Dr. Yuko Miyazaki Podiatry Blog | Foot and Ankle Care Tips

Toe Joint and Nerve Conditions

Posted on 06.18.25 | Yuko Miyazaki, DPM |

Did you know that issues with toe joints and nerves can disrupt your entire day, from your morning walk to evening relaxation? Painful conditions like bunions, hammertoes, and neuromas affect millions of people each year, making simple tasks like walking, standing, and wearing shoes challenging.

Gaining insight into these conditions is the first step towards finding relief. In this blog, we’ll dive deep into what causes these common foot problems, their symptoms, and the best treatment options available, both at home and with professional help. Whether you’re dealing with a sharp pain in the ball of your foot, a swollen big toe joint, or a toe that’s stubbornly bent, this guide is here to help.

Bunion Overview

What Is a Bunion?

A bunion is a bony bump that develops at the base of the big toe, causing the joint to stick out and the big toe to lean toward the second toe. As the condition progresses, it often results in pain, swelling, and challenges in finding shoes that fit well.

Common Causes of Bunions

Genetics: Bunions often run in families, as foot structure can be inherited.
Improper Footwear: Narrow, tight, or high-heeled shoes can force the toes into unnatural positions, worsening the deformity.
Unusual foot mechanics: Flat feet or overpronation can put extra stress on the big toe joint and contribute to the development of a bunion.

Symptoms of Bunions

A pronounced bulge near the big toe joint
Redness, swelling, and tenderness at the joint
Discomfort that worsens with snug footwear or extended time on your feet
Restricted movement of the big toe

Home Treatment Tips

Bunion Pads: Cushion and protect the area from shoe pressure.
Ice Therapy: Apply ice packs to reduce swelling and inflammation.
Proper Footwear: Wear wide-toe box shoes with good arch support to reduce irritation.

When to See a Podiatrist

Persistent bunion pain, difficulty fitting into shoes, or interference with your everyday life are signs that it’s time to consult a podiatrist. Early evaluation can prevent worsening and may avoid surgery later.

Hammertoe Overview

What Is a Hammertoe?

A hammertoe develops when one of the smaller toes (often the second, third, or fourth) buckles at the middle joint, resembling a hammer. This condition can be flexible at first (meaning you can still straighten it), but may become rigid over time, making it difficult or impossible to move the toe.

Common Causes of Hammertoes

Muscle Imbalances: Weakness or tightness in the foot muscles can pull the toe out of alignment.
Poor-Fitting Shoes: Shoes that are too tight or too short can crowd the toes, encouraging deformity.
Trauma or Arthritis: Injuries or inflammatory conditions can contribute to hammertoe development.

Symptoms of Hammertoes

Pain at the top or tip of the affected toe
Corns or calluses from shoe friction
Swelling and redness around the joint
Difficulty wearing closed-toe shoes

Home Treatment Tips

Toe Pads: Reduce friction and cushion the bent toe.
Deep-Toe Box Shoes: Provide extra space for the toes to lie flat.
Toe Exercises: Gentle stretching can help maintain flexibility.

When to See a Podiatrist

Seek professional care if your hammertoe is painful, stiff, or interfering with daily activities. Early intervention can prevent worsening and may avoid surgery.

Neuroma Overview

What Is a Neuroma?

A neuroma, most commonly Morton’s neuroma, is a thickening of nerve tissue between the toes, typically between the third and fourth toes. This results from repeated irritation or compression of the nerve, leading to pain, tingling, and numbness in the forefoot.

Common Causes of Neuromas

Biomechanical Issues: Flat feet and high arches can change the way your foot bears weight, putting more strain on the forefoot
Tight Shoes: High heels or narrow-toe boxes compress the nerve.
Trauma: Repeated stress, such as from running or certain sports, can irritate the nerve.

Symptoms of Neuromas

Burning pain in the ball of the foot
Tingling or numbness that radiates into the toes
A persistent sensation that is similar to having a pebble or scrunched sock underfoot.

Home Treatment Tips

Roomy, Cushioned Shoes: Reduce pressure on the nerve.
Massage: Gently massage the forefoot to ease tension.
Avoid High Heels: Choose low-heeled, supportive shoes.

When to See a Podiatrist

When home treatments don’t provide relief and numbness or pain escalates, professional podiatric evaluation is necessary. Early treatment can prevent nerve damage and help you stay active.

Diagnosis and Professional Treatment

Diagnostic Process

Conduct a physical exam to check for deformities, tenderness, and movement.
Use X-rays or ultrasound to assess joint alignment and rule out fractures or arthritis.
Analyze your gait to identify pressure points and abnormal foot mechanics.

Non-Surgical Treatments

Padding and Taping: Reduce pressure and align the toes properly.
Medications: Anti-inflammatory drugs and cortisone injections can relieve pain and swelling.
Physical Therapy: Guided exercises to improve foot muscle tone and promote greater flexibility.
Custom Orthotics: Shoe inserts that support your foot’s natural structure and reduce stress on problem areas.

Surgical Options

If conservative treatments fail, surgery may be recommended:

Bunion Surgery: Removes the bony bump and realigns the joint.
Hammertoe Surgery: Straightens the toe by releasing tight tendons or fusing joints.
Neuroma Surgery: Surgery aimed at taking out the thickened nerve causing pain.

Prevention Tips

Choose the Right Footwear

Opt for shoes that offer plenty of space for your toes and provide solid arch support.
Avoid high heels and narrow shoes that can crowd the toes.

