An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, creating pain and irritation. This condition can be caused by wide nail plates, misshapen nails, or nails that are cut too short or unevenly. Ingrown toenails progress through stages that include mild symptoms with slight redness and tenderness, moderate symptoms with swelling and drainage, and severe symptoms marked by significant pain and infection. A podiatrist can accurately assess the stage, provide safe and effective treatment, and prevent the issue from worsening. Care may include gentle nail correction or minor procedures to remove the problematic edge. If you have developed an ingrown toenail, it is suggested that you consult a podiatrist who can guide you toward appropriate treatment solutions.

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 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.

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 office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Rheumatoid arthritis is a chronic autoimmune condition that causes inflammation in the joints, often affecting the feet and ankles. The immune system mistakenly attacks joint tissue, leading to symptoms such as persistent joint pain, swelling, warmth, and stiffness, particularly in the morning or after periods of inactivity. Over time, these symptoms can interfere with walking, balance, and overall mobility. A podiatrist plays a vital role in managing the effects of rheumatoid arthritis on the feet by evaluating joint health, recommending supportive footwear or custom orthotics, providing treatments to reduce pain and inflammation, and guiding exercises to maintain flexibility and strength. If you have persistent joint discomfort or walking becomes difficult, it is suggested that you consult a podiatrist who can offer effective relief and management tips.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

Choosing the right running shoe can prevent discomfort and support your training goals. Many runners benefit from selecting a shoe that is a half size or even a full size larger than their regular shoes to allow room for swelling and natural foot movement. It is important to know your running goals, whether you want support for long distances or speed for short runs. Look for materials that enhance comfort such as air pockets for cushioning, foam for softness, and gel for shock absorption. Additionally, replace your shoes regularly to maintain proper support. A podiatrist can assess your foot type, gait, and training needs to recommend the right shoe. If you have foot or ankle pain from wearing the wrong shoes, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on additional tips in choosing the right running shoe for your goals.

For more information about walking shoes versus running shoes, consult with Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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 arthritis can make even familiar routines feel challenging as stiffness and joint pain gradually take hold. This condition often develops after past injuries, long-term overuse, or natural aging of the cartilage that once cushioned the ankle. People may first notice discomfort when getting up in the morning or after walking longer distances. Swelling, reduced flexibility, and difficulty climbing stairs can follow, making the joint feel less reliable. Although simple measures like supportive shoes, activity changes, and gentle stretching can bring relief, symptoms that linger or intensify deserve attention. A podiatrist can evaluate the extent of joint wear, offer treatments that ease inflammation, and guide you toward options that protect your mobility. If pain is increasing or your ankle feels less stable during daily activities, it is suggested that you see a podiatrist for personalized care.

Arthritis can be a difficult condition to live with. 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions please feel free to contact our office located in Omaha, NE . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Pronation is the natural inward rolling motion of the foot during walking or running, which allows the arch to absorb shock and distribute body weight efficiently. There are three main types of pronation that influence how pressure moves through the foot. Neutral pronation is when the foot rolls inward slightly, helping to maintain balance and reducing stress on the ankles and knees. Overpronation happens when the foot rolls inward excessively, often in people with low arches or flat feet, which can lead to heel, arch, or ankle pain. Underpronation, or supination, occurs when the foot rolls outward, placing stress on the outer edge of the foot and increasing the risk of ankle sprains or heel pain. A podiatrist can evaluate your gait, foot posture, and arch type to determine your pronation pattern and recommend corrective devices, supportive footwear, or, in severe cases, surgery. If you experience foot pain or gait problems, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

If you have any 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 and ankle needs.

Nerve pain in the feet often develops when the nerves that carry signals from the spine to the toes become damaged or compressed. This pain can feel like burning, tingling, numbness, or electric-like shocks. Problems in the lower back, such as a herniated disc or spinal stenosis, can irritate nerves that extend into the feet. Peripheral neuropathy, which occurs when nerves in the legs or feet themselves are injured, can also lead to discomfort, weakness, and loss of sensation. Diabetes, traumatic injuries, and prolonged pressure on the feet can all contribute to nerve damage. Footwear that lacks adequate support, repetitive strain, or prolonged standing can worsen symptoms by increasing nerve compression. A podiatrist can perform diagnostic tests to locate the source of the pain and provide treatment that helps protect nerve health and restore comfort. If you have symptoms of nerve pain in the feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment options.

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.

Gout is a painful condition that frequently affects the feet, especially the big toe joint, where sharp uric acid crystals can form and irritate the joint. This buildup leads to sudden flares of intense pain, swelling, redness, and warmth that make standing or walking very difficult. Flares can last for days or weeks and tend to return over time, sometimes spreading to the ankle or other joints in the foot. If untreated, repeated attacks can cause lasting damage and lead to the formation of tophi, which are hard lumps under the skin that restrict movement and deform the joint. Risk factors that raise the chance of developing gout include obesity, use of diuretics, diets high in red meat, shellfish, or sugary drinks, in addition to chronic conditions like high blood pressure, diabetes, or poor kidney function. A podiatrist can diagnose gout in the feet and provide treatment to reduce pain and protect joint health. If you have symptoms of gout, it is suggested that you schedule an appointment with a podiatrist for effective relief and prevention tips.

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.

Foot pain from cycling is often linked to how the foot interacts with the shoe, pedal, and cleat system, and several issues may contribute. Shoes that are too tight or have a narrow toe box can compress the toes and restrict blood flow. Also, thick socks or bulky insoles can further crowd the foot inside the shoe. Cleat placement is another major cause of foot pain from cycling. Cleats positioned too far forward place excess pressure on the ball of the foot and increase strain on the small stabilizing muscles. This can lead to numbness, tingling, or pain across the forefoot. Some cyclists also develop discomfort on the outside of the foot, near the fifth metatarsal. This is especially true when the natural forefoot position tilts slightly inward, causing uneven weight distribution. Persistent foot pain from cycling may require professional evaluation to prevent worsening of symptoms. If you are experiencing foot pain after cycling, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, 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.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

One of the most dangerous complications linked to diabetes is a foot infection. Diabetic foot infections can progress quickly and threaten overall limb health. Once the skin is broken, harmful bacteria may enter, leading to infections that range from mild skin involvement to deep tissue or bone infections such as osteomyelitis. Neuropathy, which reduces sensation in the feet, and poor circulation make patients more vulnerable to developing wounds and ulcers. Common problems include cellulitis, abscesses, septic arthritis, and necrotizing fasciitis, which can severely damage the feet and ankles. Untreated infections may result in prolonged hospitalization, severe disability, or possible limb loss. A podiatrist can perform an exam, order imaging when necessary, debride infected tissue, and determine if surgery is needed to control the infection. Early treatment is vital to protect the feet and prevent serious complications. If you have signs of a diabetic foot infection, it is suggested that you make an immediate appointment with a podiatrist.

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.