Why Do Toenails Fall Off?

Toenails can fall off for many reasons, which generally fall into three categories: trauma, infection, and underlying health conditions.

1. Trauma or Injury

• Direct Impact: Stubbing your toe, dropping a heavy object on it, or other physical injuries can cause blood to pool under the nail (subungual hematoma), leading to nail separation and eventual loss.
• Repetitive Stress: Athletes and runners frequently experience "runner’s toenail," where repeated pressure or friction from tight shoes causes the nail to loosen and fall off over time.

2. Fungal Infections

Toenail fungus, medically known as onychomycosis, is one of the most common reasons for toenails falling off. The infection weakens the nail, causing discoloration, thickening, crumbling, and eventual detachment from the nail bed.

3. Underlying Medical Conditions

• Psoriasis: This chronic skin condition can affect nails, leading to pitting, thickening, and loosening of the nail from the bed.
• Diabetes: People with diabetes are at greater risk for foot infections due to poor circulation and nerve damage, which can lead to nail loss.
• Thyroid Disorders: Hormonal imbalances caused by thyroid issues can weaken nail health, making them more prone to falling off.

4. Ill-Fitting Shoes

Shoes that are too tight or poorly fitted can cause repeated pressure on the toenails, leading to trauma and detachment over time.

5. Chemical Exposure

Frequent use of nail polish, acrylic nails, or exposure to harsh chemicals can weaken the bond between the nail and the nail bed, causing it to come loose and fall off.

6. Poor Hygiene

Neglecting foot care, such as not trimming nails properly or failing to keep feet clean and dry, can increase the risk of fungal or bacterial infections, which may cause the toenail to fall off.

7. Medications and Treatments

Certain medications, including chemotherapy drugs, can cause nails to detach as a side effect.

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Should I Be Worried if My Toenail Falls Off?

Losing a toenail can be alarming, but whether it’s a cause for concern depends on the underlying reason.

When You Likely Don’t Need to Worry

• If the toenail loss is due to a known injury, such as stubbing your toe or repetitive friction, and there are no signs of infection.
• If the nail is falling off due to a fungal infection that you’ve already started treating with over-the-counter or prescribed antifungal medications.

When to Be Concerned

You should seek medical attention if:

• Pain and Swelling Persist: If the area around the nail remains red, swollen, or painful, it could indicate an infection.
• Discharge or Odor: Pus or a foul smell suggests a bacterial infection that requires prompt treatment.
• Underlying Health Conditions: If you have diabetes, poor circulation, or an autoimmune condition, nail loss may increase your risk of complications.
• Unexplained Nail Loss: If your toenail falls off without any obvious cause, such as trauma or infection, it’s essential to consult a specialist.

In any of these cases, schedule an appointment with Dr. EjodamenShobowale at DeNiel Foot and Ankle Center for expert evaluation and treatment.

Contact Information

• Phone: 832-415-1790
• Address: 15003 FM 529 Road, Houston, TX 77095

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What Should You Do If Your Toenail Falls Off?

If your toenail is coming off, follow these steps to care for your foot and minimize the risk of complications:

1. Clean the Area

• Wash the affected toe gently with soap and water to remove dirt or debris. Avoid scrubbing, as this can irritate the sensitive nail bed.

2. Protect the Nail Bed

• Apply an antibiotic ointment and cover the area with a sterile bandage. This protects the exposed nail bed from infection and reduces discomfort.

3. Avoid Tight Shoes

• Wear open-toed shoes or those with a wide toe box to avoid putting pressure on the injured toe.

4. Don’t Force the Nail Off

• If part of the nail is still attached, do not attempt to pull it off. Allow it to fall off naturally or consult a podiatrist if it’s causing discomfort.

5. Monitor for Signs of Infection

• Keep an eye on the toe for redness, swelling, warmth, or discharge. If you notice any of these signs, schedule an appointment with a podiatrist immediately.

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How Can a Podiatrist Help?

