Use this search box to search our site


Haga clic aqui Espanol




nail fungus

AUTHOR: Marc Mitnick DPM

REVIEWED BY: Podiatric Medical Review Board

--> toe nail fungus

WHAT IS ONYCHOMYCOSIS



Nail fungus or onychomycosis is an infection of the nails occurring both on the hands and feet but certainly more prevalent on the feet due to the environment that feet find themselves in. This condition generally thrives in dark, moist environments, so when you consider wearing shoes and socks all day along with perspiration that occurs, it ends up being a perfect growth media for this type of fungus.

This condition was rarely seen a hundred years ago, but has become more common due to the lifestyle changes we all experience such as communal bathing areas, greater use of occlusive footwear, and the increasing incidence of diabetes. Athletes, particularly runners are more inclined to develop this problem.

The incidence of onychomycosis increases with age, the majority being over age 55, but we also see it in teenagers as well. For most people this is a progressive disease that if left untreated will continue to spread from toe to toe.

nail fungus symptoms

The true, tough to get rid of fungus, actually grows underneath the nail. As it grows, it forces the nail up off the nail bed and the nail becomes thick, crumbly and discolored ranging in color from yellow to brown. There may also be an odor. It is not uncommon for these infected nails to then spread to the remaining healthy nails on the foot. It is also not uncommon for nails to fall off and unfortunately, in most cases grow back with nail fungus if not properly treated.

Below is a picture of a typical fungus nail.

fungus toe nail


Compare the above picture to that of a psoriatic nail.

WHAT IS WRONG WITH HAVING NAIL FUNGUS?

  • cosmetically unappealing
  • makes you more susceptible to developing athletes foot
  • increases the chance of developing secondary bacterial infections in your feet
  • pain in closed shoes from the thickness of the nails; feels like rocks growing out of the top of your toes
  • increase the chances of developing painful ingrown nails
  • the sheer distortion of the nails tends to irritate the healthy skin of the adjacent toes causing abrasions that can become infected
  • particularly dangerous in people who suffer from diabetes or circulatory problems


NAIL FUNGUS TREATMENT



There is no shortage of nail fungus cures on the internet, products sold in drug stores, and in general dissemination of incorrect information. Treatment can be difficult because of the fact that nail fungus thrives in “dark moist environments” and happens to grow underneath the nail. Wearing closed shoes and socks all day with feet that perspire creates a perfect breeding ground for nail fungus. Eliminating those factors can go a long way to reducing recurrence.

Many patients ask me if the infected nail has to be removed. The only time I remove them is if they are already partially loose. If the onychomycotic nail is adhered to the nail bed I no longer advocate removal of the nail because the simple truth is, just removing a nail all the way back to its growth plate will cause the nail to grow out with a degree of thickness even if there is no nail fungus present.

Nail fungus medication include both oral and topical treatments.

ORAL MEDICATION FOR FUNGUS NAILS

For years the gold standard for treating onychomycosis in an otherwise healthy individual has been oral therapy. The most widely prescribed medication today is Lamisil tablets (Novartis), although there are certainly other oral antifungals that can be used. The newer generation of oral antifungals are fairly safe medications if properly used. Lamisil tablets has adverse response rate of less than 3 percent. Typically, the dosing for Lamisil is one tablet per day for three months for fungus nails.

Recently, a dosing schedule known as pulse dosing has become popular. Instead of 90 days worth of Lamisil, the pulse dosing is as follows: one pill a day for seven days, then no medication for the next three weeks, then one pill per day for one week, then no medication for three weeks, then one pill per day for seven days. As you can see you end up taking 21 pills versus 90 pills and the end results are the same. I have been using pulse dosing now for quite a while for nail fungus and am generally pleased with the results. The obvious advantage to this type of dosing is less adverse affects from the medication and overall cost.

Your doctor may prescribe one or two blood tests during the course of therapy to make sure there are no adverse effects. (As a side note, ever since I have started the pulse dosing regimen for oral Lamisil, I no longer do blood work. The logic here is that the medicine is not in your system long enough to cause any adverse effects.)

fungus toe nail warning

Additionally, your doctor should take a sampling of the nail and have it tested to confirm that it is true nail fungus. Visual inspection is not the proper way to make a diagnosis. Many times a thickened nail is nothing more than keratinization of the underlying nail bed, which is a thickening of the skin underneath usually from repeated trauma. This can eventually lead to nail fungus because the increased thickened skin is a good focal point for fungus to enter. A thick discolored nail may also be a result of mold and spore infestation and have nothing to do with fungus.

