Thick toenails are often a sign of toenail fungus, a common infection caused by fungi thriving in warm, moist environments like sweaty shoes or public pool areas. The infection usually begins with a small discoloration that gradually spreads, causing the nail to thicken and become brittle. Symptoms include yellowing or whitening of the nail, crumbling edges, and an unpleasant odor. The thickened nail may become painful or difficult to trim, and, in severe cases, it can separate from the nail bed. A podiatrist can diagnose toenail fungus by examining the nail and may take a small sample for laboratory testing to confirm the infection. Treatment options include topical antifungal medications or oral antifungals. In severe cases, removal of the affected nail may be necessary. If you have developed toenail fungus, it is suggested that you schedule an appointment with a podiatrist for an evaluation and appropriate 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 Carolina Foot & Ankle Specialists. 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 offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flip flops may be a summer favorite, but they can negatively affect foot health. Most styles offer no arch support, cushioning, or heel stability. The lack of straps forces toes to grip the sandal with each step, leading to muscle fatigue and strain. Over time, this can contribute to plantar fasciitis, tendonitis or joint pain. Wearing flip flops for extended periods of time can also alter your gait and increase the risk of injury. A podiatrist can assess any pain caused by improper footwear and recommend supportive alternatives or custom orthotics. If you experience foot discomfort after wearing flip flops, it is suggested that you consult a podiatrist to protect your foot health and prevent long-term damage.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

If you have any questions please feel free to contact our offices located in Mount Pleasant and Charleston, SC .  We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Peripheral artery disease, or PAD, can seriously affect the feet by limiting blood flow through narrowed arteries. This often causes pain while walking that eases with rest. As peripheral artery disease progresses, pain may continue even when not moving. Common symptoms in the feet include numbness, tingling, coldness, and skin discoloration. In some cases, one foot may feel significantly cooler than the other. PAD can also lead to slow-healing ulcers on the feet or toes, which may become infected and require prompt medical care. Skin on the feet may appear pale or take on a bluish tone, and toenail growth can slow or stop due to poor circulation. In advanced stages, tissue damage may occur, increasing the risk of limb loss, if left untreated. A podiatrist can help by identifying early signs of PAD and providing appropriate treatment to improve foot health. If you have symptoms of PAD that are affecting your feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis causes pain in the heel and bottom of the foot. It occurs when the plantar fascia, a thick band of tissue that supports the arch, becomes inflamed or irritated. Causes include repetitive strain, long periods of standing, improper footwear, or sudden increases in activity. Symptoms often begin with sharp heel pain, especially with the first steps in the morning or after rest. Risk factors include high arches, flat feet, obesity, and tight calf muscles. A podiatrist can diagnose plantar fasciitis through examination and recommend treatments, such as stretching exercises, footwear changes, orthotics, or other therapies to relieve pain, improve function, and prevent further injury. If you have heel pain, it is suggested that you consult a podiatrist who can accurately diagnose the problem and offer effective treatment solutions.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing high heels alters the natural alignment of the foot and affects overall biomechanics. The elevated heel shifts body weight forward, placing excessive pressure on the forefoot and toes. This can lead to conditions such as bunions, hammertoes, and metatarsalgia, or ball of the foot pain. The gait cycle is also affected, as the shortened heel contact phase reduces shock absorption and stability. Over time, muscles and tendons may become strained, and posture may shift to compensate for the imbalance. These changes can lead to discomfort in the feet, knees, hips, and lower back. A podiatrist can assess these issues, provide supportive footwear recommendations, custom orthotics, and strategies to minimize long-term damage caused by frequent high heel use. If you have developed foot pain from wearing high heels, it is suggested that you contact a podiatrist who can provide relief tips.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Not all foot and ankle pain is caused by an injury. Several medical conditions can lead to discomfort without any recent trauma. Osteoarthritis is one common cause, where the cartilage in the ankle joint wears down over time, resulting in pain and reduced movement. Rheumatoid arthritis, an autoimmune disease, can lead to joint swelling and stiffness, often affecting the ankles and feet. People with flat feet may experience ankle pain due to the collapse of the foot’s arch, which places stress on nearby joints. Achilles tendinopathy is another source of pain, involving inflammation or damage to the large tendon at the back of the ankle. Bursitis occurs when small fluid-filled sacs that cushion the ankle become inflamed. Pain can also result from joint infections or gout, a condition where uric acid builds up in the joint, especially in the toes and ankles. A podiatrist can help diagnose the underlying cause of your ankle pain and provide appropriate medical treatment. If you experience sudden or unexplained ankle pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors 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 Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a form of inflammatory arthritis that often affects the feet, particularly the big toe joint. It is caused by a buildup of uric acid in the bloodstream, which forms sharp crystals in the joints. This buildup can result from genetics, eating foods high in purines like red meat and seafood, alcohol consumption, or underlying medical conditions such as kidney disease. Symptoms of gout include sudden, intense pain, redness, swelling, and warmth in the affected joint. The pain may come on overnight and feel like a burning or stabbing sensation, making it difficult to walk or even wear shoes. A podiatrist can help manage gout by diagnosing the condition, reviewing your medical history, and possibly ordering blood tests or joint fluid analysis. Treatment includes anti-inflammatory medications, dietary guidance, custom orthotics to relieve joint pressure, and long-term management strategies to prevent future flare-ups. If you are experiencing painful gout, it is suggested that you promptly schedule an appointment with a podiatrist for appropriate treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors 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 Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet occur when the arches of the feet are low or absent, causing the soles to make full contact with the ground while standing. Flat feet may be present from childhood or develop later from weakened tendons, ligament injuries, fractures, or arthritis. Some people with flat feet have no symptoms, but others experience aching in the arches, heels, ankles, or discomfort that extends to the knees and lower back. A podiatrist can diagnose flat feet by examining foot posture and gait, and may use imaging tests to evaluate the bones and soft tissues. When flat feet cause pain, medical treatment options include wearing custom orthotics or specially designed supportive footwear to reduce strain. In more severe cases, surgery may be recommended to strengthen or realign the affected structures in the feet. Early medical care can help manage symptoms and prevent further complications. If flat feet are disrupting your daily activities, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.