Prioritize Foot Care

Check your feet regularly for changes or pain.
Keep skin moisturized and nails trimmed.
Schedule annual podiatry check-ups to catch problems early.

Lifestyle Adjustments

Maintain a healthy weight to reduce foot stress.
Avoid repetitive activities that overstrain the toes.
Use orthotics as recommended to support proper foot mechanics.

Conclusion

Toe joint and nerve conditions like bunions, hammertoes, and neuromas can disrupt your daily life, but early detection and treatment can help you stay active and pain-free.

Don’t let foot pain slow you down. Schedule an appointment with Dr. Yuko Miyazaki, your trusted podiatrist, for a comprehensive evaluation and personalized treatment plan.

Call 510-647-3744 or visit our Contact Page to book your appointment today!

Ingrown Toenail Home Treatments

Posted on 05.20.25 | Yuko Miyazaki, DPM |

If you’ve ever dealt with an ingrown toenail, chances are you’ve heard plenty of home remedies—some helpful, others not so much. From vinegar soaks to trimming a “V” into the nail, there’s no shortage of advice floating around. Unfortunately, many of these common suggestions are outdated, ineffective, or even harmful.

Before diving into any at-home fix, it’s essential to understand the severity of your condition and consider any underlying risk factors. Not all ingrown toenails can—or should—be handled at home.

How to Tell If Your Ingrown Toenail Needs More Than Home Care

Not every ingrown toenail is created equal. A proper severity assessment can help you determine whether home treatment is safe or if it’s time to contact our skilled podiatrist. Here’s what to look for:

Pain Level: Mild tenderness may be manageable at home. But if you’re experiencing sharp, throbbing, or persistent pain, don’t ignore it.
Infection Signs: Redness, swelling, pus, warmth, or streaking around the toe are signs of infection that need medical care.
Health Conditions: People with diabetes, neuropathy, or poor circulation should skip home remedies and see a doctor right away.
No Progress: If your symptoms aren’t improving after a few days of conservative care, professional treatment is likely needed.
Repeat Problems: If ingrown toenails keep coming back, there may be a structural issue that needs to be addressed professionally.
Convenience and Comfort: Sometimes, even a mild case just isn’t worth the hassle or discomfort of trying to manage it yourself.

Can You Safely Treat an Ingrown Toenail at Home?

For minor cases and otherwise healthy individuals, there are conservative treatment options you can try at home. That said, they come with limitations. Home care can provide short-term relief but isn’t always a long-term fix, especially if the root cause isn’t addressed.

Safe Steps for At-Home Ingrown Toenail Care

If your symptoms are mild and you have no underlying health risks, here are some safe home care steps you can take:

Choose Roomier Shoes: Tight footwear can make things worse. Switch to sandals or shoes with a wide toe box to relieve pressure on the affected toe.
Soak Your Foot: Soak your foot in warm water for 15–20 minutes a few times a day. This softens the skin and nails, easing discomfort and reducing inflammation.
Gently Lift the Nail: After soaking, use a clean piece of dental floss or cotton to carefully lift the nail edge from the skin. Never force it.
Apply an Antibiotic Cream: To prevent infection, use an over-the-counter antibiotic ointment and keep the toe clean and bandaged.

Keep in mind: these measures are temporary. If your condition doesn’t improve, stop home treatment and call our podiatrist.

What NOT to Do: Harmful At-Home Practices

Unfortunately, some commonly recommended at-home tactics can do more harm than good. Here’s what to avoid:

Digging or Cutting the Nail Edge: Trying to “fix” the nail yourself can lead to increased pain, infection, or permanent damage.
DIY Nail Removal Techniques: Cutting a notch in the center of the nail or trimming down the sides often worsens the problem rather than solving it.

These unsafe practices not only delay proper healing, they can also lead to serious complications.

Why Professional Treatment Makes a Difference

When home remedies don’t work—or when the toenail is infected, painful, or recurring—professional treatment is the safest and most effective option. At our office, ingrown toenail procedures are quick, precise, and designed to relieve pain with minimal disruption to your day.

Here’s what professional care may include:

Numbing the Area: Local anesthesia ensures a pain-free experience.
Removing the Offending Nail Border: Only the portion of the nail causing trouble is removed.
Optional Matrix Removal: For chronic cases, the nail root (matrix) may be treated to prevent future ingrowth.

These procedures are typically completed in one short office visit and provide almost immediate relief. This will only lead to more pain and a significantly increased risk of infection.

Close up of one bare human female feet with ingrown toenail healed with bandage for medical care.

The Clear Benefits of Seeing Our Podiatrist

Choosing a podiatrist for ingrown toenail care comes with several advantages:

Fast Results: Relief is often immediate.
Safe and Sterile: Reduces the risk of infection or complications.
Little to No Pain: Local anesthesia and expert care make the procedure easy.
Minimal Downtime: Most patients resume normal activities the same day.
Long-Term Fix: Matrix treatment can stop the problem from returning altogether.

When caught early, ingrown toenails are easily treatable. Delaying care can lead to avoidable complications.

Take the Next Step Toward Healthy, Pain-Free Feet

Ingrown toenails may seem minor at first, but they can quickly become painful or infected if not properly treated. While home treatment can help with mild cases, it’s important to recognize when the situation requires professional care.