The other problem of not doing a nail sampling is that a few of the insurance companies out there will not pay for oral antifungals without proof of nail fungus.

Taking the oral therapy one step further, it should be noted that oral Lamisil only kills the two most common types of fungus. By taking a nail sampling as just mentioned, one will be able to see if the oral medication will be effective assuming the nail sampling comes back positive for one of the two most common pathogens. It is worth noting here that most infections are mixed infections, meaning there is more than one kind of "bug" underneath the nail and that becomes one of the contributing factors in a patient whose nails do not totally respond to the oral medication.

TOPICAL MEDICATION FOR FUNGUS NAILS

Although topical treatments are available, they tend to be less effective. The main problem, as stated earlier, is that fungus grows underneath the nail; so applying medication to the top of the nail becomes an effort in futility. Trying to force the medication underneath the nail rarely works.

The best way to use topical medication is to see a foot specialist who will grind down and cut away as much of the diseased nail as possible (a painless procedure), so that the topical medication will penetrate to the live fungus more readily. This can become a tedious process as the medication generally has to be applied twice a day by the patient, (being lazy about it defeats the whole purpose) and then the nail has to be ground down on a regular basis.

The other problem is that depending on the degree of fungus this process can take upwards of a year. Another issue is that the greater the number of nails that are infected, the less the likelihood is of clearing them all up with the topical medication. Having said that, I have seen some very gratifying results with topical medication. Again it is important to note that along with treating the nails for fungus, any fungal skin infection also needs to be treated. nail_fungus-improved

Update April, 2011. Take a look at this picture of a fungal nail. This patient originally presented to the office about 6-7 months earlier. Keep in mind, at that time the whole nail was infected. Because oral medication was not an option, I started her on a topical medication. She states that she has been using the medication twice a day, everyday, since that visit. Look how clear the back portion of her nail now appears. Eventually as the diseased part of the nail grows forward it will be cut away and her nail will be totally clear. Compare it to her second toe nail. I challenge anyone to scour the internet and see a better looking nail as a result of using topical medication. Of course, the treatment is tedious (9-12 months) for a big toe nail, but the medication is safe and inexpensive.

The other problem with most commercially available topical antifungal medications is that they are either of a water or alcohol base and neither ingredient penetrates nail which is primarily protein and fat (not calcium). Oil based topical antifungals are much better at penetrating the nail (which acts as a protective barrier) to get to the actual fungus. If you do not want to take oral medication or are not sure you even have true onychomycosis then the topical medication is a very safe alternative.

fungus toe nail

Keep in mind there can be failure using either topical or oral medication. But, here is an important point to take away from this article and that is if you only have a little fungus such as maybe on a nail or two, you are much better off trying to eradicate that rather than waiting, while the condition further worsens and then you are stuck trying to clear up a more severe case. A good rule of thumb is...."the worse the fungus condition, the harder it is to clear up." A precursor to those thick yellow nails we have been discussing is a situation where you notice white specks on your nails. Many women will notice them when they remove nail polish.

This is superficial nail fungus where the fungus is growing on top of the nail and without proper treatment may burrow through the nail and cause thickening and discoloration. People with this condition should treat their fungus immediately as it is fairly easy to remedy.

NAIL FUNGUS LASER TREATMENT

The last option available for nail fungus is laser treatment. Laser became popular in the United States a few years ago, but until recently none of the available laser units were FDA approved. This has changed and as a result I have started performing laser surgery on fungus nails. Unlike either topical or oral medicine, laser destroys all the different organisms that are growing underneath the nail.

Studies are now available that are older than one year and I have seen some very impressive results. I have personally found that people prefer laser surgery over other options because it is a safe, painless procedure with the highest rate of success.

Laser is a painless procedure but is not covered by any insurance. Prices for this service will vary from one doctor to the next. Some doctors will only treat the nails that exhibit visible fungus, while others will treat all ten nails, the idea being that some of the healthy looking nails may actually have fungus in them and they will re-infect the other nails.

