Causes of Toenail Loss

Toenail loss can occur for a number of reasons. Trauma, such as stubbing the toe, dropping a heavy object on it, or repeated pressure from tight shoes or sports activities, is a common cause. This can lead to blood collecting under the nail, which may cause it to loosen and detach. Fungal infections can also damage the nail, making it thick, brittle, discolored, and more likely to separate from the skin beneath the nail. Psoriasis or eczema also may affect nail growth and structure and lead to a nail shedding. Certain medications and medical conditions that affect circulation or the immune system can also contribute to toenail loss. A podiatrist can examine the area to determine the underlying cause of loss and provide treatment to support healthy new nail growth. If your toenail has fallen off, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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What Is a Bunionette?

A bunionette, also called a tailor’s bunion, is a painful bump that forms on the outside of the foot at the base of the fifth toe. It gets its name from tailors who once sat cross-legged for long periods, placing pressure on the outer edge of the foot. Over time the fifth metatarsal bone begins to shift outward, creating a noticeable bump that may rub against shoes. Patients often notice redness, swelling, and tenderness along the outside of the foot. The area may feel irritated when walking or wearing narrow footwear. Causes include foot structure, inherited bone shape, or long-term pressure from tight shoes. A podiatrist can diagnose a bunionette through examination and imaging to determine the alignment of the bone. Treatment focuses on reducing pressure and correcting the underlying problem. Care may include wider footwear, protective padding, custom orthotics, and targeted exercises to support the foot. In more severe cases, surgery may be recommended to realign the bone. If you think you have a bunionette, it is suggested that you make an appointment with a podiatrist.

If you are suffering from bunions, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor 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?

Podiatrists 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 provider.

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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Diabetes Related Foot Problems

Diabetes is a chronic metabolic condition that affects how the body regulates blood glucose levels and can lead to several complications that impact foot health. Over time, diabetes may cause nerve-related damage known as neuropathy, which reduces sensation in the feet and makes it difficult to detect injuries. Skin-related changes , including dryness, cracking, and thickened calluses that increase pressure on certain areas of the foot, may also develop. Poor circulation and reduced healing ability may allow minor irritation to progress into more serious wounds. A podiatrist can help monitor foot health, safely manage calluses, evaluate circulation, and provide guidance on proper foot care. If you have diabetes and foot concerns arise, it is strongly suggested that you care under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Are You Suffering From Nerve Damage?

Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.

When Flat Feet Cause Pain in Children and Teens

Flat feet are typical in children and adolescents, but they do not always cause discomfort. In some young patients, however, the arch collapses more than expected during standing or walking. This excessive inward rolling, known as over-pronation, can place strain on muscles, ligaments, and growing bones. As activity increases, pain may develop in the arch, heel, or ankle. Active children involved in sports may notice fatigue, frequent tripping, or reduced endurance. Tight calf muscles and ligament-related laxity can worsen instability. In certain cases, an underlying structural condition may contribute to stiffness or limited motion. Early evaluation helps determine whether the flat-foot condition is flexible or rigid. Wearing supportive, well-fitting shoes and custom-made orthotics can improve alignment and reduce strain. Stretching exercises may also ease muscle tension. If your child has ongoing foot or ankle pain related to flat feet, it is suggested that you see a podiatrist for a proper diagnosis and effective relief and management techniques.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions, please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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