Items filtered by date: August 2025

Toenail fungus is a common condition that can cause thickened, discolored, or brittle nails. However, not all changes in toenail appearance are due to fungus. Injuries to the nail bed can cause similar discoloration, as can psoriasis, eczema, or certain skin conditions that affect the nails. Repeated pressure from wearing tight shoes may lead to thickening and changes in shape. Some medications or systemic illnesses, such as thyroid disease, can also alter nail color or texture. Because these conditions can look alike, it is important not to self-diagnose or rely on over-the-counter treatments without confirmation. A podiatrist can examine the nail, possibly perform lab testing, and determine the true cause. Accurate diagnosis ensures that the right treatment is used, whether it is antifungal therapy or another form of care. If you notice nail changes, it is suggested that you see a podiatrist for a diagnosis and appropriate treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Jim Maxka, DPM of South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

Preventing blisters is key to maintaining foot comfort, especially for active individuals. Symptoms include a painful, fluid-filled sac on the skin caused by friction or ill-fitting footwear. To avoid blisters, choose shoes that fit well and break them in gradually. Moisture-wicking socks and blister prevention products like moleskin or blister pads can reduce friction. If a blister does develop, resist the urge to pop it as it can increase the risk of infection. Instead, keep it clean and covered with a bandage. Persistent or severe blisters may require attention from a podiatrist, who can provide expert care and guidance. They can recommend appropriate footwear, assess underlying causes, and offer treatments like draining the blister safely to promote healing and prevent complications. If you foot blisters, is suggested you schedule an appointment with a podiatrist for effective relief and prevention tips. 

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Jim Maxka, DPM of South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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

Gout is caused by a buildup of uric acid in the blood, which forms sharp crystals in the joints and leads to sudden pain, swelling, redness, and warmth. Flare-ups of gout often take place in the big toe. They can make walking difficult and may occur repeatedly, causing damage to joints in the feet and ankles, if left untreated. A podiatrist can diagnose gout by examining the affected area and using imaging or lab tests to rule out other problems, like fractures or other types of arthritis. Gout in the feet can lead to long-term joint damage, tissue changes and deformities. Management of gout includes medication to reduce inflammation and guidance on preventing further flare-ups. A podiatrist can also assess footwear and biomechanics to reduce pressure on affected joints and help preserve foot function.  If you have frequent toe or ankle pain caused by gout, it is suggested that you are under the care of a podiatrist for management of this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

Plantar fasciitis is a common cause of heel pain, occurring when the plantar fascia, a thick band of tissue connecting your heel to your toes, becomes inflamed or irritated. It often results from overuse, wearing poor footwear, obesity, or tight calf muscles. Symptoms include sharp, stabbing pain in the heel or arch, especially noticeable with the first steps in the morning or after long periods of rest. The affected area may feel tender, swollen, or stiff. A podiatrist can diagnose plantar fasciitis by conducting a thorough examination. Treatments include custom orthotics, stretching exercises, and footwear modifications to reduce stress on the foot. In some cases, advanced treatments like corticosteroid injections may be necessary. With proper care, most people find relief and can return to their daily activities comfortably. If you have plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist who can effectively treat this condition.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Jim Maxka, DPM from South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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