Your foot health should never take a back seat. If you’re unsure how severe your condition is or if your symptoms aren’t improving, don’t hesitate to reach out. Early care is always the best care.

Call our Berkeley office today at (510) 647-3744 or contact us online to schedule an appointment and get the expert help your feet deserve.

Plantar Fasciitis Surgery: What Everyone Should Know

Posted on 04.24.25 | Yuko Miyazaki, DPM |

Is heel pain keeping you from enjoying daily activities? Plantar fasciitis is a common foot condition that causes persistent discomfort, making walking and standing painful. While many individuals find relief with conservative treatments, some experience ongoing pain that requires surgical intervention. This blog explores when surgery is necessary, the available procedures, and what to expect during recovery.

Understanding Plantar Fasciitis

Plantar fasciitis is an inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot. This condition typically causes sharp heel pain, especially after waking up or standing for long periods.

Several factors contribute to plantar fasciitis, including overuse from activities like running or prolonged standing, improper footwear with inadequate support, flat feet or high arches leading to uneven weight distribution, excess body weight increasing pressure on the heel, and tight calf muscles limiting ankle mobility.

Common symptoms include stabbing pain in the heel, especially in the morning or after rest, tenderness and swelling at the bottom of the foot, and difficulty walking or engaging in physical activities. Left untreated, plantar fasciitis can negatively impact mobility, work, and overall quality of life.

Young man with red ankle pain from plantar fasciitis while walking Concept Plantar Fasciitis Ankle Pain Walking Injury Young man Redness

When is Surgery Necessary?

Most cases of plantar fasciitis improve with non-surgical treatments, such as rest and icing to reduce inflammation, stretching exercises to improve flexibility, custom orthotics for better foot alignment, anti-inflammatory medications or steroid injections for pain relief, and shockwave therapy to stimulate healing.

However, surgery may be recommended if pain persists for six months to a year despite treatment, mobility is significantly affected and interferes with daily activities, or imaging tests show thickening or degeneration of the plantar fascia.

Types of Plantar Fasciitis Surgery

There are different surgical approaches depending on the severity of the condition.

Open Plantar Fasciotomy is a traditional procedure where the surgeon makes an incision in the heel to release tension in the plantar fascia. Recovery takes several months and often requires physical therapy.
Endoscopic Plantar Fasciotomy is a minimally invasive technique using a small camera (endoscope) to guide the release of the plantar fascia. This approach typically results in less pain, smaller incisions, and quicker recovery.

In some cases, additional procedures may be required, such as the removal of heel spurs or calf muscle lengthening to reduce strain on the foot.

The Surgical Process

Before Surgery: Patients undergo a pre-operative evaluation, may need to stop certain medications, and should arrange for post-surgery care.
On the Day of Surgery: the procedure typically lasts 30–45 minutes and is performed under local or general anesthesia.
After Surgery: Patients may experience mild to moderate discomfort. A walking boot or brace may be required, and gradual weight-bearing activities are reintroduced under medical guidance. Physical therapy is often recommended for a smooth recovery.

Risks and Benefits of Plantar Fasciitis Surgery

While generally safe, surgery carries some risks, including infection, nerve damage, scar tissue formation, and persistent pain or recurrence. However, the benefits often outweigh the risks, as most patients experience long-term pain relief, improved mobility and function, and reduced dependency on medications or therapy.

Tips for a Successful Recovery

To maximize healing and prevent complications, follow post-operative instructions carefully, keep the surgical site clean and dry, monitor for signs of infection such as swelling or redness, engage in physical therapy to restore strength and flexibility, and wear supportive footwear while maintaining a healthy weight to prevent recurrence.

What to Expect After Surgery

Most patients recover within three to six months, with initial healing taking two to four weeks. Success rates range from 70–90%, with many patients experiencing lasting relief.

If plantar fasciitis is disrupting your life and conservative treatments haven’t worked, surgery may be an effective option. Consulting our expert podiatrist is the first step toward understanding your condition and finding the right solution.

Take control of your foot health—schedule a consultation today and start your journey to pain-free living!

What is a High Ankle Sprain?

Posted on 03.19.25 | Yuko Miyazaki, DPM |

High ankle sprains are more than just a twist or roll—they’re a significant type of ankle injury that can lead to long-term complications if not properly addressed. Unlike traditional ankle sprains, which affect the ligaments outside the ankle, high ankle sprains involve the ligaments connecting the two lower leg bones, the tibia and fibula. Understanding the seriousness of high ankle sprains and taking the right steps toward recovery is essential for preventing chronic pain, instability, and recurrent sprains.

Understanding High Ankle Sprains

Anatomy and Ligaments Involved

A high ankle sprain affects the syndesmotic ligaments that hold the tibia and fibula together above the ankle joint. These ligaments provide stability during movement and are crucial for maintaining proper alignment of the lower leg bones. When these ligaments are stretched or torn, it compromises the stability of the entire ankle.

Differentiating High Ankle Sprains from Traditional Sprains

High ankle sprains are typically more severe and require longer recovery times compared to traditional ankle sprains. While traditional sprains usually involve the ligaments on the outside of the ankle and allow for a quicker return to activity, high ankle sprains impact the joint’s overall stability and often need more intensive treatment. Ignoring or misdiagnosing a high ankle sprain can lead to long-term complications, making early and accurate diagnosis critical.

