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If You Think Your Toe Is Broken, What Should You Do About It

how to know if toe is broken

In this blog, we will discuss broken toes, how to know if you have a broken toe, and why treatment may be important. Most of us encounter chair legs, or some other semi-immovable objects when we are walking barefoot. Immediately, if your toe has been impacted by such objects, you will pause for a second. Then the pain hits you, which can be very excruciating. Stubbing your toe is never fun!

This is a common occurrence, and we will share symptoms that may indicate that you have a broken toe and what can be done about it.

How Do I Know If My Toe Is Broken Or Just Bruised?

  1. I won’t be able to walk on my foot if the toe is broken right? WRONG! This is an adage that is simply not true. Many people can still walk even if their toes are broken.
  2. Swelling – the more swelling you have, the more likelihood that your toe is broken but this is not always the case.
  3. Level of pain – do not assume that this is an accurate predictor of a broken toe. If one of the joints of the toe is sprained, this can be the main cause of your pain and swelling and a fracture may not be present.

I’m not going to go to the doctor, there’s nothing they can do anyway! WRONG!
The message is simple: There is no way to absolutely know for sure unless an X-ray has been taken.

If you visit your foot specialist, he will first listen to your history about how the injury occurred and then X-rays will be taken. X-rays are very reliable but in rare instances an MRI may also be recommended.

Causes Of Broken Toes

  • Trauma – stubbing the toe is probably the most common cause of a broken toe.
  • Stress fractures – they seldom happen in toes but can happen in many other areas in your foot and ankle. Because toes do not bear the bulk of your entire body weight, the occurrence is rare.

Symptoms to help identify a broken toe

Symptoms of a broken toe or injured toe may include the following:

  • Discoloration – The toe may change in color and become purplish. This could be from broken blood vessels in the toe and could also be swollen and painful to touch.
  • Nerve pain – when you stub a toe, the toe may jam upwards or downwards. In doing so, the nerves that are traveling from the foot to the toes may become stretched and damaged.
  • Deviation of the toe – if the fracture is more significant, you may notice that the toe is not in its normal alignment.

What Can You Do To Avoid Broken Toes?

Selection of shoe gear – if you are going to be in an area where you are likely to stub your toes, it is very important to consider closed shoes rather than sandals. Your working environment, especially if you’re around heavy objects, may necessitate using steel-toed shoes.

Walking at night –  many broken toes occur in the middle of the night, possibly walking to the bathroom. It is important to take extra precautions whenever you walk barefoot outside or inside in the dark.

Treatment

Before you talk about seeing the doctor, what can you do initially?

  1. To reduce the toe pain and reduce swelling, consider icing the area for 20 minutes at a time.
  2. Consider anti-inflammatory pain medication to help deal with the pain and swelling. Make sure you reduce your daily activities, and to protect your toe you may consider buddy taping your toe to an adjacent toe.

Great Toe Pain

If an injury occurs to your great toe, it is even more important to get x-rays taken and have a professional opinion. The reason for this is that for normal ambulation compared to the smaller toe, a big toe fracture is more critical to evaluate to allow for normal ambulation.

How to Know if Your Pinky Toe Is Broken?

The pinky toe, or fifth toe, is particularly vulnerable to fractures due to its small size and location on the outer edge of the foot. Because of this, many people ignore pinky-toe injuries, assuming they are minor. However, a broken pinky toe can cause significant discomfort and even long-term issues if not properly treated. Here are some signs that may indicate your pinky toe is broken:

  • Severe Pain – While minor toe injuries can be painful, a broken pinky toe often causes sharp, intense pain, especially when pressure is applied.
  • Swelling and Redness – If your pinky toe becomes swollen and red shortly after injury, it may indicate a fracture.
  • Bruising or Discoloration – A broken pinky toe may turn purple, blue, or black due to bruising and internal bleeding.
  • Difficulty Walking – While some people can still walk with a broken pinky toe, you may experience discomfort or find yourself limping.
  • Visible Deformity – If your pinky toe looks crooked, bent at an odd angle, or misaligned, it is a strong sign that a fracture has occurred.
  • Numbness or Tingling – Damage to the nerves in your toe may result in a tingling sensation or numbness.

