Tuesday, 13 January 2026 00:00

Toenail fungus is a common infection that affects the nails of the feet and causes changes in appearance and texture. It develops when fungi enter the nail through small cracks or separation from the nail bed. Common symptoms include thickened nails, discoloration ranging from yellow to brown, brittleness, crumbling edges, and an unpleasant odor. The nail may become distorted and difficult to trim, leading to discomfort while walking or wearing shoes. Causes of toenail fungus include moist environments, sweaty feet, shared public spaces, and weakened immunity. A podiatrist can accurately diagnose the infection and recommend effective treatment options, including topical care, oral medication, or in-office procedures. They can also provide guidance on proper foot hygiene to prevent recurrence. If you notice changes in your toenails or have nail discomfort, it is suggested that you schedule an appointment with a podiatrist who can effectively treat this condition, which may include prescribed medication.

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.

Read more about Treating Toenail Fungus
Saturday, 10 January 2026 00:00

Diabetic patients often have decreased sensitivity in their feet, which makes a visual inspection of the feet even more important. If you're diabetic, having periodic screenings is extremely important for maintaining the overall health of your feet. 

Tuesday, 06 January 2026 00:00

Swollen feet and ankles during pregnancy can develop when the body holds extra fluid as the growing uterus places pressure on blood vessels that support circulation in the lower legs. This shift can lead to puffiness around the toes, arches, and ankles, especially later in the day or after standing for long periods of time. Some women also notice their feet feel tight in shoes that lack adequate support, like flip-flops, which can add to discomfort. While gradual swelling is often linked to normal physical changes, a sudden increase in swelling in the feet or ankles can signal a problem that requires prompt evaluation. A podiatrist can assess foot structure, check circulation, and recommend safe options, including supportive footwear or orthotics. If you have excessive swelling in your feet and ankles, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

Read more about Pregnancy and Foot Health
Tuesday, 30 December 2025 00:00

One of seven tarsal bones in the foot is referred to as the cuboid bone. It is found on the outside of the foot, has six sides, and resembles a cube. It enables the foot to maintain stability, and can be partially responsible for distributing body weight. The cuboid bone resembles a pulley, and functions with other bones in the foot. The condition that is known as cuboid syndrome commonly affects athletes and ballet dancers. These groups of people may be prone to ankle sprains, and as a result, the cuboid bone may become injured. Mild relief may be felt when the affected foot is elevated, and it may be beneficial to wrap an elastic bandage around the foot which can help to stabilize the ankle. If you have cuboid syndrome, please consult with a podiatrist who can effectively treat this ailment as quickly as possible.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.

Read more about Cuboid Syndrome
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