Risk Factors and Complications

Common Risk Factors

High ankle sprains are more common in activities that involve sudden twisting, cutting, or pivoting motions, such as football, soccer, and basketball. Other risk factors include:

Sports activities that involve rapid direction changes or contact.
Uneven surfaces that increase the risk of awkward foot placements.
Improper footwear that lacks ankle support or stability.

Potential Complications of Untreated High Ankle Sprains

If left untreated or improperly managed, high ankle sprains can lead to chronic pain, ankle instability, and recurrent sprains. Over time, the weakened ligaments may not fully heal, leading to long-term complications such as:

Chronic pain and inflammation due to ongoing instability.
Recurrent sprains because of weakened ligaments.
Arthritis in the ankle joint from long-term wear and tear.

Immediate Care for High Ankle Sprains

Proper care following a high ankle sprain can significantly impact recovery time and reduce the risk of complications. Follow these immediate care steps:

The RICE Approach

Elevation: Keep the ankle elevated above heart level to minimize swelling.
Rest: Avoid putting weight on the injured ankle.
Ice: Apply ice packs for 15-20 minutes several times a day to reduce swelling.
Compression: Use an elastic bandage to support the ankle, but avoid wrapping too tightly.

Ankle sprain Sport injury, Women has ankle sprain during outdoor exercise. Sports running knee injury in women runner.

Importance of Professional Evaluation

Unlike mild ankle sprains, high ankle sprains require a professional evaluation to assess the severity and determine the best course of action. Our podiatrist can perform physical exams and imaging tests to diagnose the injury accurately. Early diagnosis and treatment are crucial to prevent long-term complications.

Professional Treatment and Rehabilitation

Dr. Miyazaki specializes in foot and ankle injuries and is essential in diagnosing high ankle sprains accurately. They use imaging techniques such as X-rays or MRI scans to evaluate the extent of ligament damage.

Treatment Options for High Ankle Sprains

Treatment depends on the severity of the sprain and may include:

Bracing or Casting: To immobilize the ankle and promote healing.
Physical Therapy: To restore strength, flexibility, and stability.
Surgery: In severe cases where ligaments are completely torn or the bones are misaligned.

Rehabilitation and Recovery

Rehabilitation is crucial for regaining full function and preventing recurrent sprains. A structured physical therapy program focuses on:

Strengthening exercises for the ankle and lower leg muscles.
Balance and stability training to improve coordination.
Gradual return to activity to avoid re-injury.

Prevention Strategies for High Ankle Sprains

Preventing high ankle sprains involves taking proactive measures, including:

Wearing appropriate footwear that provides adequate ankle support.
Performing warm-up exercises to prepare the muscles and ligaments.
Using ankle braces during high-risk activities to add stability.
Incorporating balance exercises into your routine to enhance coordination.

Listening to Your Body and Seeking Professional Guidance

One of the most effective prevention strategies is to listen to your body. If you experience pain, discomfort, or instability, avoid pushing through it. schedule an appointment with Dr. Yuko Miyazaki to assess the condition and provide personalized recommendations for prevention and treatment.

High ankle sprains are serious injuries that require proper care and attention to avoid long-term complications. By understanding the anatomy, recognizing risk factors, seeking immediate care, and following professional treatment and rehabilitation plans, you can significantly reduce the risk of chronic pain and instability.

Prioritize your ankle health by wearing appropriate footwear, warming up before activities, and strengthening your ankle muscles. If you suspect a high ankle sprain or experience recurring pain, don’t wait—seek timely care to protect your long-term mobility and maintain an active, healthy lifestyle.

If you’re dealing with a high ankle sprain or want to learn more about injury prevention, schedule an appointment with Dr. Yuko Miyazaki today. We’re here to help you get back on your feet safely and confidently. Call us at (510) 647-3744 to get started.

How to Treat Ingrown Toenails at Home: When to Seek Professional Care

Posted on 02.12.25 | Yuko Miyazaki, DPM |

An ingrown toenail can be painful and frustrating, often making everyday activities uncomfortable. While some mild cases can be treated at home, severe or recurring ingrown toenails require professional care to prevent infections and long-term complications. In this guide, we’ll explore safe home treatment options and highlight when it’s essential to see our podiatrist.

Can You Treat an Ingrown Toenail at Home?

If you are in good overall health and your ingrown toenail is mild (without severe pain or signs of infection), home care may be an option. However, seeking professional care is often the safest and most effective approach. If you decide to try home treatment, follow the steps outlined below carefully.

When to See Dr. Miyazaki Instead

You should avoid home treatment and seek immediate podiatric care if:

You have diabetes, neuropathy, or poor circulation – These conditions increase the risk of serious infections and complications.
The pain is severe – Significant discomfort can indicate a deeper issue requiring professional treatment.
You notice signs of infection – Redness, swelling, pus drainage, or red streaks around the nail are warning signs.
You experience recurring ingrown toenails – Frequent ingrown nails may stem from improper nail trimming, genetics, or footwear issues that require expert care.

If any of these apply to you, contact our office immediately to prevent further complications.

How to Treat an Ingrown Toenail at Home

If you’ve determined home care is appropriate, follow these steps:

Soak your foot in warm water with Epsom salt or mild soap for 15 minutes, three times a day.
Gently massage the skin around the nail to reduce pressure.
Apply an antibiotic or antiseptic cream to prevent infection.
Loosely bandage the toe to protect it from irritation.
Wear open-toed shoes or go barefoot at home to minimize pressure on the nail.

