Chronic ingrown toenails can be a persistent and painful foot condition. They occur when the edge of the toenail, usually on the big toe, grows into the surrounding skin, leading to discomfort, swelling, redness, and sometimes infection. While an occasional ingrown toenail is common and often manageable at home, chronic ingrown toenails are a recurring problem. Several factors can contribute to chronic ingrown toenails, including improper nail trimming, wearing tight or ill-fitting shoes, genetics, and underlying foot deformities. Over time, chronic ingrown toenails can lead to pain and discomfort, making it difficult to walk and wear shoes comfortably. Treatment options for chronic ingrown toenails may include gently lifting the ingrown edge of the nail and placing cotton or dental floss under the nail to encourage it to grow away from the skin. In more severe cases, a podiatrist may need to trim or remove the ingrown portion of the nail, and in some instances, surgery may be necessary to permanently correct the problem. If you have ingrown toenails and you are experiencing pain or if it is a repeated issue, it is suggested that you schedule an appointment with a podiatrist for treatment and proper management of this condition.

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 one of our podiatrists of Lexington Foot and Ankle Center, PSC. Our doctors 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 offices located in Harrodsburg, Frankfort, Georgetown, and Lexington, KY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Vertical talus, often known as a rocker bottom foot, is a rare congenital condition in children where the talus bone, a key ankle component, points towards the ground instead of the toes. This misalignment leads to a stiff foot without an arch. It can occur alone or be associated with other health conditions. Diagnosis typically occurs at birth or through prenatal ultrasound. A podiatrist can assess flexibility and rigidity, using X-rays to determine the severity of misalignment. Oblique talus, a milder form of rocker bottom foot, shows misalignment only during weight-bearing. Treatment is aimed at reducing pain, advancing stability, and creating a functional foot. Non-surgical options, such as stretching or casting, may precede surgery. A series of casts can gradually improve foot flexibility. If surgery is needed, it corrects bone positions, potentially involving tendon or ligament lengthening. Post-surgery, casts, and pins are used to maintain corrections. Special shoes or braces may prevent recurrence. Understanding rocker bottom foot deformities is important for early detection and effective treatment. With a combination of non-surgical and surgical approaches, podiatrists aim to ensure pain-free, stable, and functional feet for optimal childhood development. Regular follow-up visits can help to monitor growth and address issues promptly. It is suggested that you make an appointment with a podiatrist to discuss the treatment schedule for your child.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Lexington Foot and Ankle Center, PSC. Our doctors 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 offices located in Harrodsburg, Frankfort, Georgetown, and Lexington, KY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Managing plantar fasciitis can make mornings difficult, as stepping out of bed often brings heel pain. This common condition causes discomfort in the heel or foot arch, hindering activities such as exercising and walking. Plantar fasciitis stems from various causes, including excessive exercise, repetitive motion, or from wearing ill-fitting footwear Additionally, conditions that can include high arches, flat feet, weight gain, diabetes, and arthritis may also lead to developing this condition. These factors can lead to inflammation in the plantar fascia. Custom-made orthotics, tailored to your foot's biomechanics and gait, can be an effective treatment. These devices, fitted in your shoes, can aid in recovery from stress or tears and mitigate movements causing inflammation. If you suffer from persistent plantar fasciitis pain, it is suggested that you make an appointment with a podiatrist who can design orthotics for you to help manage your heel pain.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Lexington Foot and Ankle Center, PSC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions, please feel free to contact our offices located in Harrodsburg, Frankfort, Georgetown, and Lexington, KY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus, medically known as onychomycosis, is a common nail infection that can be both unsightly and uncomfortable. It typically occurs when fungal organisms, like dermatophytes, infiltrate the nail bed through small cuts or separations in the nail or surrounding skin. The symptoms of toenail fungus are recognizable. Infected nails often become discolored, appearing yellow, brown, or white, and they may thicken and become brittle. As the fungus progresses, the nails can become crumbly and ragged. In some cases, they may emit a foul odor. Other potential signs of toenail fungus include pain or discomfort, especially while wearing shoes. The infection can also spread to other nails or the surrounding skin, leading to additional fungal growth and irritation. If you have noticed the beginning signs of toenail fungus, it is strongly suggested that you schedule an appointment with a podiatrist who can promptly begin the 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 Lexington Foot and Ankle Center, PSC. 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 Harrodsburg, Frankfort, Georgetown, and Lexington, KY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.