Fungal toenail infections develop when microscopic fungi enter small cracks in the nail or surrounding skin and slowly multiply in the warm, moist environment inside shoes. Several distinct types affect toenails. A distal subungual infection is the most common. It begins at the tip or sides, causing yellow or white streaks and thickening beneath the nail. White superficial infection involves the surface layers, producing chalky patches that make the nail rough and crumbly. Proximal subungual infection starts near the cuticle and spreads outward. It is sometimes linked with weakened immunity or prior injury. Yeast-related infections may inflame the surrounding tissue and loosen the nail from its bed. A podiatrist confirms the diagnosis using nail samples and determines the specific organism before prescribing medical antifungal therapy, nail procedures, or advanced management for damaged nails. If you have a fungal toenail infection, it is suggested that you make an appointment with a podiatrist for an exam, 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 Anthony Ricciardi Jr., DPM of Foot & Ankle Specialists of Nevada. 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 Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cuboid stress fractures are uncommon but painful injuries that affect a small bone on the outer side of the midfoot. They often develop from repetitive loading rather than a single injury, making them easy to overlook early on. Runners, dancers, and people who walk long distances may notice a deep, aching discomfort that worsens with activity and improves with rest. Swelling, tenderness, and pain when pushing off the foot are common signs. Because symptoms can mimic tendon strain or arthritis, proper diagnosis is sometimes delayed. Imaging such as X rays or advanced scans may be needed to confirm the problem. Treatment usually focuses on reducing stress to the bone through activity modification, supportive footwear, and sometimes immobilization. With proper care, healing follows. It is suggested that anyone with persistent outer foot pain consider seeing a podiatrist for an accurate diagnosis and a treatment plan.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

Peripheral artery disease affects blood flow to the feet and legs. It can lead to serious complications if not identified early. Common signs include leg or foot pain when walking that improves with rest, as well as coldness in the feet and numbness or tingling. Slow-healing sores, changes in skin color, shiny skin, and hair loss on the lower legs may also be present. Because reduced circulation limits oxygen delivery to the extremities, even minor foot injuries can progress and increase infection risk. A podiatrist can recognize warning signs of periphery artery disease through a detailed foot exam, pulse assessment, and vascular testing. Coordinated care can protect skin health, manage wounds, and reduce complications. Early evaluation is important for people with diabetes, smoking history, or cardiovascular concerns. If you have symptoms of peripheral artery disease, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Morton’s neuroma is a painful condition that most often affects a nerve between the third and fourth toes, and it develops from repeated pressure or irritation. It may not always be visible, but the area can appear slightly swollen, and patients often describe a burning, tingling, or stabbing sensation and feeling like they are walking on a pebble. Causes include tight footwear, high heels, foot deformities, or activities that place stress on the forefoot. Symptoms may worsen with standing or walking and ease when shoes are removed. A podiatrist begins with a thorough exam and orders imaging if needed to confirm the diagnosis and rule out other problems. Treatment may include footwear changes, custom orthotics to reduce pressure, and targeted therapies, such as injections or exercises. Early care can prevent progression and improve comfort. If you suspect you have Morton’s neuroma, it is suggested that you make an appointment with a podiatrist.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Anthony Ricciardi Jr., DPM of Foot & Ankle Specialists of Nevada. 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 Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.