Important: Do NOT attempt to cut or remove any part of the nail yourself. DIY nail removal often leads to infection and worsens the problem.

Monitor your symptoms closely. If the pain worsens, redness spreads, or swelling increases, contact our office for professional treatment.

ingrown toenail on a child's foot, medical issue, discomfort.

Professional Treatment for Ingrown Toenails

If home remedies don’t work or your ingrown toenail is severe, Dr. Miyazaki can provide safe, effective treatment. Here’s what to expect:

In-office nail removal – Our expert podiatrist will numb the area and remove the ingrown portion of the nail safely.
Infection prevention – If needed, a topical or oral antibiotic may be prescribed.
Permanent solution for chronic cases – If you frequently experience ingrown toenails, our podiatrist can remove part of the nail root to prevent recurrence.

The procedure is quick, virtually painless, and provides immediate relief. Most patients resume normal activities the same day with minimal aftercare.

Don’t Ignore an Ingrown Toenail—Get the Right Treatment Today!

Whether you try home treatment or opt for professional care, don’t let an ingrown toenail disrupt your life. If you need expert treatment, we’re here to help. Our office follows strict health and safety measures to ensure a comfortable visit.

Call our Berkeley office today at (510) 647-3744 to schedule an appointment and get relief from your ingrown toenail.

What does Athlete’s Foot look like?

Posted on 01.21.25 | Yuko Miyazaki, DPM |

Athlete’s foot, also known as tinea pedis, is a prevalent fungal infection that can significantly impact foot health if left untreated. Understanding its symptoms, causes, and treatments is essential for effective management and prevention.

Understanding Athlete’s Foot

Athlete’s foot is a fungal infection primarily affecting the skin between the toes but can spread to other areas such as the hands and groin. This condition thrives in warm, moist environments and is contagious.

Common Symptoms

Typical symptoms include:

Itching and Burning: Persistent irritation between the toes or on the soles of the feet.
Redness and Scaling: A red, scaly rash often accompanied by peeling skin.
Cracking and Blistering: In more severe cases, the skin may crack, causing pain or blisters.

Visual Signs of Athlete’s Foot

The condition often begins as a red and scaly rash. As the infection progresses, symptoms may worsen, leading to increased foot discomfort and complications like painful fissures or secondary bacterial infections.

Close-up bare feet of person feeling itchy and irritated try to scratching by toe.

Causes and Risk Factors

The fungus responsible for athlete’s foot thrives in damp environments. Common risk factors include:

Public Spaces: Locker rooms, communal showers, and swimming pools are breeding grounds for fungi.
Footwear Habits: Tight, non-breathable shoes create the ideal environment for fungal growth.
Personal Hygiene: Sharing towels, shoes, or socks increases the risk of infection.

Identifying Athlete’s Foot

Recognizing athlete’s foot early allows for prompt treatment. Key signs to look for include:

Red, scaly patches between the toes
Persistent itching or burning sensations
Peeling, cracking, or blistering skin
Dry, flaky skin on the soles of the feet

Treatment Options

Home Remedies and Over-the-Counter Medications

For mild cases, simple measures can provide relief:

Keep Feet Dry: Regularly wash and thoroughly dry your feet, especially between the toes.
Use Antifungal Products: Powders, creams, or sprays can effectively reduce fungal growth.
Change Footwear: Opt for breathable shoes and clean socks to maintain dryness.

Professional Treatment

When symptoms persist or worsen, consulting our podiatrist is essential. Professional treatments include:

Prescription Medications: Stronger topical treatments or oral antifungals can target stubborn infections.
Advanced Therapies: Combination treatments help manage severe or recurrent cases.

Prevention Strategies

Preventing athlete’s foot involves adopting proactive habits to protect your foot health:

Footwear Choices: Wear moisture-wicking socks and shoes made of breathable materials.
Foot Hygiene: Wash feet daily and dry thoroughly, paying attention to the areas between toes.
Use Shower Shoes: Protect your feet in communal showers or locker rooms.
Personal Care: Avoid sharing footwear, socks, or towels to minimize exposure.

When to Seek Professional Help

If over-the-counter treatments fail to provide relief, or if you experience severe symptoms, it’s important to seek expert care. Individuals with diabetes or compromised immune systems should be especially vigilant about foot health.

Early recognition and treatment of athlete’s foot are key to preventing discomfort and complications. Maintaining good foot hygiene and taking preventive measures can reduce the risk of recurrence.

For expert foot care and effective treatment options, contact our Berkley office at (510) 647-3744 or fill out our online form to schedule an appointment. Let us help you maintain healthy, comfortable feet.

Tips for Preventing and Treating Toenail Fungus

Posted on 12.17.24 | Yuko Miyazaki, DPM |

Toenail fungus, medically known as onychomycosis, is a common condition characterized by thick, brittle, discolored, and crumbly nails. While it may start as a minor inconvenience, untreated fungal infections can lead to significant nail damage and discomfort.

Early detection and treatment are crucial. Tackling toenail fungus promptly not only improves the chances of complete recovery but also prevents further complications.

The Challenge of Toenail Fungus

Treating toenail fungus is no easy feat. The infection penetrates deep into the nail bed, making it resistant to many treatments. Without timely intervention, the fungus has ample opportunity to spread and grow, worsening the condition.

Starting treatment as soon as you notice symptoms is essential for better results. The longer you wait, the more entrenched the infection becomes, complicating the recovery process.

