Helpful Habits to Avoid Ingrown Toenails

Posted on 03.18.26 | Yuko Miyazaki, DPM |

Ingrown toenails can make everyday activities, like walking, exercising, or hiking, painful and frustrating. Whether you’re strolling through the park, working out, or simply running errands, toe pain can quickly slow you down. In some cases, even the weight of a bedsheet or a pair of socks can feel unbearable.

An ingrown toenail develops when the edge of the nail grows into the surrounding skin, leading to irritation, swelling, and sometimes infection. The good news is that many cases can be prevented with proper foot care and simple daily habits.

Below are practical tips to help reduce your risk of developing ingrown toenails and keep your feet comfortable and healthy.

Why Ingrown Toenails Develop

Several factors can increase the likelihood of developing an ingrown toenail. In many cases, it is not caused by just one issue but a combination of habits and physical factors.

Common causes include:

Improper footwear that places pressure on the toes
Incorrect nail trimming techniques
Genetics, such as naturally curved or thick toenails
Repeated pressure or injury to the toe (common in runners or soccer players)

When shoes or grooming habits place excessive pressure on the nail, the nail edge may begin to grow into the surrounding skin. This irritation can lead to redness, swelling, and pain if not addressed early.

Understanding these risk factors is the first step toward preventing the condition.

Side view close-up of old elderly on cleanliness related to the body by cutting ingrown toenails, pedicure with nail clippers, hygiene assistance in nursing home.

Footwear Habits That Protect Your Toes

Choosing the right footwear plays a major role in preventing ingrown toenails. Shoes and socks that compress the toes can push the nail into the skin, increasing irritation and discomfort.

Choose Shoes with a Roomy Toe Box

Shoes should allow your toes to move naturally without being squeezed together. Narrow or pointed shoes can force the skin against the nail edge, increasing the risk of nail problems.

Look for footwear that offers:

Adequate space for the toes
Supportive cushioning
Breathable materials that reduce moisture buildup

Limit High Heels

High heels shift body weight forward, which can crowd the toes into the front of the shoe. Over time, this pressure may contribute to nail irritation and abnormal nail growth.

Whenever possible, opt for lower heels or supportive footwear designed for daily comfort.

Wear Properly Fitting Socks

Socks that are excessively tight can apply pressure to the nails and surrounding skin. On the other hand, socks that are too loose may bunch up and create friction.

Choose socks that fit comfortably and allow your toes to move without restriction.

Nail Care and Grooming Tips

Proper nail care is one of the most effective ways to prevent ingrown toenails.

Trim Nails Straight Across

Avoid rounding the corners of your toenails when trimming. Cutting nails straight across helps prevent the edges from digging into the surrounding skin.

Maintain the Right Nail Length

Toenails should be kept even with the tip of the toe. Cutting them too short may encourage the surrounding skin to grow over the nail edge.

Checking your nails regularly, about once a week, can help you maintain a healthy length.

Keep Nails Clean

Good hygiene supports overall foot health. Wash your feet daily and gently clean around the nails to remove dirt and debris.

Be careful not to dig too deeply under the nail or damage the cuticle, as this may create an entry point for infection.

Recognizing Early Warning Signs

Catching an ingrown toenail early can prevent the condition from becoming more painful or developing into an infection.

Watch for symptoms such as:

Redness along the edge of the nail
Swelling or tenderness near the nail border
Pain when pressure is applied to the toe

Signs of infection may include:

Drainage or pus
Increased warmth in the area
Persistent swelling
Red streaks extending from the toe

If you notice early irritation, try soaking your foot in warm water with Epsom salts for 15 minutes, 2-3 times a day. This can help soften the skin and reduce mild inflammation while you wait for an appointment. If these symptoms persist, it is important to seek medical attention before the condition worsens.

When to See a Podiatrist

While mild cases may improve with proper care, professional treatment may be necessary if:

Pain continues despite home care
The nail repeatedly grows into the skin
Signs of infection are present
The condition interferes with walking or daily activities

A podiatrist can safely treat the ingrown nail, relieve pain, and help prevent future occurrences. Early treatment can also reduce the risk of complications.

Protect Your Feet and Stay Active

Simple daily habits—such as wearing well-fitting shoes, trimming nails properly, and practicing good foot hygiene—can significantly reduce your chances of developing painful ingrown toenails.