At DeNiel Foot and Ankle Center, Dr. EjodamenShobowale provides personalized care for toenail injuries and conditions. Here’s how she can assist:

1. Accurate Diagnosis
   Whether your toenail fell off due to trauma, infection, or an underlying condition, a foot and ankle specialist can identify the root cause and recommend the best course of treatment.
2. Infection Management
   If there’s an infection, she can prescribe topical or oral medications to eliminate the problem and prevent it from spreading.
3. Treatment for Fungal Infections
   A foot specialist offers advanced options for fungal infections, including laser therapy and prescription antifungal medications.
4. Custom Care Plans
   If you have a chronic condition like diabetes or psoriasis, she can create a tailored plan to protect your foot health and prevent further complications.

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How to Prevent Toenail Loss

Preventing your toenails from falling off starts with proper foot care. Follow these tips to keep your toenails healthy:

• Trim Nails Properly: Cut toenails straight across and avoid cutting too short to reduce the risk of ingrown nails and trauma.
• Wear Comfortable Shoes: Ensure your shoes have adequate room for your toes to move freely.
• Keep Feet Dry: Moisture creates an environment for fungal infections, so dry your feet thoroughly after bathing or exercise.
• Protect Your Toes: Wear protective footwear when engaging in activities that could lead to trauma, such as construction work or running.
• See a Specialist: If you notice any discoloration, thickening, or changes in your toenails, schedule an appointment with Dr. Shobowale for early intervention.

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Final Thoughts: Should You Be Worried if Your Toenail Falls Off?

A toenail falling off can be unsettling, but it’s often treatable with proper care. Whether it’s due to trauma, a fungal infection, or an underlying condition, the key is to act quickly to prevent complications.

If you’re experiencing toenail issues or have concerns about your foot health, contact Dr. Ejodamen Shobowale at DeNiel Foot and Ankle Center today for expert care.

Contact Information

• Phone: 832-415-1790
• Address: 15003 FM 529 Road, Houston, TX 77095

Don’t wait—schedule an appointment to keep your feet healthy and pain-free!

 

Foot Health During Prostate Cancer Treatment

 Prostate cancer patients undergoing treatment face side effects, but the most overlooked are those affecting the feet. Chemotherapy and other cancer therapies lead to foot numbness, tingling, or burning sensations—a condition known as chemotherapy-induced peripheral neuropathy. Additionally, these treatments compromise the immune system, making patients susceptible to changes in foot skin and toenail health. Whether it is a brown toenail discoloration, pain at the tip of your toe, or concerns about toenail skin cancer, paying attention to these warning signs is important. At DeNiel Foot and Ankle Center, we are committed to educating our patients on the importance of monitoring foot health to improve safety, mobility, and overall quality of life during prostate cancer treatment.

Understanding Chemotherapy-Induced Neuropathy: What to Look For

Peripheral neuropathy is a common side effect of chemotherapy, especially in prostate cancer patients. It occurs when the nerves that carry signals between the brain and the extremities are damaged. This damage can lead to numbness, tingling, or even a burning feeling in the feet. For some, this starts as a mild annoyance, but if left untreated, it can progress to more severe symptoms, increasing the risk of falls and injuries. Imagine trying to walk with feet that constantly feel as if they are “asleep” or stepping on pins and needles—this affects balance and coordination.

Patients should be on the lookout for signs like persistent numbness, pain in the toe tips, or changes in sensitivity in the feet. These symptoms seem minor but can escalate quickly, affecting daily activities and mobility. If yousee these early signs of neuropathy, visiting a podiatrist can help manage the discomfort and prevent further nerve damage. Physical therapy, specialized footwear, and pain management techniques offer relief and enhance safety.

Changes in Foot Skin and Nail Health During Prostate Cancer Therapy

Another less-discussed side effect of prostate cancer treatment is its impact on foot skin and nail health. Therapies like chemotherapy and hormone treatments weaken the immune system, leaving your feet vulnerable to infections. You might notice your toenails discolored—perhaps brown or yellow—while others become thickened or brittle. In severe cases, these changes could be mistaken for toenail skin cancer, which highlights the importance of early evaluation by a podiatrist.

