An ingrown toenail develops when the edge of a toenail presses into the surrounding skin instead of growing straight outward. This most often affects the big toe and can quickly become painful. Early signs include redness, swelling, and tenderness along one side of the nail. As the nail continues to push into the skin, the area may become warm and irritated. In some cases, infection develops, leading to drainage or increased swelling. Ingrown toenails can be caused by trimming the nail too short, cutting the corners of the nail, tight shoes that place pressure on the toes, or injury to the nail. Some people also have naturally curved nails that increase the risk. A podiatrist can examine the toe and determine the best way to relieve the pressure. Treatment includes careful nail trimming, protective care, or a small procedure that removes part of the nail to prevent it from growing inward again. If you have an ingrown toenail, it is suggested that you make an appointment with a podiatrist.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Lance Greiff, DPM of Great Neck Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Stiffness in the big toe is often caused by a form of arthritis that affects the joint at the base of the toe called hallux rigidus. It mainly affects the metatarsophalangeal, or MTP,  joint that connects the first long bone of the foot to the first bone of the toe. This joint plays a key role in walking and pushing off the ground. Over time, the cartilage, which is the smooth tissue that cushions joints, can wear down. This leads to pain and swelling and limits movement. People over 50 are more likely to develop big toe stiffness due to wear and tear. Symptoms include difficulty bending the toe, discomfort when walking, or a bump forming on top of the joint. A podiatrist can perform a physical exam, order X-rays, and prescribe medical treatment to reduce pain, improve joint motion, and slow joint damage. If you notice stiffness in the big toe, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Lance Greiff, DPM of Great Neck Podiatry. 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 Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Diabetes can have a significant impact on blood flow to the legs and feet. Over time, elevated blood sugar levels damage blood vessels, causing them to narrow and stiffen. This reduces circulation to the lower extremities, and limits the delivery of oxygen and nutrients needed for healthy tissue. Poor blood flow slows wound healing and makes the feet more vulnerable to ulcers and infection, even from minor injuries. People may notice cold feet, skin color changes, hair loss on the legs, or pain when walking that improves with rest. Because circulation problems often develop gradually, they may go unnoticed until complications appear. Ongoing circulation changes increase the risk of serious outcomes that affect mobility and independence. Routine foot checks and early attention to symptoms are important. If you have diabetes and notice changes in your feet, it is suggested you see a podiatrist for evaluation and appropriate care.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Lance Greiff, DPM of Great Neck Podiatry. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions, please feel free to contact our offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is widely known for causing sudden pain in the big toe, but it can also affect the ankle joint. This inflammatory arthritis develops when excess uric acid forms sharp crystals inside the joint lining, triggering intense irritation. An ankle gout attack often begins abruptly, with redness, warmth, swelling, and extreme tenderness, sometimes so sensitive that even light contact is uncomfortable. Stiffness quickly follows, making walking and climbing stairs difficult. Symptoms typically peak within a day and may return in repeated episodes if the condition is not medically managed. Because ankle pain has many possible causes, proper evaluation is important. A podiatrist can review medical history, examine joint motion, order imaging, and perform diagnostic testing to confirm gout. Treatment focuses on reducing inflammation, protecting joint function, and preventing long-term joint damage. If you have ankle pain, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and ongoing treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Lance Greiff, DPM from Great Neck Podiatry. 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 Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.