Toenail fungus, medically called onychomycosis, is a common infection affecting the nail. It develops when fungi enter through small cracks in the nail or nearby skin. An infected toenail may become thick, discolored, or difficult to trim. You may notice yellow, white, or brown changes in the nail. The nail can also develop an unusual shape or odor. Although toenail fungus is usually not dangerous, it can spread to other nails and skin without timely treatment.

Several factors can increase the risk of developing toenail fungus. Warm, damp environments allow fungi to grow easily. Sweaty feet, shared locker rooms, and tight shoes can increase exposure. Previous nail injuries may also make infection more likely. Older adults have a higher risk because nails can become thicker and grow more slowly. People with reduced circulation or certain health conditions may also face greater risk. Walking barefoot in public wet areas can increase exposure.

A podiatrist can determine whether nail changes are caused by fungus or another condition. The evaluation includes examining the nail. A small nail sample may be tested to confirm onychomycosis before treatment begins. Depending on the infection, treatment may include prescription antifungal medication, or removal of nail material. The podiatrist may also recommend keeping feet dry, changing socks, and disinfecting footwear. Follow-up visits can help monitor nail growth and confirm improvement.

Toenail fungus can take time to resolve because healthy nails must grow out. Completing the recommended treatment is important, even when the nail begins looking better. Avoid picking at damaged nails, and do not share nail clippers or footwear with others. Early care may help prevent infection from spreading. If you have toenail fungus, it is suggested that you consult a podiatrist for effective treatment solutions.

For more information about treatment, contact Gregory Kranzusch, DPM of Foot and Ankle Center of St. Charles County. Our doctors 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 St. Charles, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Morton’s neuroma is a painful thickening of tissue surrounding a nerve in the ball of the foot. It is benign, meaning it is not cancerous. The condition usually develops between the third and fourth toes, although it can also form between the second and third toes. Pressure on the nerve can cause burning pain, tingling, or numbness. Some patients describe feeling as though a pebble is trapped beneath the foot or a sock is bunched under the toes. Symptoms can spread into nearby toes and become worse with standing or activity.

The exact reason Morton’s neuroma begins is not always clear. Wearing high-heeled shoes that have a narrow toe box can squeeze the front of the foot and increase pressure on the nerve. Running and other high-impact activities can also irritate this area. Certain foot shapes or movement problems may place added stress on the ball of the foot. A podiatrist examines the painful area and gently presses the sides of the foot to check whether this brings on the symptoms. X-rays can rule out a fracture or another bone problem. An ultrasound or MRI scan may be ordered when the diagnosis remains uncertain.

Treatment from a podiatrist focuses on easing pressure and calming nerve irritation. The podiatrist may recommend shoes with a wide toe box, a low heel, and proper support. Custom orthotics can improve how pressure is distributed across the foot. Special padding can also reduce stress near the affected nerve. Depending on the severity of the symptoms, the podiatrist may provide an injection to reduce pain and inflammation. When these treatments do not provide enough relief, surgery may be considered to create more room for the nerve or remove the damaged section. If you have symptoms of Morton's neuroma, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Gregory Kranzusch, DPM of Foot and Ankle Center of St. Charles County. Our doctors 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 St. Charles, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The Achilles tendon is the thick band of tissue that connects the calf muscles to the heel bone. It carries body weight when the foot pushes off the ground while walking or running. Achilles tendon injuries can develop when this tissue becomes irritated, damaged, or torn. Achilles tendonitis can cause pain at the back of the heel, especially while moving the ankle or pushing off the toes. Patients can also experience stiffness, swelling, and tenderness. Symptoms can begin suddenly or gradually, and can become worse after exercise.

Overuse is a frequent cause of Achilles tendon problems. Risk can increase when a person suddenly raises the amount or intensity of exercise. Repeated jumping, running on hard surfaces, and demanding work can also place extra stress on the tendon. Flattened arches and shoes that lack proper support can contribute to the problem. Achilles tendonitis can affect the middle portion of the tendon or the area where it attaches to the heel. A more serious injury is an Achilles tendon rupture, which occurs when the tendon tears partially or completely. Ruptures frequently happen while exercising or playing sports and can greatly limit normal foot movement.

A podiatrist can examine the foot and ankle to determine the location and severity of an Achilles tendon injury. The evaluation can include checking tenderness, swelling, and ankle movement. A podiatrist can also assess foot structure and walking patterns that place added stress on the tendon. Treatment can focus on reducing strain and supporting the tendon as it heals. A podiatrist can recommend appropriate exercises, supportive devices, or changes in activity based on the injury. Severe tendon damage can sometimes require surgery. If you have symptoms of an Achilles tendon injury, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Gregory Kranzusch, DPM of Foot and Ankle Center of St. Charles County. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in St. Charles, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Clubfoot is a congenital foot deformity in which one or both feet are turned inward and downward. The medical term is talipes equinovarus. The affected foot may appear smaller than expected, with the heel turned inward and the front of the foot angled toward the opposite leg. The ankle may also have limited movement. Clubfoot is usually present at birth and can be identified during a routine newborn examination. In some cases, it can be seen during a prenatal ultrasound. Although the foot may look significantly different, clubfoot is treatable, and early care can help a child develop a functional foot for walking.

The exact cause of clubfoot is not always known. It may involve a combination of genetic and environmental factors that affect the development of the muscles, tendons, and connective tissues of the foot. Having a family history of clubfoot can increase risk. Symptoms are primarily related to the foot position and stiffness rather than pain in a newborn. Without treatment, the child may eventually have difficulty placing the foot flat on the ground and developing a normal walking pattern.

The Ponseti method is a widely used treatment for clubfoot. Treatment usually begins soon after birth and involves gentle manipulation followed by a series of casts that gradually guide the foot into a more appropriate position. A podiatrist changes the cast regularly while monitoring correction. The foot is then maintained in its corrected position with a brace according to the treatment plan.

Follow-up care is important because clubfoot can return as a child grows. The podiatrist monitors foot position, flexibility, and development during follow-up visits. Parents are given instructions about brace use and are encouraged to attend scheduled appointments so changes can be identified early. If your child has clubfoot, it is suggested that you consult a podiatrist who can help support healthy foot development.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Gregory Kranzusch, DPM of Foot and Ankle Center of St. Charles County. Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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