Items filtered by date: April 2025

When an ingrown toenail becomes painful, infected, or keeps coming back, a podiatrist may recommend surgery to fix the problem. One common procedure is a partial nail removal, where the podiatrist carefully removes the edge of the nail that is growing into the skin. To help prevent the nail from growing back in the same way, a chemical may be applied to the base of the nail to stop regrowth in that area. This often leads to long-term relief. In more severe cases, especially when the problem keeps returning or involves swelling at the base of the nail, the entire toenail may need to be removed. This procedure may be necessary when a new toenail begins to grow underneath an old one, instead of pushing it forward like it normally should. If you have an extremely stubborn or painful ingrown toenail, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Joseph M. LaCava, DPM of Arkansas. Our doctor 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

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. 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 Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Offloading devices are used to reduce pressure on specific areas of the foot where ulcers have formed, helping to prevent further damage and support healing. Offloading devices typically shift body weight away from the wound, which decreases friction and mechanical stress. Total contact casts provide the highest level of pressure relief by fully immobilizing the foot and ankle, making them effective for deep or persistent ulcers. For patients needing more flexibility, removable cast walkers not only offer protection but also allow access for wound inspection. Custom orthotics and specialized shoes with cushioned soles are often used for less severe ulcers or during the later stages of healing. Offloading sandals and pneumatic boots may help with minor ulcers by offering light support and comfort for indoor use. Choosing the right device depends on the size and depth of the ulcer, the location on the foot, and the patient’s ability to move independently. If you have foot ulcers that require wound care, it is suggested that you schedule an appointment with a podiatrist to see if offloading devices may work for you.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Joseph M. LaCava, DPM from Arkansas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Orthotics play an important role in managing diabetic foot by providing support, pressure relief, and protection. Diabetes can lead to nerve damage and poor circulation, increasing the risk of foot ulcers and injuries. Orthotic devices help distribute weight evenly, reducing pressure points that may cause skin breakdown. Proper cushioning and arch support minimize friction and impact, preventing blisters and calluses. Additionally, custom orthotics can also help correct foot alignment, reducing strain on joints and improving mobility. By enhancing stability and comfort, orthotics allow individuals with diabetes to walk more safely and reduce the risk of complications. If you have diabetes, it is suggested that you are under the care of a podiatrist who can provide custom-made orthotics as part of your treatment.

If you are experiencing discomfort in your feet and would like to try custom orthotics, contact Joseph M. LaCava, DPM from Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Custom Orthotics?

Custom orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain. 

Over-the-Counter Inserts

Shoe inserts come in a wide variety and are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality, custom inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you're experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibility of using custom orthotics or shoe inserts. A podiatrist can determine which type of custom orthotic or shoe insert is right for you and help you take the first steps toward being pain-free.

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.

Bunions are bony bumps that form at the base of the big toe, where the joint sticks out as the tip of the toe angles toward the second toe. This misalignment can make the foot appear uneven and swollen. The skin over the bump may be red and inflamed, and the area can be tender, especially when pressure is applied, such as when wearing shoes. The pain may worsen over time and become constant, especially in tight footwear. Bunions are more common in women, particularly those who wear high heels or narrow shoes, but they can also develop due to genetics, abnormal foot mechanics, or conditions like arthritis. Other factors include flat feet or a history of foot injuries. A podiatrist can help by evaluating the bunion and recommending treatment, including custom orthotics, padding, or adjustments in footwear. In more severe cases, surgery may be required to correct the alignment of the toe. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist.

If you are suffering from bunion pain, 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 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 Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain can result from various conditions that affect the bones, ligaments, or tendons. Sprains occur when the ligaments that support the ankle stretch or tear due to sudden twisting movements, leading to pain and swelling. Arthritis, including osteoarthritis and rheumatoid arthritis, can cause stiffness, inflammation, and chronic discomfort in the ankle joint. Injuries to the Achilles tendon, such as tendonitis or ruptures, often develop from overuse, sudden strain, or degeneration over time. Fractures occur when one or more bones in the ankle break due to trauma or excessive force, resulting in severe pain, swelling, and difficulty bearing weight. If you have ankle pain, it is suggested that you promptly contact a podiatrist who can identify the underlying cause and offer appropriate treatment options.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Joseph M. LaCava, DPM from Arkansas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.