What Is The Doctor Going To Do When You See Him For Your Toe?

If it is determined that your toe was fractured, buddy-taping your toe to an adjacent toe is often the treatment of choice. The doctor may also recommend that you be placed in a special shoe called a surgical shoe to protect the area. Buddy taping may be recommended for about 3-4 weeks to allow the bone to heal properly.

Toe Sprains

If your toe hurts a lot but there is no fracture, it may be that you injured the ligaments around the small joints in the toe and this is called a toe sprain. Buddy taping may also be suggested for this but may not need to be done for as long.

It is important to understand that the consequences of having an undiagnosed toe fracture improperly treated can result in toe surgery. If you have an undiagnosed displaced fracture, it may cause pain later on. In this case, the bone heals in a misaligned position and often times this can cause pain and arthritis in the adjacent joints of the toe. Because of the extra bone accumulation in the toe to mend the fracture, you may now have a painful knuckle that rubs your shoes or adjacent toes. There are instances where surgeries have to be performed because of the lack of appropriate care. If you suspect a fracture, it is important to seek medical attention to avoid these consequences.

If you think you have a broken toe? Get it checked by our specialists in Fort Collins or Broomfield.

Call us today at our Fort Collins location (970) 484-4620, Broomfield location (720) 259-5053

Or use our online scheduling system to book your appointment.

The Black Spot On Toenail: Are You Worried And What To Do

black spot on toenail

In this blog we will cover what it means if you have black spot on your toenail, whether this is something you should be worried about or something you can ignore, and when to seek medical attention. We will also cover the causes of black spots under the toenail and suggest treatments for black spots that you may want to consider. Black spots and suggest treatment options that you may want to consider.

What can cause a black spot on a toenail?

Fungus

Fungus may be one of the most common causes of blackspot on the toenails. Toenail fungus is more likely to cause yellow discoloration, but there is one form of fungus that’s called tinea nigra that could cause a black spot under the toenails. If the toenail has significant thickening from the toenail fungus, this could lead to increased pressure on the skin beneath the nail especially when wearing shoes that are too tight. The blood vessels in this area break open and lead to bleeding causing a black appearance on the nail bed

Trauma

Trauma to the nailbed may occur from dropping something on your foot may be the cause of a black spot on your toenail. It could also be from minor injuries from when you hike, run, or walk for long distances. The shoe irritation can lead to skin irritation beneath the nail.

Medical Conditions

Certain medical conditions may lead to unhealthy nails such as diabetes mellitus or autoimmune diseases that has a negative effect on the immune system that fight against fungus. Kidney diseases may also lead to the development of a black spot on toenail.

Pseudomonas Infection

This is a type of bacterial infection that can cause green type of discoloration but may also present with brown discoloration associated with it.

Toenail Polish

Generally speaking, toenail polish is not healthy for the nail and could cause damage to the nail which may result in dark patches or discoloration.

Melanoma

Melanoma is a form of skin cancer that may occur underneath the toenail. This is commonly referred to as subungual melanoma. There are many types of skin cancer, but melanoma is the most common type of skin cancer that causes the black appearances on the nail. The area that is blackened will usually run along the length of the nail which is a linear type of presentation and over time tends to expand.

Treatment Options for Black Spots on the Toenail

Surgery

Surgery may be recommended by your podiatrist if the nail has been traumatized, and the cause of the black discoloration is blood beneath it. If a significant amount of nail has been detached from the skin that it is anchored to, it may be advisable to go ahead and remove the entire nail as this will potentially help with the new nail growth so that it will not become deformed. It may also be necessary to relieve the pain associated with this injury. Surgery may also be indicated if melanoma is suspected, and the podiatrist may submit skin tissue sample to a lab for further evaluation for possible melanoma.

