Laser treatment for fungal toenails has gained popularity as an effective option for addressing stubborn infections. The procedure typically utilizes three main types of lasers, which are the Nd:Yag laser, diode laser, and carbon dioxide laser. The Nd:Yag laser emits light that penetrates deep into the nail and surrounding tissue, targeting the fungus while minimizing damage to healthy skin. The diode laser works similarly, using focused light energy to disrupt fungal cells and promote healing. Carbon dioxide lasers, known for their precision, can vaporize infected tissue without harming the surrounding areas. During the treatment, patients often experience minimal discomfort, and sessions usually last only a few minutes. If you have toenail fungus, it is suggested that you consult a podiatrist who can determine if laser treatment is right for you.

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 Graff Foot, Ankle and Wound Care. 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 our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus, medically known as onychomycosis, often results in nails becoming brittle, thickened, and discolored to a whitish-yellow or brown. This condition frequently affects nails on the big toes and may lead to the nail separating from the nail bed if left untreated. A fungal toenail typically starts at the front or side edge of the nail and is caused by dermatophytes, though yeast or mold can occasionally be involved. Risk factors include athlete’s foot, wearing tight shoes, nail damage, and poor circulation. Toenail fungus is more common among older adults and anyone with a weakened immune system. Because fungal toenail infections rarely resolve on their own, seeing a podiatrist is often necessary. This foot doctor can offer treatments such as topical medication, oral antifungal pills, or laser therapy to target the infection. It may even take a combination of treatments, depending on the severity and type of fungus involved. If you believe you have a fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist for an exam 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 one of our podiatrists of Graff Foot, Ankle and Wound 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 offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Kidney disease can lead to significant foot problems as a result of damage to the nerves and blood vessels in your lower limbs. As kidney function declines, circulation to the feet may decrease, and you may lose sensation in your feet, which makes it hard to detect injuries or infections. Reduced circulation also means wounds heal more slowly. This increases the risk of foot ulcers, which can lead to serious complications, including infections and in severe cases loss of limb. Other common problems include hard skin buildup, changes in foot shape, and a higher risk of developing blisters or sores. People undergoing dialysis or with advanced kidney disease are at even greater risk. A podiatrist plays a vital role in managing risks caused by kidney disease by performing regular foot assessments, recommending appropriate footwear, and treating skin and nail issues. They help create an ongoing care plan that can reduce the likelihood of further complications. If you have foot problems as a result of kidney disease, it is suggested that you schedule an appointment with a podiatrist for an evaluation and treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Achieving proper running form is essential for enhancing performance and reducing the risk of injury, particularly when it comes to the feet and ankles. A key aspect of effective running is maintaining a midfoot strike, which helps to distribute impact evenly and minimize stress on the joints. Runners should aim to keep their feet directly beneath their bodies during each stride, promoting better alignment and balance. Additionally, maintaining a slight bend in the knees can prevent excessive strain on the ankles and feet. Strengthening the ankle muscles through exercises such as calf raises and ankle mobility drills can improve stability and support. Wearing proper footwear is also essential, as shoes should provide adequate cushioning and support based on individual foot mechanics. If you have sustained a foot or ankle injury while running, it is suggested that you consult a podiatrist who can guide you on techniques for proper running form.

If you have any concerns about your feet, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pickleball, while a fun and engaging sport, can lead to various foot and ankle injuries due to its fast-paced nature and quick movements. One common injury is an ankle sprain, which often occurs when players twist or land awkwardly during play, resulting in pain and swelling. Another frequent pickleball injury is plantar fasciitis, characterized by heel pain that develops from repetitive stress and strain on the plantar fascia. Achilles tendonitis can also arise from overuse, causing discomfort at the back of the heel. Additionally, blisters and calluses may develop due to friction from quick lateral movements and improper footwear. If you have suffered a foot or ankle injury from playing pickleball, it is suggested that you consult a podiatrist who can treat these conditions and guide you on effective injury prevention techniques.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot blisters form when friction or pressure causes the outer layers of the skin to separate, leading to the formation of a small pocket of fluid. This often happens from wearing shoes that do not fit or from excessive walking or running, increasing the likelihood of skin irritation. Blisters act as the body’s natural defense, protecting the underlying skin while it heals. Wearing shoes that are too tight, damp socks, or having an irregular foot shape can increase the risk of blisters. While most blisters heal on their own, recurrent or painful blisters may signal an underlying issue. A podiatrist can prescribe custom orthotics or recommend footwear changes that can help to prevent further occurrences. For those with conditions like diabetes, a podiatrist’s guidance is especially important to prevent infections and ward off more serious complications. If you frequently have blisters on your feet, it is suggested that you schedule an appointment with a podiatrist to find out why.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunion correctors are popular devices designed to straighten the big toe and provide relief for people with bunions. While they may help reduce discomfort when worn, they have not yet been shown to be effective in permanently realigning the toe or eliminating the bunion. Some people report pain relief while using these devices, especially when walking or standing for extended periods. However, research is inconclusive about whether bunion correctors prevent further progression of bunions. At this point, surgery is the only proven method for removing bunions. Even so, it is typically reserved for cases causing significant pain or gait problems. A podiatrist can advise by prescribing custom orthotics, recommending changes in footwear, or performing surgery. If you have a problematic bunion, it is suggested that you schedule an appointment with a podiatrist for an exam and suggested treatment options. 

If you are suffering from bunions, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot pain from standing at work all day is a common issue, especially for those in jobs requiring prolonged periods of standing or walking. This discomfort is often caused by pressure on the feet, leading to conditions like plantar fasciitis, heel spurs, or arch strain. Wearing unsupportive shoes or standing on hard surfaces can worsen the problem, leading to foot fatigue, swelling, and even long-term damage. Symptoms may include aching, burning, or sharp pain in the arches, heels, or balls of the feet. Over time, the pain can spread to the ankles, knees, or lower back. To manage foot pain, it is important to wear supportive footwear with proper arch support and cushioning. If you have foot pain for any reason, it is suggested that you consult a podiatrist for a tailored treatment plan.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.