If you notice discomfort or early symptoms, don’t ignore them. Prompt care can prevent the issue from becoming more serious.

Schedule an appointment with us today to keep your feet healthy and enjoy every step without pain.

Understanding Fungal Toenails: Causes and Symptoms

Posted on 02.24.26 | Yuko Miyazaki, DPM |

Fungal toenails, also known medically as onychomycosis, are a common condition that affects millions of people. While they may start as a small cosmetic concern, they can gradually become thicker, discolored, and difficult to manage. Beyond the physical symptoms, fungal toenails can also take an emotional toll, affecting self-confidence and comfort in sandals or barefoot settings.

Seeking timely care is important. Early treatment can prevent the infection from spreading, worsening, or affecting other nails. With proper guidance and treatment, fungal toenails are manageable—and often completely treatable.

What Causes Fungal Toenails?

Fungal toenail infections are caused by microscopic organisms, including:

Fungi
Molds
Yeasts
Most commonly, dermatophytes

These organisms thrive in warm, dark, and damp environments—making shoes and socks an ideal breeding ground.

How Infections Begin

Fungal infections often begin when tiny cracks or cuts in the nail or surrounding skin allow organisms to enter. Even minor trauma, like stubbing your toe or aggressive trimming, can create an entry point.

Once inside, fungi feed on keratin, the protein that makes up your nails. Over time, this leads to visible nail changes.

Common Risk Factors

Certain factors increase your likelihood of developing fungal toenails:

Sweaty feet or excessive moisture
Walking barefoot in public pools, gyms, or locker rooms
Wearing tight, non-breathable shoes
Having diabetes
A weakened immune system
History of athlete’s foot

If you regularly expose your feet to damp environments, your risk is significantly higher.

Common Symptoms to Watch For

Fungal toenails can develop gradually. Recognizing the early signs can make a big difference in treatment success.

Nail Discoloration

One of the earliest signs is a change in nail color. Nails may turn:

Yellow
Brown
White
Cloudy or opaque

Thickened, Brittle, or Crumbly Nails

As the infection progresses, nails may become:

Noticeably thicker
Brittle and prone to cracking
Crumbly at the edges

Foul Odor

Some infections produce an unpleasant smell due to debris buildup and bacterial involvement.

Debris Under the Nail

You may notice white or yellowish material accumulating beneath the nail plate.

Nail Separation (Advanced Cases)

In more severe cases, the nail may lift or separate from the nail bed (onycholysis), causing discomfort and increasing the risk of secondary infection.

Understanding Fungal Toenails: Causes and Symptoms 1

Home Care and Early Management

For mild cases caught early, home treatment may be effective.

Over-the-Counter (OTC) Options

Antifungal creams
Sprays
Medicated nail lacquers

Consistency is key. These treatments must be applied daily and often require several months of use.

Proper Nail Care

Trim nails straight across
Keep nails short
Gently thin thickened nails to improve medication absorption
Disinfect nail clippers after each use

When Home Care May Be Enough

If the infection affects only a small portion of one nail and symptoms are mild, consistent OTC treatment may resolve the issue. However, if you see no improvement after several months, professional care is recommended.

Professional Treatment Options

When fungal toenails persist or worsen, professional evaluation becomes essential.

Topical Prescription Medications

Stronger antifungal solutions or medicated lacquers may be prescribed. These penetrate deeper than OTC products.

Oral Antifungal Medications

Oral antifungals work through the bloodstream to attack the infection from within. They are often more effective for severe cases but may have potential side effects and require monitoring.

Combination Therapy

Some stubborn infections respond best to a combination of oral and topical treatments.

When to Seek Podiatric Care

You should schedule an evaluation if:

The infection spreads to multiple nails
Pain develops
The nail begins separating
You have diabetes or circulation issues
Home treatments fail after several months

Early professional care can shorten recovery time and prevent complications.

Prevention Strategies

Preventing fungal toenails is often easier than treating them.

Daily Hygiene

Wash feet daily with soap and water
Dry thoroughly, especially between the toes
Keep nails clean and trimmed

Smart Footwear Choices

Wear breathable shoes
Choose moisture-wicking socks
Alternate shoes to allow them to dry completely
Opt for open-toed footwear when appropriate

Protective Habits

Change damp socks promptly
Wear shower shoes in locker rooms and public pools
Avoid sharing nail tools

Small daily habits can significantly reduce your risk.

