An ingrown toenail develops when the edge of a toenail grows into the surrounding skin instead of growing straight outward. The condition usually affects the big toe and can become increasingly painful as the nail continues to press into the skin. Wearing shoes that are too tight or shoes that lack proper support can increase pressure on the toes and contribute to the problem. Improper nail trimming and toe injuries also can increase the risk. Symptoms include pain, redness, and tenderness along the edge of the nail. As the condition becomes more severe, the skin can become infected and produce drainage. Patients with diabetes or poor circulation should receive prompt evaluation because infections can become more serious when healing is slower.

A podiatrist performs a detailed examination to determine the severity of the ingrown toenail and whether an infection is present. The evaluation includes checking the skin around the nail, the shape of the nail, and the overall health of the foot. The podiatrist also looks for swelling, drainage, or extra tissue that has developed around the edge of the nail because these changes can indicate that the condition has progressed. Early diagnosis allows treatment to begin before the nail grows deeper into the skin or the infection becomes more difficult to treat. A complete evaluation also helps identify factors that increase the chance of the problem returning.

Treatment depends on the severity of the ingrown toenail and whether the surrounding skin is infected. A podiatrist can safely remove the portion of the nail that is growing into the skin to relieve pressure and reduce pain. Patients with repeated ingrown toenails can benefit from a procedure that removes part of the nail root to help prevent the nail from growing into the skin again. Regular follow-up visits allow the podiatrist to monitor healing and confirm that the toe is recovering properly. The goal is to relieve pain, protect the toe from infection, and restore normal foot function. If you have symptoms of ingrown toenails, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Brain Middleton, DPM of Medical Foot Care Center. 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

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 Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Congenital foot problems are present at birth and affect the shape, position, or movement of a baby's foot. Some conditions are easy to recognize soon after delivery, while others become more noticeable as a child begins standing or walking. Common examples include clubfoot, which turns the foot inward and downward, and metatarsus adductus, where the front of the foot curves inward. In some cases a child has trouble placing the foot flat on the ground or has one foot that appears different from the other. Early evaluation is important because proper development of the feet supports healthy balance, posture, and movement throughout childhood.

Some congenital foot problems are mild, while others affect the bones, joints, and muscles more significantly. A child might walk with an unusual gait, seem unsteady, or avoid putting weight on one foot. Shoes can fit poorly because of the foot's shape. A podiatrist carefully examines the feet, watches how the child stands and walks, and determines how flexible the affected foot is. Imaging tests, like X-rays, also help confirm the diagnosis when necessary. Prompt care helps identify whether the condition is likely to improve with guided treatment or requires closer monitoring. Early diagnosis also lowers the chance of long-term problems with walking and foot development.

A podiatrist creates a treatment plan based on the child's age and the type of congenital foot problem. Care includes gentle correction methods, custom orthotics, or special casts that gradually improve foot position. Some children benefit from braces that support healthy alignment as they grow. When the condition is more severe, surgery provides the best opportunity to improve foot function and comfort. Regular follow-up visits allow the podiatrist to monitor progress and adjust treatment as the child develops. If your child was born with a foot problem, it is suggested that you are under the care of a podiatrist who can guide you toward effective management solutions. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Brain Middleton, DPM of Medical Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

High heels have long been associated with beauty, style, and confidence, but they can also place extra stress on the feet and the rest of the body. Raising the heel shifts body weight forward and increases pressure on the toes and the ball of the foot. The higher the heel, the greater the force placed on these areas. This added pressure can lead to painful problems like corns, calluses, blisters, and pinched nerves. High heels can also contribute to heel pain, stiffness, or discomfort while walking. Narrow shoes can crowd the toes and increase the risk of hammertoes and bunions, which are painful deformities of the big toe.

Unfortunately, the negative effects of high heels extend beyond the feet. Keeping the foot pointed downward places the both calf muscles and the Achilles tendon in a shortened position. This can contribute to Achilles tendon pain and Haglund's deformity, a painful bony bump on the back of the heel. Walking in high heels also changes the way the knees move and absorb force. This places extra strain on the knee joints and muscles. The hips and lower back also adjust to maintain balance. As the body's center of gravity shifts forward, the back arches more than normal.

A podiatrist can evaluate the effects wearing high heels has had on your feet and ankles and identify problems before they become more serious. Treatment includes a detailed examination, diagnostic imaging when appropriate, and recommendations for shoes that provide proper support. A podiatrist also treats bunions, hammertoes, and other conditions caused or made worse by high heels. In some cases, surgery is the best option to restore comfort and improve foot function. If you have foot or ankle pain after wearing high heels, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Brain Middleton, DPM from Medical Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many diabetic foot ulcers develop because nerve damage reduces feeling in the feet. This condition, known as neuropathy, makes it harder to notice pain, irritation, or injury. As a result, a person may continue putting pressure on an ulcer without realizing it. Offloading is an important part of treating diabetic foot ulcers. Offloading means reducing pressure on the area of the foot where an ulcer has developed. When too much pressure continues to affect a wound while walking, healing becomes much more difficult. A podiatrist can evaluate the location and severity of the wound and determine the most effective offloading approach to improve healing.

Several offloading methods are available depending on the ulcer's location and the patient's needs. A knee-high walking device is often used because it helps spread weight more evenly across the foot. Some devices are designed so they cannot be removed by the patient, which helps ensure consistent protection of the ulcer. Removable devices are another option for patients who cannot tolerate a non-removable device. Certain ulcers on the toes, heel, or other parts of the foot require different forms of pressure relief. A podiatrist carefully selects the most appropriate device based on the wound, foot structure, and overall health of the patient.

Successful treatment of diabetic foot ulcers involves more than covering the wound. Reducing pressure helps improve blood flow to the area and creates a better environment for healing. A podiatrist monitors the ulcer regularly and adjusts treatment as healing progresses. In some cases, surgery becomes necessary when non-surgical offloading methods do not provide enough relief from pressure. Early treatment is important because untreated ulcers can become infected and lead to serious complications. Proper offloading remains one of the most effective ways to promote healing and reduce the risk of additional tissue damage. If you have developed diabetic foot ulcers, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Brain Middleton, DPM from Medical Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

If you have any questions, please feel free to contact our office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.