Why Some Ingrown Toenails Require Surgery

When a toenail grows into the surrounding skin and causes ongoing pain, foot surgery can provide lasting relief. This problem usually affects the big toe and can make even short walks uncomfortable. As the ingrown toenail presses deeper into the skin, the area becomes red, tender, and difficult to touch. Drainage or repeated infections may return after temporary improvement. When the condition continues or keeps coming back, a podiatrist can examine the toe, explain the cause, and determine whether surgery is the best treatment. Surgery removes the part of the nail causing the problem, and in some cases, the entire nail is removed. A podiatrist also decides whether to treat the area where the toenail grows to help prevent the ingrown toenail from coming back. 

Before recommending surgery, the podiatrist reviews your health history and examines the toe carefully. This helps in choosing the treatment that offers the best chance for healing, while also reducing the risk of future problems. Ingrown toenail surgery is usually performed with a local anesthetic, which numbs the toe while the patient remains awake. The procedure generally takes only a few minutes, and most patients return home the same day. Depending on the condition of the toe, the podiatrist removes part of the nail or the entire nail. Medication can be used to prevent the troublesome section of the nail from growing back. 

Recovery includes protecting the treated toe and following the podiatrist's instructions carefully. Mild discomfort, swelling, and tenderness are expected while the area heals. Like any procedure, surgery includes possible risks. These include bleeding, infection, and scarring. In some cases, the ingrown toenail returns and another procedure becomes necessary. Most patients experience significant relief once healing is complete and can return to normal daily activities after their podiatrist says it is safe. If you have an extremely painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist to see if surgery is the right choice for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Amy DeGirolamo, DPM of Florida Foot and Ankle Associates. Our practitioner will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Miami,FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot and Ankle Surgery

Managing Life With Hammertoe

Hammertoe is a foot deformity that causes one of the smaller toes to bend at the middle joint instead of lying flat. The condition usually develops gradually and most often affects the second, third, or fourth toe. In its early stages, the toe may still be flexible, but it can become stiff over time if left untreated. Hammertoe may be caused by muscle imbalance, arthritis, or pressure from footwear that does not fit properly. As the toe changes shape, it may become painful to walk or wear shoes. Corns, calluses, and irritation may also develop where the deformed toe rubs against footwear. Early evaluation is important because treatment is often more effective before the toe becomes permanently stiff.

 

A podiatrist can examine the affected toe and determine how advanced the hammertoe has become. During the evaluation, the podiatrist checks toe movement, foot alignment, and areas of increased pressure that may be causing discomfort. They also look for skin changes and other foot conditions that may be contributing to the problem. Treatment depends on the severity of the deformity and the patient's symptoms. Professional hammertoe treatment may include custom orthotics, supportive footwear recommendations, or other medical treatments to improve foot function and reduce pain. If the deformity becomes severe, more advanced treatment options may be discussed.

 

Professional podiatry care can help relieve pain, improve mobility, and slow the progression of hammertoe. Addressing the condition early may also reduce the risk of worsening deformity and ongoing pressure on the affected toe. A podiatrist creates a treatment plan based on your individual needs and monitors changes over time. Professional foot care can also improve comfort during walking and everyday activities. If you have toe pain or notice a toe that is beginning to change shape, it is suggested that you consult a podiatrist for an evaluation.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Amy DeGirolamo, DPM from Florida Foot and Ankle Associates. Our practitioner will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions, please feel free to contact our office located in Miami,FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Hammertoes?

Causes of Foot and Ankle Injuries for Tennis Players

Tennis is a fast-paced sport that places repeated stress on the feet and ankles. Quick starts, lateral cuts, and sudden stops increase the risk of foot and ankle injuries. Common tennis-related conditions include Achilles tendon rupture, plantar fasciitis, fractures, and stress fractures. These injuries can affect performance and daily mobility if not addressed early. Understanding the definition and nature of each condition helps athletes recognize warning signs and seek timely care.

