Black toenails are common in runners, usually resulting from repeated trauma to a toenail inside the shoe. While running, the toes strike the front or roof of the toe box, especially on downhill routes or long distances. This can cause bleeding beneath the nail, called a subungual hematoma. The dried blood produces a dark red or black appearance and may loosen the nail over time. Improper shoe length or width, excessive movement within the shoe, and swelling from heat or high-mileage add to pressure on the nail plate. Certain toes, particularly the big and second toes, absorb the greatest impact. Less common causes include chronic ingrown nails, fungal infection, toe deformities, or rarely tumors that also create discoloration. A podiatrist can evaluate the nail bed, relieve pressure, and guide a safe return to running while preventing nail deformity. If you notice unusual coloration in the toenails, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and ongoing treatment.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Akena Wannamaker, DPM of ASW Foot and Ankle. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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.

Standing all day at work can place significant stress on the feet and lead to soreness, fatigue, and increased foot perspiration. Prolonged standing in one position may reduce circulation and strain muscles and joints. Wearing proper shoes is essential for providing support, cushioning, and breathability to reduce discomfort and moisture buildup. Prevention also includes changing static positioning, shifting weight between feet frequently, and allowing muscles to stay active. These habits can help minimize pressure and improve overall foot comfort throughout the workday. When pain or persistent issues develop, a podiatrist can evaluate foot health, recommend supportive footwear, and create personalized treatment plans. If you experience foot pain during your work day, it is suggested that you consult a podiatrist who can guide you toward effective relief and treatment strategies.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

Knowing when to see a podiatrist can help prevent minor foot concerns from progressing into more serious problems. Ongoing pain in the foot, toe, or ankle is a common reason to seek care, especially if it affects walking, standing, or daily activities. Changes in foot shape, recurring calluses or corns, nail disorders, heel discomfort, or swelling that does not improve should also be evaluated. Sports injuries, workplace strain, and age-related changes can place stress on bones, joints, tendons, and ligaments, leading to instability or limited movement. A podiatrist is medically trained to assess foot structure, identify underlying causes, and create an appropriate treatment plan. Options include footwear guidance, orthotics, targeted therapy, or other procedures depending on the problem. If you have foot, toe, or ankle problems, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

• Physical therapy
• Drugs
• Orthotic inserts or soles
• Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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.

Diabetic feet can reveal a great deal about overall health, especially when they feel unusually cool, look enlarged, or develop rough, flaky skin. Changes in temperature may point to circulation concerns, while altered sensation can be related to nerve function. A puffy appearance around the feet or ankles often reflects fluid buildup, which may occur after long periods of standing or sitting, or in connection with vascular, heart, or medication-related issues. Skin that feels tight or irritated may signal reduced moisture, impaired blood flow, or environmental exposure. These signs often appear together because circulation, nerves, skin, and soft tissues are closely connected. If these changes are persistent, uncomfortable, or worsening, it is suggested that you see a podiatrist who can help identify the cause and guide appropriate treatment.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.