Toenail fungus can cause the toenails to become brittle and yellow. They can gradually harden and become thicker, causing difficulty in having them properly trimmed. This unsightly foot condition is caused by a fungal infection, and is considered to be contagious. This type of fungus lives and thrives in warm and moist environments, consisting of shower room floors, public swimming pools, and similar areas. The fungus can enter the body through tiny cracks in the skin, and it is beneficial to wear appropriate shoes while in these types of areas. A diagnosis is performed by extracting a small sample of the nail. After confirmation is received, treatment can begin. There are various methods that can accomplish this, and it is strongly suggested a podiatrist is contacted as quickly as possible who can prescribe proper medication.

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.

The skin on the bottom of the feet can be sensitive, despite it being able to support the weight of the body. The foot condition that is known as cracked heels can be uncomfortable, and it can happen for a variety of reasons. These can include wearing shoes that have an open back and standing on hard or uneven surfaces for most of the day. Additionally, it can occur from not drinking adequate amounts of water, or from a lack of moisturizing the feet. Some patients notice they have cracked heels from taking extremely hot baths or showers, or from using harsh soaps on their feet. Severely cracked heels may lead to developing fissures, which can bleed and become infected. It is beneficial for people who are diabetic to pay extra attention to their feet, and this may help to avoid complicated foot conditions from developing. If you have cracked heels, it is suggested that you confer with a podiatrist who can offer you treatment solutions, in addition to learning about effective prevention techniques.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

Gout results from a buildup of uric acid in the body and most commonly affects the big toe. Noticeable symptoms of gout are an intense burning pain, along with swelling and redness.  It is also possible to have a buildup of uric acid, but experience no symptoms. This form of gout is called asymptomatic gout. Additionally, there are acute gout symptoms, which can last for three to 10 days, but are not present outside of gout attacks. If gout goes untreated, it can lead to chronic gout, which is much harder to manage. Chronic gout can cause hard lumps to form in joints and tissues surrounding them. These lumps can cause permanent damage. If you think you are suffering from gout, then it is suggested that you speak with a podiatrist for help in managing this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Toe pain can result from several conditions, with gout, hammertoe, and bunions being among the most common. Gout is caused by a buildup of uric acid, leading to sudden, intense joint pain, redness, and swelling, often in the big toe. Hammertoes develop when a toe bends abnormally at the middle joint due to muscle imbalance, causing discomfort, corns, or calluses. Bunions form when the big toe shifts inward, creating a painful bump on the side of the foot. These conditions may cause sharp, throbbing, or aching pain, along with visible changes in toe alignment or swelling. They can make walking, wearing shoes, or standing for long periods of time difficult. A podiatrist can diagnose the exact cause of toe pain through a physical examination and imaging tests. Treatment options include medication, orthotics, footwear changes, or, in some cases, surgery. If you have ongoing toe pain, it is suggested that you schedule an appointment with a podiatrist to find the most effective solution for lasting relief.

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.

Neuropathy is a condition that results from damage to the nerves, often affecting the feet. It can involve sensory nerves, which transmit sensations such as pain, temperature, and touch. Motor nerves control muscle movement, and autonomic nerves regulate involuntary functions like sweating and blood flow. Damage to these nerves can lead to symptoms including numbness, tingling, burning sensations, weakness, balance difficulties, and changes in skin or toenail health. Early recognition and management are vital to prevent complications. A podiatrist can evaluate nerve function, provide treatments to relieve discomfort, recommend protective footwear, and develop a comprehensive care plan. If you have unusual sensations or pain in your feet, it is suggested that you contact a podiatrist for an expert evaluation and guidance.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Plantar fibromatosis is a condition where benign fibrous nodules develop within the plantar fascia, the thick band of tissue along the bottom of the foot. These growths can cause discomfort, pain when walking, or difficulty fitting into shoes. Symptoms often include firm lumps in the arch of the foot that may slowly increase in size. Causes are not fully understood but may involve genetic factors, repetitive stress, or injury. Risk factors include middle age, male gender, and a family history of the condition. A podiatrist can provide treatments, such as orthotics, or, in severe cases, surgical options. If you notice painful lumps in your foot arch, it is suggested that you consult a podiatrist who can accurately diagnose and offer relief and treatment solutions. 

A plantar fibroma may 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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.

Ankle injuries are common, and it can be difficult to tell the difference between a sprain and a break. A sprained ankle occurs when the ligaments are stretched or torn, often from twisting or rolling the foot during sports or walking on uneven ground. A broken ankle, or fracture, happens when one or more bones in the ankle joint break, usually from a fall, direct impact, or severe twisting injury. Symptoms of both include pain, swelling, bruising, and difficulty walking. However, a break may cause more intense pain, visible deformity, or an inability to bear weight at all. The area might feel tender to the touch and appear misshapen or unstable. A podiatrist can perform a physical exam, take X-rays, and determine whether the injury is a sprain or fracture. Treatment may involve rest, bracing, targeted exercises, or, in some cases, surgery. If you have injured your ankle, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment solutions.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

A bruised heel bone can occur suddenly due to a fall, jumping, or stepping on a sharp object. This type of injury also can develop gradually from repeated impact on hard surfaces or stiff shoes. Risk factors for a bruised heel include advancing age, obesity, and endurance running. A history of cortisone shots, conditions like diabetes or rheumatoid arthritis, and previous heel injuries or surgery are other possibilities. Healing time for a bruised heel bone depends on the severity of the injury and level of activity. If the injury is sudden and severe or if pain persists, it is important to consult a podiatrist, as they may recommend imaging to rule out fractures or soft tissue damage. This type of doctor can prescribe custom orthotics or, in some cases, surgery. If you have symptoms of a bruised heel bone, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Gout is caused by a buildup of uric acid in the blood, which forms sharp crystals in the joints and leads to sudden pain, swelling, redness, and warmth. Flare-ups of gout often take place in the big toe. They can make walking difficult and may occur repeatedly, causing damage to joints in the feet and ankles, if left untreated. A podiatrist can diagnose gout by examining the affected area and using imaging or lab tests to rule out other problems, like fractures or other types of arthritis. Gout in the feet can lead to long-term joint damage, tissue changes and deformities. Management of gout includes medication to reduce inflammation and guidance on preventing further flare-ups. A podiatrist can also assess footwear and biomechanics to reduce pressure on affected joints and help preserve foot function.  If you have frequent toe or ankle pain caused by gout, it is suggested that you are under the care of a podiatrist for management of this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.