An Achilles tendon rupture is a tear of the tendon that connects the calf muscles to the heel. It often occurs during explosive movements such as pushing off or jumping. Symptoms include a sudden sharp pain, a popping sensation, swelling, and difficulty walking. Plantar fasciitis is inflammation of the thick band of tissue along the bottom of the foot. It commonly causes heel pain that is worse in the morning or after rest. Fractures are breaks in the bone caused by trauma, while stress fractures are small cracks that develop from repetitive overuse. Symptoms include localized pain, swelling, and tenderness that worsen with activity.

 

Risk factors for these injuries include improper footwear, poor court surfaces, and muscle imbalances. Limited flexibility in the calf muscles can increase strain on the Achilles tendon and plantar fascia. Sudden increases in training intensity or playing time also raise injury risk. Tennis players who do not allow adequate recovery time between matches are more likely to develop stress-related injuries. Biomechanical issues such as flat feet or high arches can further contribute to uneven pressure distribution.

 

Preventing tennis injuries requires proper conditioning, wearing supportive shoes, and a gradual increase in activity level. Stretching the calf muscles and strengthening the foot and ankle can improve stability and reduce strain. Players should be aware of early pain signals and avoid pushing through discomfort. If you have foot or ankle injuries from playing tennis, it is suggested that you consult a podiatrist for effective relief solutions.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Amy DeGirolamo, DPM of Florida Foot and Ankle Associates. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Read more about Sports Related Foot And Ankle Injuries

Understanding Plantar Wart Development

Plantar warts are caused by the human papillomavirus, or HPV, which enters the skin through tiny cuts or abrasions. These warts develop on the bottom of the foot, often in weight-bearing areas, such as the heel or ball of the foot. Unlike warts on other parts of the body, plantar warts grow inward due to pressure from walking and standing. This inward growth can make them painful and difficult to ignore. Understanding the cause and early signs of plantar warts is essential for preventing spread and seeking timely treatment.

Symptoms of plantar warts vary depending on their size and location. Many people notice a rough, grainy lesion on the sole of the foot. Some contain small black dots that are clotted blood vessels. Pain may feel like stepping on a small stone, especially while walking or applying pressure. The skin surrounding the wart can become thickened or callus-like. Some warts remain small and isolated, while others may multiply and spread across the foot, if left untreated.

 

There are two primary types of plantar warts: solitary and mosaic. A solitary wart appears as a single, well-defined lesion that may grow deeper into the skin over time. It often becomes more painful as it enlarges. Mosaic warts, on the other hand, develop as clusters of smaller warts grouped together in a patch. These are usually more superficial but can cover a larger area, making them more difficult to treat. Both types are caused by the same virus but differ in appearance and growth pattern, which can influence treatment decisions.

 

Risk factors for plantar warts include walking barefoot in public swimming pool areas, locker rooms, and communal showers. This is because the virus thrives in warm, moist environments. Individuals with a weakened immune system are more susceptible to infection and may experience more persistent or widespread warts. Minor skin injuries also increase the risk by providing entry points for the virus. Maintaining proper foot hygiene and wearing protective footwear can reduce exposure. If you have symptoms of a plantar wart, it is strongly suggested that you consult a podiatrist for effective relief and treatment solutions.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Amy DeGirolamo, DPM from Florida Foot and Ankle Associates. Our practitioner will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions, please feel free to contact our office located in Miami,FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Warts

Heel Pain in the Morning?

Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.

Don’t live with heel pain and get treated.

Advanced Podiatric Procedures & Services in the Miami-Dade County, FL: Miami, Coral Gables, Coconut Grove, Little Havana, South Miami, Homestead, Miami Shores, North Miami, North Miami Beach, Aventura, Doral, Kendall, Pinecrest, Cutler Bay, Broward County, FL: Fort Lauderdale, Hollywood, Pembroke Pines, Miramar, Weston, Davie, Plantation, Lauderdale Lakes, Monroe County, FL: Key Largo, Islamorada, Marathon, Key West areas
Request Appointment