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Toenail fungus can begin with a change in the color of a nail. A white or yellow spot may appear before the nail becomes thicker or brittle. The nail might crack, lift from the skin, or collect material underneath. This infection develops when fungi enter the nail or openings in nearby skin. It frequently affects the big toe or second toe. Although some people feel no discomfort, others develop pain that makes standing or walking difficult. The appearance of an infected nail can cause embarrassment. Without treatment, the infection can spread to other nails.

Toenail fungus is contagious and can pass between people through contact with infected skin or nails. Shared nail clippers and towels can carry the fungus. Warm, damp public spaces, like locker rooms and pool decks, create opportunities for exposure. Athlete's foot, a fungal infection of the skin, can spread into a toenail. Having dirty nails alone does not cause this condition. Changes in nail color do not necessarily mean a fungus is present, however. A podiatrist can examine the affected nail and collect a sample for testing to confirm the diagnosis.

Toenail fungus rarely clears without treatment because fungi can remain inside and beneath the nail. Scraping or filing the surface does not remove the infection. A podiatrist can prescribe antifungal medications applied to the nail or taken by mouth. The choice depends on the extent of infection and the patient's health. Treatment can clear the fungus before the nail looks normal again. Toenails grow slowly, so a healthy-looking big toenail may take a year or longer to return. Early diagnosis makes treatment more effective and helps prevent spread. If you have symptoms of toenail fungus, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

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 Preston Ringo, DPM of Mid Coast Foot & Ankle. Our doctor 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 Damariscotta, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sesamoiditis causes pain around two small bones located beneath the joint of the big toe. These bones are called sesamoids, and they help the big toe move while bearing pressure from the body. Unlike most bones, they are connected to tendons rather than directly to other bones. Repeated stress can irritate the sesamoid bones and the surrounding tendons. Pain usually develops in the ball of the foot beneath the big toe. Activities that place repeated pressure on the forefoot can make the discomfort more noticeable and interfere with normal movement.

Sesamoiditis can affect people whose activities place extra force on the front of the foot. Running and dancing can increase stress around the sesamoids. Sports that involve repeated jumping can also contribute to irritation. Symptoms usually develop gradually instead of appearing after one sudden injury. Patients can notice pain when bending or straightening the big toe. Swelling or bruising can also occur around the affected area. Because fractures and other forefoot problems can cause similar symptoms, a careful evaluation is important for identifying the source of pain.

A podiatrist can examine the painful area and evaluate how the big toe moves. The examination can also assess foot structure and how pressure is distributed across the forefoot. Imaging tests can help determine whether a fracture or another bone problem is causing symptoms. Treatment for sesamoiditis focuses on reducing pressure around the painful area and improving foot function. A podiatrist can recommend appropriate shoe changes, padding, or custom orthotics based on examination findings. Treatment can also address movement patterns that increase stress beneath the big toe. If you have symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Preston Ringo, DPM of Mid Coast Foot & Ankle. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

Running shoes are more than a comfort choice. The right pair supports your feet while matching your running style and surface. Wearing shoes that do not fit properly or match your activity can contribute to foot and ankle injuries. Common problems include blisters, arch pain, and stress injuries. Symptoms may begin as soreness after running and become persistent. Runners who increase mileage quickly or have foot mechanics concerns may face greater risk. Worn-out shoes can reduce cushioning and stability.

Choosing running shoes starts with considering where you run. Paved paths are firm, so road-running shoes with cushioning and a stable base can provide suitable support. Hard-packed dirt requires traction and durable construction. Trail-running shoes are designed for uneven terrain and offer traction, protection, and stability. Additionally, cross-training shoes work well for gym workouts involving lateral movement or strength exercises, but they may not provide enough cushioning for distance running. A proper fit should allow comfortable toe movement without heel slipping.

If pain develops, a podiatrist can evaluate your feet, shoes, and walking pattern. Treatment depends on the injury and may include activity modification, wearing supportive footwear, or targeted care. The podiatrist may recommend replacing worn shoes and adjusting training surfaces. A gradual return can help symptoms improve. For significant injuries, diagnostic imaging may determine whether a tendon, ligament, or joint has been affected. Early evaluation can prevent a problem from becoming longer lasting.

The best running shoe should match your foot needs, training activities, and surface. Pay attention to comfort, fit, and signs of wear. Replace shoes when support declines rather than waiting for pain. If foot or ankle pain develops while wearing the wrong running shoes, it is suggested that you consult a podiatrist for effective relief tips, and additional guidance on how to choose running shoes that are right for you. 

If you are a runner, wearing the right running shoe is essential. For more information, contact Preston Ringo, DPM from Mid Coast Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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

Gout is a form of inflammatory arthritis that often affects the feet, especially the big toe. It develops when uric acid builds up in the blood and forms sharp crystals inside a joint. These crystals trigger inflammation, causing sudden pain, and tenderness. An attack may begin overnight and make walking uncomfortable. Repeated attacks can eventually damage joints or cause tophi, which are firm uric acid deposits beneath the skin.

Several risk factors can increase the chance of developing gout. Family history may raise susceptibility, while obesity, kidney disease, and high blood pressure can also contribute. Certain medications may affect uric acid levels. Regular alcohol use and frequent consumption of purine-rich foods, including some meats and seafood, may increase risk. Dehydration can also contribute to flare-ups. Gout is not caused by one food alone. Genetics, health conditions, and lifestyle habits can all influence uric acid levels.

A podiatrist begins by reviewing your symptoms and medical history, then examining the affected foot. Testing or imaging may be recommended to support the diagnosis and rule out other causes of joint pain. During a gout attack, treatment may include medication to reduce inflammation and control pain. For recurring attacks, your podiatrist may discuss long-term uric acid management. Guidance about hydration, nutrition, and weight management can also help reduce future problems.

Gout can be painful, but recognizing symptoms early gives you an opportunity to seek care before attacks become more frequent. Sudden big-toe pain, swelling, or warmth should not be ignored, especially when symptoms return. A podiatrist can determine whether gout is responsible and create a treatment plan based on your needs. With appropriate care, many people can reduce flare-ups and protect their joints. If you have had one or more gout attacks, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Preston Ringo, DPM from Mid Coast Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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