Hammertoe is a deformity where one of the smaller toes bends at the middle joint. This can lead to pain and difficulty wearing shoes. When the hammertoe becomes stiff or painful, surgery may be needed to correct its position. One type of procedure is a tendon transfer. This moves a tendon to help pull the toe into a straighter position. Another option is joint resection. This procedure removes part of the joint to allow the toe to lie flat. Fusion surgery is often used in more severe cases. It involves joining the bones together to keep the toe straight. If pain is particularly severe, other options may be considered. A podiatrist can examine the toe, order imaging to determine the severity, and recommend the most effective procedure for improved alignment and reduced pain. If you have a painful hammertoe, it is suggested that you make an appointment with a podiatrist for treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Gregory Kranzusch, DPM from Foot and Ankle Center of St. Charles County. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

Thick toenails often develop due to underlying conditions that affect nail growth and structure. The most common cause is toenail fungus, medically known as onychomycosis, which leads to discoloration, thickening, and brittle nails. Other conditions include onychauxis, characterized by abnormal nail thickening without infection, and onycholysis, where the nail separates from the nail bed and may appear white or discolored. Symptoms can include crumbling edges, foul odor, and discomfort while wearing shoes. Risk factors include poor foot hygiene, damp environments, aging, and compromised circulation. A podiatrist can help by diagnosing the condition, providing targeted treatments, and guiding proper foot care. If you notice changes in your toenails, it is suggested that you consult a podiatrist who can offer effective treatment solutions, 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 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.

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 St. Charles, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Bunions develop when the big toe shifts out of alignment, creating a visible bump at the base of the toe, and often leading to discomfort. This change can be influenced by foot structure, inherited traits, footwear choices, and the way pressure is placed on the foot over time. As the joint moves, surrounding tissues can become irritated, making walking and wearing shoes more difficult. A thorough evaluation looks beyond the bump itself to understand what is driving the change, including how the foot functions during movement. Care is tailored to each individual and may include shoe modifications, padding, custom orthotics, or exercises to improve support and reduce strain. When conservative measures are no longer effective, surgical correction may be considered to realign the joint and relieve pain. If a bunion is causing discomfort or limiting activity, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

If you are suffering from bunions, 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 a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

Psoriatic arthritis is a long-term inflammatory condition that can affect the joints, skin, and nails of the feet. Many people experience swelling and pain in the toes, sometimes causing an entire toe to appear enlarged or sausage-shaped. This symptom indicates widespread inflammation within a toe joint and surrounding tissues. Stiffness in the feet and ankles may be worse in the morning or after periods of rest, making walking uncomfortable. Some people develop flattening of the arches or changes in toe position. This can increase pressure on certain areas and lead to corns or calluses. Heel pain may also occur when the inflammation affects the tissue that supports the arch. Nail changes, such as thickening, crumbling, or small dents, also can be early signs. A podiatrist can assess joint swelling, foot structure, and skin or nail problems, and may use imaging tests or recommend supportive footwear or custom orthotics. If you have symptoms of psoriatic arthritis, it is suggested that you make an appointment with a podiatrist.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Gregory Kranzusch, DPM from 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

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.