March 2025

Bunions are a common foot problem that causes a bump to form at the base of the big toe. They happen when the bones in the front of your foot shift out of place, making the big toe lean toward the second toe. This can cause pain, swelling, and difficulty finding comfortable shoes. Many people get bunions because of the shape of their feet, which they inherit from their family. Wearing tight, narrow, or high-heeled shoes can make bunions worse. Other causes include flat feet, arthritis, and foot injuries. Bunions can get worse over time, if not treated. Early treatment, like wearing wider shoes or using custom orthotics, can help relieve discomfort and slow the bunion’s progression. If you notice a bump forming or feel pain in your big toe joint, it is suggested that you see a podiatrist for relief options.

If you are suffering from bunion pain, contact Dr. Steven Schwartz of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The condition of your feet can provide important clues about your overall health. Cold feet may indicate poor circulation, which can be a sign of conditions like peripheral artery disease or diabetes. Persistent foot pain that does not improve with rest may suggest arthritis, nerve damage, or an underlying structural issue. Changes in the nails, including discoloration, thickening, or brittleness, can be linked to fungal infections, nutritional deficiencies, or even thyroid disorders. Additionally, burning foot pain may be a symptom of nerve damage, often associated with diabetes or vitamin B deficiency. Paying attention to these signs and seeking medical advice when necessary can help detect health issues early. If you have any type of foot pain, it is suggested that you consult a podiatrist who can treat various foot conditions, and determine if it is an indicator of additional health issues.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Steven Schwartz from Pennsylvania. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please feel free to contact our offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Fungal nail infections primarily affect toenails, causing them to thicken, become discolored, and occasionally separate from the nail bed. In mild cases, fungal toenail infections might not require immediate treatment, yet some patients have a higher risk of complications and should seek professional advice promptly. Risk factors include diabetes, psoriasis, peripheral arterial disease, smoking, or medications that weaken the immune system. Fungal infections typically develop from minor injuries near the nail. They can be spread by sharing personal items like nail clippers or towels, walking barefoot in moist public areas, or transferring athlete’s foot from the skin between toes to the toenails. Treatment is often challenging due to frequent recurrences, and may include prescription antifungal nail lacquers, or oral antifungal medications prescribed by a podiatrist. In severe cases, a podiatrist may recommend surgery to remove the affected nail completely. If you notice that your toenail appears infected, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and 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 Dr. Steven Schwartz of Pennsylvania. 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 offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swollen feet can be caused by several factors, often linked to underlying health conditions. One common cause is leaky veins, where blood flows backward due to weakened valves, leading to fluid buildup in the lower limbs. This condition, known as venous insufficiency, is often accompanied by discomfort and swelling. Another factor to consider is the side effects of medication. Certain drugs, such as those used for high blood pressure or diabetes, can cause fluid retention, leading to swelling in the feet. Dependent edema is another possible cause, particularly for individuals who spend prolonged periods standing or sitting. This condition results from gravity pulling fluid into the lower extremities. Lastly, inflammation due to injury, infection, or conditions like arthritis can cause swelling in the feet. If you have swollen feet, it is suggested that you consult a podiatrist who can determine what the reason is, and offer effective relief and treatment tips.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Steven Schwartz of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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