
The Danger of Ignoring Toenail Fungus

Toenail fungus, or onychomycosis, can be an unsightly condition to have. It usually appears as a white or yellow spot under the tip of the toenail. This infection often comes from walking barefoot in a public bathroom, locker room, or swimming pool area. It is important to treat this condition immediately to prevent it from worsening, spreading, or causing more serious complications. The fungi that cause this infection are contagious and can spread to other parts of the body, even the blood. Most often, they spread to other nails on the feet or hands. Antifungal medicine is usually used to combat the problem. Ways to prevent toenail fungus include using antifungal powder on the feet each day, not sharing shoes or socks, washing and drying feet regularly, wearing breathable shoes, and not walking barefoot. If you suspect you have toenail fungus, contact a podiatrist as soon as possible for proper diagnosis and treatment.
For more information about treatment, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Toenail Fungus
Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.
The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.
Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.
Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.
Flat Feet and Skateboarding

Skateboarding is better achieved with healthy feet. Since the activity requires the feet to balance on the board and perform tricks, the feet must be in good shape. Many individuals with flat feet wonder how this condition affects skateboarding. Flat feet develop when the entire bottom of the foot, or sole, rests flush against the floor. In other words, people with flat feet have no arch. Interestingly, individuals with flat feet can ensure that this condition does not affect their ability to ride a skateboard when they wear supportive footwear. Additionally, wearing supportive devices such as insoles can make skateboarding easier for individuals with flat feet. If you are someone that has flat feet and enjoys skateboarding, contact a podiatrist today for more information on how you can best engage in that activity. Podiatrists are foot specialists that can identify and treat a range of different foot conditions.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flatfoot
Flatfoot is a foot disorder that is not as straightforward as many people believe. Various types of flatfoot exist, each with their own varying deformities and symptoms. The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot. Other signs of flatfoot include:
- “Toe drift,” or the pointing outward of the toes and the front part of the foot
- The tilting outward of the heel and the tilting inward of the ankle
- The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
- Hammertoes
- Bunions
One of the most common types of flatfoot is flexible flatfoot. This variation usually starts in childhood and progresses as one ages into adulthood. Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing. When not standing, the arch returns. Symptoms of flexible flatfoot include:
- Pain located in the heel, arch, ankle, or along the outside of the foot
- Overpronation, or an ankle that rolls in
- Shin splint, or pain along the shin bone
- General foot aches or fatigue
- Pain located in the lower back, hip, or knee
Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit. X-rays may be taken to define the severity and help determine the treatment option best for your condition. Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices. If nonsurgical methods prove ineffective, surgery may be considered. Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.
Causes of Arch Pain in the Foot

The longitudinal arch of the foot, which extends from the heel to the base of the toes, plays a vital role in keeping you on your feet. This arch acts like a shock absorber and helps you maintain balance with every step you take. It also helps you adapt to changes in terrain, such as walking on a hilly or uneven surface. Most importantly, the arch bears the weight of your body when you stand or move. The arch is part of a complex network of muscles, ligaments, tendons, and bones that allow the feet to work efficiently. If any part of the network is injured, it often results in arch pain. Symptoms are tightness, pulling, or a burning sensation. The most common causes of arch pain are plantar fasciitis, flat feet, overpronation, and shoes that do not fit properly. Other causes are high arches, injury, and overuse. If symptoms of arch pain persist or worsen, it is a good idea to consult a podiatrist who can determine the cause and offer the appropriate treatment options.
If you have any concerns about your feet, contact Neeta Hasmukh, DPM from Total Podiatry. 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 offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Biomechanics in Podiatry
Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.
Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.
At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.
Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates. They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.
Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.
Effective Management Care for Diabetic Patients

Most people who have diabetes are aware of the importance of taking proper care of their feet. This often begins with checking the bottom of the feet for existing cuts and scrapes and can be done by using a mirror. A caregiver or family member may be able to help with this task if the patient is unable to perform this. Many diabetic patients develop neuropathy, which is the inability to feel sensations on the feet. This can happen from nerve damage, which may occur from having elevated blood glucose levels. An additional complication of diabetes is poor circulation, which may increase the risk of developing a foot ulcer. Effective management advice for diabetic patients consists of refraining from walking barefoot, trimming the toenails correctly, and implementing a gentle exercise and stretching regime. If you have diabetes, it is strongly urged that you are under the care of a podiatrist who can monitor and help you to manage this condition.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Diabetic Foot Care
Diabetes affects millions of people every year. Blood vessels located all over the body are damaged due to diabetes—even the blood vessels of the feet. Neuropathy, or nerve damage, can result from slower blood flow in the legs and feet. In diabetic patients, neuropathy is very important to monitor, as diabetics are at risk for developing ulcers.
Always washing and thoroughly drying the feet are pertinent parts of diabetic foot care. There should be a focus on cleaning between the toes. Even if no pain is felt, the entire foot should be examined for redness and sores. Neuropathy can often mask the pain of sores and ulcers and can cause these conditions to be overlooked. Use a mirror to examine the underside of your feet if needed. It is recommended that diabetics wear well-fitting socks.
Patients with diabetes should have their doctor monitor their blood levels because blood sugar levels play a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised. It is very important to keep your blood sugar levels in the normal range, which can be determined by your physician. There are medications that may be prescribed to help with any neuropathy experienced by the diabetic patient. It is also advisable to visit a podiatrist if one is experiencing any conditions involving the feet, such as ingrown toenails, which in more severe cases can cause infection.
Diabetic feet must be inspected daily. Diabetic foot care at home is possible if a patient is provided with instructions from their podiatrist. Patients can relieve dry heels with creams or ointments. Suspected wounds should warrant an immediate call to the podiatrist. Gangrene is a serious problem for diabetics and can lead to sepsis and amputation in its worst cases. Early treatment and daily inspection of diabetic feet are keys to staying healthy.
Congenital Foot Problems Can Be Corrected

Parents often count the number of their newborn’s toes and fingers, and in most cases, the number is normal. However, some babies are born with congenital foot problems, including clubfoot and a condition known as metatarsus adductus. The latter condition makes the foot look crooked as a result of a curve in the center. It can often be straightened out by a podiatrist if the foot is flexible and may improve naturally when the child is approximately 1 year old. Clubfoot is characterized by a stiff foot that turns inward at the time of birth. It can be diagnosed by an ultrasound while in the womb, and correction can be started soon after the baby is born. If your child is born with any type of abnormal foot condition, it is strongly suggested that you confer with a podiatrist who can help you with your baby’s progress.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.
What are Causes of Congenital Foot Problem?
A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.
What are Symptoms of Congenital Foot Problems?
Symptoms vary by the congenital condition. Symptoms may consist of the following:
- Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
- Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
- Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
- Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
- Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
- Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.
Treatment and Prevention
While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.
If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.