
Wounds That Don't Heal Need to Be Checked
Treating Toenail Fungus

People who are infected with toenail fungus can be embarrassed to wear flip-flops and sandals in the warmer months. It is an unsightly foot condition that leaves the nails yellowed and thickened and in severe cases, brittle. Additionally, the toes can itch or turn black, and may often be accompanied by athlete’s foot. There are a variety of remedies for toenail fungus, including laser treatment. This consists of using a laser to target and destroy the nail fungus without damaging the surrounding skin or nail. Research has indicated there is generally no risk, and most patients do not have side effects. The 10-minute per toenail sessions are typically painless and have a high percentage rate for successful fungal removal. If you have toenail fungus and are interested in this type of treatment, it is strongly advised that you consult with a podiatrist.
Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors will assess your condition and provide you with quality treatment for fungal nails.
What Are Toenail Fungal Infections?
Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.
Symptoms of Toenail Fungal Infections Include:
- Nail thickening
- Brittleness of the nail
- Discoloration of the nail
Diagnosis for Fungal Nails
Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.
What Is Laser Treatment?
Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.
If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Laser Treatment for Fungal Nails
A new treatment for fungal nails, or onychomycosis, which has grown in popularity in recent years, is laser treatment. Laser treatment involves the use of a laser that kills fungus in the toenail with heat. Laser therapy causes no side effects and does not affect nearby healthy tissue.
Toenail fungus afflicts almost 10 percent of the U.S. population and is more common among the elderly. The most common symptom of toenail fungus is the discoloration and thickening of the nail. The nail can also become brittle and a foul smell may be produced. In rare cases, pain might be present. While it is not a serious condition, it can lead to a perception of disgust amongst those it affects. There are several different fungi that cause fungal infections. These include dermatophyte, yeast, and mold. The most common of these is dermatophyte.
Diagnosis for fungal nails involves a podiatrist utilizing microscopy and fungal cultures. This will allow the doctor to determine whether it is a fungus or another condition, such as lichen planus, psoriasis, nail damage, and onychogryphosis.
Fungus in the nails can be hard to get rid of with over-the-counter drugs. This is due to the nail being hard and protective, with fungus able to slip between the nail bed and plate. Furthermore the slow growth of the nail increases the difficulty of fungus going away. Laser treatment seeks to get around this by directly penetrating through the nail and killing the fungus. The laser is used on each infected nail for a couple of minutes. Patients then typically return several weeks or months later for another laser treatment. During this time the podiatrist will routinely observe the foot and infection. It is also recommended to wear clean socks and shoes and allow the feet to dry and breathe to prevent toenail fungus.
Laser treatment is still a relatively new treatment and not all podiatrists have laser machines. Ask your podiatrist if they do laser treatment for toenail fungus and if it is right for you.
Elderly and their Feet
While proper foot care is important for everybody, senior citizens have the tendency to be more susceptible to certain foot conditions. The elderly should therefore be well informed about any problems that may arise and about what they can do to properly avoid or treat them.
Some of the most common foot problems seniors are susceptible to include foot ulcers, ingrown toenails, fallen arches, and fungal nails. A foot ulcer is an open sore on the foot and can be a result of diabetes and decreased sensation in the feet. An ingrown toenail is defined as when the nail grows into the side of the toe. Fallen arches are indicated by the instep of the foot collapsing. A fungal nails is a condition that results in deformed and discolored toenails.
In order to avoid these conditions it is recommended that the feet be inspected by the patient on a regular basis. If these inspections are carried out routinely, there is a good likelihood that problems can be identified before they become severe, or can even be avoided altogether. If any abnormality is discovered, it is important that the individual consult a podiatrist for diagnosis and information on treatment options.
Proper foot hygiene is also important. Making sure that you always have clean, dry socks on can be a major deterrent to many different problems including bacterial infections, foot odor, and certain types of fungus. Wet feet are a major cause of many of these problems. If your socks get wet, it is important to change them. Walking around in wet socks may not only lead to various infections, but can irritate the skin and result in a number of various complications. Clean, dry feet are less likely to be affected by fungal and other infections.
As people age, the fat present on your feet begins to deteriorate. The protective nature of this fat keeps the feet healthy by providing a barrier between your bones and the ground. This also aids in giving the skin on the feet a certain amount of elasticity. This is one factor that causes elderly people to develop some serious foot issues. Foot moisturizers can be helpful to avoid certain problems associated with this. However, water-based moisturizers do not work as well for elderly people as they do for the young. Instead, it is more effective to use an emollient instead. An emollient is effective because it binds the water in the foot, keeping it from becoming absorbed too readily which will result in dry skin. Emollients also have a special property called occlusion, which provides a layer of oil on the skin. This layer prevents the foot from drying up and can be very effective in treating dry skin disorders. If you can keep the skin on your feet healthy, this will substantially reduce the number of foot problems you will encounter in old age.
Proper footwear is another way to keep feet healthy. Shoes that fit well and provide proper support help prevent ingrown toenails and fallen arches.
Certain medical conditions such as diabetes or poor blood circulation increase the risk for foot issues. For individuals with any of these conditions it is extremely important to conduct regular foot inspections to make sure that there are no sores or infections present.
Blisters
Blisters are small pockets of fluid that occur on the top layers of the skin for several reasons. Friction, burns, and diseases are all known causes of blisters. Smaller blisters are known as vesicles, while larger blisters are referred to as bulla. The fluid inside the bubble can be blood, pus, or serum; which is a clear liquid that protects the skin. In most cases, blisters are not a major health issue, but they can be an indicator of a more serious condition.
Causes of blisters vary. Blisters are commonly caused by wearing poorly fitted shoes that rub against the foot. However, there are many other causes besides from friction; including burns, sunburn, insect bites, frostbite, poison ivy/oak, chemical exposure, impetigo, eczema, viral infections, and more.
Most blisters heal by themselves and do not require immediate medical care. If you have a blister, do not pop it since this may cause infection; it is advised to put a bandage over the blister to protect it. If the blister is large, causes pain, or if you have a fever, it is recommended that you see a doctor who can provide proper care. Blisters are easy to diagnose, and if considered prudent by the doctor, can easily be drained of fluid with a sterile needle as well.
To prevent blisters on the feet, wear shoes that fit properly and don’t cause rubbing. Socks can help prevent friction and it is recommended that you wear them if you are wearing shoes. Hand blisters can be avoided by wearing gloves during activities that cause friction against the hand. If you have a blister that pops, do not remove the dead skin, wash the area, apply antibiotic ointment, and cover with a bandage. It is okay in most cases to not seek immediate medical care for a blister if it was just caused by friction. However, if the blister causes pain or does not go away, it is suggested that you see a doctor for a diagnosis.
Every Day Foot Care
Our feet are important in our everyday lives. The problem is that we tend to neglect them. When this becomes a habit, it can cause significant trouble. Ignoring foot problems can mean pain, limited mobility, and expensive doctor's visits. On the other hand, if feet are cared for and looked after regularly, they will perform without pain or complication.
Routine hygiene is the most basic way to care for the feet. Wash and dry them thoroughly daily. Remember to get between the toes and keep the toenails trimmed and short. If the feet feel dry or there are signs of dryness or cracking, use a moisturizer designed for the feet.
When using moisturizer on the feet, try to avoid applying between the toes. If cream or lotion sits too long, they can cause fungal and bacterial growth. When moisturizer is used between the toes, it can also cause the skin to soften too much.
Shoes are also an important aspect of foot care. When one is picking out shoes, make sure they are the correct size. Shoes need to be snug, but not too tight. On the other hand, if shoes are too loose they can cause foot problems as well. It is highly recommended that shopping for new shoes be done later in the day. The reason for this is that the feet will have settled and swelled to their full size by then. To keep your feet at their most healthy, avoid wearing high heels or flip flops too often. Instead, choose shoes that are good for your feet. Good shoes pad the soles of your feet and support the arches and ankles.
Socks should also be worn daily with closed-toe shoes. They may feel hot during the summer months, but they absorb sweat and moisture off the feet. Without socks, the build-up of sweat in a closed-toe shoe can cause fungal problems and athlete's foot.
The best thing to remember in every day foot care is that shoes do make a difference. If you spend a lot of time on your feet, make sure that your shoes show no signs of wear. Shoes should offer ample support for the arches and the overall foot. Additionally, try to make foot cleaning and maintenance a daily habit. If you keep these things in mind, your feet will stay healthy and safe.
All About Fractures to the Little Toe

