
Toe Problems Can Indicate Other Maladies

Many people overlook their toes until they experience discomfort, but your toes and toenails can offer significant insights into your overall health. They may reveal signs of infections, side effects from medications, physical trauma, and autoimmune disorders. Toe pain can also point to chemical exposure, diabetes, kidney or liver diseases, and even skin cancer. Health issues often become apparent first in the extremities. Changes such as tingling, burning, and numbness should not be ignored. Discoloration or alterations in nail shape also can be early indicators of conditions like anemia or melanoma. For example, spoon-shaped nails can point to anemia, while dark vertical bands on the toenail might indicate melanoma. Cold or blue toes can be a sign of heart disease, and painful, inflamed toe joints could suggest arthritis. Regular visits to a podiatrist can help to detect these signs early, allowing for prompt treatment and preventing more severe health issues. If you are experiencing toe pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact James P. Huish, DPM of Arizona. 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 feel free to contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
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.
Understanding Diabetic Limb Salvage

Diabetic limb salvage refers to medical efforts aimed at preventing amputation of limbs affected by complications of diabetes, such as neuropathy and peripheral artery disease. These conditions diminish sensation and blood flow to the extremities, increasing the risk of foot ulcers and infections that can lead to tissue damage and, in severe cases, amputation. Causes of diabetic limb salvage efforts include poor circulation, nerve damage, and impaired wound healing due to prolonged high blood sugar levels. Management involves regular foot exams, meticulous foot care, and maintaining optimal blood glucose levels. Treatment may include debridement of infected tissue, antibiotics, and advanced wound care techniques to promote healing. If you have diabetes, and serious foot conditions have occurred as a result, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition, which may include diabetic foot salvage.
Diabetic Limb Salvage
Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with James P. Huish, DPM from Arizona. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Diabetic Limb Salvage?
Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Diabetic Limb Salvage
Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.
The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If bone is removed it is then replaced with prostheses, or synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.
Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.
Overpronation and Flat Feet in Children

Pronation, the natural inward roll of the foot during walking or running, varies in children and plays a critical role in their foot development. Normal pronation involves a slight inward movement that helps absorb shock. Underpronation, or supination, occurs when the foot rolls outward excessively, potentially leading to insufficient shock absorption. Conversely, overpronation involves an exaggerated inward roll, which may stress the foot and ankle structures. Arch development is closely linked, as children typically have flat feet at birth, with arches developing as they grow and bear weight. However, some children may retain flat feet or develop high arches, impacting their pronation patterns. Monitoring pronation types and arch development in children is essential for identifying potential issues early on, and promoting proper footwear choices and exercises to support healthy foot development and prevent future complications. If your child’s feet have not developed arches, it is suggested that you consult a podiatrist who can help you monitor this condition.
Flatfoot is a condition many people suffer from. If you have flat feet, contact James P. Huish, DPM from Arizona. Our doctors 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 Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flat Feet
Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.
Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.
It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.
There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.
Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes.
What Are the Signs of Toenail Fungus?

Toenail fungus, also known as onychomycosis, is a common condition caused by various fungi that thrive in warm, moist environments. Frequent exposure to such environments, like public swimming pools or showers, can increase the risk of infection. Additionally, wearing tight or non-breathable shoes and having minor skin or nail injuries can also make toenails more susceptible to fungal infections. Symptoms of toenail fungus can include thickened, discolored, or brittle nails that may become distorted in shape. The affected nails may also separate from the nail bed, and a foul odor can develop. In some cases, the surrounding skin may appear red and inflamed. Early detection and treatment are critical to prevent the infection from spreading and causing further complications. Maintaining good foot hygiene and wearing breathable footwear can help reduce the risk of toenail fungus. If you have developed this condition, it is suggested that you contact a podiatrist who can successfully treat it, which most likely will include prescribed medication.
For more information about treatment, contact James P. Huish, DPM of Arizona. Our doctors 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 Safford and Sierra Vista, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
How to Treat Your Toenail Fungus
While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.
There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.
Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.
While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.
Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.
Cause of Pain on Top of the Foot

Experiencing pain on the top of the foot is a common issue among runners and active individuals. One cause of this discomfort is extensor tendonitis, an inflammation of the extensor tendons responsible for lifting and straightening the toes. These tendons are vulnerable to injury because they lack protection from bones, muscles, or fatty tissue. Factors that place undue stress on the tendons include tight calf muscles, overtraining without adequate rest, and wearing improperly fitting shoes. Symptoms of extensor tendonitis include pain on the top of the foot during movement, swelling, and sometimes a visible bump along the tendon. Adjusting the way you lace your shoes can help to alleviate pressure on the top of the foot. If pain persists, it may indicate conditions, such as metatarsal stress fractures, atypical gout, or degenerative arthritis. Proper diagnosis from a podiatrist can address the root cause of the pain. If you are experiencing pain on top of the foot, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with James P. Huish, DPM from Arizona. Our doctors 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 Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.