May 2023

The toenails are easily ignored when thinking about basic healthcare, but there are many simple ways to keep them pain and problem free. Probably the two most common ailments are ingrown toenails and toenail fungus. An ingrown toenail is usually the result of the nail being cut incorrectly. It is suggested that cutting toenails straight across and not too short can prevent the nail from growing into the nail bed rather than over it. Fungal infections of the toenails can easily be spread in warm and moist areas, such as gym locker rooms and indoor swimming pools. Wearing protective foot coverings is a good way to prevent this annoying infection. Fungal toenail infections are extremely contagious, so it’s wise to keep from touching the infected area. If you have toenail fungal infections that recur, even after applying commercial anti-fungal remedies, it is a good idea to make an appointment with a podiatrist who can prescribe more powerful medication. In addition, trying to fix an ingrown toenail can lead to a bacterial infection. It is suggested that you make an appointment with a podiatrist who can safely deal with the problem. 

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 Brian D. Jackson, DPM of Neuhaus Foot and Ankle. 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 feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The strong tendon found on the bottom of the foot which connects the heel to the toes is called the plantar fascia. Inflammation or a tear to this tendon can be quite uncomfortable and result in plantar fasciitis. This condition can be caused by frequently running on uneven surfaces or wearing shoes that do not fit correctly. Many people who stand for the majority of the day may develop plantar fasciitis, in addition to pregnant women due to the extra weight their feet must bear. While pregnancy is a temporary condition, obesity may be a more permanent one, and this can put constant pressure on the plantar fascia. Studies suggest that people who have poor circulation may slowly develop plantar fasciitis because of the loss of blood flow to the feet. If you have heel pain, it is strongly suggested that you speak with a podiatrist who can offer you permanent treatment solutions.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Brian D. Jackson, DPM  from Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Arthritis is an inflammatory disease that causes pain in the joints. Because each foot consists of 33 joints that can become inflamed, it may be helpful to find shoes that help to provide some relief from arthritic foot pain. Experts recommend wearing a shoe with a sturdy sole, as those with a softer sole may increase the pressure on the heel with each step. It is beneficial to look for a shoe that bends only near the toes and does not fold in half when squeezed. Further, avoiding shoes with narrow or pointed-toe boxes is thought to be the best choice. In addition, shoes with removable insoles are recommended, as this can make it easier to add custom insoles if needed. These inserts can support weakened joints, improve mobility, and reduce pain. High-heeled shoes or flats are not recommended for people with arthritis. Instead, finding shoes with a slight incline from toe to heel is thought to be better. For more information on selecting footwear for arthritic feet, it is suggested that you consult a podiatrist.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Diabetics are at extreme risk for a number of conditions that can affect the health of the lower extremities. Around 60 percent of diabetics develop a foot ulcer, brought about by peripheral nerve and vascular diseases. For that reason, a simple sore or slight wound on the feet can become a serious health threat. Loss of sensation in the feet and toes, caused by neuropathy, can make it difficult to notice a cut or sore. Constricted blood flow to the feet, caused by peripheral artery disease, can slow the healing process. If left unattended, even a tiny wound can become infected and turn into an open wound, or ulcer. As the untended ulcer continues to grow, tissue may die, and if left long enough can turn into gangrene. If the infection reaches the bone, loss of a limb then becomes a possibility. Diabetic foot ulcers are believed to be responsible for more hospital admissions than any other diabetes complication. The essentials to prevent this chain of events are a careful and regular routine of foot care and consistent regulation of insulin and blood sugar levels. Professional care from a podiatrist is suggested for any diabetic who struggles with such foot problems.  

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 Brian D. Jackson, DPM from Neuhaus Foot and 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 one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle surgery may be performed if the ankle has been severely injured, or if there is existing arthritis or torn ligaments. Ankle fusion is a type of surgery that has increased dramatically in recent years. This may follow any conservative treatments that may have failed, leaving surgery as the only option. A displaced ankle fracture may require a closed reduction procedure to be performed. This is done by aligning the bones from the outside of the ankle, which may produce severe pain during the procedure. If the bones cannot be manipulated from the outside, an open reduction can be done that uses screws or plates. This may be a common type of surgery among patients who have ankle instability. If you have ankle pain, it is suggested that you confer with a podiatrist who can determine if having ankle surgery is right for you. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Brian D. Jackson, DPM of Neuhaus Foot and 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 one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.