Fungal infections are likely during cancer treatment, often appearing as cracks between the toes, red patches on the feet, or even a white, powdery substance on the toenails. If untreated, these infections lead to sores, ulcers, and slow-healing wounds, particularly if neuropathy affects your feet. The combination of reduced sensation and compromised immune response can result in wounds going unnoticed, increasing the risk of infections or even amputations.

How Podiatric Care Can Enhance Comfort and Mobility

Many of the foot-related side effects can be managed with prompt podiatric care. At DeNiel Foot and Ankle Center, we offer specialized care for cancer patients, focusing on the prevention and treatment of foot complications. Early intervention is key to managing numbness, tingling, and changes in skin or nail health.

For neuropathy, our podiatrist may recommend custom orthotics, footwear modifications, or physical therapy exercises to improve circulation and reduce discomfort. Addressing nail health issues early can prevent fungal infections from spreading and reduce the risk of painful complications. Regular foot exams during your cancer treatment can help identify and treat problems before they escalate, ensuring you remain comfortable and active.

Tips for Managing Foot Health During Prostate Cancer Treatment

• Look for signs of redness, swelling, cuts, or changes in nail color. Brown spots on toenails or unusual pain at the toe tip should be evaluated by a podiatrist.
• Keep your feet hydrated to prevent cracking, which can lead to infections. However, avoid applying lotion between the toes.
• Choose footwear that offers support and cushioning to reduce the impact on your feet, especially if you are experiencing neuropathy.
• If swelling is an issue, elevate your feet above heart level for 15-20 minutes daily can reduce fluid buildup.
• Seek medical advice early.

Your foot health is an integral part of your overall well-being, especially during prostate cancer treatment. If younotice symptoms like numbness, tingling, brown toenails, pain at the toe tip, or other changes in your feet, contact us. Our Houston foot doctor is dedicated to providing personalized care that addresses your needs, helping you maintain comfort, mobility, and peace of mind throughout your cancer treatment journey.

Effective Treatments and Prevention Tips of Corns on Your Toe

 

Unlike calluses, which cover large areas, corns are small, localized, and painful.Corns can make walking uncomfortable. They are hardened areas of skin that develop due to friction and pressure caused by tight shoes, improper footwear, or toe deformities. At DeNiel Foot and Ankle Center, our Houston foot doctor specializes in treating and preventing corns, ensuring patients get relief and keep their feet healthy. Here is everything you need to know about getting rid of corn on your toes, from identifying treatment to following prevention tips.

What Are Corns, and Why Do They Form?

Corns are small, thickened layers of skin that form on the tops or sides of toes as a protective response to friction or pressure. They develop when the skin is exposed to pressure from shoes that do not fit well or if you have foot abnormalities like hammertoes or bunions.

Corns usually appear as hardened, raised skin that may be yellow or white. Some corns are soft where the skin remains moist. Symptoms include pain or discomfort when pressing on the area or wearing shoes and inflammation around the corn.

Recognizing the signs early on allows for less invasive treatment.

Common Causes of Corns on Toes:

1. Ill-fitting Shoes: Tight, narrow shoes rub against the toes, creating pressure that leads to corns.
2. Toe deformities like hammertoes or bunions increase friction and cause corns to develop.
3. Improper Foot Care: Skipping regular foot care or wearing high heels increases the risk.
4. Foot Shape: A naturally high arch may make you prone to developing corns.

Professional Treatments at DeNiel Foot and Ankle Center

For persistent or painful corns, professional treatment from a Houston foot doctor is recommended. Here’s how our podiatric care team can help:

• Corn Shaving: A podiatrist carefully trims the corn, providing immediate relief. This is a safe, effective method to avoid infection.
• Orthotic Devices: Customized shoe inserts can reduce pressure on areas prone to corns, helping prevent them from returning.
• Footwear Guidance: Our team can recommend footwear adjustments or help with shoe fittings to reduce friction and pressure on your toes.
• Surgical Options: In severe cases where toe deformities or underlying structural issues contribute to corns, a podiatrist may recommend minor surgery to correct the deformity, ensuring long-term relief.

