March 2025

Tuesday, 11 March 2025 00:00

Treating Toenail Fungus

Fungal infection of the toenail, or onychomycosis, typically appears as a gradual change in a toenail’s texture and color that involves brittleness and darkening. The fungal infection itself occurs beneath the surface of the nail. Aside from discoloration, other symptoms include the collection of debris beneath the nail plate, white marks on the nail plate, and a foul odor emanating from the nail. If ignored, the infection can spread into other nails and the skin; in severe cases, it can hinder one’s ability to work or walk.

The toenails are particularly vulnerable to contracting infection in moist environments where people are likely to be walking barefoot, such as around swimming pools, public showers, and locker rooms. Fungal infection may also be more likely to occur in nail beds that have been injured, and sufferers of chronic diseases such as diabetes, circulatory problems, or immunodeficiency conditions are particularly prone to developing fungal nails.

Fungal nails can be primarily prevented by practicing proper hygiene and regularly examining the feet and toes. Carefully washing the feet with soap and water and thoroughly drying the feet afterwards are essential. Other tips include wearing shower shoes in public areas, changing shoes and socks daily, keeping toenails clipped at a short length, wearing breathable shoes that fit properly, wearing moisture-wicking socks, and disinfecting home pedicure tools and instruments used to cut nails.

Fungal nail treatment may vary between patients and the severity of the condition. Your podiatrist may suggest a daily routine of cleansing that spans over a period of time to ease mild infections. Over-the-counter or prescription antifungal agents may also be prescribed, including topical and/or oral medications. Debridement, or the removal of diseased nail matter and debris, may also be performed. In more severe cases, surgical treatment may be needed. In some instances, the temporary removal of the fungal nail allows for the direct application of a topical antifungal to the nail bed. In other cases, a chronically painful fungal nail that has not responded to other treatments may be permanently removed; this allows the infection to be cured and avoids the growth of a deformed nail.

Published in Featured

Tuesday, 11 March 2025 00:00

Symptoms and Treatment of Fungal Toenails

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.

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Published in Blog

Tuesday, 04 March 2025 00:00

Swelling of the Feet

There are many reasons why patients experience swelling of the feet. It is rather common and may be a side effect of pregnancy or from sitting and standing for most of the day. Gravity could also play a role in the development of swollen feet. It is known that the weight of blood volume in our bodies is exerted on the veins in the legs and feet. The veins may not work as efficiently during the aging process, and this could make the blood flow backward causing swollen feet. Relief may be found when obese patients lose weight, and it may help to engage in compression therapy by wearing compression socks, stockings, or athletic sleeves. This method can release pressure on the feet and ankles which may help to reduce existing swelling. There are patients who have controlled their swollen feet by implementing healthy lifestyle changes. These can consist of reducing salt intake, incorporating a gentle exercise regime into the daily routine, and drinking plenty of fresh water. Swollen feet may be a temporary condition that affects people who travel via airplane or automobile, so it is beneficial to walk as frequently as possible even though it can be difficult. Swelling of the feet can also be indicative of other health issues so it is important to pay attention to any type of chest pain, mental confusion, dizziness, or fever. If you consistently have swollen feet, it is strongly suggested that you consult with a podiatrist who can help determine the cause and how to effectively treat it.

Published in Featured

Tuesday, 04 March 2025 00:00

Common Causes of Swollen Feet

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.