Person with yellow toenails. Possible toenail fungus

Importance of Early Treatment

Early treatment of toenail fungus significantly increases the likelihood of fully eradicating the infection. The sooner you begin treatment, the less damage the fungus can inflict on your nails.

Unfortunately, toenail fungus is often overlooked in its initial stages. Subtle changes in nail color or texture may go unnoticed, allowing the infection to progress. Recognizing these early signs and seeking prompt care can make a big difference in outcomes.

The Toenail Fungus Treatment Process

Treating toenail fungus involves a combination of professional care and personal diligence.

Professional Treatment: Podiatrists may use oral antifungal medications, topical treatments, or advanced procedures like laser therapy to target the infection.
Patience is Key: Recovery is a gradual process. Even when the fungus is eliminated, the damaged nail tissue will not revert to its original state. Instead, healthy nail growth will replace the infected area over time.

Consistency and adherence to your treatment plan are essential for success.

Tips for Preventing and Treating Toenail Fungus

Avoid Polish and Artificial Nails

While covering up discolored nails with polish or artificial nails may seem like a quick fix, it can worsen the problem. Fungus thrives in dark, moist environments, and these coverings trap moisture against the nail, creating an ideal breeding ground.

Consider antifungal nail polish as part of your treatment plan, as recommended by our podiatrist. These products combat fungus while improving nail appearance.

Wear Breathable Socks and Shoes

Fungus loves moisture, so keeping your feet dry is crucial. Opt for socks made from moisture-wicking materials such as acrylic, merino wool, or polyester, which are better than cotton at reducing dampness.

Choose breathable mesh shoes when possible and ensure they have a roomy toe box for comfort and prevention. Switching socks during the day can also help if your feet sweat excessively.

Use Antifungal Measures on Your Shoes

Fungus can linger in your shoes, making it essential to disinfect them regularly.

Allow shoes to air out for at least 24 hours between wears.
Use antifungal sprays or powders inside your shoes.
Avoid sharing shoes to minimize the risk of spreading the infection.

Trim and Thin Your Nails

Keeping your nails trimmed and thin enhances the penetration of antifungal treatments, improving their effectiveness.

While our podiatrist may professionally thin nails during treatment, we can also guide you on how to safely maintain your nails at home if appropriate.

Get Professional Help

While some home remedies claim to treat toenail fungus, their effectiveness is often unproven. Our skilled team can provide an accurate diagnosis and recommend evidence-based treatments tailored to your condition.

Professional care ensures you’re using the most effective methods to eliminate the infection and restore your nails to health.

Toenail fungus is a persistent foe, but with the right approach, you can regain healthy nails. If you’re struggling with toenail fungus or other nail and skin conditions, don’t wait to seek professional help.

For expert treatment of toenail fungus and other foot health concerns, schedule an appointment with Dr. Miyazaki today. Call our Berkley office at (510) 647-3744 or send your questions and appointment requests via our online form.

Heel Spurs & Plantar Fasciitis

Posted on 11.18.24 | Yuko Miyazaki, DPM |

Heel pain is a common complaint, often caused by either heel spurs or plantar fasciitis—or a combination of both. These conditions can impact foot health significantly, causing pain that affects daily activities. Knowing the relationship between bone spurs and plantar fasciitis is essential for achieving an accurate diagnosis and selecting effective treatment strategies.

Understanding Heel Spurs

Bone spurs, medically known as osteophytes, are bony protrusions that can develop along the edges of bones, including the heel bone (calcaneus). In cases of plantar fasciitis, bone spurs may form at the attachment site of the plantar fascia, a thick tissue band running along the bottom of the foot. Bone spurs typically develop in response to repetitive stress or strain, often due to prolonged standing, repetitive impact activities, or ill-fitting footwear. As stress accumulates over time, the body responds by forming bone spurs to protect and stabilize the affected area.

Exploring Plantar Fasciitis

Plantar fasciitis is an inflammation of the plantar fascia, the tissue band that supports the arch of the foot and absorbs impact during activities like walking or running. This inflammation is typically caused by factors such as overuse, improper footwear, biomechanical issues, or repetitive strain injuries. Plantar fasciitis can lead to persistent heel pain, especially in the morning or after extended periods of inactivity. Without proper care, the inflammation can become chronic, resulting in ongoing discomfort and limited mobility.

The Link Between Bone Spurs and Plantar Fasciitis

There is a clear relationship between bone spurs and plantar fasciitis. Bone spurs often develop where the plantar fascia attaches to the heel bone, a location under constant strain and tension. When bone spurs are present, they can exacerbate symptoms of plantar fasciitis by further irritating the surrounding tissues. This leads to increased pain, stiffness, and discomfort, particularly during weight-bearing activities. Addressing both conditions together is crucial for effective relief and improved foot health.

Diagnosis and Imaging Techniques

Accurate diagnosis of bone spurs and plantar fasciitis is essential to creating a successful treatment plan. The diagnostic process usually includes:

Physical Examination: Our seasoned podiatrist will assess pain levels, range of motion, and foot structure to determine the potential causes of discomfort.
Imaging Tests: X-rays, ultrasound, or MRI may be utilized to visualize bone spurs and assess any damage to the plantar fascia or other soft tissues. These imaging techniques provide crucial insights, enabling a more precise diagnosis and better treatment planning.

