April 2025

Toenail fungus is an infection that affects the toenail and the skin underneath it. It often causes the nail to become thick, yellow, and brittle, or to lift away from the nail bed. Fungal toenails are more common in older adults, especially those with diabetes, poor circulation, or a weakened immune system. Fungus grows well in warm, damp places like sweaty shoes. For that reason, people who wear tight or closed shoes for long hours or use shared shower areas may be more likely to be exposed. The infection usually starts slowly and can become worse over time if not treated. Because toenails grow slowly and have less blood flow than other parts of the body, treating a fungal nail infection can take several months. A podiatrist may prescribe oral medication to fight the infection from the inside, or use topical treatments for mild cases. In more serious situations, surgery to remove the damaged nail might be recommended. If you have been infected with a toenail fungus, it is suggested that you make an appointment with a podiatrist for treatment.

For more information about treatment, 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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

Cracked heels are a common foot issue, but in individuals with diabetes, they can signal more serious concerns. Diabetes often leads to dry skin due to reduced oil and sweat gland function, especially in the feet. This dryness increases the risk of skin cracking, particularly around the heels where pressure is greatest. Poor circulation and nerve damage associated with diabetes can prevent individuals from noticing early signs of skin breakdown. When cracks deepen, they can allow bacteria to enter, raising the risk of infection. Healing may also be slower due to impaired blood flow. Proper foot care is essential for people with diabetes. If you have diabetes and have developed cracked heels, it is suggested that you are under the care of a podiatrist who can treat foot problems and help you to manage this condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Sesamoiditis causes pain beneath the big toe due to irritation or injury of the sesamoid bones, which are two small, round bones located under the head of the first metatarsal. These tiny bones are embedded in a tendon and assist with weight-bearing and toe movement. When exposed to repetitive stress, direct trauma, or altered foot mechanics, they can become painful, especially during walking or when wearing thin-soled or high-heeled shoes. Sesamoiditis more commonly affects dancers, joggers, and people with high arches or bunions. Symptoms include toe pain that gets worse with pressure, and swelling, warmth, or redness may occur near the joint. A podiatrist can perform an exam to pinpoint areas of tenderness and assess the structure of the foot. Imaging may be used to rule out fractures or other joint conditions. Treatment often involves changes in footwear and the addition of custom orthotics to reduce pressure on the sesamoids. In severe or prolonged cases, surgery may be recommended. If you are experiencing pain under the big toe, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

Custom orthotics can help alleviate foot pain, improve alignment, and support mobility, but not everyone needs them. If you are experiencing persistent discomfort, instability, or issues related to gait, a podiatrist can determine if orthotics are the right solution. Before your appointment, take note of your symptoms, when they occur, and what activities make them worse. Bring your most frequently worn shoes and any previous orthotics if you have them. Your podiatrist will assess your foot structure, walking pattern, and overall biomechanics, and  may recommend custom orthotics tailored to your needs. Be prepared to discuss your lifestyle, activity level, and any underlying conditions like diabetes or arthritis that may impact your foot health. If you are having foot problems, it is suggested that you visit a podiatrist for an evaluation and treatment options, which may include orthotics.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in Poulsbo, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.