An ingrown toenail often begins with subtle changes that become more uncomfortable over time. Tenderness along one side of the nail may be the first clue, especially if the skin feels sore when pressed or rubbed by a sock or shoe. Redness, swelling, and warmth can follow as the nail edge begins to press into the surrounding skin. Some people notice a feeling of pressure or a small area of firm, irritated tissue that develops near the corner of the nail. Clear or yellow drainage may appear if the skin becomes inflamed. Pain that increases while walking or wearing closed shoes is another sign the problem is progressing. Paying attention to these early changes helps prevent deeper infection and protects overall foot health. If you have persistent pain, swelling, or drainage with an ingrown toenail, it is suggested that you see a podiatrist for effective treatment solutions.

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 offices located in Duryea and Bangor, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal coalition occurs when two or more bones in a child’s foot grow together, which limits normal motion. This can cause stiffness, pain along the side or back of the foot, frequent ankle sprains, flat arches, and cramps or muscle spasms after activity. Although it is often congenital, many children begin to feel symptoms of tarsal coalition around ages eight to 15, when their bones harden and the fused area becomes less flexible. Some children may limp or have trouble walking on uneven ground because the affected foot does not move properly. Treatment depends on the severity of the condition and can involve supportive inserts, casting to rest the foot, or surgery to separate the bones and restore movement. If your child has symptoms of tarsal coalition, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Congenital foot problems require immediate attention to avoid future complications. 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.

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 offices located in Duryea and Bangor, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing the right shoes is essential for anyone who spends long hours standing at work. Proper footwear should have ample cushioning to absorb shock and reduce pressure on the feet and joints. Good arch support helps maintain alignment and prevent fatigue or pain. Breathable materials keep feet cool and dry, while durable construction ensures long-lasting comfort and stability. Additionally, slip-resistant soles are important for safety, especially on smooth or wet surfaces. A podiatrist can evaluate your foot type, recommend supportive shoe styles, and suggest custom orthotics for additional comfort and protection. If you have foot pain from standing for long periods at work, it is suggested that you consult a podiatrist who can treat various foot conditions, in addition to providing personalized footwear guidance.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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

Plantar fasciitis is an inflammation of the plantar fascia, which is the thick band of tissue connecting the heel bone to the toes that supports the arch of the foot. It is one of the most common causes of heel pain and often results from repetitive strain or overstretching. Causes include excessive walking or standing, wearing unsupportive shoes, obesity, and tight calf muscles. Symptoms typically include sharp heel pain, especially with the first steps in the morning or after rest. Risk factors include flat feet, high arches, and overuse from physical activity. A podiatrist can provide effective treatments like orthotics, stretching exercises, and pain management. If you have heel pain, it is suggested that you consult a podiatrist who can accurately diagnose the cause of heel pain, and offer effective relief and treatment solutions.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from 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 Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

The foot is a complex structure made to support movement, balance, and weight. It is built from key bones, such as the talus, calcaneus, and cuboid, along with many smaller bones that work together through a network of 33 joints. Numerous tendons and ligaments connect these bones and allow the foot to move smoothly while providing strength and stability. These parts work as a unified system to help you stand, walk, and adapt to different surfaces. A podiatrist can evaluate how well your foot structures are functioning, identify sources of pain, and recommend treatments that restore comfort and mobility. If foot pain is interfering with your daily activities, it is suggested that you consult a podiatrist who can determine the cause and offer effective relief and treatment solutions.

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

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Ingrown toenail surgery is a medical procedure performed to treat toenails that grow into the surrounding skin, causing pain, swelling, and infection. Surgery may be necessary when conservative treatments such as soaking, proper trimming, or topical care fail to relieve symptoms. Common types of procedures include wedge excision, which removes a portion of the nail, Zadek's procedure, which addresses nail matrix issues, and simple toenail removal for severe cases. A podiatrist can evaluate the condition, recommend the most appropriate surgical option, and provide post-operative care to ensure proper healing and prevent recurrence. If you are experiencing recurring ingrown toenails, it is suggested that you promptly schedule an appointment with a podiatrist for an expert assessment and discussion on how surgery might benefit you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Flat feet in children occur when the arches of the feet do not develop as expected, causing the entire foot to touch the ground. Some children outgrow flat feet as their muscles and bones strengthen, while others may develop persistent issues. Causes include having a tight Achilles tendon, tarsal coalition where foot bones fuse, and rigid flat feet that do not change with movement. A podiatrist can assess foot structure, recommend stretching exercises, orthotics, or treatment to improve comfort and prevent future problems. If your child has pain or difficulty walking from having flat feet, it is suggested that you promptly consult a podiatrist who can offer effective treatment relief and treatment solutions.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Morton's neuroma, a painful condition affecting the nerves in the foot, is notably prevalent among women. This ailment, characterized by a thickening of the tissue around the nerves leading to the toes, often manifests between the third and fourth toes. Women, who frequently wear high-heeled shoes or shoes with a narrow toe box, are more susceptible to the compression and irritation that contribute to Morton's neuroma. The pressure exerted on the forefoot, coupled with the repetitive stress from wearing such footwear, can exacerbate the condition. Additionally, activities that involve footwear with tight toe spaces, such as ballet or certain athletic pursuits, may increase the risk. Recognizing the connection between footwear choices, lifestyle, and the development of Morton's neuroma is vital for women. Morton’s neuroma is a foot condition that is treated by podiatrists. If you have pain between the third and fourth toes, it is strongly suggested that you contact a podiatrist for an accurate diagnosis and treatment options.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. 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 offices located in Duryea and Bangor, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Common symptoms that are linked to poor circulation can include cold feet, tingling or burning sensations, and swollen feet. There are several reasons why this condition may develop. These can include plaque buildup in the arteries, diabetes, or if there is an existing blood clot. Additionally, patients who smoke, stand for extended periods of time throughout the day, or who are obese may be at risk of developing poor circulation. A diagnosis may consist of testing the blood for elevated glucose levels which may indicate diabetes, as well as performing an ultrasound that can examine your blood vessels. Patients may find moderate relief when compression stockings are worn, which may help to provide a comfortable level of support. If you are suffering from poor circulation, it is advised that you speak to a podiatrist who can offer you proper treatment techniques.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness 
• Numbness or cramping in the legs
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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