Prevention Tips for Corns on Toes

The best way to manage corns is to prevent them from forming in the first place. Here are some practical tips:

• Opt for shoes that provide enough toe room. Avoid high heels and narrow-toed shoes whenever possible, as they increase pressure on your toes.
• Use Cushion Pads: If you have areas prone to corns, use cushion pads to reduce pressure points and prevent friction.
• Keep Feet Clean and Moisturized: Regularly clean and moisturize your feet, especially around the toes, to keep the skin supple and less prone to corns.
• Trim Nails Properly: Keeping your toenails trimmed can help prevent abnormal pressure on the toes, reducing the risk of corns.
• Custom orthotics or shoe inserts help distribute weight, which minimizes pressure on high-risk areas.

When to See Our Houston Foot Doctor

While home care can alleviate foot corns, consult a podiatrist for persistent or painful corns. Ignoring the problem may lead to discomfort or foot infections. At DeNiel Foot and Ankle Center, our Houston foot doctor provides effective, compassionate care for corns and other foot issues, ensuring your feet remain healthy and pain-free.

 
Reach out to schedule a consultation and take the first step to comfortable, corn-free toes!

 

Benefits and Risks of Toe Lengthening Surgery

Toe lengthening surgery is a specialized procedure designed to address issues related to short or deformed toes. While it offers benefits, it comes with potential risks. This comprehensive guide will delve into the medical, aesthetic, and psychological aspects of toe lengthening procedure to help potential patients make informed decisions.

Medical Aspects of Toe Lengthening Surgery

Benefits

1. Toe lengthening can correct deformities that cause pain or difficulty walking, and lead to improved foot functionality.
2. Many patients experience significant pain relief from conditions like hammertoes or claw toes after the surgery.
3. Properly aligned toes contribute to better balance and overall stability.

Risks

1. As with any surgical procedure, there is a risk of infection. Proper post-operative care minimizes this risk.
2. There is a potential for nerve damage, which can result in numbness or tingling.
3. The bones may not heal properly, leading to complications that might require further surgery.

Aesthetic Aspects of Toe Lengthening Surgery

Benefits

1. Improved Appearance: Toe lengthening enhances the aesthetic appearance of the feet, which can benefit self-conscious people about their toes.
2. Footwear Options: With corrected toe length, patients find they have more options in terms of footwear, as they are no longer restricted by toe deformities.

Risks

1. Surgical procedures often leave scars, which is a concern for some patients.
2. Swelling can persist post-surgery, impacting the immediate aesthetic outcome.
   

Psychological Aspects of Toe Lengthening Surgery

Benefits

1. Correcting toe deformities can significantly boost a patient’s confidence and self-esteem, especially if they were previously self-conscious about their feet.
2. Pain relief and improved foot function can lead to a better quality of life.

Risks

1. Surgical complications can lead to emotional distress and anxiety.
2. Patients may need time to adjust to the changes in their feet, physically and psychologically.

Making an Informed Decision

Before deciding on toe-lengthening surgery, it is crucial to consult with a qualified foot surgeon who will provide a detailed assessment and discuss the potential benefits and risks to your situation. At DeNiel Foot and Ankle Center, our experienced team is dedicated to helping you achieve the best possible outcomes.

Why Choose DeNiel Foot and Ankle Center?

• Our podiatrists are highly trained and experienced in toe-lengthening procedures.
• From initial consultation to post-operative care, we provide comprehensive support for optimal recovery.
• We prioritize your needs and concerns with personalized care tailored to you.

If you are considering toe lengthening surgery, visit DeNiel Foot and Ankle Center to schedule a consultation and explore your options. Our team is here to guide you every step of the way, helping you make informed decisions for your foot health.

Toe lengthening surgery offers numerous benefits, including improved functionality, pain relief, and enhanced appearance. However, it is important to be aware of the potential risks, such as infection and nerve damage. By understanding the medical, aesthetic, and psychological aspects of the procedure, you make a well-informed decision. For expert advice and personalized care, visit DeNiel Foot and Ankle Center.

All You Need To Know About Toe Shortening Surgery Before And After

The feet are fundamental to our mobility and overall well-being. For some, issues with foot structure, such as excessively long toes, can lead to discomfort and self-consciousness. Toe shortening surgery near me offers a solution for functional and aesthetic concerns, but like any medical procedure, it comes with considerations.