With laser surgery or any other treatment therapy you undertake, it is important to note that the diseased nail itself does not change in appearance initially; what happens is the diseased nail goes from live fungus to dead fungus but the appearance does not change. Over time as the nail grows forward and the diseased nail is cut away, it is eventually replaced with healthy nail which begins at the growth plate of the nail which is the back portion of the nail.

lasered toe nail
Look at this picture of a big toe nail that underwent laser surgery around six months earlier. At the time of treatment the whole nail exhibited fungus. A demarcation line (blue line) has developed which represents the growing forward of the nail with the dead fungus being cut away and being replaced by healthy nail (the nail below the blue line).



PREVENTING THE RECURRENCE OF NAIL FUNGUS



nail fungus home treatment

No matter what treatment method you employ to rid yourself of those unsightly nails, that ends up only being half the battle. The other half is preventing recurrence.

There are many reasons people develop fungus. It may be from nail trauma in playing sports to those people who develop it simply because of the environment their feet live in.

Once your nails have cleared up here are my recommendations for prevention:

    BETTER HYGIENE OF THE FEET

  • use of an anti-fungal soap such as tea tree oil soap. (regular bar soap does not have anti-fungal properties).
  • use of an oil based topical anti-fungal nail medication to create a protective coating over the nails
  • use of a topical anti-perspirant for feet such as Onox Spray, which can be purchased below.
  • avoiding the use of nylons which promote perspiration
  • allowing shoes that are moist inside to dry out before wearing again. Spraying them with an anti-fungal such as Tineacide spray will help destroy an fungus residing inside your shoes. This can be purchased below
  • keeping the nails cut short. Space between the nail and the skin underneath is a focal point for new fungus infections.
  • Lastly, women who wear toenail polish on a very regular basis are more prone to nail fungus, generally the superficial type of nail fungus. This is because the polish when applied traps moisture on the nail and thus fungus may begin to grow. When the polish is removed the nail appears yellowish with pockets of white specks. If left alone this will usually invade the nail plate and become the deep type of onychomycosis. The good news is that this superficial type of fungus can be sanded out with an emery board and along with application of a topical antifungal and the avoidance of regular polish the nail will remain healthy.
    fungus toe nail warning

    There is actually nail polish manufactured that has anti-fungal medication in it; the idea being that the medication will help prevent formation of fungus. If you are one who notices nail discoloration when you remove polish, this might be an option to consider. You might want to consider Dr.'s Remedy nail polish which may be purchased below.



OTHER NAIL ABNORMALITIES



melanoma of nail

Any discussion of thick discolored nails is not complete without mention of a rare but occurring condition known as melanoma of the nail. A melanoma may begin from the growth plate of the nail (the area just behind the nail) or it may occur on the nail bed itself. In either event it will cause the nail to become thick and discolored and can mimic a fungus nail. Look at the picture to the left. It is a melanoma of the nail bed.

For that reason, any suspicious discoloration or distortion of a nail should be checked by a doctor to make sure it is nothing more than a fungus nail with the knowledge in very rare cases it could be a melanoma.

Abnormalities of the fingernails or toenails are usually the result of injury or infection directly to the nails. However, at other times, changes to the nails and the skin immediately surrounding the nails may be indicative of systemic disease processes occurring in the body.

Some of these abnormalities include:

Black Bands- this is a normal finding in African-Americans and Asians but in Caucasians a black band starting at the cuticle and growing forward to the tip of the nail may be a sign of melanoma. In this case the nail needs to be removed and a section of the nail bed has to be biopsied.

Clubbing- the affected nails become bulbous in appearance as does the surrounding skin. This may be indicative of congestive heart failure, emphysema or even lung cancer.

Onycholysis-the nail separates from the underlying nail bed and loosens up. In most cases this is the result of micro trauma to the nail as in walking in a shoe that is too tight. But in some cases this may be evidence of an overactive or underactive thyroid. This would be particularly true if it is occurring on the hands and feet.

Red cuticles-redness around the actual nail itself may be indicative of lupus.

Red nails-this condition may be seen in congestive heart failure.

Splinter hemorrhages-again in most cases this is indicative of trauma to the nail, but when there are multiple nails exhibiting multiple signs of splintering this can be indicative of endocarditis.