Emotional Impact of Fungal Toenails

Fungal toenails are more than a cosmetic issue. Many patients report:

Embarrassment wearing sandals
Avoiding barefoot activities
Feeling self-conscious in social situations

It’s important to remember that fungal toenails are extremely common—and treatable. You’re not alone, and effective solutions are available.

Taking the First Step

If home remedies aren’t working, seeking professional care is the next step toward healthier nails.

Dr. Yuko Miyazaki provides personalized evaluations to determine the severity of your infection and recommend the most effective treatment plan for your specific needs. Every case is different, and a tailored approach improves outcomes.

If you’ve been hiding your toenails or struggling with recurring infections, now is the time to take action.

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

Fungal toenails are common, but they don’t have to be permanent. With early detection, proper treatment, and preventive habits, you can restore both nail health and confidence.

If you’re experiencing symptoms of fungal toenails, schedule an appointment with us today. Early care makes all the difference—healthy, clear nails start with the right treatment plan.

Top Remedies for Ingrown Toenails

Posted on 09.22.25 | Yuko Miyazaki, DPM |

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, often leading to pain, swelling, and tenderness. Though this condition is common, it can interfere with daily activities if left untreated. The good news is that most cases can be relieved with simple home remedies, while more severe cases benefit from safe and effective professional treatment.

1. At-Home Remedies for Ingrown Toenails

One of the easiest ways to ease discomfort from an ingrown toenail is with warm foot soaks. Adding Epsom salt or mild soap to a basin of warm water and soaking your foot for 15–20 minutes, two to three times a day, can help reduce swelling and soften the nail. After soaking, gently massaging the skin away from the nail may help relieve pressure, though it’s important to use a delicate touch to avoid further irritation.

Keeping the toe clean is equally important. Applying an over-the-counter antibiotic or antiseptic cream can help prevent infection. After cleansing and applying ointment, covering the area with a loose bandage provides added protection. Choosing footwear that gives your toes room to breathe—such as wide-toed shoes or open sandals—can also reduce irritation and allow the nail to heal more comfortably.

2. Warning Signs to Watch For

While mild ingrown toenails often improve with home remedies, certain symptoms should not be ignored. Redness, swelling, pus, or worsening pain are all signs of infection. If these symptoms develop, it’s best to stop home treatment and contact a podiatrist right away.

3. Why You Should Avoid DIY Nail Removal

It may be tempting to try removing the nail at home, but “bathroom surgery” carries serious risks. Digging into the nail without proper tools or anesthesia often leads to infection, makes the condition worse, and causes unnecessary pain. Professional podiatry care is always the safer option.

4. Professional Ingrown Toenail Treatments

When home care isn’t enough, podiatric treatment offers a quick and reliable solution. In-office procedures are performed under local anesthesia, allowing the podiatrist to remove the ingrown edge of the nail safely and comfortably. If infection is present, medications such as antibiotics may be prescribed. For patients who suffer from frequent ingrown toenails, a permanent option is available where part of the nail root is removed to prevent regrowth. Recovery is usually simple, with most patients returning to normal activities within a day.

5. Long-Term Foot Health Tips

Preventing ingrown toenails starts with proper nail care. Toenails should be trimmed straight across rather than rounded at the edges, and cutting them too short should be avoided. Wearing shoes that allow enough space for your toes can reduce pressure on the nails, lowering the risk of recurrence. If ingrown toenails continue to be a problem, regular visits to a podiatrist can help manage and prevent future issues.

Conclusion & Call to Action

Ingrown toenails are painful but highly treatable. Most cases respond well to simple home remedies, but when pain persists, infection develops, or the problem keeps returning, professional care is the best choice.

If you’re struggling with an ingrown toenail, don’t wait for it to worsen. Call our office today at 510-647-3744 or schedule an appointment online. Expert treatment is just a step away, helping you get back to pain-free living. and our team is dedicated to providing the best care for your well-being. Don’t hesitate to take the smart step toward optimal foot health—schedule a visit with us 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.

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.

