Toenail fungus, also known as onychomycosis, is a progressive infection caused by fungi that thrive in warm, moist environments. It typically begins when microscopic organisms enter through small cracks in the nail or surrounding skin. In the early stage, the infection may appear as a small white or yellow spot under the nail surface. At this point, symptoms are mild and often overlooked, with little to no discomfort. This stage can last several weeks to a few months, depending on hygiene, footwear, and immune response. Early identification is important because treatment is more effective before the infection spreads deeper into the nail.

As the condition progresses into the moderate stage, visible changes become more noticeable. The nail may thicken, discolor, and develop a brittle or crumbly texture. Yellow-brown staining and slight lifting of the nail from the nail bed are common. Mild discomfort may develop, especially while wearing shoes. This stage can persist for several months and is often when patients begin seeking care. Without treatment, the fungus continues to spread, making the nail harder to manage and increasing the risk of complications.

In the advanced stage, toenail fungus can cause significant nail deformity and discomfort. The nail may become severely thickened and dark in color. In some cases, the nail may partially detach from the nail bed or emit an unpleasant odor. Pain may occur with walking or pressure, especially in tight footwear. This stage may take a year or longer to fully develop and often requires more aggressive treatment. The infection can also spread to other nails or surrounding skin if not properly addressed.

Risk factors play a major role in fungal progression. Individuals with diabetes, weakened immune systems, or poor circulation are more susceptible. Wearing tight-fitting shoes, excessive sweating, and walking barefoot in communal areas increase exposure. Older adults are at higher risk due to slower nail growth and reduced immunity. Proper foot hygiene and early care can slow or prevent progression. If you notice changes in your toenails, it is strongly suggested that you consult a podiatrist for effective treatment solutions, which may include prescribed medication.

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 Judson Siegel, DPM of Assabet Family Podiatry. 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 contact our offices located in Marlborough and Plainville, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel pain is a common issue that can affect daily movement and comfort. One cause is a bruised heel, also known as a heel contusion. This happens when the fat pad under the heel becomes damaged. This often appears as deep soreness or tenderness directly under the heel. It may feel worse when standing or walking. It can develop from repetitive pounding on the foot from running on hard surfaces. Wearing loose shoes that allow excess movement or landing hard after jumping from a high spot are other possible causes. Eventually, the protective cushion weakens, leading to pain and reduced shock absorption. A podiatrist can evaluate the extent of injury, use imaging if needed, and recommend supportive treatments to protect the heel and restore function. If you think you may have bruised your heel, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions. 

Many people suffer from bouts of heel pain. For more information, contact Judson Siegel, DPM of Assabet Family Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

A bunion is a foot condition where the big toe gradually shifts inward while the joint at its base becomes enlarged and prominent. It often appears as a visible bump on the side of the foot, which may become red, swollen, and painful over time. The condition develops slowly due to pressure and imbalance in the foot structure, often influenced by genetics, wearing improper footwear, or abnormal walking patterns. Symptoms can include aching pain, stiffness, and difficulty wearing certain shoes comfortably. Risk factors include wearing tight or narrow shoes, family history of bunions, flat feet, and prolonged standing. As the condition progresses, the deformity may become more noticeable and discomfort may increase. A podiatrist can evaluate the severity, monitor progression, and offer treatment options to reduce pain and improve alignment. If you have developed a bunion, it is suggested that you consult a podiatrist who can offer effective relief and management solutions. It is strongly suggested that if you have a bunion, you visit a podiatrist.

If you are suffering from bunions, contact Judson Siegel, DPM of Assabet Family Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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

Ongoing foot or ankle pain can make walking, exercise, and even standing through a normal day uncomfortable. Several common conditions can be responsible, including nerve irritation between the toes, inflammation of the thick band of tissue along the bottom of the foot, or strain involving the tendon that connects the calf muscles to the heel. Although the pain may feel similar at first, each condition has different causes and treatment approaches. A podiatrist can determine the source of discomfort through an exam, and recommend a care plan based on the diagnosis. Treatment may include custom shoe inserts, guided stretching, and temporary activity changes, in addition to targeted exercise therapy, or injections to reduce irritation. Early treatment may help prevent worsening symptoms and improve mobility before pain becomes more limiting. If you have consistent foot or ankle pain that interferes with daily movement, it is strongly suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate care.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Judson Siegel, DPM from Assabet Family Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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