Stiffness in the big toe, often linked to a condition called hallux limitus, can greatly interfere with normal foot function. The big toe joint plays an important role in walking, balance, and push-off during each step. When motion at the joint is reduced, it can cause pain on the top of the toe and limit the ability to bend it properly. Over time, this stiffness may lead to bone spurs forming around the joint, further restricting movement and contributing to swelling or discomfort in shoes. In more advanced cases, the joint may become rigid, a condition known as hallux rigidus, which can cause ongoing pain and difficulty with everyday activities. A podiatrist can evaluate stiffness in the big toe and recommend treatment options to restore mobility, relieve pain, and protect long-term joint health. If you notice stiffness in your big toe, it is suggested that you schedule an appointment with a podiatrist for an evaluation and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Akena Wannamaker, DPM of ASW Foot and Ankle. Our doctor 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 Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Bony projections that form beneath the heel can sometimes be an incidental finding, but in other cases they contribute to ongoing discomfort. When symptoms arise, the focus is often on calming the irritation in nearby tissues rather than the growth itself. Soft, shock-absorbing shoes or inserts may reduce impact, while gentle stretching routines help ease tension in the arch and calf.  More advanced measures, such as specialized therapy or procedures, may be considered if pain continues, despite these adjustments. Surgical removal of a heel spur is generally a final step, reserved for cases that resist other care options. The most effective plan takes into account the cause of pain, activity demands, and overall foot condition. If discomfort near the heel becomes persistent, it is suggested that you see a podiatrist for an assessment and appropriate treatment.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

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

Toenail fungus, also known as onychomycosis, can appear in several forms, each requiring careful treatment. The most common is distal subungual onychomycosis, which starts at the tip of the nail and spreads underneath, often treated with oral antifungal medications. White superficial onychomycosis affects the top layer of the nail, creating chalky white spots that can sometimes be managed with topical antifungal creams. Proximal subungual onychomycosis begins at the base of the nail and moves outward, and is more common in people with a weakened immune system. Treatment usually includes prescription antifungal therapy. Candida onychomycosis is caused by yeast rather than dermatophytes and can make nails thick, discolored, and painful, often requiring both oral and topical antifungals. Since toenail fungus can worsen if untreated, it is suggested that you visit a podiatrist to ensure an accurate diagnosis and obtain the most effective treatment for restoring healthy nails.

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 Akena Wannamaker, DPM of ASW Foot and Ankle. 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 Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel fat pad syndrome occurs when the thick, protective layer of fatty tissue beneath the heel becomes thinned, displaced, or inflamed. This heel fat pad, known as the corpus adiposum, normally cushions the heel bone and helps absorb the force of impact during walking or running. When the fat pad loses its elasticity or volume, it can no longer protect the heel effectively. This results in a deep, bruise-like pain in the center of the heel, especially when walking barefoot or on hard surfaces. Common causes include repetitive impact from sports, prolonged standing, walking on hard floors, gait abnormalities, and age-related tissue breakdown. Excess body weight and medical conditions, such as rheumatoid arthritis or diabetes, may also contribute. The heel pain typically worsens with activity and improves with rest. A podiatrist can evaluate heel structure, identify fat pad atrophy through a physical exam or imaging, and recommend methods to reduce discomfort and protect the heel. If your heels hurt during everyday activities, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Many people suffer from bouts of heel pain. For more information, contact Akena Wannamaker, DPM of ASW Foot and Ankle. 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 feel free to contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.