How to Get Rid of Athlete’s Foot

Posted on 03.19.24 | Yuko Miyazaki, DPM |

Athlete’s foot, a common fungal infection affecting the skin of the feet, can be a persistent nuisance if not tackled effectively. In this blog, we will explore the ins and outs of athlete’s foot, from understanding its origins to practical strategies for prevention and treatment. So, let’s lace up our shoes and embark on a journey to healthier, happier feet..

Understanding Athlete’s Foot

Athlete’s foot, also known as tinea pedis, is a fungal infection caused by various dermatophyte fungi. This pesky condition thrives in warm and moist environments, making the feet an ideal breeding ground. Common symptoms include itching, redness, and cracked skin, often between the toes. Left untreated, it can lead to discomfort and potential complications.

The Origins of Athlete’s Foot

To combat athlete’s foot effectively, it’s crucial to understand its fungal origins. Dermatophytes, such as Trichophyton and Epidermophyton, are the culprits behind this infection. These fungi flourish in warm, damp conditions, making sweaty socks and shoes the perfect breeding ground.

Common Transmission Points

Athlete’s foot is highly contagious and can spread through various means. Shoes, public spaces like gym showers, and personal items such as towels or socks can harbor the fungus. Practicing good hygiene and being mindful of these potential transmission points is key to prevention.

Unexpected Havens

Shoes, often overlooked in the context of athlete’s foot, can play a significant role in harboring the fungus. To minimize fungal growth, choose breathable footwear and rotate shoes regularly. Allow them to air out and consider using antifungal powders or sprays.

Treatment Strategies: Home Remedies Reimagined

Managing athlete’s foot involves a combination of modern home remedies and over-the-counter medications. Antifungal creams, powders, and sprays can be effective in alleviating symptoms. Additionally, keeping feet dry and clean is crucial. Soaking in diluted vinegar or saltwater and applying tea tree oil may also aid in the healing process.

When to Seek Professional Help

While many cases of athlete’s foot can be managed at home, there are instances where professional intervention is necessary. If symptoms persist or worsen despite self-treatment, it’s time to consult our experienced podiatrist. They may prescribe stronger antifungal medications for severe cases.

Athlete’s Foot Beyond the Skin: Touch and Go

Avoid touching infected areas to prevent the spread of the fungus to other parts of the body, particularly the hands. Regular hand washing and maintaining overall hygiene are essential precautions to take during the treatment period.

Nail Troubles

When athlete’s foot extends to the toenails, treating the infection becomes more challenging. Fungi beneath the nail surface can be resilient. Patience and consistent treatment are necessary, and in severe cases, professional assistance may be required.

Prevention Techniques: Socks Matter

Choosing the right socks can make a significant difference in preventing athlete’s foot. Opt for breathable materials like cotton or moisture-wicking blends to keep your feet dry. Make sure your footwear allows proper ventilation to reduce the risk of fungal growth.

Hygiene Habits

Maintain dry and ventilated feet by changing socks regularly, especially after sweating. Consider using boot dryers and applying antifungal powder judiciously to keep your feet healthy and fungus-free.

Public Defense

In high-risk areas like gym showers or communal changing rooms, protective measures such as shower shoes are crucial. Personal hygiene, including not sharing towels or socks, is essential in preventing the transmission of athlete’s foot.

Post-Athlete’s Foot Care: Reducing Recurrence

Minimize the risk of re-infection by continuing good hygiene practices even after recovery. Regularly inspect your feet for signs of recurrence and address them promptly. For individuals who have recently recovered, maintain a vigilant eye on foot health.

Empowering Foot Health

Your podiatrist is your ally in the fight against athlete’s foot. Seeking professional help ensures lasting relief and comprehensive care for foot health. Don’t hesitate to consult Dr. Miyazaki for personalized guidance.Kick athlete’s foot out of your life by understanding its origins, embracing prevention techniques, and seeking timely treatment. Your foot health is in your hands, so lace up those shoes, follow these guidelines, and step confidently towards a fungus-free future. If in doubt, contact us for expert advice. Your feet deserve the best care.

Preventing Fungal Toenails at Nail Salons (and Treating Them When Necessary)

Posted on 07.31.19 | Yuko Miyazaki, DPM |

The Bay Area offers so many activities that you can spend all day on your feet hiking with friends, visiting the local shops by the beach, or checking out what is new in the thriving arts and culture scene. You’d be hard-pressed to find a better setting for shopping, dining, and simply having fun with loved ones.

