Items filtered by date: April 2025
When the Edge of a Toenail Becomes the Enemy

Sometimes it is the smallest edge of a toenail that causes the most discomfort. An ingrown toenail occurs when the nail’s side grows into the surrounding skin, often from wearing tight shoes, improper trimming, or genetic shape. But beyond pain, swelling, and redness, this condition can lead to deeper problems. When bacteria enter the broken skin, infection may follow, especially in people with diabetes or weakened immunity. Over time, what began as a minor nuisance can become a recurring issue, interfering with daily life and walking. Home remedies may offer short-term relief, but professional care addresses the underlying cause and helps prevent it from returning. If the area is swollen, draining, or painful to the touch, it is time to stop waiting. If you have an ingrown toenail that is worsening or not healing, it is suggested that you see a podiatrist for a diagnosis and appropriate treatment.
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 Philip C. Caswell, DPM of Family Foot & Ankle Care. 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 Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Facts About Bunionettes

A bunionette, also known as a tailor’s bunion, is a bony bump that forms on the outside of the foot, near the little toe. It can cause pain, swelling, and difficulty wearing certain shoes, often leading to irritation or redness. Symptoms include a noticeable bump, discomfort when walking, and soreness when pressure is applied. Bunionettes result from wearing tight or ill-fitting shoes, genetic factors, or abnormal foot mechanics. Over time, these factors can lead to the misalignment of the fifth metatarsal bone. Treatment options range from conservative measures, like wearing wider shoes and using padding, to more advanced interventions, including surgery. A podiatrist can diagnose the condition and recommend the best treatment plan, whether it includes non-invasive methods or surgical correction. If you are experiencing pain or discomfort from a bunionette, it is suggested that you schedule an appointment with a podiatrist to explore your treatment options and find relief.
If you are suffering from bunions, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. 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 Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Understanding In-Toeing and Out-Toeing in Children

Intoeing and out-toeing are common walking patterns seen in children, where the feet point inward or outward instead of straight ahead. These patterns are usually part of normal development and often improve with time. In-toeing may result from femoral anteversion, a condition where the thigh bone has increased inward rotation. It can also be caused by internal tibial torsion, where the shin bone twists inward, or by a curved foot known as metatarsus adductus. Out-toeing occurs when the feet angle away from the body and may be linked to external rotation of the hips or legs. In most cases, these conditions do not cause pain and do not interfere with normal activity. If your child has symptoms of either ailment, it is suggested that you visit a podiatrist who can monitor these conditions.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why Live with Pain and Numbness in Your Feet?
The Many Sources of Heel Pain

Heel pain is a common issue that can be caused by numerous conditions like plantar fasciitis, Achilles tendonitis, or bursitis. Arthritis and gout can also play a role. Plantar fasciitis causes sharp pain in the bottom of the heel, especially with the first steps in the morning. Achilles tendonitis results in pain and swelling in the back of the heel due to overuse or strain on the Achilles tendon. Bursitis involves inflammation of the fluid-filled sacs around the heel, causing pain and swelling. Arthritis and gout can lead to joint pain, swelling, and redness, often in the heel area. The causes of heel pain vary but often involve repetitive stress, poor footwear, obesity, or underlying health conditions like arthritis or gout. The pain can range from mild to severe and can significantly impact mobility. A podiatrist can diagnose the underlying cause of heel pain and recommend treatment, such as targeted exercises, orthotics, medication, or, in severe cases, surgery. If you are dealing with heel pain, it is suggested that you make an appointment with a podiatrist.
Many people suffer from bouts of heel pain. For more information, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What Are Athlete's Foot Bumps?

Athlete’s foot bumps are small, itchy, and sometimes painful raised areas on the skin caused by a fungal infection known as tinea pedis. This condition thrives in warm and moist environments, making feet a common target. People who frequently wear tight or non-breathable shoes are at higher risk, as sweat and heat create the perfect setting for fungal growth. Walking barefoot in public places, such as locker rooms, areas around swimming pools, and communal showers, increases exposure to the fungus. Individuals with weakened immune systems or underlying conditions like diabetes may be more susceptible. Sharing footwear or towels with an infected person can also spread the infection. If you notice bumps on your feet that are itchy, it is suggested that you visit a podiatrist who can accurately diagnose and treat athlete’s foot.
Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will treat your foot and ankle needs.
Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.
Solutions to Combat Athlete’s Foot
- Hydrate your feet by using lotion
- Exfoliate
- Buff off nails
- Use of anti-fungal products
- Examine your feet and visit your doctor if any suspicious blisters or cuts develop
Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.
If you have any questions please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.