To provide expert insights and help you make informed decisions about your foot health, we sat down with Dr. Shobowale at DeNiel Foot and Ankle Center, a renowned podiatrist and surgeon specializing in toe shortening surgery. In this comprehensive Q&A session, Dr. Shobowale shares her expertise on the procedure, from the reasons someone might seek it to the details of the surgery and recovery process. Whether you are experiencing discomfort this expert advice will guide you through aspects of this specialized surgery.

To start, tell us what toe shortening surgery is and why someone might need it

Toe shortening surgery where one or more toes are surgically shortened, for a variety of reasons. Patients seek this surgery for functional reasons, such as to relieve pain or discomfort caused by a longer toe rubbing against shoes or causing issues with walking. Others opt for this surgery for cosmetic reasons, wanting their toes to appear proportional.

What are the reasons patients seek toe shortening surgery?

The most common reasons include hammertoe deformities, where a toe bends or curls downward instead of pointing forward. It can lead to pain and difficulty wearing shoes. Some patients have congenital conditions where one or more toes are disproportionately long. These functional and aesthetic concerns lead to the consideration of toe shortening surgery.

Could you walk us through the procedure for toe shortening surgery?

The procedure is an outpatient basis under local anesthesia. First, a small incision is made on the affected toe. Then, depending on the specific technique, a portion of the bone is removed to shorten the toe. The bones are stabilized using pins or screws, and the incision is closed with sutures. It takes about one to two hours.

What does the recovery process look like for patients who undergo this surgery?

Recovery from toe shortening surgery involves a period of rest and limited mobility. Patients are advised to keep weight off the foot as much as possible for the first few weeks. Special footwear or a surgical boot is provided to protect the foot. Swelling and discomfort are common in the initial weeks but can be managed with pain medication and ice packs. Full recovery, including the return to normal activities and wearing regular shoes, usually takes about six to eight weeks.

What are the risks associated with toe shortening surgery?

As with any surgical procedure, the risks and complications include infection, poor wound healing, nerve damage, and dissatisfaction with the cosmetic outcome.

What advice would you give to someone considering this procedure?

My advice would be to research the procedure. Have a detailed discussion about your goals, the expected outcomes, and the potential risks. Follow all instructions to ensure the best outcome. Lastly, understand that while the surgery can significantly improve function and appearance, it requires a commitment to recovery.

Thank you so much. Book an appointment for more insights and treatment at DeNiel Foot and Ankle Center. This information will undoubtedly help you make informed decisions about your foot health. Taking care of our feet is crucial, as they are the foundation of our mobility and overall well-being.

 

Laser Therapy for Fungus-Free Feet

Nail fungus, medically known as onychomycosis, is a common fungal infection that affects the nails, most commonly the toenails. Fungal toenail infections occur when fungi (such as dermatophytes, yeast, or molds) penetrate the nail bed through small cracks or cuts in the nail or surrounding skin.

Symptoms of nail fungus can include:

• Thickened nails
• Discoloration
• Brittle or crumbly nails
• Nails may change shape, becoming distorted or misshapen
• The nail may lift or separate from the nail bed, leading to a gap underneath the nail.
• Nail fungus can cause pain or discomfort, especially if left untreated and the infection becomes severe.

Nail fungus is persistent and can be challenging to treat. It thrives in warm, moist environments, making the feet susceptible, especially wearing shoes and socks.

Treatment options for nail fungus include:

1. Topical antifungal medications are applied directly to the affected nails and surrounding skin.
2. Oral antifungal medications are more effective than topical treatments but can have side effects and interactions with other medications.
3. Toenail fungus laser therapy is a recent treatment option that targets and destroys the fungus using concentrated beams of light.
4. Surgical nail removal in severe cases where the infection is particularly stubborn or painful, surgical removal of the infected nail may be necessary.

Consult our Houston foot doctor at DeNiel Foot and Ankle Center for a diagnosis and appropriate treatment plan tailored to your condition. Additionally, preventive measures such as keeping your feet clean and dry, wearing breathable socks and shoes, and avoiding walking barefoot in public areas can help reduce the risk of nail fungus infection.

