Toenail fungus is a common infection that affects the nail and the skin beneath it. It usually develops slowly, allowing the fungus to spread if left untreated. The infection often begins at the edge of the nail before moving deeper into the nail plate. As it progresses, the toenail may become thicker and more brittle or change color. Although any toenail can be affected, the big toenail is involved most often. Toenail fungus is more common in older adults and people with certain medical conditions, but it can develop in anyone. Because other nail disorders may appear similar, a professional evaluation is important to confirm the diagnosis and recommend the most appropriate treatment. Early podiatry care may also help prevent the infection from becoming more difficult to manage.

Symptoms of toenail fungus vary depending on the severity of the infection. Many people notice a nail that becomes yellow, white, or brown. Others experience thickened nails or nails that become rough and difficult to trim. In more advanced cases, the nail may become misshapen or separate from the nail bed, causing discomfort while walking or wearing shoes. The infection may spread to additional toenails if it is not properly treated. Persistent nail changes should not be ignored because they may affect comfort, mobility, and overall foot health. Prompt evaluation can determine whether a fungal infection or another nail condition is responsible for the symptoms.

A podiatrist specializes in diagnosing and treating toenail fungus and other nail conditions. During an examination, the podiatrist evaluates the affected nail and may recommend testing to confirm the cause of the infection. Treatment focuses on eliminating the infection, improving nail health, and reducing the risk of future problems. Ongoing podiatry care also helps monitor nail growth and identify changes that may require additional attention. If you are experiencing thick, discolored, or brittle toenails, it is suggested that you consult a podiatrist for an evaluation and appropriate 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 Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor 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 office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Overlapping toes develop when one toe rests on top of the neighboring toe instead of lying flat. The condition can affect one or both feet, and is seen in children and adults. The pinky toe is affected most often, although the big toe and second toe can also overlap. Some babies are born with overlapping toes because the condition runs in families or because of their position before birth. Adults can develop the problem later because of inherited foot structure, wearing shoes that are too tight, or another foot condition that changes toe alignment. Bunions, hammer toes, and flat feet can gradually push the toes out of their normal position.

Symptoms include pain, tenderness, and swelling where the toes rub together or press against shoes. Corns and calluses can form because of repeated friction and pressure. Some patients also notice redness or irritation between the toes. The condition can affect balance and make walking feel less comfortable. A podiatrist checks toe movement, joint alignment, and the way the foot bears weight. Imaging studies, like X-rays, can help show changes in the bones and joints when more information is needed.

Treatment depends on the cause of the overlapping toe and how much discomfort it creates. A podiatrist can recommend custom orthotics to improve foot alignment and reduce pressure on the affected toes. Protective padding or toe splints can help improve toe position and reduce rubbing. Patients also benefit from guidance about choosing shoes with enough room in the toe box to avoid extra pressure. When the toe has become rigid or severe pain continues despite treatment, surgery can restore better alignment and improve comfort. Prompt care also improves comfort and helps protect normal foot function. If you have painful overlapping toes, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Kent DiNucci, DPM of Ankle and Foot Clinic . 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 our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Falls in older adults are a major health concern that can lead to serious foot and ankle injuries, reduced mobility, and loss of independence. A fall is defined as an unintentional descent to the ground or a lower level, often caused by a loss of balance or stability. As the body ages, changes in muscle strength, joint flexibility, and coordination can increase the likelihood of falling. These changes make it important to understand both the causes and the prevention of falls to support long term health.

Symptoms associated with falls may include immediate pain, swelling, bruising, or difficulty walking. Many older adults experience foot and ankle injuries, such as sprains or fractures, after a fall. In some cases, individuals may feel unsteady even after the incident, which can lead to a fear of falling again. This fear may reduce physical activity, further weakening muscles and increasing the risk of future falls. Recognizing early warning signs such as balance issues or frequent stumbling can help prevent serious injury.

Several risk factors contribute to falls in older adults. Age-related muscle loss and decreased bone density play a significant role. Chronic conditions, such as arthritis, diabetes, or nerve disorders, can affect balance and sensation in the feet. Medications that cause dizziness, drowsiness, or changes in blood pressure can also increase fall risk. Environmental hazards such as poor lighting, loose rugs, and uneven surfaces add to the danger. Wearing footwear that does not fit properly or lacks support can further reduce stability and increase the chance of falling.

Preventing falls requires a comprehensive approach that includes strengthening exercises, proper footwear, and home safety improvements. Balance training and regular physical activity can help maintain coordination and muscle strength. Wearing well-fitted shoes with supportive soles can improve stability. Keeping living spaces free of clutter and ensuring proper lighting are simple but effective steps. Regular foot evaluations can also identify issues that may affect balance. If you have had a foot or ankle injury from falling or want guidance on prevention, it is suggested you consult a podiatrist for effective relief and prevention tips.

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 Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor 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 office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic foot care is important because diabetes can affect nerves and blood flow in the feet. Nerve damage can reduce feeling, which means a cut, blister, or sore may not hurt right away. Poor blood flow can make it harder for an injury to heal and can increase the risk of infection. These problems can become serious when they are not found early. Warning signs include numbness, redness, and open sores. Other concerns include swelling, drainage, or changes in skin color. A podiatrist can help patients with diabetes protect their feet through regular exams and early treatment. These visits are especially valuable when patients have past wounds or changing foot shape.

A podiatrist checks the nails, circulation, and feeling in the feet. Circulation means how well blood moves through the body. The exam also includes looking for pressure spots that can lead to wounds. Thick toenails, calluses, and corns can create extra stress on the skin. A podiatrist can trim problem nails safely and remove painful thick skin with the right instruments. This is especially important for patients with reduced feeling, because small cuts can lead to infection. The podiatrist can also check whether shoes fit properly and if special inserts or diabetic shoes are needed.

Diabetic foot care is most effective when it is part of ongoing medical care. A podiatrist can treat ulcers, order imaging, and coordinate care when an infection is suspected. An ulcer is an open wound that can be slow to heal. Treatment can include wound cleaning, pressure relief, or medication for infection. Pressure relief means reducing stress on the sore area so healing can occur. Your podiatrist can also monitor changes in walking, foot shape, or skin health. Regular visits help catch problems before they threaten mobility. If you have symptoms of diabetic foot problems, it is suggested that you  are under the care of a podiatrist who can offer effective relief and management solutions.

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 Kent DiNucci, DPM from Ankle and Foot Clinic . 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 our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.