Nail fungus, also known as onychomycosis, is not always caused by the same organism. The three main types of fungi that infect nails are dermatophytes, yeasts, and molds. Dermatophytes are the most common and feed on keratin, the protein that forms the nail. These infections often cause yellow or white discoloration, thickening, and a brittle texture. Yeast infections may lead to redness, swelling around the cuticle, and lifting of the nail plate. Molds are less common but can create dark brown, black, or green discoloration with irregular nail changes. The nail may appear distorted, crumbly, or separated from the nail bed. A podiatrist can evaluate the nail, take a small sample for testing, and determine the exact cause. Treatment may include topical medication, oral antifungal therapy, or careful trimming of damaged nails. If you have nail fungus, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and 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 one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. Our doctors 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 Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome occurs when a major nerve on the inside of the ankle becomes compressed as it travels into the foot. This pressure can create tingling, burning, numbness, or sharp discomfort that may radiate into the arch, heel, or toes. Symptoms often feel worse after long periods of standing or walking, and some people notice relief only when they rest. Because the nerve sits in a tight space surrounded by ligaments and bone, anything that increases swelling or strain in the area can trigger irritation, including flat feet, prior injury, or certain medical conditions. Ignoring these sensations can lead to ongoing instability or increasing sensitivity in the foot. Early care focuses on reducing pressure, improving support, and calming inflammation to protect the nerve. If the tingling or burning continues or begins to affect your daily routine, it is suggested that you see a podiatrist for an accurate diagnosis and targeted treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. Our doctors 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 Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot pain is sometimes an early sign of rheumatoid arthritis, an autoimmune condition that causes inflammation in the joints. Unlike wear and tear osteoarthritis, rheumatoid arthritis often affects both feet and can involve the toes, midfoot, ankles, and surrounding soft tissues. People may notice stiffness that is worse in the morning, swelling, warmth, or pain that improves slowly with movement. Over time, inflammation can lead to joint deformities, changes in walking patterns, and increased pressure on certain areas of the foot. Early recognition is important because rheumatoid arthritis can progress and affect daily mobility. Wearing supportive footwear, custom orthotics, and activity modifications may help reduce strain on painful joints. When foot pain, swelling, or stiffness persists, it is suggested that you see a podiatrist for an evaluation, diagnosis, and appropriate treatment. Coordinated care with a rheumatologist is often part of long-term management. 

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Comprehensive Footcare Clinic - Hawaii. Our doctors will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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

Stress fractures are small cracks in foot bones that develop from repetitive impact and overuse, most commonly seen in runners. They occur when training demands exceed the ability of bone to repair and adapt. Symptoms often begin as mild pain during activity, and gradually progress to persistent pain, tenderness, and swelling in a specific area of the foot or ankle. Diagnosis involves a detailed history, physical examination, and imaging such as X-rays to confirm bone stress. Risk factors include sudden increases in training intensity, wearing inadequate footwear, poor biomechanics, and low bone strength. A podiatrist can identify stress fractures early, guide activity modification, and create a recovery plan to promote proper healing. If you have sustained a stress fracture in your foot, it is suggested that you consult a podiatrist who can effectively treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Comprehensive Footcare Clinic - Hawaii. Our doctors 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 Honolulu, HI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.