A toenail may turn black after the toe is hit, crushed, or pressed repeatedly inside a tight shoe, common among runners. The dark color usually comes from blood trapped under the nail after the area beneath it has been injured. As this blood builds up, it can cause throbbing pain from strong pressure. A podiatrist will examine the black toenail, check how well the toe moves, and make sure blood flow to the area is normal. An X-ray may be taken to see if the bone at the tip of the toe is broken. If pressure under the nail is causing pain, a podiatrist can create a tiny opening in the nail to gently drain the trapped blood and relieve discomfort. In more serious cases, part of the nail may need to be removed so the damaged tissue underneath can heal properly. This can also reduce the risk of nail changes later. If you notice a toenail that has changed in color, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Scott Amoss, DPM of Advanced Foot & Ankle Specialists. our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Clubfoot, medically known as talipes equinovarus, is a congenital deformity in which a baby is born with one or both feet turned inward and downward. The position of the foot is referred to as CAVE. C is for cavus or arch.  A is for adductus, because the front of the foot angles inward. V is for varus, when the heel tilts inward. E is for equinus, where the ankle points down like a tiptoe. Clubfoot occurs in the womb when foot and calf muscles pull unevenly. This tightens tendons and ligaments and guides bones out of line as a child grows. A podiatrist can confirm clubfoot with an exam and implement the Ponseti method, which consists of a series of casts that correct the foot alignment. This is often followed by an Achilles tendon release and bracing to reduce relapse. If your child is born with a clubfoot, it is suggested that you are under the care of a podiatrist for help in managing this condition.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Scott Amoss, DPM of Advanced Foot & Ankle Specialists. our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions, please feel free to contact our offices located in Whiting and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Arthritis in the feet occurs when joint cartilage gradually wears down or becomes damaged, leading to inflammation and painful movement. Each foot contains dozens of joints, so even small structural changes can affect walking and balance. Early signs of arthritis include aching during activity, swelling, stiffness after rest, and tenderness when pressure is placed on the foot. Osteoarthritis, which commonly affects the big toe joint, develops from long-term joint wear. Rheumatoid and psoriatic arthritis result from immune system disorders that attack joint tissue. Previous injury, aging, excess body weight, family history, and abnormal foot mechanics can increase risk. A podiatrist can evaluate joint motion, identify deformities, order diagnostic imaging, and design a medical plan to reduce inflammation and protect joint function. If you have symptoms of arthritis in the feet, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and ongoing treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Scott Amoss, DPM from Advanced Foot & Ankle Specialists. our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions please feel free to contact our offices located in Whiting and Toms River, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Sever's disease is a common cause of heel pain in active children and adolescents, often occurring during periods of rapid growth. It is caused by inflammation of the growth plate in the heel, frequently triggered by repetitive stress from running, jumping, or sports activity. This is especially common in children with tight calf muscles or high arches. Symptoms include pain at the back or bottom of the heel, swelling, tenderness, and limping after activity. The heel may look slightly swollen or red, and it can feel sore, stiff, or sensitive when walking, running, or standing on tiptoe. A podiatrist can help by starting with a careful examination of the heel and foot structure to confirm the diagnosis and rule out other conditions. Treatment often includes rest, footwear guidance, and targeted exercises to stretch and strengthen the calf and heel. Early care helps prevent further pain and allows safe activity. If your child is having issues with their feet, it is suggested that you schedule an appointment with a podiatrist for an evaluation and  appropriate treatment plan.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Scott Amoss, DPM from Advanced Foot & Ankle Specialists. our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our offices located in Whiting and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.