A great New Years resolution would have been to take better care of your feet especially your toes. We often neglect the feet, and in particular the toes when we think of health improvement. Good feet are vital to a healthy body as they are our basis of support.

The two major toe problems to watch out for are ingrown toenails and fungal nails. The cold weather can increase the occurrence of fungal nails because heavy winter socks can enhance moisture around the nails. Ingrown and fungal nails are not as easily detected when covered in heavy shoes and socks.

Ingrown nails, the most common nail problem are nails whose corners or sides dig painfully into the soft tissue of nail grooves, often leading to irritation, redness, and swelling. Ingrown toenails may be caused by:

1. Improperly trimmed nails.(Trim straight across)
2. Heredity
3. Shoe pressure; crowding of the toes
4. Repeated trauma to the feet from normal activities

Ingrown toenails should be evaluated and treated by your podiatrist, who can diagnose the problem, and then prescribe medication or other appropriate treatment. Often some minor surgical care is needed.

Fungal infection of the toenail, or onychomycosis, is often ignored because it can be present without painful symptoms. The disease is characterized by a progressive change in a toenail's quality and color, which is often ugly and embarrassing. Ways to prevent fungal infection of the toenail are:

1. Proper hygiene and regular inspection of the feet and toes
2. Washing the feet daily with mild soap and water, dry thoroughly especially between toes
3. Wearing shower shoes in public areas
4. Changing shoes and socks daily or more often if necessary
5. Avoiding tight stockings or socks which promote moisture
6. Disinfecting instruments used to cut toenails (be very wary of pedicures)

Treatment of fungal nails may vary, depending on the nature and severity of the infection. A podiatric physician can detect a fungal infection and form a suitable treatment plan, which may include topical or oral medication, and debridement (removal of diseased nail matter and debris) or clipping of an infected nail.

Lets bring those toes in from the cold and not allow these hidden problems to get a toe hold this winter.

Dr. Ravick is past president of the DC Podiatric Medical Association, a spokesperson for the American Podiatric Medical Association, in private practice at Capital Podiatry Associates since 1980 and often quoted in national and local media.

Founded in 1912, the American Podiatric Medical Association is the nation’s leading professional society for foot and ankle specialists, with membership of over 10,000 doctors of podiatric medicine. For more information on athletic footwear you can visit the APMA website or call 1-800-FOOTCARE to request a free brochure.