A detached toenail can occur from direct injury, fungal infections, psoriasis, or complications related to diabetes. Once a toenail separates from the nail bed, it cannot be reattached and must be allowed to grow out naturally as a new nail forms. Risk factors include repetitive trauma, wearing tight footwear, poor circulation, and underlying skin or metabolic conditions. Symptoms include pain, discoloration, thickening, or complete nail lifting. A podiatrist can evaluate the cause, safely manage the affected nail, help prevent infection, and support healthy regrowth with proper care. They can also help address underlying conditions that contribute to nail problems. If your toenail has fallen off, it is suggested that you consult a podiatrist who can determine the cause and guide you toward management tips as the new nail grows in.

Toe pain can disrupt your daily activities. If you have any concerns, contact Joseph M. LaCava, DPM of Arkansas. Our doctor 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 Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot and ankle disorders can cause pain and discomfort that make walking, standing, or running harder than it should be. These problems may come from poor foot alignment, uneven pressure on the sole, muscle tightness, or stress on joints from too much activity or long hours on the feet. Common symptoms include aching in the heel or arch, swelling around the ankle, pain when moving the foot, tired legs, and pain that gets worse as the day goes on. Over time, these stresses can change how the foot and ankle work together, and may even affect the knees or lower back. Orthotics can help by supporting the arch, improving alignment, and spreading pressure more evenly across the foot and ankle. This type of treatment can reduce strain on muscles and joints and help the foot and ankle move with less pain. If pain continues, it is suggested that you schedule an appointment with a podiatrist to discuss orthotics. 

Custom orthotics play an important role in preventing and treating foot and ankle injuries by providing personalized support that aligns with the unique structure of each foot. These specially designed devices help correct biomechanical imbalances, reduce pressure on sensitive areas, and improve stability during movement. When the feet are properly supported, the risk of developing conditions such as plantar fasciitis, Achilles tendinitis, and ankle sprains can be significantly reduced. Custom orthotics also help relieve discomfort caused by having flat feet, high arches, or uneven leg length, which may contribute to recurring injuries or pain.

Foot and ankle injuries can develop gradually from repetitive strain or occur suddenly during physical activity. Without proper treatment, these injuries can affect mobility and overall quality of life. Orthotics work to redistribute weight evenly across the foot, allowing joints and muscles to function more efficiently. This not only supports recovery from injury but can also prevent future problems by promoting better posture and alignment throughout the lower body.

Unlike over-the-counter inserts, custom orthotics are designed based on a detailed evaluation of each patient’s foot structure, gait, and medical needs. Podiatrists use advanced imaging and diagnostic tools to create orthotics that fit precisely and provide targeted correction. Whether used in everyday footwear or athletic shoes, custom orthotics can improve comfort, enhance performance, and support long-term foot health.

If you are experiencing foot or ankle pain or have sustained an injury that has not improved with rest, it is suggested that you schedule an appointment with a podiatrist. Call our office for more information or to make an appointment.

If you have any questions, please feel free to contact our office located in Hot Springs, AR . 

Poor circulation can affect the feet and ankles in ways that make daily life uncomfortable, and, at times, risky. Blood flow depends on arteries and veins, which have different roles. Arteries carry oxygen-rich blood from the heart to the tissues, while veins return blood back to the heart. When arteries are narrowed, the feet may feel cold, painful, or tired, especially during walking. When veins do not work properly, blood can pool in the lower legs, leading to swelling, heaviness, and skin changes. Both problems can increase the risk of slow healing and infection. People may notice discoloration, numbness, or wounds that take longer to improve. A podiatrist can help identify circulation concerns, monitor skin health, and guide care to reduce complications. If you have symptoms of poor circulation such as foot pain, swelling, or slow-healing wounds, it is suggested that you seek care from a podiatrist.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Joseph M. LaCava, DPM of Arkansas. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 office located in Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A single dark line running lengthwise along the toenail can be concerning and is not always due to injury or pigmentation changes. In some cases, it may be caused by an infection that affects the nail structure and alters its color. This type of presentation can be mistaken for more serious conditions, which makes early assessment important. The discoloration often appears as a narrow stripe and may slowly change, over time. Contributing factors can include trauma, a weakened immune response, or prolonged exposure to moist environments. Because the appearance can resemble other nail disorders, proper diagnosis is essential to guide treatment. A podiatrist can examine the nail, determine the cause, and recommend appropriate care to restore nail health. If you notice a persistent dark streak on your toenail, it is suggested that you seek podiatric advice promptly to ensure an accurate diagnosis and effective management.

For more information about treatment, contact Joseph M. LaCava, DPM of Arkansas. 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 Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.