
Dealing With Ingrown Toenails

Ingrown toenails occur when the edge of the toenail grows into the surrounding skin, leading to pain, swelling, and sometimes infection. Common causes include improper nail trimming and cutting nails too short or rounded. Tight-fitting shoes, injury, or genetic predisposition are other factors. Symptoms typically begin with redness, tenderness, and swelling along the nail edge. As the condition progresses, the area may become warm, painful, and drain pus if infected. It may be difficult to wear shoes or walk comfortably. A podiatrist can diagnose an ingrown toenail through a physical exam. Treatment depends on the severity and may include soaking, proper trimming, and antibiotic ointments. In more advanced cases, a minor procedure, called nail avulsion, may be performed to remove part or all of the affected nail. This helps relieve pain and prevent recurrence. If you are dealing with a painful ingrown toenail, it is suggested that you make an appointment with a podiatrist for evaluation and treatment.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Ingrown Toenails
Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.
An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.
Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.
People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.
Let the Expert Treat Your Ingrown Toenails
Benefits of Water Workouts for Foot Health

Exercising in water offers a gentle yet effective way to improve foot strength, flexibility, and overall comfort. The natural resistance of water helps build muscle without placing excess stress on joints, making it ideal for those with foot pain or limited mobility. Movements such as walking, pointing, or stretching in the pool can improve circulation, reduce stiffness, and support recovery from injuries. Water also cushions the feet, which helps prevent further irritation while still allowing for active movement. This type of exercise is especially helpful for people managing conditions such as arthritis, plantar fasciitis, or recovery after foot surgery. Regular participation can enhance balance and coordination while promoting overall foot function. If you have ongoing foot discomfort or difficulty with weight-bearing exercise, it is suggested that you see a podiatrist for a diagnosis, and to discuss whether water workouts may benefit your condition.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from DeCaro Total Foot Care Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
If you have any questions, please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.
Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.
Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.
Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.
It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.
Pros and Cons of Ankle Replacement Surgery

Ankle replacement surgery involves removing damaged cartilage and bone from the ankle joint and replacing them with a metal and plastic implant to relieve pain and improve movement. This procedure is often recommended for people with severe arthritis, deformity, or joint damage that limits walking. A major benefit of ankle replacement surgery is the ability to maintain ankle flexibility, unlike ankle fusion which stiffens the joint. It can also improve balance and reduce stress on nearby foot joints. However, this type of surgery is not suitable for everyone. People with diabetes-related nerve damage, poor blood flow, or severe ankle instability may face a higher risk of complications. Possible risks include infection, nerve injury, implant loosening, and eventual need for revision surgery. Long-term success depends on proper healing and ongoing monitoring. A podiatrist can assess whether ankle replacement is appropriate based on foot structure, health history, and mobility goals. If you have ankle pain that may involve joint replacement, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.
In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with one of our podiatrists from DeCaro Total Foot Care Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Joint Replacement Surgery?
Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.
Arthritis in the Foot
Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.
Joint Replacement Surgery in the Foot
The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.
If you have any questions, please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Joint Replacement Surgery
When conservative, noninvasive treatments prove unsuccessful, podiatrists will often turn to surgery as the last line of treatment for their patients. If patients are suffering from joint pain, issues in mobility, or are seeking to correct a deformity, joint replacement surgery is an effective option. Joint replacement surgery is also successful in treating arthritis, which is the most common cause of improperly working joints.
Patients with symptoms that include joint pain, stiffness, limping, muscle weakness, limited motion, and swelling are typically considered for joint replacement surgery. Range of motion and activity post-surgery will vary between patients and depending on the specific surgery performed, the affected joint, and the damage that will need to be repaired.
Joint replacement surgery replaces the damaged cartilage and bone, the latter if required. The damaged cartilage is typically replaced with a prosthesis that is attached to the bone, allowing the implant to grow into the bone. Following surgery, the patient will typically undergo physical therapy to become familiar with movement using the replaced joint.
Fungal Toenails and What to Do About Them

Fungal toenails often begin with discoloration, thickening, or a crumbly texture near the edge of the nail. Over time, the nail may become distorted, separate from the nail bed, or develop an unpleasant odor. This condition is caused by fungal organisms that thrive in warm, moist environments, such as sweaty shoes or shared showers. It can spread from one nail to another or even to other people. Although not always painful, fungal toenails can become uncomfortable and make walking difficult. Treatment includes topical or oral antifungal medications, as well as professional trimming or debridement by a podiatrist. Laser therapy is another option some podiatrists may offer. Keeping feet dry, wearing breathable shoes, and avoiding walking barefoot in public areas can help prevent reinfection. If your toenails show signs of fungal infection and do not improve with over-the-counter products, it is suggested that you see a podiatrist for advanced treatment.
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 one of our podiatrists of DeCaro Total Foot Care Center. Our doctors 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 our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Toenail Fungus
Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.
The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.
Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.
Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.
Understanding Plantar Fasciitis

Plantar fasciitis accounts for about 80 percent of all heel pain cases and affects roughly 10 percent of the population. It occurs when the plantar fascia, a thick band of tissue running along the bottom of the foot, becomes inflamed due to overuse, wearing poor footwear, tight calf muscles, or high-impact activities. Symptoms include sharp, stabbing heel pain, especially with the first steps in the morning or after long periods of rest. The heel may feel tender to the touch, and the pain often worsens after prolonged standing or walking. A podiatrist can diagnose plantar fasciitis through a physical exam and possibly imaging. Treatment includes stretching exercises, custom orthotics, night splints, anti-inflammatory medications, and corticosteroid injections. In more severe or chronic cases, advanced options like surgery may be recommended. If you have ongoing heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat plantar fasciitis.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from DeCaro Total Foot Care Center. Our doctors 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 our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.