Dr. Kenneth Rosenthal
Dr. Jonathan C. O’Quinn
Dr. Michael J. Price

(252) 830-1000

Greenville, North Carolina
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Ingrown Toenails in Infants

Ingrown toenails can occur even in babies, often causing more discomfort than parents might expect. This happens when the edge of a toenail presses into the surrounding skin, usually on the big toe. In infants, wearing tight socks, rapid nail growth, or improper trimming can contribute to the problem. You may notice redness, swelling, or tenderness around the nail. Babies may cry or pull at their feet if the toe is painful. Unlike in adults, the skin around a baby’s toenail is soft, so early treatment is usually simple and gentle. Soaking the foot in warm water and keeping the area clean can help. Avoid trimming the nail too short or rounding the edges. If there is persistent redness, swelling, or signs of infection, it is suggested that you see a podiatrist to ensure your baby’s toe heals properly and comfortably.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Read more about Ingrown Toenail Care

Plantar Fibromas Cause Foot Lumps

Plantar fibromas are non-cancerous, fibrous tissue growths that develop in the arch of the foot within the plantar fascia. The exact cause is unknown, but they may be linked to genetics, trauma, or repetitive stress on the foot. Unlike warts or calluses, plantar fibromas are firm, deep, and often slowly increase in size. Symptoms include a noticeable lump in the arch of the foot that may feel firm to the touch. While some people experience no pain, others feel discomfort or achiness, especially when walking, standing, or wearing shoes that press against the growth. A podiatrist can diagnose a plantar fibroma through physical examination and imaging like ultrasound or MRI scans. Treatment options include custom orthotics to offload pressure, anti-inflammatory medication, steroid injections to reduce size and discomfort, or targeted exercises. In persistent or painful cases, surgical removal may be necessary. If you have a bothersome plantar fibromas, it is suggested that you schedule an appointment with a podiatrist for relief and treatment tips.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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

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Hallux Rigidus and Big Toe Pain

Hallux rigidus is a form of degenerative arthritis that affects the joint at the base of the big toe, leading to pain and stiffness. This condition often develops gradually and can make activities like walking, running, or even standing for long periods uncomfortable. Over time, the joint may become increasingly stiff, and movement may be limited, making it difficult to bend the toe. Swelling and inflammation surrounding the joint are also common. Hallux rigidus can result from repeated stress, structural abnormalities, or previous injuries. Wearing supportive shoes with a stiff sole and avoiding high-impact activities may help relieve symptoms. Early recognition and management of hallux rigidus are important in preventing further joint damage and maintaining quality of life. If you have pain in your big toe, it is suggested that you promptly schedule an appointment with a podiatrist who can offer effective relief and treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors 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 contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Toe Pain

Causes and Risk Factors of a Foot Stress Fracture

A foot stress fracture is a small crack in a bone caused by repetitive force or overuse rather than a single traumatic event. These injuries commonly occur in athletes or individuals who engage in activities with repetitive impact, such as running or dancing. Symptoms often include localized pain that worsens with activity, swelling, tenderness, and sometimes mild bruising. Risk factors include suddenly increasing physical activity, wearing improper footwear, low bone density, and certain medical conditions such as osteoporosis. Stress fractures frequently affect the metatarsal bones in the foot, especially during repetitive motion. If left untreated, these fractures can worsen and lead to more severe injury. If you think you have a foot stress fracture, it is suggested that you promptly contact a podiatrist who can provide an accurate diagnosis and treatment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. 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 Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Dealing with Stress Fractures of the Foot and Ankle

When Heels Will Not Heal

Heel ulcers can start small but often grow into serious wounds that are slow to recover. These open sores usually appear on the back of the heel and may begin with redness, dryness or thickened skin. People with diabetes or poor circulation are especially at risk, as the skin on their feet can break down more easily. Pressure from walking or shoes that do not fit well can make the problem worse. Over time, the skin may crack, drain or develop a scab that never quite closes. Treatment involves relieving pressure, cleaning the area carefully and often using special dressings or prescribed medications. In more advanced cases, a podiatrist may need to remove dead tissue to encourage healing. If you notice a sore on your heel that does not improve, it is suggested you see a podiatrist for diagnosis and appropriate treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Wound Care
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