December 2023

Toenail fungal infections, medically known as onychomycosis, can lead to brittle, crumbly, or ragged nails, and even separation of the nail from the nail bed. While completely curing toenail fungus can be challenging, there are effective treatments available to manage the condition. Toenail tissue is harder and thicker, which prevents antifungal creams from penetrating effectively. Even antifungal drugs taken in pill form have limited success, because toenails grow slowly and have low metabolic activity. Prescription topical products, in the form of clear lacquers, applied directly to the toenails may take up to a year to produce noticeable results, even if applied daily.  For more severe infections, oral medications taken daily in pill form for approximately three months may have a higher rate of success, potentially about 80 percent. However, they can cause side effects such as stomach upset, diarrhea, and, in rare cases, liver damage. Laser treatments, a relatively new approach to combating toenail fungus, penetrate the nail tissue to break down the fungus. Some studies have reported success rates ranging from 60 percent to 75 percent. For advice with toenail fungal infections, it is suggested that you make an appointment with a podiatrist.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

Proper foot care is essential for soccer players, as their feet are their primary tools on the field. Just like a carpenter maintains their tools, soccer players must take care of their feet to perform effectively. Parents whose children play soccer should regularly check their children's feet for any issues and teach them to promptly report any discomfort. Common foot issues in soccer players include abrasions, athlete's foot, blisters, calluses, and corns. Additionally, bruises, cysts, ingrown toenails, toenail loss may also become concerning foot conditions. Less common but serious issues like broken bones, bone bruises, bone spurs, and sprains should be treated by podiatrists promptly. If you are a parent or player, it is suggested that you schedule an appointment with a podiatrist in advance to ensure proper care, if needed.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

An ankle sprain is a common injury, characterized by the stretching or tearing of ligaments connecting the bones in the ankle joint. The severity of ankle sprains is often classified into three grades, each delineating the extent of ligament damage. In Grade I sprains, ligaments stretch but experience minimal tearing, causing mild pain and swelling. Grade II sprains involve partial ligament tears, resulting in moderate pain, swelling, and difficulty bearing weight on the affected ankle. The most severe, Grade III sprains, signify complete ligament tears, leading to significant pain, swelling, and instability, often rendering the affected ankle incapable of bearing weight. Recognizing the distinct grades is essential for accurate diagnosis and appropriate treatment. Understanding the gradation of ankle sprains empowers individuals to address these injuries effectively and facilitate a smoother recovery process. If you have sprained your ankle, it is suggested that you visit a podiatrist who can offer the treatment that is right for you.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

In the realm of occupational safety, the significance of foot protection while working cannot be overstated. Whether navigating construction sites, industrial settings, or healthcare environments, the feet are vulnerable to various hazards. Sturdy, well-designed work boots serve as the first line of defense against potential injuries. These boots are crafted to shield the feet from falling objects, electrical hazards, sharp objects, and chemical spills. In professions where standing for prolonged periods is common, the right footwear provides essential support, preventing fatigue and discomfort. Beyond physical protection, appropriate footwear promotes overall foot health by reducing the risk of conditions like plantar fasciitis and stress fractures. Recognizing the role of foot protection in the workplace emphasizes the need for employers and employees alike to prioritize the selection and maintenance of proper footwear. If you would like more information about specific foot protection during the workday, it is suggested that you speak to a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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