Toenail fungus, also called onychomycosis, is an infection that affects the toenails far more often than the fingernails. It is estimated that about one in 10 people will develop it, with higher rates among older adults, men, and those with diabetes or circulation problems in the feet. The infection is usually caused by dermatophytes, a type of fungus that thrives in warm, moist environments. It can be picked up from surfaces like locker room floors or through direct contact with the fungus. Early signs of fungal toenails include yellow or white spots on the nail or a chalky buildup beneath the surface. As the infection progresses, the nail may thicken, discolor, and become brittle or distorted, sometimes separating from the nail bed. A podiatrist can confirm the diagnosis, provide treatment, and suggest ways to reduce the risk of complications or recurrence. If you have symptoms of a fungal toenail infection, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis and appropriate treatment.

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 Kellvan Cheng, DPM of Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A bunion is a bony bump that forms at the base of the big toe when the joint shifts out of alignment. Over time, the top of the big toe leans toward the second toe, creating pressure and pain that can interfere with daily activities. Bunions often become irritated by shoes, leading to redness, swelling, and soreness along the side of the foot. Some people also notice thickened skin or corns where the toes rub together. The causes are often a mix of inherited foot structure, years of pressure from footwear, and conditions such as arthritis. While wide shoes and padding may ease discomfort, they do not stop the bunion from progressing. Severe cases may require surgery to correct the joint and restore function. If you are experiencing ongoing pain from a bunion, it is suggested that you see a podiatrist for evaluation and appropriate treatment.

If you are suffering from bunions, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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

Heel spurs are bony growths that develop on the underside of the heel bone, often caused by long-term strain on the foot muscles and ligaments. Common causes include repetitive stress from walking or running, wearing poorly fitted shoes, obesity, or conditions like flat feet or high arches. Heel spurs are frequently associated with plantar fasciitis, a painful inflammation of the tissue along the bottom of the foot. Symptoms include sharp, stabbing pain in the heel, especially during the first steps in the morning, or after long periods of rest, along with tenderness, swelling, or a dull ache throughout the day. While some people may not feel any discomfort, others experience persistent pain that affects daily activities. A podiatrist can diagnose a heel spur through a physical exam and confirm the condition with X-rays. Treatment may involve orthotics, targeted exercises, stretching, anti-inflammatory medications, or, in severe cases, surgery. If you have a heel spur, it is suggested that you schedule an appointment with a podiatrist for effective treatment solutions.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

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

High arches, also known as pes cavus, occur when the arch of the foot is raised higher than normal, creating an exaggerated curve from the heel to the toes. Having high arches places uneven pressure on the feet, often concentrating weight on the heel and the ball of the foot. People with high arches may experience pain in the arches, toes, or ankles due to the extra strain on the metatarsals and surrounding structures. Shortened foot length, difficulty fitting into shoes, and instability during walking or running are also common problems. The excess pressure can lead to calluses, ankle sprains, hammertoes, or even stress fractures. A podiatrist can evaluate the structure and flexibility of the foot, order imaging if needed, and recommend proper support or surgery in severe cases. If you have arch pain, it is suggested that you make an appointment with a podiatrist for an evaluation and treatment.

If you have any concerns about your feet, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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