Now, if you spend a lot of time on your feet taking advantage of everything our community has to offer – or you like to wear sandals and open-toed shoes – you might want to treat those hard-working appendages to a pedicure from a local salon once in a while. Who wouldn’t?!

And though every podiatrist has a different opinion on nail salons, we feel they are well worth it – as long as you take some precautions to avoid toenail fungus and are not diabetic.

Here’s why:

Individuals who have diabetes should avoid going to nail salons. Yes – these establishments can be safe for those who don’t have diabetes when the salon is following appropriate sterilization practices. But those afflicted with the disease have too great of a risk for serious problems to develop.

That being said, whenever you do go to a nail salon, there are some things you should keep in mind to prevent potential fungal infections.

Get Pampered … Without Worrying About Infection

When you visit a nail salon, it is essential that you inspect the establishment’s cleanliness, observe their practices, and make sure all personnel have the proper licensure.

More specifically, you can reduce your risk of contamination at a salon with the following tips:

Book the earliest possible appointment. The equipment at a salon is often cleanest first thing in the morning, so try to schedule your appointment for the earliest time possible.
Keep a critical mindset when evaluating cleanliness. Once at the salon, take the time to check out the floors, chairs, and soaking tubs for cleanliness. Seeing dirty surfaces and dingy water? Turn around and head out the door. If a salon is not committed to a clean environment, they are not likely committed to your health and safety.
Observe the processes used by technicians and staff. Pay attention to the disinfection practices salon employees are actually performing. If a tool is dropped, do they pick it up and continue using it without sanitizing first? That kind of action is enough cause to take your business elsewhere.
Don’t be afraid to ask questions. In the event you aren’t sure exactly what the nail technicians are doing to sanitize their tools and avoid cross-contamination, ask. If they are following appropriate practices, you will get a straight response.

If, however, you do develop a fungal nail infection, you will notice affected toenails developing yellow spots and becoming thickened, ragged, and brittle. As soon as you see any small spot on your nail, come in for treatment.

Get Rid of Fungal Toenails Once and for All

For as easy as it is to develop this problem, getting rid of it can actually be more of a hassle than you might think. In fact, when left untreated, toenail fungus can be hard to eradicate – once the fungus has found its way underneath the nail, it will fight for its new home. So it’s important that you get proper treatment as soon as you notice anything amiss.

With regard to fungal toenail treatment, there are a couple of different options. We can discuss these together and determine which is best for you. They include:

Topical medications, which are used to treat the condition from the outside, often as a polish applied to the surface of infected nails.
Oral medications, which are delivered via bloodstream to the area and work to eradicate the offensive fungus from the inside out.

Often, we use a combination of the two treatments in order to target the source of the infection both from the inside and from the outside.

Other Things to Consider

Here are some more preventative measures you should always keep in mind (even when you are not at the nail salon):

Trim your nails the right way – not too short, not too long, and never rounded.
Never go barefoot in public places – especially wet areas like locker rooms, pools, etc.
If you are undergoing treatment for toenail fungus, don’t cover up the problem with nail polish – this will only make matters worse.
Change your socks throughout the day if you have to – a sweaty sock is a playground for fungus.
Wash your feet every day – make sure to dry them thoroughly after each wash (especially between the toes).

And, of course, don’t wait to get the treatment you need right away – the sooner you do something about this problem, the better your chances of optimal recovery. All you have to do is connect with our team to restore your nails back to health. Either call us today at (510) 647-3744 or use our handy request form online to have one of our staff members reach out to you.

What’s the Best Way to Fix an Ingrown Toenail?

Posted on 06.11.18 | Yuko Miyazaki, DPM |

Figuring out the best way to treat your ingrown toenails can be confusing. If you search for treatment options on Google, you might find dozens of different suggestions. Foot soaks. Apple cider vinegar. Cutting a “V” shaped notch in the nail. Propping up the nail with dental floss.

Do any of these treatments actually work? And if so, which ones are the best?

We’re here to help you clear up the confusion.

Ingrown Toenails

First Step: How Serious Is Your Ingrown Toenail?

Not all ingrown toenails are the same. Some may be relatively mild, and only a little bit sensitive when you bump the toe or put on a particular pair of shoes. Other cases can be extremely painful and highly sensitive to any pressure whatsoever.

