Curled toenails, also known as involuted or pincer nails, occur when the sides of the nail begin to curve inward, sometimes digging into the surrounding skin. This condition can be caused by genetics, wearing improper footwear that puts pressure on the toes, or fungal infections that can gradually distort nail shape. Other causes may include trauma or long-term neglect of proper nail care. Symptoms can range from mild discomfort to sharp pain, especially when walking or wearing tight shoes. The skin around the nail may become red, tender, or swollen, and, in some cases, an infection may develop. A podiatrist can assess the severity and underlying cause of the curled toenail. Treatment options include trimming and reshaping the nail, treating fungal infections, recommending proper footwear, or using special devices to gradually correct the nail’s shape. In more severe cases, partial nail removal or minor procedures may be necessary. If you are experiencing this condition, it is suggested that you schedule an appointment with a podiatrist for appropriate 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 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.

Toe problems and deformities, such as bunions, tailor's bunions, hammertoes, claw toes, and hallux rigidus, can cause painful symptoms and make walking difficult. These toe-related issues often result from structural problems in the foot combined with pressure from tight footwear or injuries. A bunion causes a large bump at the base of the big toe, while a tailor’s bunion affects the outside of the foot near the little toe. Hammertoes and claw toes involve abnormal bending at the toe joints, creating stiff and painful deformities. Hallux rigidus leads to stiffness and swelling in the big toe joint, often due to wear and tear or injury. In the early stages, a podiatrist may recommend treatments such as orthotics, footwear changes, splinting, or medication to reduce pressure and discomfort. However, as these conditions progress and joints become rigid, surgery may be necessary to realign the bones or repair the affected joints. If you have painful toe problems, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, 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.

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 Hazlet, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Cracked heels, also known as heel fissures, occur when the skin on the heels becomes dry, thickened, and eventually splits. This condition often results from a lack of moisture and pressure on the fat pad under the heel, causing the skin to expand and crack. Symptoms of cracked heels include dry, rough skin, visible splits or fissures, pain while walking, and, in severe cases, bleeding or infection. Risk factors for developing cracked heels include prolonged standing, walking barefoot, wearing open-backed shoes, obesity, and certain skin conditions like eczema or psoriasis. Additionally, environmental factors such as cold weather and low humidity can also contribute to this condition. If you have developed painful cracked heels, it is suggested that you consult a podiatrist who can offer effective relief remedies, which may include prescribed medication.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

Foot blisters are a frequent and often painful condition caused by friction, moisture, and heat. They occur when the skin is repeatedly rubbed, typically due to wearing ill-fitting shoes or prolonged walking and running. This constant rubbing causes the layers of skin to separate, allowing fluid to collect in the gap. Moisture from sweat or wet environments softens the skin, making it more vulnerable to damage. Heat generated during activity can also contribute to blister formation. Wearing new shoes, especially those not broken in, or going sockless can increase the risk. Additionally, certain skin conditions or allergies may make some individuals more susceptible. If you have developed a foot blister that is bothersome or has become infected, it is suggested that you contact a podiatrist who can offer safe and effective treatment along with prevention tips.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, 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.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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.

The feet can offer important clues about thyroid health, often showing symptoms that are easy to overlook. Cracked heels may be one of the earliest signs, especially when dryness persists despite moisturizing. Itchy feet can also occur due to slowed skin cell turnover, commonly seen with low thyroid function. Cold feet are another frequent symptom, as the thyroid helps regulate body temperature and poor circulation may result from an underactive thyroid. Additionally, swollen feet can develop due to fluid retention, which sometimes accompanies hormonal imbalances linked to thyroid conditions. These foot-related signs should not be ignored, especially when they appear together or persist. If you have any of the above foot symptoms, it is suggested that you consult a podiatrist who can treat various foot conditions, and discuss the connection regarding possible thyroid disease.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Scott Shrem from Garden State Foot & Ankle Center. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the 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 and ankle needs.