Morton's neuroma is a compressive neuropathy that affects a nerve in the forefoot, most commonly located between the third and fourth toes. It develops when the nerve becomes irritated, compressed, and thickened due to repeated pressure and friction. This condition is not a tumor, but rather a response to ongoing mechanical stress within the intermetatarsal space. Common causes include wearing tight-fitting shoes, high-heeled footwear, and structural foot imbalances. Over time, this constant irritation leads to inflammation of the nerve, resulting in discomfort that can interfere with daily movement and physical activity.

Symptoms of Morton's neuroma often begin gradually and may increase in intensity if left untreated. Individuals frequently report a burning or sharp pain in the ball of the foot, along with tingling or numbness that may extend into the toes. A common description includes the sensation of stepping on a small pebble or feeling a fold in the sock. Pain may worsen during walking, prolonged standing, or while wearing narrow shoes that compress the forefoot. Relief may occur temporarily when shoes are removed or the foot is massaged.

The entrapment theory explains that the nerve becomes compressed between the metatarsal bones and surrounding ligaments, leading to thickening and increased sensitivity. This repeated compression creates a cycle of irritation and inflammation. Risk factors include high impact sports, wearing improper footwear, and biomechanical conditions such as flat feet or high arches. Women are more frequently affected due to footwear that places additional pressure on the forefoot.

Early recognition and proper management can reduce symptoms and prevent further progression. Wearing supportive shoes, modifying activities, and maintaining proper foot care can help relieve pressure on the affected nerve. Addressing the underlying cause is essential for long term improvement. If you have symptoms of Morton's neuroma, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Akena Wannamaker, DPM of ASW Foot and Ankle. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment 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.

Ankle instability develops when the ankle repeatedly feels weak or gives way, especially after a previous sprain. A damaged ligament, which is the strong band of tissue that connects bones, does not always heal with enough strength to keep the ankle stable. As a result, the ankle can feel unreliable while walking, climbing stairs, or changing direction. Risk factors include previous ankle sprains, weak ankle support, and playing sports that involve quick turns. Ankle instability also affects people whose jobs require standing or walking for long periods. Ignoring these symptoms can increase the chance of another injury and can place extra stress on nearby joints. 

A podiatrist evaluates the ankle to determine why it feels unstable and whether damaged ligaments or other structures are contributing to the problem. They check ankle movement, strength, and balance. Imaging tests, like X-rays or an MRI scan, can help reveal ligament damage or other injuries. Treatment focuses on improving ankle stability and reducing the risk of repeated sprains. A podiatrist can recommend ankle-support devices that match your condition. Custom orthotics can improve foot alignment and reduce strain on the ankle. Bracing also helps protect the joint during daily activities. When ligament damage is severe or repeated ankle sprains continue despite treatment, surgery can restore stability by repairing or rebuilding the damaged ligaments.

Prompt treatment gives the ankle the best chance to become more stable and comfortable. Delaying care can lead to repeated injuries, reduced confidence while walking, and damage to the cartilage that cushions the joint. A podiatrist continues to monitor healing and adjusts treatment based on your progress. Regular follow-up visits help confirm that the ankle is becoming stronger and more stable. Early diagnosis also helps patients return to work, sports, and daily activities with greater confidence. If you have a feeling that your ankle is giving way, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further 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.

Toenail fungus is a common infection that affects the nail and the skin beneath it. It usually develops slowly, allowing the fungus to spread if left untreated. The infection often begins at the edge of the nail before moving deeper into the nail plate. As it progresses, the toenail may become thicker and more brittle or change color. Although any toenail can be affected, the big toenail is involved most often. Toenail fungus is more common in older adults and people with certain medical conditions, but it can develop in anyone. Because other nail disorders may appear similar, a professional evaluation is important to confirm the diagnosis and recommend the most appropriate treatment. Early podiatry care may also help prevent the infection from becoming more difficult to manage.

Symptoms of toenail fungus vary depending on the severity of the infection. Many people notice a nail that becomes yellow, white, or brown. Others experience thickened nails or nails that become rough and difficult to trim. In more advanced cases, the nail may become misshapen or separate from the nail bed, causing discomfort while walking or wearing shoes. The infection may spread to additional toenails if it is not properly treated. Persistent nail changes should not be ignored because they may affect comfort, mobility, and overall foot health. Prompt evaluation can determine whether a fungal infection or another nail condition is responsible for the symptoms.

A podiatrist specializes in diagnosing and treating toenail fungus and other nail conditions. During an examination, the podiatrist evaluates the affected nail and may recommend testing to confirm the cause of the infection. Treatment focuses on eliminating the infection, improving nail health, and reducing the risk of future problems. Ongoing podiatry care also helps monitor nail growth and identify changes that may require additional attention. If you are experiencing thick, discolored, or brittle toenails, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

Foot pain can affect the heel, ball of the foot, or ankle area. It can begin after an injury, but it can also develop from repeated stress on the feet. Pain can come from bones, tendons, or ligaments. A tendon connects muscle to bone, while a ligament connects one bone to another. Foot pain can make standing, working, sports, and daily movement harder. Some people feel sharp pain when walking. Others notice aching, swelling, or stiffness. Wearing shoes that lack proper support can make symptoms worse, especially when the foot is already strained.

Many foot problems are linked to the way the feet and legs move. This is called biomechanics, which means how the body moves and handles pressure. A podiatrist can study your foot shape, walking pattern, and pressure points to find the cause of pain. Conditions like plantar fasciitis, bunions, and ingrown toenails can all cause discomfort. Plantar fasciitis is irritation of the thick band of tissue that supports the arch. Some pain is related to sports, long periods of standing, or shoes that do not fit well. A clear diagnosis matters to make sure each condition is treated properly.

A podiatrist can create a treatment plan based on the cause of your pain and the needs of your feet. Care can include custom orthotics, professional removal of painful thick skin, or treatment for nail problems. Orthotics are special shoe inserts that help control pressure and improve foot position. A podiatrist can also check your shoes, treat infections, and recommend medical care for injury-related pain. People with diabetes should have foot pain evaluated promptly because small problems can become serious. Early care can reduce pain and help protect mobility. If you have  foot pain, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.