A bunion is a foot deformity that develops when the big toe gradually moves toward the smaller toes while the joint at its base shifts outward. This creates a noticeable bump along the inside of the foot near the big toe joint. Bunions usually develop gradually and may become more prominent over time. Although some people experience little discomfort, others may develop pain, swelling, or stiffness. Shoes that press against the bump can cause friction and irritation, making standing and walking uncomfortable.

Bunion symptoms can become more noticeable as the deformity progresses. Pain may occur while walking, standing, or while wearing narrow shoes. Swelling and tenderness surrounding the joint are common, and repeated pressure may lead to calluses or thickened skin. The big toe may become less flexible and gradually move closer to the second toe. Genetics, inherited foot structure, abnormal foot mechanics, and footwear that places excessive pressure on the toes may contribute to bunion development. A family history of bunions can also increase the risk.

A podiatrist can evaluate the bunion and determine how it affects foot function. An examination may assess toe alignment, joint movement, and walking mechanics. X-rays may also be recommended to evaluate bone alignment and changes within the joint. Treatment depends on the severity of the bunion and the symptoms involved. Conservative options may include wider shoes, protective padding, and other measures designed to reduce pressure and improve comfort. Surgery may be considered when persistent pain significantly interferes with daily activities.

Early attention to bunion symptoms can help manage discomfort and support healthy foot function. Wearing shoes with adequate room around the toes can reduce pressure on the affected joint. Ongoing pain, swelling, or difficulty wearing shoes should not be ignored. If you have a painful or swollen bunion, it is suggested that you consult a podiatrist for an evaluation, appropriate treatment, and long-term management.

If you are suffering from bunion pain, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

A black toenail is a condition where the toenail becomes darkened or discolored due to changes under or within the nail. The discoloration may appear black, purple, or dark red, depending on the cause. A black toenail is often related to bleeding beneath the nail, known as a subungual hematoma, but it can also develop from other conditions. Understanding the causes and symptoms can help determine when professional evaluation is needed.

Symptoms of a black toenail may include dark discoloration, swelling, and pressure under the nail. In some cases, the nail may become loose or separate from the nail bed. Pain is common when blood collects under the nail and creates pressure. Some individuals may not experience discomfort, especially when discoloration develops gradually. Changes in nail appearance should be monitored because they may indicate trauma, infection, or another underlying concern.

The causes of a black toenail often involve repetitive trauma or blunt force injuries. Repetitive trauma commonly occurs in runners, hikers, and athletes when the toes repeatedly hit the inside of a shoe during activity. Wearing shoes that are too tight can increase pressure and cause irritation beneath the nail. Blunt force, such as dropping an object on the toe or stubbing the toe, can also damage blood vessels under the nail. Fungal infections may cause darkened or thickened nails and can sometimes contribute to nail discoloration.

Risk factors for developing a black toenail include participating in high-impact activities, wearing improper footwear, and experiencing repeated pressure on the toes. Individuals with circulation concerns or certain medical conditions may also require closer monitoring of nail changes. Properly fitted shoes, wearing protective footwear, and attention to foot care can help reduce the risk of injury. If you have a black toenail, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Duryea, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A hammertoe is a toe that bends downward at the middle joint instead of lying flat. This change in position most often affects the second toe, although it can develop in other toes as well. At first, the toe may still move freely, but it can become more rigid as the condition progresses. The abnormal bend can create pressure inside a shoe and cause pain while walking. Corns and calluses sometimes develop where the toe rubs against the shoe. A podiatrist can evaluate the shape of the toe, identify the cause of the deformity, and recommend treatment that improves comfort and function.

Several factors can contribute to a hammertoe. Muscle and tendon imbalance is one of the leading causes because it changes how the toe moves. Tendons are strong bands of tissue that connect muscles to bones and help control movement. Arthritis, previous injuries, and shoes that lack proper support can also increase the risk. Shoes that fit too tightly around the toes can place added pressure on the joints and make the deformity worse. A podiatrist performs a physical examination and checks how well the toe moves. X-rays help evaluate the position of the bones and determine how advanced the deformity has become.

Treatment depends on the severity of the hammertoe and how much it affects daily activities. A podiatrist can recommend custom orthotics to improve foot alignment and reduce pressure on the affected toe. Other treatment options include padding and splints to improve flexibility and support better movement. Prescription medications can also help reduce pain and inflammation. When the toe becomes stiff or other treatments do not provide enough relief, surgery can straighten the toe and improve function. Early treatment helps prevent the deformity from becoming more severe and supports healthier movement. If you have symptoms of hammertoe, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. 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 Duryea, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An ingrown toenail develops when the edge of a toenail grows into the surrounding skin instead of over it. This problem most often affects the big toe and can become increasingly painful if left untreated. Early symptoms include tenderness, swelling, and redness along the edge of the nail. As the nail continues to press into the skin, the area can become warm, inflamed, or at risk of an infection. Walking, exercising, or wearing shoes can become uncomfortable because of the added pressure on the affected toe. Several factors can contribute to ingrown toenails, including improper nail trimming, toe injuries, and naturally curved nails. A professional evaluation is important to confirm the diagnosis and determine the most appropriate treatment before the condition worsens.

Without proper care, an ingrown toenail may continue to irritate the surrounding skin and increase the risk of infection. In some cases, the tissue around the nail becomes swollen and may begin to grow over the nail's edge. Persistent pain can also affect normal walking patterns, placing additional stress on other parts of the foot. Individuals with diabetes or poor circulation may face a greater risk of complications because healing can take longer. A comprehensive podiatry examination helps evaluate the severity of the ingrown toenail while identifying any signs of infection or underlying foot conditions. Early diagnosis allows treatment to begin before the problem becomes more painful or leads to additional complications.

A podiatrist specializes in diagnosing and treating ingrown toenails, while protecting the overall health of the foot. Professional treatment focuses on relieving pain, reducing inflammation, and preventing future complications. Care is tailored to each patient's condition and may include procedures designed to safely correct the problem. Regular podiatry visits also allow ongoing monitoring for patients who are at higher risk of recurring nail problems. If you have persistent toe pain, swelling, or signs of an ingrown toenail, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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