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Toenail Fungus and How to Treat It

Toenail fungus, also known as onychomycosis, is a common infection that affects the nail bed and causes discoloration, thickening, and brittleness of the nails. It is often caused by fungi that thrive in warm, moist environments, such as sweaty shoes or locker rooms. Risk factors include poor foot hygiene, reduced circulation, diabetes, and tight footwear. Symptoms include yellow or white spots, crumbling nail edges, and a foul odor. A podiatrist can diagnose the infection, recommend anti-fungal treatments, and provide nail care to restore healthy nails. If you notice changes in your toenails, it is suggested that you consult a podiatrist who can offer effective treatment solutions, which may include prescribed medication.
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. Thomas Madden of Advanced Foot Care Center. 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 Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What Is an Achilles Tendon Tear?

An Achilles tendon tear is a serious injury that occurs when the tendon connecting the calf muscles to the heel bone partially or completely ruptures. This can result from sudden force during sports, jumping, or running, as well as from degeneration due to overuse or aging. Common causes include increased activity without proper conditioning or underlying tendon weakness. Diagnosis is made through a physical exam, checking for swelling, bruising, tenderness, or difficulty pushing off the foot, and may include imaging tests for confirmation. A podiatrist can provide expert treatment, from immobilization and therapy to surgical referrals, when needed. If you have sustained an Achilles tendon injury, it is suggested that you promptly consult a podiatrist who can accurately diagnose and treat this condition.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Managing Ankle Arthritis Without Surgery

Ankle arthritis can make walking and daily activities difficult due to pain, swelling, and stiffness in the joint. While surgery is an option in some cases, many people find relief through non-surgical treatments. These methods aim to reduce discomfort, improve mobility, and slow the progression of arthritis. Common approaches include wearing supportive shoes or custom orthotics to ease pressure on the joint, using braces to add stability, and doing gentle exercises to strengthen the surrounding muscles. Targeted exercises may also help improve flexibility and balance. Anti-inflammatory medications, topical treatments, or corticosteroid injections can be used to manage pain and swelling. Maintaining a healthy weight is another important step, as it reduces stress on the ankle. With the right combination of care, many people are able to stay active and avoid surgery. If ankle pain is interfering with your life, it is suggested that you see a podiatrist to explore your treatment options.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Arthritic Foot Care
Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.
In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.
Alleviating Arthritic Pain
- Exercises that stretch the foot can prevent further pain and injury and increase mobility
- Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
- Massages can help temporarily alleviate pain.
It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.
If you have any questions please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
When Toenails Begin to Grow Upward

Toenails do not always grow in the direction we expect. In some people, the nail begins to curve and lift upward instead of lying flat. This change may be the result of repeated trauma, fungal infections, or simply inherited nail shape. Shoes that press on the toes or years of pressure from certain activities can also contribute. While upward growing nails are not always painful, they can catch on socks, cause discomfort in shoes, or become thick and difficult to trim. Treatment often depends on the cause. Fungal infections may require antifungal therapy, while nails that are thick or misshapen may need to be smoothed or reduced by a podiatrist. Keeping nails trimmed carefully and wearing well fitted footwear can help to manage the problem. If your toenails are growing upward and are becoming bothersome, it is suggested that you consult a podiatrist for guidance and appropriate care.
Some foot conditions may require additional professional care. If you have any concerns, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Rare Foot Conditions
The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.
There are many rare foot conditions that can affect children. Some of these can include:
- Freiberg’s disease
- Kohler’s disease
- Maffucci syndrome
Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.
Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.
Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.
A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.
If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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