Runner's toe develops when a toenail repeatedly strikes the inside of a shoe. The pressure and friction can damage tiny blood vessels beneath the nail, causing blood to collect. The nail can look red, purple, or black. Pain, swelling, and pressure can also develop. The problem usually affects the big toe or second toe because one is often the longest. Long-distance running raises the risk, especially on downhill routes. Shoes that are too short, narrow, or loose can allow repeated contact with the toe. A long toe or changes in foot structure can add to the problem.

The injured nail can loosen, separate from the skin beneath it, or eventually fall off. A new toenail generally grows, but this process can take several months. Repeated injuries can cause the nail to become thick or misshapen. A dark toenail does not always indicate runner's toe. Fungal infections and other health concerns can cause similar changes. A podiatrist can examine the nail and determine why it has changed color. The evaluation includes questions about running habits, shoe fit, and recent injuries. The podiatrist can also check for infection or damage to the tissue that produces the nail. Severe pain or a dark mark that does not move as the nail grows deserves prompt attention.

Treatment depends on the injury and the amount of pressure beneath the nail. A podiatrist can safely drain trapped blood to reduce pain. The doctor can trim or remove a damaged nail and protect the sensitive skin below it. The podiatrist can also assess toe length, foot shape, and running motion to identify sources of pressure. Guidance can include choosing properly-fitted running shoes with enough toe room. It can also address lacing methods and suitable socks. These changes can reduce sliding and rubbing inside the shoe. If you have developed runner's toe, it is suggested that you schedule an appointment with a podiatrist for effective relief, treatment, and prevention tips.

Toe pain can disrupt your daily activities. If you have any concerns, contact Bessaliea Griffin, DPM of Footprint Podiatry. 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 contact our office located in Smithfield, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sever’s disease is a common cause of heel pain in growing children, especially those who are active in sports. It is a growth-related condition that affects the heel bone, known as the calcaneus. During periods of rapid growth, bones can lengthen faster than the surrounding muscles and tendons, creating tension at the growth plate. Repetitive stress on this sensitive area can lead to inflammation and discomfort, particularly in children who regularly engage in running and jumping activities.

Symptoms of Sever’s disease typically include heel pain that worsens with physical activity and improves with rest. Children may report tenderness at the back or underside of the heel, along with stiffness and difficulty walking or running comfortably. In some cases, a child may limp or avoid placing full weight on the affected foot. The pain can occur in one or both heels and may vary in severity depending on activity level and intensity.

Several risk factors can increase the likelihood of developing this condition. Participation in high-impact sports such as soccer, basketball, or track places repeated strain on the heel. Rapid growth spurts can further contribute by increasing tension in the muscles and tendons attached to the heel bone. Wearing improper footwear that lacks sufficient support or cushioning can worsen symptoms. Additionally, foot structure, including flat feet or high arches, may lead to uneven pressure distribution and added stress on the growth plate.

Managing Sever’s disease focuses on reducing stress on the heel and promoting proper foot mechanics. Rest, supportive footwear, and stretching exercises can help relieve discomfort and support healing. Early attention is important to prevent prolonged symptoms and allow a safe return to activity. If your active child has heel pain, it is suggested that you consult a podiatrist who can offer effective relief and management tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Bessaliea Griffin, DPM from Footprint Podiatry. 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 Smithfield, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A sudden ankle injury can cause pain and swelling, but it may be difficult to tell whether the ankle is broken or sprained. A sprained ankle occurs when the ligaments that support the joint are stretched or torn. A broken ankle, also called an ankle fracture, means that one or more bones around the joint have cracked or broken. Both injuries can happen after a fall, awkward landing, or sudden twist. Symptoms can overlap, which is why appearance and pain alone may not provide a clear answer. A professional evaluation is often needed to determine the type and severity of the ankle injury.

Both ankle fractures and sprains may cause swelling, bruising, and difficulty walking. However, certain signs can raise concern for a broken ankle. Severe pain directly over a bone or a visibly changed ankle shape may suggest a fracture. Some people hear a cracking sound at the time of injury, although this does not always mean a bone is broken. A severe sprain can also make it difficult to place weight on the foot. Because symptoms can be similar, imaging such as an X-ray may be necessary to confirm whether a fracture is present and guide appropriate treatment.

A podiatrist can examine an injured ankle and determine whether symptoms are more consistent with a sprain, fracture, or another problem. The evaluation may include checking swelling, tenderness, and ankle stability. When needed, diagnostic imaging can provide more information about bones and surrounding structures. Treatment depends on the diagnosis and severity of the injury. Podiatric care may focus on protecting damaged tissues, restoring ankle function, and supporting proper healing. An accurate diagnosis can also reduce the risk of long-term instability or ongoing ankle pain. If ankle pain, swelling, or difficulty bearing weight develops after an injury, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Broken ankles need immediate treatment. If you are seeking treatment, contact Bessaliea Griffin, DPM from Footprint Podiatry. our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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