Items filtered by date: April 2025

Sometimes it is the smallest edge of a toenail that causes the most discomfort. An ingrown toenail occurs when the nail’s side grows into the surrounding skin, often from wearing tight shoes, improper trimming, or genetic shape. But beyond pain, swelling, and redness, this condition can lead to deeper problems. When bacteria enter the broken skin, infection may follow, especially in people with diabetes or weakened immunity. Over time, what began as a minor nuisance can become a recurring issue, interfering with daily life and walking. Home remedies may offer short-term relief, but professional care addresses the underlying cause and helps prevent it from returning. If the area is swollen, draining, or painful to the touch, it is time to stop waiting. If you have an ingrown toenail that is worsening or not healing, it is suggested that you see a podiatrist for a diagnosis and appropriate 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 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 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 office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunionette, also known as a tailor’s bunion, is a bony bump that forms on the outside of the foot, near the little toe. It can cause pain, swelling, and difficulty wearing certain shoes, often leading to irritation or redness. Symptoms include a noticeable bump, discomfort when walking, and soreness when pressure is applied. Bunionettes result from wearing tight or ill-fitting shoes, genetic factors, or abnormal foot mechanics. Over time, these factors can lead to the misalignment of the fifth metatarsal bone. Treatment options range from conservative measures, like wearing wider shoes and using padding, to more advanced interventions, including surgery. A podiatrist can diagnose the condition and recommend the best treatment plan, whether it includes non-invasive methods or surgical correction. If you are experiencing pain or discomfort from a bunionette, it is suggested that you schedule an appointment with a podiatrist to explore your treatment options and find relief.

If you are suffering from bunion pain, 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.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

Gout is a form of inflammatory arthritis that results from the buildup of uric acid crystals in the joints. It often causes sudden and severe pain, swelling, redness, and tenderness, and most commonly affects the big toe. The pain may start at night and can be intense enough to wake someone from sleep. Gout is accompanied by severe pain, causing difficulty in completing daily activities. Several factors increase the risk of developing gout. These include a diet high in red meat or seafood, excessive alcohol consumption, obesity, and certain health conditions such as hypertension or kidney disease. Genetics may also play a role. If you have pain in the joints of your feet, particularly the big toe, it is strongly suggested that you are under the care of a podiatrist who can diagnose gout and offer management options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Brain Middleton, DPM from Medical Foot Care Center. 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 office located in Rome, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot wounds can be complex, especially when they do not heal as expected. That is where the concept of the reconstructive ladder comes in. It is a step-by-step approach podiatrists use to manage wounds, starting with the simplest solutions and advancing to more complex techniques, if needed. The goal is to restore both function and appearance. Treatment might begin with basic wound care like dressings and pressure relief. If healing stalls, techniques like skin grafts or flap surgery may be considered. Each rung on the ladder represents a thoughtful decision to ensure the wound heals properly while preserving mobility. Whether the wound is from diabetes, injury, or another condition, early intervention makes a big difference. If you have a foot wound that is not improving, it is suggested that you see a podiatrist for a proper diagnosis and treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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 Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Wearing the wrong running shoes can lead to several issues that affect comfort, performance, and overall foot health. Poor performance is a common sign, as improper support or fit can cause discomfort and inefficiency while running. Runners may experience fatigue more quickly and struggle with maintaining proper form. Premature wear and tear on the shoes can also indicate a poor match, as excessive breakdown of the sole or cushioning suggests inadequate shock absorption or improper foot alignment. Injury is another major concern, as wearing ill-fitting shoes can contribute to blisters, shin splints, knee pain, or even stress fractures. Persistent discomfort, muscle soreness, and joint pain may develop over time. If you have developed foot conditions from wearing the wrong type of running shoe, it is suggested that you visit a podiatrist who can treat various foot ailments, and guide you on what type of shoes to buy for your desired style of running.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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 and ankle needs.