Ingrown toenails occur when the edge of a nail grows into the surrounding skin instead of over it, most commonly affecting the big toe. The toe may look red, swollen, or shiny, and in more advanced cases there may be drainage, infection, or excess skin along the nail border. It often feels tender at first, then progresses to sharp pain, throbbing, warmth, and discomfort when walking or wearing shoes. Causes include improper nail trimming, tight or narrow footwear, toe injuries, and genetic factors. A podiatrist can help from the start by diagnosing the condition and determining whether infection or other complications are present. Initial treatment may include relieving pressure, reducing inflammation, and proper nail care. If necessary, care can then move to in-office procedures to remove the ingrown portion of the nail, along with education to prevent recurrence. Prompt care helps restore comfort and foot health. If you have a painful ingrown toenail, it is suggested that you make an appointment with a podiatrist.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Foot stress fractures are tiny cracks in bone caused by repeated impact and overuse rather than a single injury. Runners are especially prone to them because of repetitive loading during training and limited recovery time. Poor training habits, such as rapid mileage increases or lack of rest, can overload the bones. Stress fractures commonly affect the metatarsals, or long foot bones in the forefoot, and may also involve the tibia or shin bone in the lower leg. Female runners may face added risk due to low bone mineral density, which can be influenced by hormonal factors and a low-fat diet that limits bone support. Pain often starts gradually and worsens with activity. A podiatrist can diagnose the injury, guide rest and protection, address training errors, and recommend footwear or orthotics. If running pain persists or intensifies, it is suggested that you schedule a visit with a podiatrist who can offer effective treatment solutions, helping you to run safely.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

Tarsal tunnel syndrome is a condition that occurs when the tibial nerve, located along the inner ankle, becomes compressed or irritated. This pressure can result from inflammation, swelling, bone spurs, or structural abnormalities in the foot. Common symptoms include tingling, burning, numbness, or sharp pain along the sole, heel, or arch, often worsening with prolonged standing or activity. If left untreated, the condition may affect mobility and lead to chronic discomfort. A podiatrist can evaluate nerve function, identify underlying causes, and create a personalized treatment plan. Care may include orthotics, anti-inflammatory strategies, or, in severe cases, surgical intervention. If you have pain on the inside or your ankle, it i s suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.

Changes in the appearance of toenails often develop slowly and may be easy to ignore at first. A fungal infection can begin when organisms enter through small cracks in the nail or surrounding skin. Warm, moist environments, tight shoes, nail injuries, and reduced circulation increase risk. Common signs include thickening, discoloration that appears yellow, white, or brown, crumbling edges, and nails that lift from the nail bed. Some people also notice odor or discomfort when wearing shoes. Treatment depends on severity and nail involvement. Options include prescription topical medication, oral therapy, or advanced treatments designed to target infection within the nail. Because nails grow slowly, improvement takes time and consistency. If you have symptoms of toenail fungus, it is suggested that you see a podiatrist who can confirm the diagnosis, rule out other nail conditions, and recommend an effective plan to restore healthier nail growth and reduce the chance of spread to other nails or skin.

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.