Complete Lower Extremity Healthcare

140 Traders Way
Pooler, GA   31322

(912) 330 - 8885



Posts for category: Toe Pain

By The Foot & Ankle Center, PC
March 01, 2017
Category: Toe Pain
Tags: Arthritis   Hallux Ridgidus  

A condition that we at The Foot & Ankle Center, PC find patients are often unfamiliar with is hallux rigidus. This disorder affects the joint at the base of the big toe. Sometimes patients confuse hallux rigidus with a bunion but in actuality, it is a type of degenerative arthritis, which causes stiffness and pain in the joint. In its early stages, it is sometimes called hallux limitus because the range of motion is only limited somewhat, but as the condition progresses the joint becomes more rigid and eventually frozen and unable to bend. Due to the fact that the big toe joint is critical for nearly every motion of the foot--walking, standing, squatting, ng and climbing--this means that an inability to bend can cause extreme disability and pain.


There are many possible paths to hallux rigidus, including:

  • Faulty foot structure or biomechanical abnormalities
  • Osteoarthritis (the wear and tear kind of arthritis that occurs as people age)
  • Fallen arches
  • Excessive pronation (ankles roll inward)
  • Genetics
  • Overuse—people whose jobs or activities involve excessive stress on the big toe joint (such as squatting or stooping frequently)
  • Trauma or previous injury
  • Rheumatoid arthritis, gout or other inflammatory disease

Diagnosis and Treatment

In addition to pain and stiffness in the big toe joint, you may also experience swelling in the joint, a bump on the top of your big toe joint and pain in your knee, hip, or lower back. Our foot and ankle surgeon,  Dr. Leonard M. Talarico, will order x-rays in ad

dition to examining your toe and testing its range of motion. Treatment is aimed at reducing pain and inflammation, usually through icing, oral medications or corticosteroids injections. Special shoes, such as those with a stiff or rocker bottom sole, custom orthotics and physical therapy may be prescribed to increase range of motion and remove stress from the toe joint. If the condition has progressed too far, surgery may be the only option.

Like many foot conditions, the sooner you seek treatment the less invasive the treatment and the better the outcome. If you believe you may have signs of arthritis in your big toe joint, contact our Pooler office for an appointment as soon as possible.

By The Foot & Ankle Center, PC
February 15, 2017
Category: Toe Pain

A common condition that patients bring to The Foot & Ankle Center, PC is an ingrown toenail (also known as onychocryptosis). An ingrown toenail occurs when the corner or side of a toenail curves down and digs into the skin. This causes the toe to become swollen and red. It can be quite painful, and, if the nail actually pierces through the skin an infection can develop.

Why Do Ingrown Toenails Form?

Improper trimming of toenails is the main cause ingrown nails. When nails are cut too short the skin tends to flap over the nail and the nail starts to grow into the skin. Other causes of ingrown nails include:

  • Pressure from shoes that are too tight or short in the toe box; wearing socks that are very tight can also increase the risk of ingrown toenails.
  • An injury or trauma to the toe.
  • Fungal infection
  • Heredity
  • Faulty foot structure


When you first notice the nail has started to grow into the skin you can soak the foot in warm soapy water s

everal times a day and then try to gently massage the nail out of the skin. If this does not work, you will need to come into our Pooler office for treatment. Our podiatrist, Dr. Leonard M. Talarico will examine your toe and can perform a simple procedure known as a partial nail plate avulsion, which removes the  ingrown part of the toenail after anesthetizing the toe. If you notice any drainage or pus from the nail or you have a fever it is very important that you call our Pooler office immediately at: 912-330-8885 because this may indicate that an infection has developed and the foot doctor will need to prescribe an antibiotic to treat it. Too many patients suffer unnecessarily with ingrown toenails because they fear the treatment will be very painful. Don’t delay, the treatment is not painful and you will wonder why you waited so long after it’s done.


Questions or Comments?
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140 Traders Way
Pooler, GA 31322

Podiatrist / Foot Surgeon - Pooler / Savannah • Leonard M. Talarico, DPM • 140 Traders Way • Pooler GA  31322 • 912-330-8885