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Types of Ingrown Toenail Surgery

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 may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Definition and Causes of Webbed Toes

Webbed toes, medically known as syndactyly, occur when two or more toes are fused together by skin, soft tissue, or bone. This condition develops during fetal growth when the toes fail to separate completely. It is a congenital trait, meaning it is present at birth and can run in families. Genetic factors play a significant role, though environmental influences during pregnancy may also contribute. Webbed toes are usually harmless and do not affect function, but in some cases, they may be associated with certain genetic syndromes. The degree of fusion varies, with some cases involving only skin while others include deeper connective tissues. If webbed toes cause discomfort or affect mobility, surgical separation may be an option. If you or your child have webbed toes that are causing any pain or difficulty in completing daily tasks, it is suggested that you consult a podiatrist for treatment options.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor 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 office located in Lumberton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Comparing Treadmill and Outdoor Running

Running outdoors and on a treadmill each place different demands on the feet, toes, and ankles. Treadmill running offers a flat, cushioned surface that may reduce impact and be easier on the joints, but it can also limit the engagement of stabilizing muscles in the ankles and feet. Because the treadmill belt assists forward movement, runners may experience shorter strides and reduced ankle flexing movement. In contrast, outdoor running requires the body to adapt to uneven terrain, which strengthens the smaller muscles in the feet and ankles, but may also increase the risk of sprains, stress fractures, and tendon strain. Foot positioning, stride length, and ankle alignment can vary significantly depending on the running surface, and these differences can affect the arches, toes, and heel strike. Plus, improper footwear or technique in either setting can lead to pain or injury over time. A podiatrist can evaluate foot mechanics, identify imbalances, and recommend running strategies or footwear to help prevent injuries for either running surface. If you have foot problems related to running, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.
All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.
More Tips for Preventing Injury
- Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
- Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
- “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
- Cross-Training is Crucial
- Wear Proper Running Shoes
- Have a Formal Gait Analysis – Poor biomechanics can easily cause injury
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Are You Suffering From Ingrown Toenails?
Symptoms and Types of Toe Arthritis

Arthritis in the toes can cause significant discomfort and impact mobility. Swelling is a common symptom, often making shoes feel tighter and causing tenderness with pressure. Soreness may be persistent or worsen with activity, leading to difficulty walking or standing for long periods. Restricted movement can develop as the joints become stiff, making it challenging to bend or flex the toes. Additionally, redness and warmth surrounding the affected joints may indicate inflammation, often accompanied by pain. In more advanced cases, deformities such as bunions or claw toes can occur, altering the foot’s natural shape. The most common types of arthritis affecting the toes include osteoarthritis, rheumatoid arthritis, and gout. If you have toe pain, it is suggested that you confer with a podiatrist who can offer a proper diagnosis and treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact Steven Spivak, DPM of Mount Holly Family Footcare. 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 feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Causes and Symptoms of Juvenile Idiopathic Arthritis

Juvenile idiopathic arthritis, or JIA, is a type of arthritis that affects children and adolescents. The exact cause is unknown, but it is believed to result from a combination of genetic and environmental factors that trigger an autoimmune response. In JIA, the immune system mistakenly attacks the joints, causing inflammation and pain. The condition can affect one or multiple joints, often leading to swelling, stiffness, and limited movement. Common symptoms include joint pain, especially in the morning, fever, and fatigue. Some children may also experience growth problems and eye inflammation. JIA can be classified into different types based on the number of joints affected and other features. If your child’s feet are affected by any of the above symptoms, it is suggested that you consult a podiatrist who can provide the necessary care for relief.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Causes and Treatment of Bunions

A bunion, medically known as hallux valgus, is a bony prominence that forms at the base of the big toe when the top of the toe shifts inward toward the others. This misalignment can lead to pain, swelling, redness, and difficulty wearing certain shoes. As a bunion progresses, the joint may become stiff, making simple movement uncomfortable. Some people also develop corns or calluses due to increased friction on the affected area. Contributing factors to bunion formation include inherited foot structure, flat feet, joint conditions such as rheumatoid arthritis, and aging. Although wearing tight or high-heeled shoes do not directly cause bunions, they can place additional stress on the foot, worsening symptoms. A podiatrist can assess the severity of a bunion and offer treatment to relieve pain and improve foot function. Options include padding, custom orthotics, or footwear modifications. In cases where pain is persistent or mobility is limited, surgery may be necessary to realign the toe. If you have a bunion that is interfering with daily activities, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options, which may include surgery.
If you are suffering from bunions, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Recognizing Nerve Damage After an Ankle Sprain

Nerve damage following an ankle sprain can cause a variety of symptoms that may persist beyond the initial injury. Radiating pain is a common sign, often extending from the ankle into the foot or lower leg. This discomfort may feel sharp, burning, or tingling. Altered skin sensation, such as numbness, heightened sensitivity, or a pins and needles feeling, can also occur. In more severe cases, foot drop may develop, making it difficult to lift the front part of the foot while walking. Over time, a loss of muscle size can become noticeable due to reduced nerve function and weakened movement. If you have sprained your ankle, and are experiencing any of the above symptoms, it is suggested that you consult a podiatrist who can offer effective treatment solutions.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Causes and Symptoms of Morton’s Neuroma

Morton’s neuroma is a condition that causes pain in the ball of the foot, typically between the third and fourth toes. It occurs when the tissue around a nerve becomes thickened, leading to irritation and discomfort. The exact cause of Morton’s neuroma is not always clear, but it is commonly linked to repetitive stress or pressure on the foot, such as from wearing tight shoes or engaging in high-impact activities. Symptoms often include sharp, burning pain, a feeling of something being stuck in the shoe, and numbness in the affected toes. The pain may worsen when walking or standing for long periods. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor 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 office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.