Toenail discoloration can indicate a range of issues, from minor injuries to infections or more serious conditions. A black toenail often results from trauma, such as stubbing a toe or wearing tight shoes, which causes blood to pool beneath the nail. However, if there is no known injury, a podiatrist can assess whether the discolored toenail may be due to a fungal infection, a chronic ingrown toenail, or a more concerning condition like melanoma. Yellow toenails frequently result from fungal infections, which may lead to thickened, brittle nails. A green toenail often signals a bacterial infection, generally linked to prolonged exposure to moisture. White spots or streaks on toenails may develop from repetitive pressure on the toes, while an entirely white nail could indicate a spreading fungal infection. Brown streaks may occur due to injury but should be evaluated for potential serious causes. If you have toenails that have changed color, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Katie Besselman, DPM of Advanced Podiatry. 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 feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Toenail fungus does not appear overnight, but once it takes hold, it is hard to ignore. At first, a small white or yellow spot may appear on the toenail. Over time, the nail thickens, turns yellow or brown, and may become brittle, crumbly, or even lift from the nail bed. Some people experience a foul odor, while others feel discomfort when wearing shoes. Treatment takes patience. Mild cases may improve with antifungal creams or medicated nail lacquers, but more stubborn infections often require prescription oral medication or laser treatments. In severe cases, the nail may need to be removed. Prevention is key. Keep feet clean and dry, wear breathable shoes, and avoid walking barefoot in public places like around pools or in locker rooms. Trim nails straight across and disinfect nail clippers. If the infection persists, it is suggested that you see a podiatrist who can recommend the best course of action.

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 Katie Besselman, DPM of Advanced Podiatry. 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 feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Overpronation occurs when the foot rolls excessively inward with each step, placing abnormal stress on the arches, ankles, and toes. Treatment for overpronation primarily involves relieving this pressure to reduce pain or discomfort in the feet and ankles. Wearing supportive footwear, featuring firm cushioning around the heel and midfoot, can help limit unnecessary foot motion and stabilize the arch. Custom orthotics may be prescribed by a podiatrist to offer individualized foot support, effectively aligning and stabilizing the feet and ankles. In moderate cases, kinesiology taping or braces are beneficial in providing extra support, improving foot alignment, and preventing further pronation. In rare instances, severe overpronation due to flat feet or structural damage might require surgery. Such procedures typically involve reconstructing or realigning foot bones and tendons to stabilize the arch, correct the foot's alignment, and relieve symptoms. If you suspect you have a pronation problem, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

If you have any concerns about your feet, contact Katie Besselman, DPM from Advanced Podiatry. 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 Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.