ingrown nails
this is simply treated and provides tremendous relief immediately . At worst a permanent removal of the borders of the nails is in order. Attention is paid to detail so that a cosmetic result is achieved also. You do not want to remove more than is required. On rare occasion the whole nail  needs to be excised. Avulsion which is just removing a section of nail is only a temporary fix. However in certain patients this is acceptable for example if the patient is going to be returning routinely for diabetic foot care for example. We will explain everything including potential complications with such procedures. There is a common misconception that the problem is just at the tip. But the deformity begins at the base under and more towards the foot 1/4 inch or so. As indicated by the red line.

birth marks
moles or any skin changes need to be evaluated especially if it presents itself to the bottom of the feet or palms of the hands. They can convert to a skin cancer issue. If you see something ask  do  not think it is nothing. It is not very common that it will lead to cancer but is easy to evaluate and treat. So do not take the chance. The photo to the right and below are two examples of moles or birthmarks.

athletes foot infection
Rarely do I see the typical rash and itching. Typically it will present itself in the chronic form. This is an example on the right. People will think they have have dry skin. Softening skin agents will cover up the symptoms. Treatment is needed for an extended period of time but is tailored to each patient. Usually I see an undertreated condition as people will stop topical once it looks better but not gone. Also if you know of someone who has had infections in there legs with no known injury look at such things as chronic fungal issues. The skin is our barrier to bacteria that we are all exposed to. You can be the cleanest person or the dirtiest and never pick up the infection or get it in a heartbeat.

SKIN AND NAIL ISSUES

fungal nails
an all too common issues that typically developes from chronic fungal skin issues. So there is a cross contamination issue at hand. I wish we could say we have a magic potion as to resolving such issues however there are no such things. We will describe all options which can include topical/s as well as laser treatment. In my experience I have seen no over the counter treatments that are effective and typically they just break down diseased nail but do not resolve the issue.  The photo represents an early onset. Severe deformities can produce an low grade chronic pressure which create wounds under the nail and lead to bacteria infection. Such home remedies as vinegar help inhibit fungal issues but do not dystroy. Moreover it can not penetrate into the nail itself

Callus or corns
This is a condition that relates to biomechanical factors. Meaning the way we walk and in association with bone positional deformities. Examples of such can be hammertoes and bunion deformities. Which can also be acquired by injury for example or more than likely inherited issues. Weight and or age issues are often blamed for this but more than often it is not the case. At times it can be an influencing factor but NOT the primary cause. Surgery is often not the solution but should be explained as to an option if appropriate.