November 2025

Ingrown toenails occur when the edge of a toenail grows into the surrounding skin, often due to improper trimming, tight footwear, trauma, or inherited nail shape. They may look red, swollen, or curved into the skin. As inflammation increases, the area can become warm and tender. Many people describe a sharp or throbbing pain when walking or even when light pressure touches the toe. In some cases, drainage or infection can develop. The big toe is the most commonly affected because it endures the greatest pressure inside shoes. A podiatrist can start by examining the toe to determine the severity and confirm whether infection is present. Treatments may include gentle removal of the offending nail edge, relief of trapped pressure, guidance on proper nail care, or a minor procedure to prevent the ingrown side from returning. Early care reduces discomfort and supports faster healing. If you notice persistent pain, redness, or swelling around a toenail, it is suggested that you make an appointment with a podiatrist.

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 Dr. Scott Shrem of Garden State Foot & Ankle Center. 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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus, medically known as onychomycosis,  is a fungal infection that causes them to become thickened, discolored, and brittle. It develops when fungi invade through tiny cracks in the nail or surrounding skin. Warm, moist environments, such as sweaty shoes or public showers, encourage its growth. Symptoms include yellowing, crumbling edges, and a foul odor. Risk factors include diabetes, poor circulation, or a weakened immune system. A podiatrist can diagnose the infection, trim and clean the affected nails, and prescribe topical or oral treatments to eliminate the fungus. If left untreated, the infection can spread and cause discomfort. If you notice changes in your toenails, it is suggested that you schedule a visit with a podiatrist who can offer effective treatment solutions.

For more information about treatment, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. 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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children and adolescents. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress or overuse. Symptoms include heel pain, swelling, and tenderness, especially during sports or physical activity. Risk factors include rapid growth spurts, participation in running or jumping sports, tight calf muscles, and wearing improper footwear. Causes are linked to repetitive pulling of the Achilles tendon on the heel bone. A podiatrist can evaluate the foot structure, recommend stretching, custom orthotics, footwear adjustments, and rest to relieve pain and prevent recurrence. If your active child has heel pain, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and offer effective relief tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

Flat feet, also known as fallen arches, occur when the arches of the feet do not develop properly or collapse over time, causing the entire sole to make contact with the ground. Individuals with flat feet may experience fatigue, pain in the heels or arches, swelling along the inner foot, and difficulty standing or walking for long periods. Causes include genetics, as some people are born with naturally low arches, or conditions that affect muscles, nerves, or joints, such as cerebral palsy or rheumatoid arthritis. Flat feet can also develop due to injury or aging. A podiatrist can assess the structure and function of the feet, recommend custom orthotics, provide supportive footwear guidance, and develop exercises to strengthen foot muscles and improve alignment. If you have flat feet, it is suggested that you consult a podiatrist who can provide personalized care, helping you to better manage this condition.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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