If the black toenails are caused by medical conditions, it is important that these medical conditions such as diabetes are managed appropriately as this will improve the general health of the patient and the patient’s immune system. This may also help the body’s ability to fight off fungal or bacterial infections.

Elimination of Toenail Fungus

There are three primary ways that toenail fungal infection can be treated and they are the following:

  • Topicals – There are various topical treatments that can be used that are available over the counter, or you may schedule a visit with your podiatrist and get prescriptions for topicals that may be more effective. Generally, topicals do not work very well and need to be used very in early stages when the toenail is not that severe.
  • Oral medication – Lamisil is a common oral medication that can be used and has more effectiveness than topical medication. However, it is toxic to the liver and many doctors are hesitant using it. It is also important to get your liver health checked before this medication is prescribed.
  • Laser nail treatment – laser nail treatment is the most successful option for eliminating toenail fungus. In this practice, we use a Pinpoint Laser that generates pulses of light into the nail. The light that is pulsing is very hot, but the pulses are occurring so rapidly that most patients have no discomfort and no head is noted. There are no known side effects, and this usually requires a minimum of three treatments sessions.

Melanoma Treatment

If melanoma is suspected, it is important that is it appropriately diagnosed and treated. If left untreated, melanoma can spread to other parts of the body. Treatment of melanoma for most patients involve consultation with a dermatologist who may excise the melanoma and evaluate for possible spread of the tumor and treat appropriately.

One of many ways you can avoid dark spots on your toenails is by keeping your feet clean, dry, and by wearing breathable shoes. Shoes that do not breathe allow for more perspiration in your shoes and this may play a role in increasing the odds of getting toenail fungus which can lead to dark spot on your toenail. It is important to make sure you select your shoe gear appropriately especially when you are very active with activities such as running or skiing. Most importantly, if black spots are found on your toenail and it appears to run the length of the nail and is expanding, it is important to take precautions and make sure you see a foot specialist or a dermatologist to rule out melanoma.

Noticed a black spot on your toenail? Don’t ignore it—early diagnosis is key! Our expert foot specialists in Fort Collins and Broomfield are here to help.

Call us today at our Fort Collins location (970) 484-4620, Broomfield location (720) 259-5053 or use our online scheduling system to book your appointment.

 

Understanding and Managing Blister Infections on Toes

blister infection on toes

How to Prevent, Treat, and Recognize Potential Issues

Experiencing a blister on your toe is a common occurrence, often resulting from pressure or rubbing. Given that the foot is the foundation of your body and bears the entirety of your body weight, blisters are almost inevitable. Whether caused by new shoes, a lengthy hike, or glamorous yet uncomfortable heels, blisters are generally not a cause for alarm. This blog delves into the causes, prevention, and treatment of blister infections on toes.

What Causes a Blister to Form?

Pressure and friction on the skin can lead to the development of blisters, often referred to as friction blisters. This occurs when excessive pressure breaks down the skin, causing the outer layer (epidermis) to separate from the tissues beneath, filling the area with fluid. Blood blisters may also form if trauma causes bleeding under the outer skin layer. Eventually, the thin layer of skin peels away, making room for new skin to develop.

Why is it Painful When you get a Blister Infection on your Toes?

Disrupting the outer layer of skin exposes a deeper layer, activating small nerves that signal pain to discourage the triggering activity. The fluid-filled area adds pressure, contributing to the pain. Draining the fluid by breaking the blister often reduces pain.

Preventing a Blister Formation

  • Shoes: Avoid poorly fitting shoes, ensuring they are wide enough, especially for foot deformities like bunions. Break in new shoes before engaging in prolonged activities.
  • Padding the Area: Use moleskin or similar padding on areas prone to blisters.
  • Socks: Choose socks with adequate padding, avoiding overly thin materials. Consider materials like polyester to wick away moisture.
  • Hand, Foot, and Mouth Disease: Recognize that this disease can cause blisters on the feet, typically in children under five, and differs from regular blisters. Handwashing is crucial for prevention.

