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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.

Ankle pain can make it difficult to stay active and perform everyday tasks. The ankle is a complex joint made of bones, ligaments, and cartilage that work together to provide support and movement. Ligaments are strong bands of tissue that connect bones, while tendons connect muscles to bones. Pain can develop after an injury or from repeated stress placed on the joint. Arthritis, tendon injuries, and ligament damage also can lead to ankle pain. Wearing shoes that lack proper support can place extra strain on the ankle and surrounding tissues. Symptoms include pain, swelling, and tenderness. Some patients also notice bruising, weakness, or difficulty while walking. In more serious cases, the ankle can feel unstable or give way during activity.

A podiatrist begins by learning when the pain started and how it affects daily activities. The examination includes checking the ankle for swelling, tenderness, and range of motion. The podiatrist also watches how the patient stands and walks to identify problems with balance or movement. Imaging tests, like X-rays, an ultrasound, or MRI scans, help identify broken bones, torn ligaments, or tendon injuries. Finding the exact cause of ankle pain is important because different conditions require different types of treatment. An accurate diagnosis also helps prevent the problem from becoming more severe and supports a safer return to normal activities.

Treatment depends on the cause and severity of the ankle pain. A podiatrist creates a care plan that improves movement while reducing stress on the injured joint. Treatment includes custom orthotics to improve foot alignment and provide better support. It also includes stretching and strengthening exercises to improve stability. Patients with severe ligament tears, advanced arthritis, or complex fractures may require surgery. If you have ankle pain, it is suggested that you schedule an appointment with a podiatrist for a  diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

Wearing shoes that fit correctly may help prevent unwanted foot conditions from developing. Bunions, ingrown toenails, and hammertoe may all occur from wearing shoes that do not fit properly. Choosing the correct shoe size begins with measuring the feet. This can be done by using a Brannock device which is found in the majority of shoe stores. Conversely, some people prefer to measure their feet at home. To measure your feet at home, stand barefoot on a piece of paper and trace the width and length of the feet. A conversion table is used to determine what the size is. It is beneficial to purchase shoes at the end of the day when the feet are at their largest, in addition to trying on the shoes and walking around in the store. If you are interested in learning more about how to buy shoes that fit correctly, it is suggested that you consult with a podiatrist who can provide you with helpful information.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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.

Falls in seniors can affect mobility, independence, and overall quality of life. Many falls are linked to gait and balance disorders. These may be caused by underlying medical conditions, such as arthritis, neurological disorders, or vision problems. As the body ages, muscle strength and coordination can decline, making it more difficult to maintain stability during daily activities.

Symptoms related to fall risk often include unsteady walking, weakness in the legs, and difficulty maintaining balance. Seniors may feel unsure when standing or turning, and they may rely more on support from walls or furniture. Foot and ankle discomfort can also contribute to instability, especially if pain limits proper movement. Recognizing these warning signs early can help reduce the likelihood of a fall and prevent serious injury.

The causes of falls in seniors are often complex. Gait and balance disorders can result from chronic conditions that affect the muscles, joints, or nervous system. Wearing poor footwear, uneven surfaces, and inadequate lighting can further increase the risk. Falls can lead to foot and ankle injuries, such as fractures, sprains, or soft tissue damage, which may take longer to heal in older adults. These injuries can reduce mobility and contribute to a cycle of decreased activity and increased fall risk.

Risk factors for falls include advanced age, reduced muscle strength, and certain medications that affect coordination or alertness. A history of previous falls also increases the likelihood of future incidents. Maintaining proper foot health, wearing supportive shoes, and addressing balance concerns can help improve stability. If you have incurred foot and ankle injuries from falling, it is suggested that you consult a podiatrist for effective relief tips, treatment solutions, and guidance on how to prevent falling. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.