White superficial onychomycosis is a fungal infection that affects the surface of the nail, causing white, powdery patches that may spread over time. Symptoms include brittle, rough, and discolored nails that become weak and prone to breaking. Other types of fungal nail infections include distal subungual onychomycosis, which starts at the tip of the nail and spreads underneath, often leading to thickening and yellowing. Proximal subungual onychomycosis begins near the cuticle and moves outward, commonly seen in individuals with weakened immune systems. Chronic mucocutaneous candidiasis is a persistent fungal infection caused by Candida, affecting both nails and surrounding skin, leading to thickened, discolored nails. If you have symptoms of toenail fungus, it is suggested that you contact a podiatrist who can offer appropriate treatment solutions.

For more information about treatment, contact Daniel Mendoza, DPM of Nashville 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 office located in Hendersonville, TN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toenail Fungus
Tuesday, 01 April 2025 00:00

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.

Tuesday, 25 March 2025 00:00

Various Causes of Midfoot Pain

Midfoot pain can result from certain conditions affecting the bones, tendons, and soft tissues. Plantar fasciitis, a common cause, occurs when the thick band of tissue supporting the arch becomes inflamed, leading to pain and stiffness. Metatarsalgia develops from excessive pressure on the ball of the foot, causing discomfort and tenderness. Stress fractures, often caused by repetitive impact or overuse, can lead to sharp pain and swelling in the midfoot. Additionally, tendonitis, an inflammation of the tendons, may result from strain or improper foot mechanics, leading to aching and weakness. If you have any type of foot pain, it is suggested that you promptly contact a podiatrist who can determine what the cause is, and offer appropriate treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Daniel Mendoza, DPM from Nashville Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Read more about Foot Pain
Tuesday, 25 March 2025 00:00

Foot Pain

The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.   

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.

Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.

If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.

Tuesday, 18 March 2025 00:00

Causes and Symptoms of Ankle Sprains

An ankle sprain can happen to anyone when the foot twists, rolls, or turns awkwardly, causing the ligaments to stretch beyond their limits. Ankle sprains often occur during sudden movements, such as stepping on an uneven surface, missing a step, or landing improperly from a jump. The ligaments on the outer side of the ankle are most commonly affected. Symptoms include pain, swelling, bruising, tenderness, and difficulty bearing weight on the injured foot. Some people hear a popping sound at the moment of injury, and severe sprains may result in joint instability. Those who participate in sports or have had previous ankle sprains are more likely to experience this injury, but even everyday activities can lead to a sprain. Without proper care, repeated sprains can weaken the ligaments, increasing the risk of your ankle giving way during daily activities. A podiatrist can evaluate the severity of the sprain, ensure there are no fractures, and recommend treatment to promote healing and prevent complications. If you believe you have sprained an ankle, it is suggested that you make an immediate appointment with a podiatrist for an exam, diagnosis, and treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Daniel Mendoza, DPM from Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

Read more about Three Grades of Ankle Sprains
Tuesday, 18 March 2025 00:00

Three Grades of Ankle Sprains

An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.

Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.

Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all. 

To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary. 

It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.

Tuesday, 11 March 2025 00:00

Broken Versus Jammed Toe

A broken toe occurs when one or more of the toe bones fracture due to trauma or excessive pressure. It can result from dropping a heavy object on the foot, stubbing the toe with force, or experiencing a direct impact during physical activity. A jammed toe, on the other hand, happens when the toe is forcefully bent or compressed, causing soft tissue injury rather than a fracture. Symptoms of a broken toe include severe pain, swelling, bruising, difficulty walking, and possible deformity. A jammed toe usually causes pain, stiffness, mild swelling, and temporary discomfort but does not result in a visible deformity. While both conditions can be painful, a broken toe may require medical evaluation and immobilization. If you have toe pain that may indicate a broken toe, it is suggested that you consult a podiatrist who can offer you appropriate treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact Daniel Mendoza, DPM of Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Hendersonville, TN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 11 March 2025 00:00

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 04 March 2025 00:00

When Treatment Is Necessary for Flat Feet

Flat feet, or fallen arches, occur when the arches of the feet flatten causing the entire sole to make contact with the ground. While some people experience no symptoms, others may suffer from foot pain, swelling, or discomfort, especially after standing or walking for long periods. Flat feet can be congenital, develop over time due to aging, injury, or arthritis, or may result from weakened tendons. Treatment becomes necessary if flat feet cause persistent pain, affect mobility, or lead to other complications like knee or back issues. Non-surgical options include wearing supportive footwear, custom orthotics, and targeted stretching exercises. In severe cases, surgical intervention may be required to correct structural damage. If flat feet are interfering with your daily life, it is suggested that you visit a podiatrist for a proper assessment and personalized treatment plan.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Daniel Mendoza, DPM from Nashville 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 office located in Hendersonville, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flatfoot
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