Treating Blister Infections on Toes

  • Eliminate the cause: Stop wearing shoes or reduce the activity.
  • Clean the area with soap and water to prevent infection.
  • Apply a triple antibiotic ointment, like Neosporin.
  • Consider padding the area with gauze to reduce pressure.
  • Generally, avoid popping the blister to allow natural healing. However, in some cases, it may be advisable for relief or if signs of infection appear.

When to Seek Professional help for a Blister Infection on Toes

In most cases, a visit to the podiatrist is unnecessary. However most people overlook blister infections on toes because they underestimate the issue.

  • If the blister is infected with significant redness and drainage, professional evaluation by an experienced podiatrist is recommended.
  • For diabetic individuals, seeking attention from a podiatrist is crucial due to reduced pain sensitivity and impaired circulation, putting them at higher risk.

Don’t ignore potential issues; early intervention can prevent complications.

Call us today at our Fort Collins location (970) 484-4620, Broomfield location (720) 259-5053 or use our online scheduling system to book your appointment.

Grace’s Story: Arthritis in Big Toe Joint

On My Feet All Day

As a kindergarten teacher for many years, Grace was used to being on her feet all day. “I was busy,” Grace says, “And I just didn’t have time to address all my aches and pains.”

Grace had pain in her big toes, but she ignored it and kept up with her active life, and her daily one-mile walks. “I just sucked it up,” Grace says, “I think a lot of people do that when they are busy.”

Then The Pain Kicked In

When Grace retired from teaching, suddenly the pain kicked in. “I was having trouble walking because of the pain. Finally, I got tired of dealing with it and decided to find treatment.”

Grace went online, began researching, and soon found Dr. James Anderson, DPM. “I didn’t realize I had arthritis in my big toe joints,” she said. “You just know you have pain, but you don’t really know what’s going on until you go in and make an appointment.”

Regenerative Medicine + Surgery

Dr. Anderson says, “Because of the arthritis, there was a bone spur on her joint. I recommended surgery to remove it and clean up the bone. Then, we could follow up with a regenerative medicine injection.”

Grace decided to have the surgery, and then followed up with the regenerative injection, and laser therapy to help reduce inflammation and prevent scar tissue from forming.

“Regenerative medicine works by stimulating the body’s natural ability to heal, and the stem cell components help to regenerate the damaged cartilage,” says Dr. Anderson. “If we see the patient early enough, we can often use regenerative therapies to avoid surgery completely.”

“For Grace, this treatment approach helped us to save her joint and improve function! Many times, patients will have to have a joint fusion or replacement, and we were able to prevent that.”

Hitting the Trails Again

It wasn’t long before Grace was living the retired life she had hoped for. “I’m back to doing anything that I want,” Grace says.

“I can go hiking, and I can travel! I walk two miles every day, and I can wear any shoes I want to!”

Her advice for others is this. “Don’t wait any longer to address your pain. The longer you put it off, the more damage can occur. And then, that’s more time and money you will have to spend to resolve it.”

“Take the time to take care of yourself. It’s important.”

Call today to make an appointment, and we can discuss treatment options with you.

To learn more about regenerative medicine, click here. 

Hammertoes 101- Part 2

Welcome to Hammertoes 101.

In the last blog, we learned all about what a hammertoe is, and about the different types that can occur. For a quick recap, a hammertoe is essentially a bent toe; it is when your toe bends or curls, instead of pointing forward.

There are two types of hammertoes: a mallet toe (when the toe is flexing downward only at the very end of the joint) and a claw toe (when the toe  flexes at both joints). There are also hammertoes that bend and rub against the neighboring toe. Though some hammertoes are worse than others, they all offer a certain degree of pain and discomfort.

Today, you’ll learn about prevention & treatment

Before we delve into preventative measures, it’s important to understand what causes hammertoes. A popular notion is that you can control whether you get a hammertoe or not. This may be true in some cases, which I’ll cover later, but in most situations there is relatively little that can be done.