Ingrown toenails that aren’t treated quickly enough can even get infected. If your toenails get this bad, you’ll need antibiotics to treat it. If the infection becomes extremely serious and spreads, it becomes a medical emergency that could even lead to amputation.

So the first question you need to ask yourself, before you attempt any treatment, is how serious the problem is.

If your ingrown toenail is very mild and you are otherwise healthy, you may choose to try conservative treatments at home first. A mild ingrown toenail isn’t very painful, and there are no obvious signs of redness or swelling.

If your ingrown toenail is more serious—or you just want to get rid of it as quickly as possible—you should call us and schedule an appointment. Always go straight to a podiatrist in any of the following situations:

Pain disrupts daily living
You have diabetes, neuropathy, or any condition that affects nerve and/or circulatory health in the feet.
You’ve had your ingrown toenails for several days and they are not improving.
You notice any signs of infection (redness, swelling, warm skin, discoloration, drainage, etc.)
You have had ingrown toenails multiple times in the past.

Conservative Treatment Options

Conservative home treatments are optional for healthy individuals with mild ingrown toenails. Although this is not the “best” way to fix an ingrown toenail, some people prefer it.

Here is our recommended course of action:

If you find that a particular pair of shoes is associated with pain, do not wear those shoes. Instead, stick to pairs with wider toe boxes, or open-toed shoes such as sandals until the pain subsides.
Soak your feet in warm water for about 15 minutes at a time, up to 3 or 4 times per day at most. This will help reduce the swelling and sensitivity—plus it feels good. After soaking, you may attempt to gently lift the nail with a clean piece of waxed dental floss.
Apply antibiotic cream as a precaution to minimize your chances of getting an infection.

Contrary to popular belief, cutting a V-shaped notch is not an effective countermeasure. You also should never attempt to trim or cut down the nail borders yourself, as this will only make the problem worse.

Toenail Examination

Partial Ingrown Toenail Removal—The True Best Treatment

In most cases, the best way to deal with an ingrown toenail—by far—is to have it treated at our office. We’ll most likely perform a partial ingrown toenail removal.

This is a short (15 minutes) procedure where we numb the toe and gently remove the portion of the nail border digging into the surrounding skin. Next, if your ingrown toenails are recurring, we’ll also remove some of the nail matrix underneath. This prevents the edge of the nail border from growing back, which mean you shouldn’t get an ingrown toenail there ever again.

We will also prescribe an antibiotic to treat or prevent an infection, if it is necessary to do so.

Although it sounds scary, it really is quite quick, painless, and safe. The pain relief you feel is immediate, and your toe will feel a lot better when the anesthesia wears off.

Better yet, most people are able to wear regular shoes and return to most normal, everyday activities within a day of the procedure. Full healing may take a couple of weeks, but for the most part shouldn’t get in the way of your daily life.

Remember that, no matter who you are, prompt treatment for an ingrown toenail is extremely important. If you let it go too long, it can develop into a really dangerous infection.

If you have a painful ingrown toenail, and conservative care either isn’t working or isn’t advised for your situation, please call our office in Berkeley, CA today at (510) 647-3744. We will get you in and have you walking out pain free as soon as possible.

Ingrown Toenail Prevention Tips

Posted on 08.18.17 | Yuko Miyazaki, DPM |

No matter what area of life we are discussing, it is always better to prevent a bad situation than have to deal with one. Of course, this is certainly the case in the field of medicine! We can provide treatment for a wide range of foot and ankle problems, but you probably would rather not have an issue develop in the first place.

The good news is that many lower limb issues are preventable, and sometimes this includes ingrown toenails.

Before we offer ingrown toenail prevention tips, it’s important to note that some cases simply cannot be prevented. Sometimes ingrown nails happen as the result of an inherited toenail structure that is unusually curved. If you have a nail that continually becomes ingrown (no matter what you do about it), this is the most likely explanation. In such a case, we may recommend permanently removing the nail.

