Ingrown toenails occur when the edge of a toenail, usually on the big toe, grows into the surrounding skin. This can lead to pain, swelling, and infection. Surgery for ingrown toenails is often recommended when the problem does not improve or keeps coming back. A podiatrist may perform a procedure called a wedge excision, where part of the toenail and the tissue it grows from are removed. In more severe cases, the entire nail may be taken out, termed nail avulsion. A chemical or heat may be used afterward to prevent the nail from growing back, a process known as nail-bed ablation. Another option, Zadek’s procedure, involves removing both the nail and the underlying tissue that causes the nail to regrow. Ingrown toenail surgery is typically done under local anaesthetic and takes about 10 minutes. Infection or toenail regrowth can occur, but many patients experience no such repercussions. If you are experiencing ongoing pain from an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for an exam, treatment, and possible surgery.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
Bacterial infections
Improper nail cutting such as cutting it too short or not straight across
Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
Ill-fitting shoes that bunch the toes too close together
Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
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 and ankle needs.
Sever’s disease is a common cause of heel pain in growing children, particularly those who are active in sports. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress and tension from the Achilles tendon. This condition is most common during periods of rapid growth, when bones lengthen faster than muscles and tendons can adapt. Causes include excessive running, jumping, and footwear that lacks adequate support. Symptoms include pain and tenderness at the back of the heel, swelling, and difficulty walking or participating in physical activities. The discomfort may worsen with activity and improve with rest. If your active child has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and manage Sever’s disease.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
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 and ankle injuries.
Basketball puts intense stress on the ankles due to frequent jumping, cutting, and sudden direction changes. Sprains are the most common injury, occurring when the ligaments overstretch or tear from awkward landings or collisions. High ankle sprains and fractures can also result from forceful twists or falls. Weak ankles, wearing improper footwear, and lack of conditioning increase the risk of injury. Strengthening exercises, balance training, and wearing supportive basketball shoes with proper ankle stability help prevent issues. Taping or bracing provides additional protection for players with a history of injuries. Immediate treatment includes rest, compression, and elevation to reduce swelling and pain. Ignoring an ankle injury can lead to chronic instability and long-term problems. If you have an ankle injury from playing basketball, it is suggested that you see a podiatrist for a proper diagnosis and customized treatment to promote healing and prevent re-injury.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. 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.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
Plantar Fasciitis
Plantar Fasciosis
Achilles Tendinitis
Achilles Tendon Rupture
Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
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 and ankle needs.
Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.
Nerve damage following an ankle sprain can cause a variety of symptoms that may persist beyond the initial injury. Radiating pain is a common sign, often extending from the ankle into the foot or lower leg. This discomfort may feel sharp, burning, or tingling. Altered skin sensation, such as numbness, heightened sensitivity, or a pins and needles feeling, can also occur. In more severe cases, foot drop may develop, making it difficult to lift the front part of the foot while walking. Over time, a loss of muscle size can become noticeable due to reduced nerve function and weakened movement. If you have sprained your ankle, and are experiencing any of the above symptoms, it is suggested that you consult a podiatrist who can offer effective treatment solutions.
Ankle sprains are common but need immediate attention. If you need your feet checked, 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.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
Mild to moderate bruising
Limited mobility
Swelling
Discoloration of the skin (depending on severity)
Preventing a Sprain
Wearing appropriate shoes for the occasion
Stretching before exercises and sports
Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
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 and ankle needs.
Toenail fungus is a condition that causes nails to become discolored, thickened, or even crumble. The infection typically starts as a small white or yellow spot under the tip of the nail and can spread, leading to a more severe appearance. As the fungus progresses, nails may become brittle, cracked, or distorted, often causing discomfort or pain. The affected area might also have a foul odor. The primary cause of toenail fungus is exposure to warm, moist environments, such as public showers or tight-fitting shoes. Poor circulation, a weakened immune system, and injury to the nail can increase the risk. A podiatrist can diagnose toenail fungus and recommend antifungal medications, laser therapy, or specialized topical treatments to eliminate the infection. In severe cases, they may suggest nail removal. If you have developed toenail fungus, it is suggested that you schedule an appointment with a podiatrist for proper diagnosis and effective 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 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 a common cause of heel pain, and while treatment often involves specific stretches and wearing proper footwear, certain vitamins and supplements can help manage symptoms and promote healing. Bromelain, an enzyme found in pineapple, is known for its anti-inflammatory properties and can reduce swelling and pain associated with plantar fasciitis. Vitamin C is essential for collagen production and tissue repair, supporting the healing of the plantar fascia. Vitamin B5, or pantothenic acid, helps in the regeneration of damaged tissues and reduces inflammation. Magnesium plays a role in muscle function and can help alleviate tightness in the calf muscles, which can contribute to plantar fasciitis pain. Turmeric, with its active compound curcumin, is another powerful anti-inflammatory that can help reduce pain and swelling in the affected area. When used alongside other treatments, these vitamins and supplements may provide additional relief and support recovery from plantar fasciitis. If you have plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist.
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
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 and ankle needs.
Hammertoe is a deformity where the middle joint of a toe bends downward, resembling a hammer. It often develops due to wearing tight or narrow shoes that force the toes into a bent position. Other causes include muscle imbalances, trauma, arthritis, or genetic predisposition. Conditions like diabetes may also contribute by affecting nerve and muscle function. Symptoms of hammertoe include pain, stiffness, swelling in the affected toe, difficulty straightening it, and the development of corns or calluses from friction against footwear. Over time, the toe may become rigid, limiting movement and causing discomfort during walking or standing. Diagnosis involves a podiatrist examining the toe’s flexibility and alignment. X-rays may be used to assess bone and joint changes. If you think you have a hammertoe, it is suggested that you consult a podiatrist to ensure an accurate diagnosis and a tailored treatment to relieve pain, restore function, and prevent complications.
Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.
Symptoms
Painful and/or difficult toe movement
Swelling
Joint stiffness
Calluses/Corns
Physical deformity
Risk Factors
Age – The risk of hammertoe increases with age
Sex – Women are more likely to have hammertoe compared to men
Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe
Treatment
If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.
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.
