
Ingrown Toenails
Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.
An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.
Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.
People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.
What Is a Nutcracker Fracture?
The Nutcracker is a famous and challenging ballet. It’s name has also been used to refer to a type of foot fracture involving the cuboid bone (located near the center of the foot) that can be seen in ballet dancers. A nutcracker fracture is characterized by a cuboid bone that is crushed in between the heel bone (calcaneus) and the third and fourth toe bones (metatarsals). This injury causes pain and swelling, particularly along the outside of the foot. Bearing any weight on the foot may be difficult or impossible. More severe fractures can also cause pain along the inside of the foot and visible deformity. Treatment for a nutcracker fracture may include resting, icing, and immobilizing the foot and managing pain. Surgery may be needed in severe cases. If you have injured your foot, it is strongly suggested that you seek the care of a podiatrist.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from PA Foot & Ankle Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact one of our offices located in Allentown, Easton, Northampton, and Chew Street in Allentown, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Cuboid Syndrome
Cuboid syndrome mostly affects athletes, although it can affect non-athletes too. It is also known as cuboid subluxation or cuboid fault syndrome. This condition occurs when joints and ligaments near the cuboid bone of the foot are damaged, or when the cuboid bone itself is dislodged from its natural position. It is usually marked by pain on the outer side of the foot, which may be persistent or may come and go. Cuboid syndrome can be difficult to diagnose unless it becomes severe and more noticeable. Your doctor will likely ask questions about when the pain began and how long it has been present, and will put pressure on the cuboid bone to determine if that area is the origin of the pain.
Causes of Cuboid Syndrome
- Any repetitive stresses placed on the foot due to athletic activities are a common cause of cuboid syndrome.
- Although it develops over time, it is possible that this syndrome can occur all of sudden due to a single event or injury.
- Over-pronation can exacerbate the condition if not corrected.
Disagreements Amongst Podiatrists Regarding Cuboid Syndrome
- Some refer to it as the dislocation of the calcaneal-cuboid joint only.
- Other podiatrists see it as an injury of the ligaments located nearby, which also involves the cuboid bone.
It is very important that when you experience any kind of pain on the side of your foot, you should seek medical care right away. If a subluxed cuboid is caught early, your feet may respond well to the treatment, and you can get back into sports or other activities again as soon as the pain subsides.
Why Live with Pain and Numbness in Your Feet?
Ankle Sprains Are a Common Ankle Injury
The ankle is a complex joint composed of several bones, ligaments, tendons, nerves, and muscles. Because it is critical in moving the foot in a variety of ways, the ankle is prone to becoming injured. One of the most common types of ankle injuries is an ankle sprain. This occurs when one or more ligaments that support and bind the ankle are stretched beyond their normal bounds and become injured or torn (either partially or fully). The pain and complexities of an ankle sprain can vary, depending upon how severe it has become injured and whether the ligament has torn. It is important to seek treatment from a podiatrist for any type of ankle sprain, as an improperly healed ankle sprain is likely to lead to additional sprains and possibly even chronic ankle instability.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact one of our podiatrists from PA Foot & Ankle Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact one of our offices located in Allentown, Easton, Northampton, and Chew Street in Allentown, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ankle Sprains
Ankle sprains occur when ligaments that support the ankle stretch beyond their limits and tear. These types of injuries are very common and can occur in people of all ages. Sprains may range from mild to severe, depending on how much damage is done to the ligaments. If a sprain goes untreated, a more severe sprain may occur which can further damage the ankle. Repeated ankle sprains can lead to chronic ankle pain.
There are some risk factors that can increase your risk of suffering a sprained ankle. Those who participate in sports, walk on uneven surfaces, have a prior ankle injury, are in poor physical condition, or wear improper shoes are more likely to get a sprained ankle.
There are a few symptoms to look out for if you suspect you are suffering from a sprained ankle. Some common symptoms are swelling, bruising, tenderness, and instability of the ankle. In cases where the tearing of the ligaments is severe, there may be a “popping” sound when the strain occurs.
The RICE method is proven to be effective in treating ankle sprains. RICE stands for Rest, Ice, Compression, and Elevation. Rest is important for treatment, especially within the first 24 to 48 hours. You should also ice your sprained ankle for the first 48 hours for 20 minutes at a time. A small piece of cloth should be placed between the ice and the affected area. For the compression step, you should wear a brace that is snug, but not too tight that it cuts off circulation. When choosing a brace, be sure to choose one that is suitable for the type of ankle sprain you have. Lastly, you should elevate your foot above the heart as often as possible.
After you treat a sprain, you should go through rehabilitation to prevent the injury from occurring again. There are three phases to the rehab process. The first phase involves resting, protecting, and reducing the swelling of the injury. The second phase consists of restoring the ankle’s flexibility, range of motion, and strength. The third phase consists of slowly returning to activity and maintenance exercises.
If you suspect you have an ankle sprain, you shouldn’t hesitate to consult with your podiatrist. Your podiatrist will be able to give you a proper diagnosis and a suitable treatment option for your condition.
Plantar Warts in Children

Warts are areas of hardened skin that typically have a bumpy surface. They come in various sizes, shapes, and colors and can appear anywhere on the body. Plantar warts occur on the bottom of the feet. Children get them more often than adults. Viruses from the human papillomavirus (HPV) cause warts. Kids can get warts from touching a towel or surface that someone else with a wart has used and pick up HPV. Warts thrive in warm, moist environments like the feet. Plantar warts can grow for a long time before they are visible. Walking barefoot in public places and not cleaning and drying the feet well regularly makes one more susceptible to plantar warts. These warts can cause considerable discomfort and feel like there is a rock in one’s shoe. One should not pick at, rub, or scratch a wart. Most of the time, these warts will go away on their own, but they can recur. Plantar warts can be treated with medicine containing mild acid that removes dead skin cells on the wart, cryosurgery - where the doctor uses a chemical repeatedly across a few weeks to freeze the wart and kill the virus, or other means of removing the wart. It is a good idea to take your child to a podiatrist to have the plantar wart treated and not try to remove it on your own.
Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from PA Foot & Ankle Associates. Our doctors 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 one of our offices located in Allentown, Easton, Northampton, and Chew Street in Allentown, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.