Laser fungal nail treatment is a new approach to treating fungal nail infections (onychomycosis). It involves using a laser to target and destroy the fungus that has infected the nails.

Here is how it works:

1. Preparation: Before the treatment, your nails will be cleaned and trimmed to remove the infected nail. It helps the laser energy to penetrate more effectively.
2. Laser Treatment: A specially designed laser device emits concentrated beams of light onto the infected nails. The laser energy penetrates the nail and reaches the fungus living underneath it. The heat generated by the laser destroys the fungal cells while leaving the surrounding tissue unharmed.
3. Duration and Sessions: The duration of the treatment session varies depending on the severity of the infection and the number of nails affected. Multiple treatment sessions are required, spaced several weeks apart for optimal results.
4. Post-Treatment Care: After each session, you may be advised to apply antifungal cream or take oral antifungal medication to combat the infection. Take precautions to prevent reinfection, such as keeping your feet clean and dry, wearing breathable socks and shoes, and avoiding walking barefoot in public places.

Laser therapy for nail fungus is a safe and effective treatment option for many people. However, its effectiveness varies from person to person, so discuss the potential risks, benefits, and costs with your podiatrists before proceeding with this treatment.

 

Laparoscopic Bunion Surgery Revolutionizes Foot Care

Laparoscopic bunion surgery, known as minimally invasive bunion surgery, is a modern approach to correcting bunions using small incisions and specialized instruments. Unlike traditional bunion surgery, laparoscopic techniques aim to minimize trauma to surrounding tissues, reduce post-operative pain, and expedite recovery.

During laparoscopic bunion surgery, the surgeon makes several small incisions near the bunion. Through the small openings, a camera (endoscope) and specialized instruments to visualize are inserted to manipulate the bones and soft tissues. The surgeon then corrects the bunion deformity by realigning the bones, removing excess bone or tissue, and possibly inserting fixation devices to stabilize the position.

The Role of Soft Tissue Manipulation in Bunion Surgery

Soft tissue manipulation in bunion surgery addresses the soft tissue structures around the affected toe joint.

Here is how soft tissue manipulation is involved in bunion surgery:

1. Soft tissue release: The surgeon may need to release tight or contracted soft tissues around the bunion joint to allow for proper realignment of the bones. It can involve releasing the tight ligaments, tendons, and joint capsules.
2. Capsulotomy: The surgeon may need to make an incision in the joint capsule (the fibrous tissue surrounding the joint) to assess the bunion deformity and facilitate correction.
3. Tendon repositioning: Depending on the severity of the bunion deformity, the surgeon may need to reposition or adjust the tendons that control the movement of the big toe. It helps restore proper alignment and function of the toe joint.
4. Soft tissue balancing: Ensuring proper tension and alignment of the soft tissues around the joint is crucial for achieving a stable and functional correction. The surgeon may manipulate the soft tissues to achieve optimal balance and stability.
5. Wound closure: After the bunion correction, the surgeon carefully closes the incisions, ensuring the soft tissues are realigned and sutured to promote healing.

Soft tissue manipulation is essential in bunion surgery, as it addresses the bone and soft tissue components of the toe deformity. By carefully manipulating the soft tissues, foot surgeons achieve better outcomes in pain relief, function, and cosmesis for patients undergoing bunion surgery.

Advantages of laparoscopic bunion surgery include

1. Smaller incisionsresultin less scarring and reduced risk of infection.
2. Reduced post-operative paindue to minimized tissue trauma.
3. Patients experience faster recovery times compared to traditional open bunion surgery.
4. Smaller incisions result in better aesthetic outcomes.

However, note that not all bunions are suitable for laparoscopic surgery. The severity of the bunion deformity, the patient's overall health, and medical history determine whether laparoscopic bunion surgery is appropriate.

As with any surgical procedure, there are potential risks and complications associated with laparoscopic bunion surgery. These may include infection, nerve damage, recurrence of the bunion deformity, and prolonged recovery in some cases.

If you are considering laparoscopic bunion surgery, consult our Houston foot doctor at DeNiel Foot & Ankle Center who will evaluate your condition and recommend the appropriate treatment approach for you.