Thick toenails can become uncomfortable inside shoes and difficult to trim. The nail may turn yellow, brown, or white. It can develop ridges, crumble at the edges, or lift away from the skin beneath it. A  fungal toenail infection is one possible cause. The fungus grows in warm, moist places and can enter through a crack in the nail or skin. Thickening can also result from repeated pressure, an earlier injury, or psoriasis, which is a condition that causes inflamed, scaly skin. Some patients notice little discomfort at first, but the nail can press against the shoe and cause pain while walking.

A thick toenail does not always mean that fungus is present. Aging, poor circulation, and long-term health conditions can also change nail growth. For this reason, an accurate diagnosis is important before treatment begins. A podiatrist can examine the nail, surrounding skin, and toes. A nail clipping or sample from beneath the nail can be tested for fungus. The examination can reveal pressure from a poorly fitting shoe or signs of another foot problem. Patients with diabetes or reduced circulation should seek prompt care because even a minor nail injury can raise the risk of infection.

Treatment depends on the cause and severity of the thickening. A podiatrist can safely trim and thin the nail to reduce pressure and make shoes more comfortable. Care for a fungal infection includes a treatment plan based on test results and the patient's health. Because toenails grow slowly, improvement can take several months and follow-up visits can help track progress. A podiatrist may also suggest roomier shoes, protective padding, or professional nail care. In severe cases, removing part or all of the damaged nail may be considered. Prompt attention can prevent increased pain, skin irritation, and difficulty with walking. If you have developed thick toenails that are causing discomfort, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate 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 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 contact our offices located in Plano, Dallas, Prosper, Allen, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pain on the bottom of the foot can affect the heel, arch, or ball. Sharp pain between the heel and arch, especially with the first steps after rest, can point to plantar fasciitis. This condition involves irritation of the strong band of tissue that supports the arch. Burning or shooting pain near the toes can be linked to Morton’s neuroma, which is a thickened, irritated nerve. Corns, calluses, and plantar warts can also hurt when pressure is placed on them.

Foot pain can begin after running, another intense activity, or a sudden injury. Wearing shoes that are too tight or that lack proper support can place added stress on the foot. A low or fallen arch can also shift pressure to areas that are not built to handle it. Swelling and bruising after repetitive exercise can signal a sprain or a stress fracture. Severe pain after an injury, an unusual foot shape, or trouble putting weight on the foot requires prompt professional medical attention. People with diabetes should have new foot pain checked quickly because small problems can become serious.

A podiatrist can examine the painful area, study how the foot moves, and review when the symptoms began. The evaluation can include imaging to check for a fracture or another hidden injury. Treatment depends on the cause and can include custom orthotics, activity changes, or in-office care for painful skin growths. Orthotics are shoe inserts made to improve support and reduce pressure. A podiatrist can also recommend shoes with the right fit and support for your foot structure. Early diagnosis can keep a minor concern from limiting work, exercise, and daily movement. Surgery is reserved for certain problems that do not respond to other treatments. If you have pain on the bottom of the foot, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Sever’s disease is a heel condition that can affect children while their bones are still growing. It develops when repeated stress irritates the growth plate at the heel. The Achilles tendon attaches in this area and can place increased pulling force on the developing heel during activity. Symptoms include heel pain, tenderness, and discomfort after running or jumping. A child may also limp or avoid activities that put pressure on the heel.

This condition most affects active children during growth spurts, between 8 and 14 years old. Boys and girls can develop Sever’s disease. Children who participate in sports involving running and jumping may have greater risk because their heels experience impact. Tight calf muscles, increased sports participation, and limited recovery between activities can also contribute. Symptoms may become more noticeable when training intensity increases.

A podiatrist evaluates the child’s symptoms, activity level, and walking pattern. The provider may examine ankle flexibility and calf tightness to understand how stress is affecting the heel. Imaging is sometimes used when symptoms are unusual or another injury needs to be excluded. Treatment is usually conservative and focuses on reducing stress. Care may include activity modification, wearing supportive footwear and heel lifts. Follow-up visits help monitor improvement and adjust treatment.

Relief at home can begin by reducing activities that trigger pain and allowing recovery between active days. Supportive shoes can reduce strain, while gentle stretching may help improve calf flexibility when recommended. Children should not be encouraged to continuplayig sports through heel pain. Most children improve as the growth plate matures, but persistent symptoms require evaluation. If your active child has symptoms of Sever’s disease, it is suggested that you consult a podiatrist for effective relief and management solutions. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors 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 offices located in Plano, Dallas, Prosper, Allen, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Falls can become a serious concern as people grow older, and foot health plays an important role in maintaining balance and mobility. Painful feet may change the way a person walks and make it harder to remain steady. Certain foot problems can also reduce stability and increase the risk of falling. Bunions, hammertoes, and painful calluses are examples of problems that may interfere with comfortable walking. Age-related changes can affect the feet as well. Regular professional foot care can help identify problems that may affect balance before they contribute to greater difficulty with everyday movement.

Proper footwear is another important part of fall prevention. Shoes that fit poorly may make walking uncomfortable or affect stability. Older adults can benefit from footwear that provides adequate support and fits the shape of the foot correctly. Shoes should also provide enough room for the toes without allowing the foot to slide inside. A podiatrist can evaluate whether existing foot problems are affecting the way a person walks. Changes in balance or walking patterns may be related to foot pain, deformities, or other concerns. Addressing these problems professionally can help support safer movement and reduce factors that may contribute to falls.

A podiatrist can perform a complete foot examination to identify conditions that may interfere with balance and mobility. During an evaluation, the podiatrist can assess foot structure, areas of pain, and walking patterns. Treatment can then be tailored to the individual’s foot health and specific needs. Professional podiatry care may also include recommendations for properly fitted footwear or other measures designed to improve stability. For older adults, maintaining healthy feet can support independence and make everyday movement safer. If foot pain, balance problems, or changes in walking are increasing your risk of falling, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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