrists of New England Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our office located in Milton, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.