Trimming Toenails

There are also many instances wherein an ingrown toenail can be prevented. You can lower your risk of having this condition happen as the result of controllable causes by taking the following measures:

Use proper nail trimming procedures. Too often, ingrown toenails develop on account of nails either being rounded off or trimmed too short. Instead, always clip them straight across and keep them even with the edge of the toe. If you are cutting a nail to the proper length, there should be a little bit of a white tip left when you are done.
Wear shoes that fit well. Another cause of nails becoming ingrown is excessively tight footwear that crowds the toes together. There are a multitude of reasons for wearing shoes that fit properly, but “preventing ingrown toenails” is definitely on the list. Always make sure new footwear has enough space in front so toes can freely wiggle.
Protect your feet. Physical trauma is yet another common reason for toenails that become ingrown. Often, this is a matter of a weighty object being accidentally dropped on a foot. If your job requires you to frequently move hefty items, invest in a pair of steel-toed boots or safety shoes. Additionally, if you are moving furniture or heavy objects at home, be sure to ask for help.

We hope these methods help you to prevent ingrown toenails, but we know they may still develop. If this happens to you, there is no need to suffer from the pain or risk infection. Instead, simply make an appointment with us to receive the care you need. Call us at (510) 647-3744 or use our online form to schedule your appointment with our Berkeley, CA office today.

How to Treat Fungal Toenails

Posted on 05.30.17 | Yuko Miyazaki, DPM |

There are many places to go and things to do in Berkeley all year long, and especially in our summer months. No matter if you enjoy visiting the Berkeley Rose Garden or revisiting your childhood with a ride on the Tilden Park Merry-Go-Round, it’s always a little better when you’re wearing sandals or open-toed shoes to air out your feet and keep them cool. You may disagree, though, if you have a case of fungal toenails!

Whereas some people are quite comfortable sporting open-toed shoes, others feel the need to keep discolored, distorted toenails hidden from the world. If you are one of those individuals, you should know there are fungal toenail treatment options that can help.

When it comes to treatment for fungal toenails, the best place to start is with methods you can try on your own at home. We will certainly provide professional treatment if you need it, but you may want to try any of the following remedies first:

Apple cider vinegar

Apple cider vinegar. This particular type of vinegar has a mild acidity, which both prevents the fungal infection from spreading and eradicates the offensive fungus (along with other microorganisms, like odor-causing bacteria). To correctly perform this form of treatment, mix apple cider vinegar with an equal amount of water in a basin. Soak the affected foot (or feet) in the solution for about thirty minutes.

Baking Soda

Baking soda. Baking soda is a versatile product. In addition to treating the fungal infection, it can also help with neutralizing foot odor. To use baking soda correctly as a treatment for toenail fungus, start by mixing a half-cup of it—along with a half-cup of Epsom salt and a quarter-cup of hydrogen peroxide (3%)—in four cups of hot water. After mixing those ingredients, add a quarter-cup of white vinegar and then soak your feet in the solution for about ten minutes. When you’re done, rinse off your feet with clean water and dry them completely.

Tea Tree Oil

Tea tree oil. This essential oil contains both antifungal and antiseptic properties. To use this for treating a fungal nail condition, start by mixing a few drops of tea tree oil with a teaspoon of either coconut oil or olive oil. Apply this mixture to any infected toenails with a cotton ball. After letting it sit for about ten minutes, gently scrub the treated nails with a clean toothbrush. For optimal results, repeat the process two or three times a day.

Home care is a good starting point, but there is certainly a chance you will benefit from professional treatment. In these cases, you may need:

Topical medication. More commonly used for mild infections, topical medications include creams, lotions, powders, sprays, and nail lacquers. These topical solutions attack the fungus from the outside in, which means they might not be able to reach fungus residing under infected nails.
Oral medication. Sometimes, we prescribe pills which deliver antifungal medication via the bloodstream. This can reach the fungus topical medications cannot, but may come with side effects.

An important consideration with all types of toenail fungus treatment is the fact you have a role to play as well. We can put together the plan, but it is up to you to follow the directions for consistent use of medication and taking measures—keeping feet dry and clean, trimming toenails properly, protecting feet in public areas—to prevent reinfection.

As with most lower limb conditions and issues, it’s best to treat fungal toenails early for optimal results (especially because the infection can be rather stubborn). You don’t have to live with embarrassment or be self-conscious because of unsightly nails. Instead, come see us here at the office of Yuko Miyazaki, DPM.! We will work with you to restore your toenails back to their healthy, clear selves.

In the event you, or one of your loved ones, have a fungal toenail infection, simply contact us online or call (510) 647-3744 to request your appointment.