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Surgery for ingrown toenails corrects how the nail edge presses into the skin of the toe and causes pain and drainage. When ongoing problems affect walking or shoe wear, a podiatrist can recommend surgery to remove the portion of nail that continues to grow into the skin, while preserving a natural nail appearance. One approach involves removing a narrow section of the nail and treating the growth center so that edge does not return. This helps reduce repeat irritation, infection, and tissue overgrowth along the nail fold. Surgery for an ingrown toenail is performed carefully under local anesthesia and targets the nail plate and matrix, the area responsible for nail growth. If you have a problematic ingrown toenail, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor 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

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 Manalapan, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swelling of the feet, also called edema, occurs when excess fluid collects in the tissues of the lower extremities. Symptoms include puffiness, tight or shiny skin, aching, and heaviness, often worsening by the end of the day. The feet and ankles may look enlarged, feel warm, and leave an indentation when pressed. It may feel uncomfortable, stiff, or painful in shoes and during walking. Causes range from prolonged standing, injury, and obesity to circulation issues or kidney conditions. A podiatrist can help from the start by evaluating medical history, examining the feet and ankles, assessing circulation, and identifying potential underlying causes. Treatment options include footwear guidance, elevation strategies, and targeted treatment of contributing foot conditions. Early podiatric care helps reduce discomfort, prevent skin breakdown, and improve mobility. If you are dealing with ongoing swelling of the feet, it is suggested that you make an appointment with a podiatrist.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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

Toenail fungus is a common condition caused by fungal organisms that thrive in warm, damp environments, such as shoes, locker rooms, and public showers. It often begins as a small discoloration and may look yellow, white, or brown, with nails becoming thick, brittle, crumbly, or distorted, over time. Some people notice an unpleasant odor or debris under the nail. Toenail fungus may feel uncomfortable, sensitive, or painful, especially when pressure is applied from footwear, although it can also be painful in early stages. A podiatrist can help from the start by examining the nails, confirming the diagnosis through testing when needed, and ruling out other nail disorders. Treatment options may include topical medications, professional nail care, and guidance on foot hygiene to prevent recurrence. Early treatment can improve nail appearance and comfort while limiting spread. If you have symptoms of toenail fungus, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment solutions.

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 Dr. Charles Marchese of Manalapan Foot & 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 contact our office located in Manalapan, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.