The combination of a thorough physical examination and imaging tests allows for a tailored approach to managing both conditions.

Treatment Approaches

Several treatment options exist for bone spurs and plantar fasciitis, ranging from conservative methods to more advanced therapies:

Conservative Treatments
- RICE Therapy: Rest, ice, compression, and elevation are recommended to reduce inflammation and pain.
- Stretching and Strengthening Exercises: These exercises help improve flexibility, reduce strain on the plantar fascia, and can gradually alleviate symptoms.
- Orthotic Devices or Shoe Inserts: Customized orthotics provide additional support, cushioning, and proper alignment to alleviate pressure on the heel.
Advanced Treatment Options
- Corticosteroid Injections: In cases of severe pain, corticosteroid injections may offer temporary relief by reducing inflammation.
- Extracorporeal Shockwave Therapy (ESWT): This non-invasive therapy uses targeted shockwaves to stimulate tissue healing and reduce pain, ideal for individuals with chronic plantar fasciitis who are unresponsive to conservative treatments.

Woman walking barefoot indoors without heel pain

Surgical Intervention

In cases where conservative and advanced therapies have not provided adequate relief, surgery may be considered. Surgical procedures aim to either release tension in the plantar fascia or remove problematic bone spurs. Surgical options are typically reserved for severe, chronic cases and are performed when other treatments fail to resolve the pain effectively.

Taking the Next Step in Foot Care

If you’re experiencing persistent heel pain or discomfort, consulting Dr. Miyazaki is an important step in protecting your foot health. Early evaluation and targeted treatment can prevent further complications and provide relief. Contact us today at 510-647-3744 to schedule a comprehensive foot evaluation and receive a personalized treatment plan tailored to your needs. Don’t suffer with pain, call our office and get on the fast track to recovery!

Home Strategies for Plantar Fasciitis Relief

Posted on 10.10.24 | Yuko Miyazaki, DPM |

Plantar fasciitis is a leading cause of heel pain, impacting approximately 10% of people at some stage in their lives. Characterized by inflammation of the plantar fascia—a thick band of tissue connecting the heel bone to the toes—this condition often results in stabbing pain near the heel, especially upon waking or after long periods of inactivity. It can disrupt daily activities such as walking, standing, or exercising, leaving many people struggling to find relief. Managing plantar fasciitis at home can be challenging, but with the right strategies, you can effectively address the pain and discomfort without relying solely on medication or invasive treatments.

Why Symptoms May Increase at Home

While home is often thought of as a place for relaxation, it can be surprisingly tough on your feet, especially if you’re suffering from plantar fasciitis. Many people tend to walk around barefoot or in unsupportive footwear like flip-flops or house slippers, which lack the arch support and cushioning that the feet require. This is particularly harmful for individuals with plantar fasciitis because it places extra strain on the plantar fascia, leading to increased inflammation and heel pain.

Hard floors in homes, such as tile or hardwood, can further exacerbate the issue. These surfaces provide no shock absorption, forcing your feet to bear the full brunt of your body weight with each step. Walking barefoot on such floors can result in small tears to the plantar fascia, worsening your symptoms over time. In contrast, wearing orthotics or shoes with arch support indoors can help alleviate this strain by redistributing pressure away from sensitive areas of the foot. Custom orthotics, in particular, offer personalized support that can correct improper foot alignment, providing long-term relief.

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Home Remedies and Lifestyle Changes for Plantar Fasciitis Relief

Wear Supportive Footwear Indoors

One of the simplest and most effective strategies for managing plantar fasciitis at home is to wear supportive shoes, even when indoors. Unlike walking barefoot, wearing shoes with arch support and cushioning ensures that your feet have proper support at all times. Look for footwear that includes a sturdy sole, arch support, and a deep heel cup to maintain correct foot alignment and distribute pressure evenly across the foot. Continuously wearing such shoes can significantly reduce the strain on your plantar fascia and help prevent painful flare-ups.

Use Custom Orthotics or Supportive Insoles

If you’re not already using orthotics, now might be the time to consider them. Custom orthotics or supportive insoles are designed to provide added support and correct any biomechanical imbalances that contribute to plantar fasciitis. Orthotics help maintain proper foot posture and absorb shock, reducing the tension placed on the plantar fascia. Whether you invest in custom-made orthotics or opt for over-the-counter insoles, both options can offer substantial relief by cushioning the heel and providing arch support.

Incorporate Regular Stretching Exercises

Stretching is an essential part of relieving plantar fasciitis symptoms, as it helps to improve the flexibility of your calf muscles and the plantar fascia itself. Tight calf muscles can pull on the Achilles tendon, which increases tension on the plantar fascia, leading to more pain. To counteract this, practice daily stretches targeting these areas. Exercises like calf stretches, rolling a frozen water bottle under your foot, or stretching the bottom of your feet by pulling your toes toward you can improve blood circulation, ease inflammation, and reduce pain.

Use Anti-Fatigue Mats for Added Cushioning

If your daily routine involves standing for long periods in the kitchen, home office, or anywhere with hard flooring, anti-fatigue mats can be a game-changer. These mats provide a soft, cushioned surface for your feet, reducing the impact of standing on hard floors. By offering additional shock absorption, they help alleviate the pressure on your heels and plantar fascia, preventing further injury. Place these mats in high-use areas of your home to reduce strain on your feet and make standing more comfortable.

