Plantar warts are harmless skin growths that develop on the bottom of the feet. They form when a virus causes the top layer of the skin to grow quickly. Because plantar warts appear on weight-bearing areas of the foot, they may become painful while walking or standing. Some warts eventually disappear without treatment, although this process can take months or even years. Plantar warts can also spread easily. Touching a wart and then another area of the body may spread the virus, and sharing certain personal items can pass it to other people.

Many plantar warts do not require treatment, but podiatric care may be appropriate when a wart becomes painful or begins to spread. Treatment options vary, depending on the individual and the wart. A podiatrist may prescribe a stronger topical medicine or inject a medication. Plantar warts can also be removed through freezing or a surgical procedure. Changes around a wart should receive medical attention when they suggest an infection. Increased pain, swelling, or warmth may be warning signs. Red streaks, drainage, or fever are other reasons to seek prompt medical care. A wart that does not improve as expected should also be evaluated.

A podiatrist can examine a plantar wart and determine what form of treatment is appropriate, especially when foot pain makes walking uncomfortable. Because podiatrists specialize in foot health, they can assess the affected area and discuss treatment options based on the wart and the patient’s symptoms. Follow-up care is also an important part of monitoring treatment and addressing problems that develop. Seeking podiatric care can be particularly helpful when plantar warts are persistent, spreading, or interfering with normal movement. If a painful plantar wart is making walking difficult or continues to spread, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions, please feel free to contact our office located in Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus is a fungal infection that affects the nail, the tissue beneath it, or both. Toenails are much more commonly affected than fingernails. The infection can cause a toenail to become thickened and develop yellow or white discoloration. Material may also collect underneath the nail, and the nail can begin separating from the nail bed. Several types of fungi can cause these infections. Risk factors include older age, previous nail damage, and athlete’s foot. Diabetes and poor circulation can also increase the likelihood of developing toenail fungus.

Toenail fungus does not always cause discomfort, especially during its earlier stages. However, changes in the appearance and structure of the nail may become more noticeable as the infection progresses. Some fungal infections begin near the end of the nail and cause thickening or yellowing. Others can create a chalky white appearance on the nail surface. Because other nail disorders can look similar, appearance alone is not always enough to confirm a fungal infection. Testing a sample from the affected nail can help determine whether fungus is actually responsible for the changes.

A podiatrist can examine an abnormal toenail and determine whether testing for toenail fungus is appropriate. Confirming the diagnosis is important because conditions like psoriasis can cause similar nail changes but require different treatment. Depending on the number of nails affected and the severity of the infection, professional treatment may include topical or oral antifungal medication. Toenails grow slowly, so a healthy-looking new nail may take 12 to 18 months to fully replace the affected nail. Treatment decisions can also depend on other medical conditions and the amount of discomfort caused by the infection. If you notice persistent toenail thickening, discoloration, or separation from the nail bed, it is suggested that you consult a podiatrist for an evaluation and appropriate 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 Alex Kim, DPM of AVID Foot & Ankle Center. 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 contact our office located in Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The heel fat pad is a thick layer of soft tissue beneath the heel bone that cushions each step. Heel fat pad atrophy develops when this protective layer becomes thinner or loses some of its spring. The heel then has less protection from the force created while walking, running, or standing. Aging can contribute to these changes. Repeated impact and an uneven walking pattern can place added strain on the pad. Certain health conditions, including diabetes, rheumatoid arthritis, and lupus, can also affect this tissue.

Heel fat pad atrophy causes a deep, bruise-like pain in the center of the heel. The discomfort can become stronger on hard floors or after long periods of standing. Some patients feel pain while resting or when firm pressure is placed on the heel. These symptoms can resemble plantar fasciitis, but the location of the pain is usually different. Plantar fasciitis tends to cause pain closer to the inner front edge of the heel. An accurate diagnosis is important because these two problems require different care. Without proper treatment, heel pain can affect a patient’s walking pattern and increase pressure elsewhere in the foot.

A podiatrist can examine the heel, review the patient’s symptoms, and study how the foot moves. X-rays can help rule out a bone injury or another source of pain. Ultrasound imaging can show the thickness and condition of the heel pad. Once the cause is identified, the podiatrist can recommend treatment based on foot structure and activity level. Treatment can include custom orthotics, cushioned heel cups, or taping to hold the heel pad in a better position. The podiatrist can recommend shoes with proper cushioning and support. Regular evaluations can track changes in the heel and allow the treatment plan to be adjusted. If you have pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat heel pad atrophy. 

Many people suffer from bouts of heel pain. For more information, contact Alex Kim, DPM of AVID Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions, please feel free to contact our office located in Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pain under the base of the big toe may be caused by two small bones, called sesamoids. They sit beneath the end of the long bone that connects to the big toe. The tiny bones help the big toe move and absorb pressure as the foot pushes off the ground. In some cases, a sesamoid bone is fractured or shifts from its usual position. Dancers, certain athletes, and runners face a higher risk because their activities place repeated pressure on the front of the foot. High arches, bunions, and frequent wearing of high-heeled shoes can also increase strain in this area.

Pain from sesamoiditis is usually centered under the big-toe joint and can develop gradually. It may become sharper when walking, running, or bending the big toe upward. Walking barefoot can be painful because there is little protection beneath the sore area. Wearing thin-soled and high-heeled shoes can also make symptoms worse. The skin near the joint may appear red, warm, or swollen. These signs can resemble a fracture, arthritis, or gout. Continuing to place pressure on the area can limit movement and make a patient change how the foot meets the ground.

A podiatrist can examine the painful area, check big-toe movement, and evaluate the way pressure moves through the foot. X-rays can help identify a fracture, arthritis, or a change in the position of a sesamoid bone. An MRI scan or another imaging test can provide more detail when the source of pain remains unclear. A podiatrist can provide offloading pads, prescribe custom orthotics, or recommend shoes with thick soles and lower heels. A podiatrist also may suggest taping, a brace, or a walking boot to limit painful movement while healing. Surgery is rarely considered, but it can be an option for severe damage that does not improve with other care. If you have symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Alex Kim, DPM of AVID Foot & Ankle Center. 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 contact our office located in Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.