Spoon nails-when there is a concavity in the nail’s surface (the exact opposite of clubbing) this may indicate iron deficiency anemia.

Thin nails-when the nails seems to be very thin and pliable this may indicate a vitamin deficiency of vitamin B. Biotin 2mg taken daily should resolve this problem in 2-3 months. Biotin can be purchased in any health food store.

White nails-nails that are extraordinarily white may be a sign of cirrhosis of the liver.

severe_nail_fungus
severe_nail_fungus













REFERENCES

Mayo Clinic

American Academy of Dermatology

Center for Disease Control

UPDATES TO FUNGUS NAILS

11/25/2022 Not all thick discolored nails are actually fungal in nature. Brittle nails are a very common condition which many will mistake for nail fungus. This type of condition will not respond to typical fungal nail treatments.

In a recent article from the Cleveland Clinic, dermatologist Rosemary Keskinen MD discusses the causes and treatments for brittle nails.

The most common causes of brittle nails are excessive hand washing. Nails tend to lose water faster then skin making them more brittle over time. Aging itself will increase the chance of nails becoming brittle simply because as we age, our nails grow slower making them more susceptible to drying out. Nail length is also a factor as longer nails tend to split more frequently and nail cosmetics will help exacerbate the problem. Those undergoing chemotherapy may also experience brittle nails as a side effect of the treatment.

The article then goes on to discuss ways you can improve the appearance of your nails. These are tips worth taking a look at.

Want more information? CLICK HERE



If you happen to live in the New York - New Jersey area and are interested in laser surgery for your fungal nails, we have two locations. Our fees for this service are very competitive. (Laser is performed in the Summit office)

Marc Mitnick DPM
741 Bloomfield Ave.
Verona, NJ 07044
973-239-8882
and
151 Summit Ave.
Summit, NJ 07901
908-522-0761


To make an appointment on line or for directions to our office click here.

Para traducir esta pagina, ve al boton de traduccion de Google en las esquina superior derecha de la pagina


translate page

ORTHOTICS for multiple types of foot pain
best buy in a pre-made orthotic
click link below


SuperStepOrthotics


ORTHOTICS for heel and arch pain for those who must wear dress shoes
click link below


redithotics





I've been doing some aggressive research lately (it's how I found your incredible website) and realize now that my symptoms are not consistant with the diagnosis. Jennifer

Hunterville, NC
….after reviewing your amazing site (great for the avg. jill). So thank you very much!!!

Liesbeth

NY
I am really, really impressed with your plain-speak explanations for the various conditions.

Jacqueline

NJ
This was an extremely helpful site. I have an appointment on the 18th and your info. Was right on target…..

Jack

Fla
A well organized site containing much information written in a manner that the average reader can comprehend.

Jean

Ontario, Canada
I found your website and articles most interesting.

Andrew

Fla.
Thank you for a quick response. I think your site is the best information site on foot pain and I have viewed many.

Judy

(location unknown)
I came to your website, footspecialist.net via www.foot-pain explained .com which I think is also your website? I thought explanations for different types of problems were well addressed and thoughtfully stated for the patient in mind.

L.W.

New York
You have an amazing and extremely informative site. I enjoyed looking through all of the data and stats.

Yvette

Memphis, TN
Thanks again so much for the information in the article. Very interesting.

Anna

Scotland
Great article. I have had plantar fasciitis since I was in high school……..

J. Simmons

(location unknown)
Dear Dr. Mitnick, The orthotics arrived four days ago and I slipped them into my shoes immediately. I was skeptical as to the usefulness of the item, they really didn't look very exotic. I have to say though, after using them for just four days, I have experienced grand relief from my foot pain. Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. Since getting the orthotics, my life has returned to normal and I feel good again. Just wanted to say thanks for the recommendation for a very effective item, I had no idea what a change this item could affect.

Yours truly,

J.C. Forbes

Tennessee
Thanks for the Response, you hit it on the head.

Steve

Redondo Beach, CA
Thank you for your time and expertise in answering my question…..

LH

(location unknown)
First, thanks for putting together this website. Its the most informative site I have found dealing with foot problems. Last June I started having pain and swelling at …….

Joe

(location unknown)
First of all, thank you for having all this useful information available in one place. I've been through most of your website and based on my research, pain and evaluations I think I've narrowed things down quite a bit.

Pete M.

