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An ingrown toenail develops when the edge of a toenail grows into the surrounding skin. It most often affects the big toe and can cause pain, tenderness, and swelling. The skin beside the nail may look irritated or raised, while the nail edge can appear buried under the skin. In more advanced cases, drainage or infection may develop.

Several factors can contribute to ingrown toenails. Cutting nails too short or rounding the corners may encourage the nail to grow into the skin. Wearing tight shoes can also create pressure around the toes. Some people are more prone to ingrown toenails because of naturally curved nails, repeated toe injuries, or nail changes. Recognizing these risk factors can help reduce future problems. Proper nail trimming and comfortable footwear may lower pressure around the affected toe.

When an ingrown toenail keeps returning or causes significant pain, a podiatrist may recommend surgery. A partial nail avulsion removes the portion of the nail growing into the skin while leaving the remaining nail in place. A total nail avulsion removes the entire nail and may be considered for certain conditions. A podiatrist may also perform ablation of the nail matrix, which prevents the treated nail portion from growing back. The procedure selected depends on the nail and individual needs.

During treatment, a podiatrist evaluates the toe, checks for infection, and determines the appropriate procedure. Afterward, the toe is dressed and home-care instructions are provided to support healing. Patients may be advised to keep pressure away from the toe and attend follow-up visits. If you have painful ingrown toenails, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment, which may include minor surgery. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Gout is a type of inflammatory arthritis that can cause sudden and intense joint pain. It often affects the big toe, although it may also develop in other toes, the ankle, or the knee. Gout develops when uric acid builds up and forms needle-like crystals inside a joint. Uric acid is produced when the body breaks down substances called purines. When the kidneys do not remove enough uric acid, these crystals may collect and trigger inflammation. A gout attack often begins suddenly, frequently at night, and can cause severe pain and swelling.

Gout attacks may occur only once or return periodically. Without proper treatment, repeated attacks can affect more joints, last longer, and become more severe. Some people eventually develop hard deposits of uric acid crystals, called tophi, around joints or in other tissues. Several factors can increase the likelihood of gout, including family history, certain chronic health problems, and some medications. Because gout symptoms can resemble other forms of arthritis, an accurate diagnosis is important. Medical evaluation may include a physical examination, blood testing, or analysis of fluid taken from the affected joint.

When gout affects the feet, a podiatrist can evaluate painful joints and determine how symptoms are affecting walking and mobility. A podiatrist can also help distinguish gout-related foot pain from other problems that may cause similar symptoms. Treatment depends on the frequency and severity of gout attacks. Medical care may include medications that reduce inflammation during a flare or lower uric acid to help prevent future complications. Managing gout can help protect joints and preserve normal movement. Early diagnosis and appropriate treatment may reduce the risk of long-term joint damage and recurring pain. If sudden pain, swelling, or tenderness develops in the big toe or another foot joint, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

A bunion is a change in the alignment of the big toe joint that creates a noticeable bump along the inside of the foot. As the big toe shifts toward the smaller toes, the joint can become enlarged, red, or painful. Some bunions cause few symptoms, while others can make walking and wearing shoes uncomfortable. Tight-fitting or narrow-toed shoes can place pressure on the area and increase discomfort. A bunion can also develop because of foot structure, certain health conditions, or an earlier foot injury. A podiatrist can examine the foot and determine whether a bunion is causing the symptoms.

A podiatrist can evaluate the position of the big toe and the affected joint during a foot examination. X-rays can also help show changes in the bones and joints. The findings can help determine the severity of the bunion and guide treatment. Professional treatment focuses on improving comfort and reducing pressure on the affected area. A podiatrist can discuss appropriate shoes, foot supports, or other treatment options based on the patient’s needs. When a bunion becomes severe or causes significant pain, surgery can be considered to correct the position of the affected bones and joint. Different surgical procedures are used based on the type and severity of the bunion.

Bunions can also affect the way the foot functions. Pain and changes in toe position can make certain activities harder and can create pressure against shoes. A podiatrist can monitor the bunion and assess changes in pain, movement, and foot alignment. Professional evaluation can also help identify related problems, like corns or irritation around the joint. Treatment decisions depend on the patient’s symptoms, foot structure, and the severity of the deformity. Early evaluation can provide a clearer understanding of the problem and available treatment choices. If you have symptoms of bunions, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment.

If you are suffering from bunion pain, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. 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 Poulsbo and Port Townsend, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A black toenail can develop when blood, debris, or pigment collects beneath or within the nail. Repeated pressure from wearing tight shoes can injure the toe, especially while running or hiking. A dropped object can also break tiny blood vessels under the nail and cause sudden pain, swelling, and dark color. Fungal infections sometimes thicken the nail and create debris that makes it look black. Natural pigment changes can produce dark streaks, particularly in people with darker skin. Less frequently, a black nail can point to diabetes, kidney disease, or heart disease. It can also be a sign of melanoma, a serious form of skin cancer.

A podiatrist should examine a black toenail when its cause is unclear. An exam is also needed if the nail changes shape or discoloration does not grow out naturally. The podiatrist can determine whether discoloration comes from trapped blood, infection, or pigment. Testing a small nail sample can help confirm fungus. A tissue sample may be examined when the dark area has features linked to melanoma. Prompt evaluation is especially important when discoloration spreads onto nearby skin, if pain becomes intense, or if drainage develops. 

A podiatrist can make a tiny opening in an injured nail to release trapped blood and ease pressure. The doctor can remove damaged nail material or treat an infection. Suspicious pigment changes can be tested, and care with a skin-cancer specialist can be arranged. To reduce injury risk, choose well-fitting shoes with enough toe room and proper support. Keep toenails trimmed straight across. Protective shoes can help when work creates a risk of heavy objects falling on the feet. Regular foot checks make new color changes easier to notice. If you have toenails that appear black or discolored, 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 Dr. Kirk Sherris of Liberty Bay Foot & Ankle. 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 offices located in Poulsbo and Port Townsend, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.