My Blog

Posts for: March, 2011

By Howard Schaengold, DPM
March 15, 2011
Category: Foot Care
Tags: Toenail Fungus  

Toenail FungusPreventing & Eliminating Fungal Toenails

Also known as onychomycosis, toenail fungus can be painful, irritating and embarrassing. When there is trauma to the nail, the nail bed is lifted allowing fungus to penetrate and invade the nail bed. Without treatment, the fungus can grow and spread in dark, warm, moist environments, such as socks and shoes.

Common signs and symptoms of toenail fungus include:

  • Discoloring or yellowing of the nail
  • Thickening or crumbling of the nail
  • Swelling around the nail
  • Disfigured nails
  • Streaks or spots down the side of the nail
  • Foul-smelling debris under the nail
  • Pain and discomfort
  • Complete nail loss

Prevention is key

Fungal infections can affect the fingernails as well as the toenails, but toenail fungus is more difficult to treat because toenails grow more slowly. Because removal of the fungus is challenging, prevention plays an important role in treatment.

  • Keep nails neatly trimmed
  • Practice good foot hygiene, including daily washing with soap and water; drying feet and toes carefully; and changing shoes regularly
  • Always wear shoes in public areas, such as showers, locker rooms and pools
  • Wear comfortable shoes that aren't too tight
  • Avoid nail polish which can seal in fungus

Treatment of toenail fungus

If you do develop toenail fungus, especially if the infection becomes painful, visit Howard Schaengold, DPM. People with a chronic illness like diabetes should always see a podiatrist if they notice changes in their nails as it may be an indication of more serious problems.

To eliminate the fungus, a podiatrist may remove as much of the infected nail as possible by trimming, filing or dissolving it. Oral or topical antifungal medications may also be prescribed to treat the infection. Only for severe, chronic infections will surgical removal of the nail be recommended. Our Sammamish office can help diagnose the cause of your toenail problems and make the best recommendation for treatment.


By Howard Schaengold, DPM
March 01, 2011
Category: Foot Care

Tarsal TunnelMaybe you've heard of carpal tunnel syndrome, a condition in the wrist that occurs when swelling or a change in position of the tissue within the carpal tunnel squeezes and irritates the median nerve. Similar to carpal tunnel syndrome is tarsal tunnel syndrome, an ankle condition that occurs from the compression of a nerve in a confined space.

 

What is tarsal tunnel syndrome?

The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve- the main focus of tarsal tunnel syndrome.

 

Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:

  • Injury to the ankle, which may produce swelling near the nerve
  • Abnormal blood vessels or cysts that occupy space within the tunnel
  • Scar tissue that press against the nerve
  • Foot deformities, such as flat feet which increase strain on the nerve
  • Systematic diseases, such as diabetes or arthritis

 

When patients visit us at our Sammamish office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:

  • Pain
  • Numbness
  • Burning or tingling sensation

 

Howard Schaengold, DPM can help

Whenever you experience pain, burning and tingling in your feet or toes, make an appointment with our Sammamish office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended