Items filtered by date: April 2025
Definition and Risk Factors for Toenail Fungus

Toenail fungus, also known as onychomycosis, is a common infection that affects the toenails, causing them to become discolored, thickened, brittle, and sometimes painful. This condition is caused by fungi that thrive in warm, moist environments, such as locker rooms, public shower areas, and inside tight or poorly ventilated shoes. The fungus enters through small cracks or breaks in the nail or surrounding skin. Certain risk factors increase the likelihood of developing toenail fungus, including advancing age, reduced blood circulation, weakened immune function, and frequent exposure to damp conditions. People with diabetes or a history of athlete's foot are also more susceptible. If you have developed this condition, it is suggested that you contact a podiatrist who can offer you appropriate treatment options.
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 Lauryn Smith-Winton, DPM of S.W. Podiatry Group. 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 feel free to contact our office located in Waldorf, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Flexible Flat Feet in Children

Flexible flatfoot in children occurs when the arch of the foot appears flattened during standing or walking but returns when the child is sitting or standing on tiptoe. This type of flatfoot is usually caused by laxity in ligaments and is often painless. However, some children may experience foot pain during physical activity or after long periods of standing. A podiatrist can determine whether the flatfoot is flexible or rigid through physical examination, and in some cases, digital imaging scans may be needed. Flexible flatfoot in children often improves naturally as the child matures, but treatment may be necessary if pain, fatigue, or gait abnormalities develop. In severe or persistent cases, surgery may be considered to correct deformities, especially when there is a shortened tendon or structural misalignment of the foot. If your child is complaining of foot pain that may be caused by flat feet, it is suggested that you make an immediate appointment with a podiatrist for a diagnosis and treatment options.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Lauryn Smith-Winton, DPM from S.W. Podiatry Group. 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 Waldorf, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The Importance of Wearing Good Footwear During Pregnancy

Pregnancy brings many physical changes, and the feet are no exception. As the body adapts to support added weight and shifting posture, the arches may flatten, and swelling can increase. These changes can lead to foot pain, instability, and discomfort with everyday activities. Wearing supportive and properly fitting shoes during pregnancy is essential for maintaining balance and preventing strain on the feet, ankles, and lower back. Footwear with good arch support, cushioning, and a wide toe box can help accommodate changes in foot size and shape. Choosing the right shoes can also reduce the risk of falls and improve overall mobility. If you are pregnant and are experiencing foot pain, it is suggested that you visit a podiatrist who can guide you toward selecting supportive shoes that are right for you.
Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Lauryn Smith-Winton, DPM from S.W. Podiatry Group. Our doctor will attend to all of your foot and ankle needs.
What Foot Problems Can Arise During Pregnancy?
One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward. This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.
Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages.
How Can I Keep My Feet Healthy During Pregnancy?
- Wearing orthotics can provide extra support for the feet and help distribute weight evenly
- Minimize the amount of time spent walking barefoot
- Wear shoes with good arch support
- Wear shoes that allow for good circulation to the feet
- Elevate feet if you experience swelling
- Massage your feet
- Get regular, light exercise, such as walking, to promote blood circulation to the feet
If you have any questions please feel free to contact our office located in Waldorf, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Diagnosis and Treatment of a Torn Achilles Tendon

An Achilles tendon tear is a painful injury that often occurs during activities that involve sudden starts, stops, or pivots, especially in sports or while running. The Achilles tendon, which connects the calf muscles to the heel bone, is essential for walking, running, and rising onto the toes. A torn Achilles tendon may happen suddenly, often with a popping sound, followed by sharp pain at the back of the ankle. Patients may find it difficult to push off the foot or stand on their toes. In many cases, the foot may exhibit abnormal movement, including excessive pronation or supination, which can place strain on the tendon. A podiatrist can examine your ankle and foot alignment, assess range of motion, and determine the extent of the tear using diagnostic tests. If the tendon is completely torn, surgery may be required to restore function. A podiatrist can also help guide you through non-surgical recovery methods, including immobilization, and provide support for proper foot biomechanics. If you have injured your Achilles tendon, it is suggested that you make an immediate appointment with a podiatrist for an exam, diagnosis, and treatment.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Lauryn Smith-Winton, DPM of S.W. Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our office located in Waldorf, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Are You Suffering From Nerve Damage?
Causes and Types of Non-Diabetic Foot Neuropathy

Non-diabetic foot neuropathy refers to nerve damage in the feet that occurs without a connection to diabetes. This type of neuropathy can result from vitamin deficiencies, autoimmune diseases, infections, and exposure to toxins. Chronic alcohol use, certain medications, and hereditary conditions may also contribute to nerve damage. Peripheral neuropathy affects the sensory and motor nerves, resulting in numbness, tingling, and muscle weakness. Autonomic neuropathy impacts involuntary functions, sometimes causing abnormal sweating, temperature regulation issues, or changes in blood flow to the feet. Additionally, focal neuropathy occurs suddenly and affects a specific nerve, often leading to sharp pain or weakness in a localized area. If any of the above symptoms affect your feet or ankles, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Lauryn Smith-Winton, DPM from S.W. Podiatry Group. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our office located in Waldorf, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.