Causes and Treatment of Toenail Problems

Toenail problems can develop from infection, injury, or poor foot care, and they often result in pain, discoloration, or changes in nail shape. Common toenail issues include fungal infections, which cause nails to thicken, yellow, or crumble. They usually require prescription antifungal medication, or, in some cases, nail removal. Ingrown toenails occur when the edge of the nail grows into the surrounding skin, often due to trimming the nail too short or wearing tight shoes. These may be treated by gently lifting the nail or removing a portion of it. Trauma from stubbing the toe or repetitive pressure, such as from running, can cause dark discoloration, bleeding under the nail, or detachment. Split or torn toenails may need to be trimmed to prevent further damage. Discoloration from nail polish or dyes usually resolves as the nail grows out.  If you have painful toenail problems, it is suggested that you schedule an appointment with a chiropodist for expert advice.

Toe pain is common and can have a variety of causes. Causes can range from a broken toe to an ingrown toenail. Many types of toe pain can be corrected, but any toe pain that inhibits your activities for an extended period should be discussed with a chiropodist. If you suffer from toe pain, please consult with one of the chiropodists from The Footcare Centre. Our chiropodists can help you maintain the health of your feet.

Common Causes of Toe Pain 

  • Trauma or fracture
  • Cuts, sores, or bruises
  • Rheumatoid arthritis
  • Gout
  • Turf Toe
  • Morton’s neuroma
  • Blisters
  • Corns
  • Bunions
  • Hammertoes
  • Ingrown toenails
  • Plantar warts
  • Athlete’s Foot

Symptoms of Toe Pain

  • Toe deformity
  • Burning
  • Numbness
  • Toenail deformity
  • Wart or ulcer
  • Swelling
  • Redness

When to See a Chiropodist

  • Bleeding or severe swelling
  • Trauma, such as a broken bone
  • Discoloration or extreme swelling
  • Inability to bear weight
  • Persistent pain
  • Wounds that won’t heal

Diagnosis of Toe Pain

A chiropodist can conduct a thorough examination of the painful toe or toes in order to determine the best course of treatment. The exam may include assessing the tenderness of the area, taking an X-ray or other diagnostic test, or assessing your gait and range of motion. A discussion of what led to the advanced pain issue may follow. Included will likely be a health history, as well as a list of medications you are taking and other previous injuries you may have sustained.

Treatment for Toe Pain

With such a wide range of possible causes for toe pain, treatment can be varied in scope and length. Sometimes, the chiropodist will recommend lifestyle and activity changes. In cases of trauma or other injuries, X-rays or imaging tests will likely be used to determine the severity of the problem, particularly if any bones have been broken. Treatment may also include injections of pain-relief medication or anti-inflammatory drugs. Certain injuries will require the splinting, bracing, or wrapping of injured toes. Orthotics or special shoes may be prescribed in cases of bone deformities and gait issues. Removal of warts, calluses, and corns may be needed. In other cases, such as with patients who have diabetes or rheumatoid arthritis, ongoing treatment may be required to avoid more serious problems. 

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