Fractures to the 5th metatarsal, or the pinky toe, are quite common. When the fracture occurs in the middle section of the metatarsal, it is known as a Jones fracture. The main cause is sudden force on the outside of the foot. A Jones fracture is common to athletes, dancers, and workers who stand for long periods. Men around 30, who are physically active, and women over 70, who may have osteoporosis, are more likely to sustain a Jones fracture as well. Symptoms include pain, swelling, tenderness, and difficulty walking. Check for discoloration or a bump on the side of the foot that is not usually there. It is not always easy to detect a Jones fracture through an X-ray, and in many cases an MRI or other imaging test may be required. As Jones fractures typically do not heal rapidly, it might take months before you can resume normal activities. If you believe you have sustained a Jones fracture, it’s a good idea to see a podiatrist as soon as possible for an exam and diagnosis.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
If you have any questions please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What to Know About a Broken Toe
The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.
Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.
Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.
If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more.
The Effects of Psoriatic Arthritis on the Feet

Psoriatic arthritis or PsA is an inflammatory arthritis that can affect people with psoriasis. Psoriasis is a condition that causes red patches of skin with silvery scales on the body. PsA causes pain, swelling, and tenderness in the joints and can affect one’s toes, toenails, soles, heels, and ankles. A common symptom of PsA is swelling of one or more toes. This is known as dactylitis and gives the toe a sausage-like appearance. In fact, swelling of various parts of the foot is common with PsA and can be accompanied by color changes and extreme tenderness. A heel ailment, called enthesitis, can also affect those with PsA. This is characterized by inflammation at the point where tendons and ligaments connect with the bone and can impact the Achilles tendon and the soles of the feet among PsA sufferers. Nail problems can also occur among people with PsA, especially those who have nail psoriasis. The nails may appear pitted, with ridges, flaking, and discoloration, and there may be a lifting up of the nail. This might happen because of inflammation and cellular disruption caused by PsA. The goal of treating PsA-related foot problems is to reduce pain and prevent permanent damage to bones. If you have PsA and are suffering with foot pain, you might see a podiatrist who can help you in developing a plan of treatment towards living a more comfortable life.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.
Arthritic Foot Care
Arthritis is a term that is commonly used to describe joint pain. The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it. Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.
Symptoms
- Swelling
- Pain
- Stiffness
- Decreased Range of Motion
Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.
Risk Factors
- Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
- Obesity – Excess weight can contribute to osteoarthritis development
- Infection – Microbial agents can infect the joints and trigger arthritis
- Joint Injuries – Damage to joints may lead to osteoarthritis
- Age – Risk increases with age
- Gender –Most types are more common in women
- Genetics – Arthritis can be hereditary
If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.
If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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