Foot Problems

Nail Problems

Common problem of nails are ingrown toenails and nail fungus.

  • Black Toenails
  • Ingrown Toenails
  • Nail Fungus

Black Toenails

Black toenail is nothing but turning of toenails dark. In general cases athletes encounter such problems as darkened nails often occur due to toe hitting the end or top of shoe area. The dark black nail is bruised nail which sometimes turns to fungal nail infection. The pressure which cause black toenail can sometime also cause small sore under toenail which later become infected.

Treatment :

  • Trimming loose nail back
  • Apply a topical anti-fungal medication

Patients with diabetes back ground should immediately contact Foot Pain Management to get assisted in right way.


Ingrown Toenails

It’s also called as Onychocryptosis or unguis incarnates. It’s a common painful nail disease which is caused by corners or side of nails which dig painfully into the skin. In growth of nails can occur in both hand and feet but it’s mostly seen in feet.

Cause :

Shoes causing a bunching of the toes in the developmental stages of the foot, which can cause the nail to curl and dig into the skin. This is particularly the case in ill-fitting shoes that are too narrow or too short, but any toed shoes may cause an ingrown nail. Poor nail-care, including cutting the nail too short, rounded off at the tip or peeled off at the edges instead of being cut straight across, or breaking a toenail. Trauma to the nail plate or toe, which can occur by stubbing the toenail, dropping things on the toe or going through the end of the shoes, can cause the flesh to become injured and the nail to grow irregularly and press into the flesh. Predisposition, such as abnormally shaped nail beds, nail deformities caused by diseases, or a genetic susceptibility increases the chance of an ingrown nail, but the in growth cannot occur without pressure from a shoe.

Symptoms :

Pain along the margins of the nail, worsening of pain when wearing tight footwear, and sensitivity to pressure of any kind, even the weight of  bed sheets, Signs of infection include redness and swelling of the area around the nail, watery discharge tinged with blood, swelling at the base of the nail on the side the nail is ingrowing

Treatment :

Treatment with warm water and salt soaks, antibacterial ointment, and the use of dental floss, or a gutter splint to provide a track along which the nail may grow is possible, surgical treatment, nail bracing.


Nail Fungus

Nail fungus is common problem and mostly unnoticed/realized by people. And in many cases if patent know they have fungus problem but still they are least bother to take treatment.

Such disease can be with patent from years without causing pain, so it makes patent less tensed. But it can turn to serious problem if left untreated.

Symptoms :

Change in toenail color

It is also termed as Onychomycosis, such infection are underneath the surface of the nail, which may penetrate nail. It doesn’t give pain but it gives additional bacterial or yeast in nail.

Fungi named as dermophytes easily attack the nail protein substance. When it take hold nail start to change as becoming thicker, yellowish-brown or darker in color, and foul smelling. It starts from one toenail and keep on spreading to other toenail if left untreated. It can even spread to skin or may be finger nails.

If a patient is having nail bed injury they are more susceptible to all types of infection, including fungal infection. And if a patient is diabetes or immune deficiency they are in prone to fungal nails.

Prevention :

  • Proper hygiene
  • Regularly inspect your feet and toes.
  • Keep your feet clean and dry.
  • Wear shower shoes whenever possible.
  • Clip your nails straight.
  • Use quality foot powder /talcum
  • Avoid wearing excessively tight hosiery
  • Disinfect home pedicure tools
  • Don`t apply polish to nails suspected of infection.

Treatment :

  • Over-the-counter liquid anti-fungal agents
  • Topical or oral medication
  • Debridement
  • Surgical (remove infected nail)
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