Ice Therapy

Another effective home remedy for plantar fasciitis is applying ice to the affected area. Ice therapy helps reduce inflammation and numb pain. You can ice your foot by rolling it over a frozen water bottle or using an ice pack wrapped in a towel. Apply ice for 15 to 20 minutes, several times a day, particularly after long periods of standing or walking. This simple technique can provide quick relief and help control swelling.

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Take Action for Lasting Relief

Managing plantar fasciitis requires a proactive approach, especially when it comes to implementing home strategies that can alleviate pain and promote healing. By making simple changes—such as wearing supportive footwear, incorporating custom orthotics, stretching regularly, and using anti-fatigue mats—you can significantly reduce your plantar fasciitis symptoms and improve your foot health. Remember, the key is consistency; the more you take care of your feet at home, the better your chances of achieving long-term relief.

If you’ve tried these home remedies and still experience discomfort, it may be time to seek professional help. Dr. Miyazaki can provide personalized treatment options tailored to your specific condition. Don’t wait for the pain to worsen—schedule a consultation today or call 510-647-3744 and take the first step toward lasting relief from plantar fasciitis.

The Road to Recovery: Understanding Foot and Ankle Sprains & Fractures

Posted on 07.18.24 | Yuko Miyazaki, DPM |

Our feet and ankles are marvels of engineering, providing crucial support and mobility in our daily lives. When injury strikes in the form of a ankle sprains or fractures, understanding these conditions becomes pivotal for effective treatment and recovery.

Navigating the Road to Recovery with Expert Guidance

Imagine a world without the ability to walk, run, or jump. Our feet and ankles, with their intricate bones and flexible ligaments, play a pivotal role in our daily lives. When injury strikes, distinguishing between a soft tissue injury (sprain) and a bone break (fracture) becomes essential.

The Drama of Causes: Dynamic Causes

Injuries are often the culprits behind foot and ankle sprains and fractures. Whether it’s a high-impact sport like football or basketball, the repetitive stress of running, or a simple misstep on uneven ground, our feet and ankles bear the brunt of these incidents.

Sprains occur when ligaments—bands of tissue that connect bones at a joint—are stretched or torn, often due to sudden twisting motions or impacts. Fractures, meanwhile, involve breaks in the bone itself, ranging from hairline cracks to complete breaks.

Decoding Symptoms: Body’s S.O.S.

Recognizing the signs of a sprain or fracture is the first step toward effective treatment. Symptoms such as pain, swelling, bruising, and difficulty walking serve as the body’s S.O.S., signaling the need for immediate attention and care.

Imagine this scenario: You’ve just finished a game of basketball and feel a sudden pain and swelling in your ankle. The area is tender to the touch, and you struggle to put weight on it. These are typical signs of an ankle sprain, indicating that ligaments may have been overstretched or torn.

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Home Care Wisdom: RICE Method Unveiled

At-home care plays a vital role in initial recovery. The RICE method—Rest, Ice, Compression, Elevation—provides a structured approach to managing pain and swelling. It’s crucial to rest adequately and avoid aggravating the injury during this critical phase.

Rest: Limit weight-bearing activities to prevent further damage.
Ice: Apply ice packs wrapped in cloth to the injured area for 15-20 minutes every few hours to reduce swelling.
Compression: Use an elastic bandage to compress the injured area gently, helping to reduce swelling and provide support.
Elevation: Keep the injured foot or ankle elevated above heart level whenever possible to minimize swelling.

Seeking professional assistance from Dr. Miyazaki is crucial for accurate diagnosis and effective treatment. Increased pain, swelling, bruising, redness, or difficulty walking are clear indicators that warrant a visit to a specialist. Our team offers personalized care plans tailored to each patient’s unique needs.

Upon examination, our seasoned team will assess the extent of the injury through physical examination and diagnostic tests such as X-rays, ultrasound, or MRI scans. These tests provide crucial insights into the severity of the injury, guiding the treatment plan accordingly.

Treatment Insights

Treatment plans vary based on the severity of the injury. Fractures may require procedures like reduction (realigning the bone fragments) or surgery, where modern techniques such as metal plates and screws are used for stable bone repair. Sprains, on the other hand, often benefit from immobilization with a brace or boot, followed by physical therapy to regain strength and flexibility.

Medication and Healing

Medications may be prescribed to manage pain, swelling, and inflammation, facilitating a smoother recovery process. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are commonly recommended to alleviate discomfort. Advanced treatments such as ultrasound therapy or injections may also be used to aid healing and reduce inflammation.

Empowering Prevention: Wise Precautions

Preventing future injuries involves adopting wise precautions. Athletes benefit from sport-specific footwear and warm-up routines tailored to their activities. Choosing proper footwear with adequate support and maintaining strong ankle stability through exercises can significantly reduce the risk of sprains and fractures.

Your journey toward recovery begins with understanding and proactive care. Whether you’re recovering from a recent injury or seeking preventive measures, consulting with our compassionate podiatrist ensures you receive expert guidance every step of the way. Take charge of your foot and ankle health today—schedule a consultation to unlock a pain-free tomorrow.

Foot and ankle sprains and fractures can be debilitating, but with proper understanding, timely treatment, and preventive measures, recovery is within reach. The road to recovery involves recognizing symptoms early, implementing effective home care strategies like the RICE method, and seeking expert guidance from Dr Miyazaki when needed. Remember, your feet and ankles are your foundation—take care of them, and they will support you for years to come.