(location unknown)
Thank you for the best site I have found when researching foot pain.

Glenda B.

Madison, Alabama
Thanks for replying so quickly. I was a bit concerned. I think your website is great, and chock full of info.....

Carol

Denison, TX
Dr. Marc, Thank you so much for your reply which seemed to be right on. I have researched many sites but you put me on the right path to the possible answer. My foot pain may not rule the rest of my life after all! I believe I'll make a sign that reads, "THE END IS NEAR!" Thanks Very Much,

Dawn

West lafayette, IN
Dear sir...no doubt you get positive comments re your site...May I please be added to the list of your admirers. In all of my years of web surfing I would say your site is right there with the very best. Thank you for taking the time to write the terrific info you provide and for putting things into laymen terms for us mere mortals. I pray you have much on going success and thank you again for a deed well done. As for me I did not find much help for my symptoms and will continue on my quest. Were you anywhere in the South I would make and appointment...Thanks again dear sir...m.e.

Michael E.

Tampa, Florida 33624
Hi. This is a great site! I'm a healthy middle aged woman who is in good health, but.....

Kelly

Texas
Just a wee word of thanks for your wonderful website...It is a terrific service...Thank you for providing your knowledge and help...With highest regards, m ebeling

Michael D. Ebeling

Tampa, Florida 33624


Thanks for a most interesting website, which has helped a lot.

Steve

UK


Dear Dr.Mitnick

I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.

I thank you for putting together this incredible website.

Regards,

Dragica W.

Edmonton,Canada


....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!

Roxy

South Africa


You have an unusually clear, informative and well-written website for laypersons. Thank you for that.

Matthew W.

Mansfield Ctr, CT


First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.

Steve

Placentia, California


First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)

Unknown

Unknown location


I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.

Ric J.

Unknown location


I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.

Ron R.

Pacific Grove, CA


I used to work for a podiatrist (front desk) back during summers in college years ago, so I know the benefits of good care. Again, I want to thank you for an EXCELLENT website. It was so great to get to your site (top of google search) and actually find all the answers I needed EASILY and QUICKLY! Clearly you put a ton of work into it and I really appreciate it.

All the best,

Victoria

Alameda, California


By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!

Anonymous


Thank you for your very interesting and informative site!

Anonymous




Hi. I come to your site often looking for information. It is really informative and I appreciate it very much. I have RA and have been having considerable amount of foot pain...... Dee RN


Thanks very much for the wonderful informative site.

Catherine

New Zealand


Thank You for my answer! I have been schedule for a bone density scan, allingment, and I am in the process of getting orthotics made, and checking out the natural remedies. Thank again! What a great web site!

Sincerely

Josette


Yes I want both pair of orthotics. You don't have an option of ordering 2 at one time so I had to place the order twice. Thanks. My husband likes these and wants to put them in all of his shoes. (referring to Superstep orthotics)

Cindy H.

Arizona
I searched the internet everywhere for a clear description and illustration of my symptoms/problem. https://www.foot-pain-explained.com/ was where I ended my search with answers. If I lived in Jersey (left 30 years ago) and didn't live in Florida I would definetly make an appointment with Dr. Mitnick.

Thanks, Kathy

Florida
1st of all THANKS A LOT for your great site......

Anna

Poland
Thank you so much for your response. I will let you know how I am doing if you would like. Your website is awesome!

M P

South Carolina
Hello! I want to thank you for such an informative website! I found you based on my ankle pain search and am happy to realize that there may be a relatively simple cause and solution....

Natalie

unknown location


...Thanks for your fantastic service.

Gary

Arlington, VA


Thank you so very much, that would be much appreciated. I love those insoles, by the way. (referring to Superstep orthotics)

Kelly W.

San Clemente, CA


Dr Marc is fantastic...He seems to know exactly what you are feeling with the problems you are having. I wish he was in my home town so I could go to him with my problems!!!!!!!!!!!!!

Pam

location unknown


Great insights! Thanks Doc, you're the best.

Glen

location unknown


I have been experiencing foot pain of various sorts and am working to figure out what it is. I found this site and can only say BRAVO!! What an excellent site! The time it must have taken to put all this together must've been a daunting task! I am sure it has helped so many people. Thank you so very much for doing this.