There are several causes of hammertoes:

  • An imbalance between the tendons that pull the toes up (extensor tendons) and the tendons that pull the toes down (the flexor tendons) can cause the deformity.
  • Neurological conditions such as neuropathy can cause muscle weakness, which in turn may lead to hammertoes.
  • If one toe is abnormally long, a tight fitting shoe may cause it to buckle.
  • Genetics plays a big part. If you have a less than ideal bone structure for the foot type you were born with, you may be predisposed to hammertoes. A very high arched foot may contribute to this problem and the opposite, a very flat foot, may do the same.

Alright, now for the good part.

What can you do to help prevent this pesky ailment?

When the second toe is longer than the first, shoe gear is a consideration. Make sure you fit the shoe to the second toe. It may feel like the shoe is a little loose or big, but it’s much better than scrunching the toe in there, and winding up with a painful hammertoe.

Other than in this instance, shoes can do little to prevent hammertoes, so please don’t feel guilty if you have one, as it’s usually not your fault. As I tell patients, it’s more a function of the parents you chose and the foot you inherited.

But, there’s good news.

How do you treat hammertoes?

Hammertoes, though frustrating and sometimes very painful, can be treated.

If there is a corn present, trimming done professionally (to prevent cutting too deep or injuring the toe) can provide relief especially in the earlier stages.

Hammertoe correction surgery may be necessary to correct the more severe deformities. This is a relatively simple procedure and most patients typically walk the day of surgery in a stiff soled postoperative shoe.

If you are suffering from one or even multiple hammertoes, there is no need to suffer any longer. Come see us and get back to the activities you enjoy and the shoes you’ve missed!

Make an appointment here. 

Hammertoes 101- Part 1

What are hammertoes?

Hammertoes are the often painful deformities on toes that occur when your toe bends or curls instead of pointing forward and so it rubs against your shoes. You may not realize it, but there are different types of hammertoes. A hammertoe is really just a bent toe. This sounds simple enough, but there is a more to it than this.

There are two types of hammertoes:

  1. If the toe flexes downward only at the very end joint (the joint closest to the toenail) it is called a mallet toe. In a mallet toe, the toe overall is straight. But, the joint closest to the toenail flexes downward causing you to walk on the tip of the toe. This becomes uncomfortable because each toe has a fat pad on the bottom. The toe rests on the fat pad, sort of like the rear end you’re sitting on as you read this. When the toe bends down too much, the tip of the toe is pressed upon, where there is no padding, just skin and bone. This type of hammertoe is the rarest, though it is just as correctable.
  2. If it flexes at both joints in the toe it is called a claw toe. When a claw toe rubs against the shoe, a corn forms on the top of the toe, which often becomes painful.

What causes a hammertoe?

Hammertoes can occur when a toe crowds its neighbor. When you think of a hammertoe, you may envision a toe that is bent and sticks up rubbing against the shoe. However, in many situations, the toe may be deviated towards its neighboring toe. Typically, any of the smaller toes are more likely to drift towards the big toe rather than away from it. When this occurs, frequently not only is the toe hammered, but it is also angulated towards the neighboring toe. One toe rubbing against its neighbor may cause all kinds of problems, such as a blister, open sore, or corns between toes rather than just on the tops of them.

The fifth toe likes to cause problems:

Though all toes can become a hammertoe, the fifth toe is most common. This may be the smallest toe, but it causes the most frequent problems. It can have a hammertoe, with a downward flexion in the joints. But, it can also be twisted so that it rubs against the next toe. This may lead to a corn or sore area on that side of the toe, giving toe number four a sore also. Or, the pain can be on the outside where the knuckle may rub against the shoe. In these situations, with toe number five, surgery is the most common treatment to correct the problem.

So, now you are armed with knowledge about all the different “ins and outs” of hammertoes. What can you do to help prevent and treat them? Stay tuned for part two of this post to find out!

If you have a hammertoe and would like to make an appointment, click here.