Bre

location unknown


Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.

anonymous




Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

anonymous




Staying at home after hallux surgery I spend quite a lot of time seaching info useful for avoiding problems which might come back. Today I found your site and I am .... delighted it happened. It's one of the best site I found last days.

Anna

Poland




Thanks for taking time to read and answer so many questions. It is truly a public service!

Esh

Seattle, WA


I just wanted to say that I am very greatful for this website!!

Bonnie

location unknown




Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.

Bill

New Jersey




Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.

Debbie

location unknown




Wow, that is exactly the information needed!!! thank you thank you thank you!!! I appreciate this help so very much from Marc Mitnick DPM. Excellent information and help to improve One's life.

Chrissy

location unknown




Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!

Tracy

Evansville, IA




Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

location unknown




Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.

-Sunny.

location unknown




Thank you very much for the information, I will consider it. Excellent web site.

Jackie

San Diego, CA




Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

Rivi,

Albany, NY




Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

location unknown




THANK YOU SO VERY MUCH FOR YOUR TIME AND EFFORTS, YOU ARE SO VERY APPRECIATED. THANK YOU FOR ALL YOU DO.

Jackie

Whichita, KS




thanks again, this site is very helpful.

mark

Boston, MA




Like others have stated...This site is amazing and I am so thankful that it was created.

....Keep up what your doing. Your a life saver.

Michelle

Colorado




Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.

annielou

Colorado


Wonderful advice

by: Anonymous

This is the best site for foot problem info.


Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown
Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

Barb D.

Canada
I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......

Bonnie

location unknown
Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!

Nancie

Wisconsin
Thank you for your response. You have provided some great insight (to my question)....

Julie

location unknown
Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!

Renae

North Carolina
Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown


Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida
Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown
Your webpage is excellent, I commend you on sharing your knowledge to the public.

Robert

New Jersey


Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown


I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!

Melody

Lenoir, NC


Thank you so much Doc for a quick and thorough response!

Rustam

Bellevue, WA


I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!

Jodi

location unknown



Recent Articles

  1. Vitamin D impact on health

    Feb 06, 23 07:17 PM

    Researchers are suggesting that the effectiveness of Vitamin D in fighting and preventing disease is predicated on a persons body mass index (BMI). The thinner the person the greater the positive impa…

    Read More

  2. Foods to speed up healing

    Feb 01, 23 02:41 PM

    One of the best ways to help yourself heal faster after surgery is to eat well. Getting the proper nutrition will provide your body with the essentials it needs to promote healing. Here is a suggestio…

    Read More

  3. Cancer and Type 2 Diabetes

    Jan 25, 23 04:52 PM

    An article revealing that older type 2 diabetics have a higher incidence of cancer then non-diabetics. It is suggested that cancer may surpass CVD as the number one cause of death in older diabetics.

    Read More

  4. Does glucosamine or MSM reduce arthritis pain?

    Jan 22, 23 01:41 PM

    A good review of the possible benefits to taking glucosamine, chondroitin or MSM for arthritis. Always beware of the possible side effects of over the counter supplements.

    Read More

  5. shin splints

    Jan 18, 23 05:12 PM

    A great review on the various causes of shin splints, along with treatment options.

    Read More

  6. Whats new in skin cancer?

    Jan 15, 23 08:32 PM

    A presentation of newer skin protection combinations in an effort to better protect the skin from the hazards of sun exposure.

    Read More

  7. Causes and risk factors of warts

    Jan 14, 23 05:02 PM

    A good review of the causes of warts and protective measures you can take to prevent developing them.

    Read More

  8. Do chronic wounds need to be dressed daily?

    Jan 11, 23 02:18 PM

    Because of supply chain shortages as well as staffing shortages particularly during the pandemic, many institutions extended the time between dressing changes for chronic wounds. Is this really the be…

    Read More

  9. Food choices that raise your risk of type 2 diabetes

    Jan 08, 23 10:07 AM

    A good review of how blood sugars can become elevated and the harm that can do. Certain food groups have a tendency to raise your blood sugars and should be avoided.

    Read More

  10. Outcome stats from Scarf bunionectomy

    Jan 03, 23 03:04 PM

    The Journal of Foot and Ankle Surgery recently reported a meta analysis of outcomes in 1583 Scarf bunionectomies that met their inclusion criteria. Adverse events did not seem to be any better or wors…

    Read More