Many children often experience a broken ankle at some point in their growing years. When the ankle is injured, it may be difficult to differentiate between a break and a sprain. It’s important to take note of any swelling, pain, and general discomfort in addition to where it’s located. Any uncomfortable sensation occurring at the joint or surrounding tissue may be indicative of a sprain. An obvious sign of a broken ankle is a deformity of the bone, generally resulting from having endured a fall. Your child may experience several symptoms of a broken foot, including the inability to stand as a result of the pain and bruising that appears around the affected area. A proper diagnosis generally consists of having an X-ray performed to determine the severity of the break. If you think your child has broken their foot, please schedule a consultation with a podiatrist for proper treatment options.
A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. Michael E. Newman from Pennsylvania. Our doctors can provide the care you need to keep you pain-free and on your feet.
Broken Foot Causes, Symptoms, and Treatment
A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury.
Common Symptoms of Broken Feet:
- Blue in color
Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.
Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.
If you have any questions please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Causes, Symptoms, and Treatment for a Broken Foot
If you’ve been on an airplane for several hours, you may know that circulation problems in the feet can develop. It typically occurs when your feet have limited mobility due to small areas. The formation of blood clots can be a result of poor circulation and can be prevalent in diabetics. Generally, the symptoms are easily noticed and may consist of tingling, pain, and swelling in the area where the clot has formed. There are several ways to protect the feet from poor circulation, and these may include avoiding foods that are salty, stretching the feet as often as possible, and walking up and down the aisle of the airplane. If you experience symptoms of this ailment, please schedule a consultation with a podiatrist for more information on ways to avoid poor circulation.
Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. Michael E. Newman of Pennsylvania. Our doctors will treat your foot and ankle needs.
Poor Circulation in the Feet
Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.
Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:
- Muscle pain, stiffness, or weakness
- Numbness or cramping in the legs
- Skin discoloration
- Slower nail & hair growth
- Erectile dysfunction
Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD, and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.
As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication.
If you have any questions please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet
A condition referred to as cracked heels may often be the result when the skin on the heels becomes thick, dry, and tiny tears or fissures appears. Possible causes for this ailment occurring may include added pressure, generally due to obesity or standing for the majority of the day. If you choose to wear shoes with an open back, the possibility of developing cracked heels increases because the skin on the heels is not protected. Occasionally, skin conditions such as eczema or athlete's foot may play an important role in developing this condition. Additionally, having dry skin will also aid in developing cracked heels. Utilizing a good foot cream when the feet are damp will not only seal in moisture, but make the feet feel good in general. If you have heels with severely cracked skin, please schedule a consultation with a podiatrist for information about possible treatment options that are right for you.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Michael E. Newman from Pennsylvania. Our doctors can provide the care you need to keep you pain-free and on your feet.
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How do you get them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
If you have any questions, please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.Read more about Solutions for Cracked Heels
Practicing proper foot care is often overlooked, and this can be particularly true for the population of the elderly. Trimming the nails correctly is essential in preventing infections that may occur, especially in diabetic patients. Additionally, developing ingrown toenails, bunions, or warts may be common among the elderly who are not able to take care of their feet correctly. Proper circulation is vital to the lower extremities, and this may be accomplished by engaging in foot massages, in addition to elevating the feet and soaking them in warm water. Choosing the correct shoes to wear will also help in maintaining proper foot care, and selecting breathable materials will help in preventing fungus from occurring. Please consider scheduling a consultation with a podiatrist if you have questions about how to care for elderly feet.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Michael E. Newman from Pennsylvania. Our doctors can provide the care you need to keep you pain-free and on your feet.
The Elderly and their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
- Neuropathy – can reduce feeling in the feet, and can hide many life threating medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Elderly and their Feet
If inflammation is experienced, often resulting in severe pain located in the foot, you may have a condition referred to as gout. This condition is caused by a large amount of uric acid in the blood, which is a waste product secreted by the kidneys. Crystals are formed by excessive uric acid which adheres to the joints, causing severe inflammation. There are many causes of gout, including predisposed inherited genes, kidney disease, obesity, diet, and high blood pressure. If a healthy lifestyle is practiced, which includes limiting alcohol and avoiding foods that cause elevated uric acid levels, the attacks may be controlled. Please consider scheduling a consultation with a podiatrist for more information about gout.
What is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
Severe pain is likely to be experienced if you have a broken toe, and it will typically heal within 6 weeks. The toe may be tender, bruised, and swollen, often resulting in difficulty in walking. The treatment for a broken or bruised toe is the same, despite the fact that many people have trouble differentiating between the two. Temporary relief may come from elevating the foot, which generally helps in reducing any pain or swelling associated with this condition. Additionally, choosing to wear shoes that give the toes ample room to move may aid in diminishing any discomfort that may be experienced. If the toe is bent at an unnatural angle indicating a severe break, a consultation with a podiatrist is suggested for ways to properly treat your broken toe.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Dr. Michael E. Newman from Pennsylvania. Our doctors will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
If you are experiencing severe pain originating from the Achilles tendon, you may want to consider a treatment known as extracorporeal shock wave therapy (ECSWT). Additionally, it is effective in treating disorders that involve the soft tissue of the ankle and foot. This treatment consists of non-invasive shock wave impulses that are administered to the painful area of the foot, through the use of a machine designed specifically for this reason. There are numerous benefits that can be obtained from having ECSWT performed, some of which promote the tissues to rapidly heal. Additionally, it may generate new blood vessels to form, which also encourages healing. A consultation with a podiatrist is advised for information about ECSWT to determine if this is a treatment option that’s correct for you.
Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Dr. Michael E. Newman from Pennsylvania. Our doctors can provide the care you need to keep you pain-free and on your feet.
Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.
Who Benefits from Shockwave?
Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.
Fast and Easy
The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.
Treatment & Recovery Time
Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.
If you have any questions, please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Treating Heel Pain with Shockwave Therapy
The choice to wear high heels can not only be damaging to the heel, but generally puts pressure on the front of the foot as well. Another part of the foot typically affected may be the Achilles tendon. When high heels are worn frequently, the tendon becomes shortened, and the back of the ankle may feel tight as it strains to be flexible. Arthritis may be a result of damage incurred to the joints of the feet from wearing high heels. Additionally, disorders such as bunions, corns, and a thickening of the nerves between the toes, referred to as Morton’s neuroma, may also be the result of choosing this type of shoe to wear. If you do decide to wear high heels, you can reduce the impact that’s endured by placing protective pads in the shoes. When proper stretches are performed, the foot and ankle will not only feel better, but become stronger.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Michael E. Newman from Pennsylvania. Our doctors can provide the care you need to keep you pain-free and on your feet.
Effects of High Heels on the Feet
High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.
Which parts of my body will be affected by high heels?
- Ankle Joints
- Achilles Tendon – May shorten and stiffen with prolonged wear
- Balls of the Feet
- Knees – Heels cause the knees to bend constantly, creating stress on them
- Back – They decrease the spine’s ability to absorb shock, which may lead to back pain. The vertebrae of the lower back may compress.
What kinds of foot problems can develop from wearing high heels?
- Morton’s Neuroma
- Plantar Fasciitis
How can I still wear high heels and maintain foot health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.
Walking may be thought to be one of the best foot exercises that can be performed. A full range of motion occurs when the foot strikes the ground and the toes lift up. The many benefits of walking and practicing resistance exercises are known to enhance mood and overall health, in addition to improving circulation. Incorporating gentle foot stretches in your daily routine will not only build flexibility, but also promote strength. This can help avoid any potential injuries. A stretching exercise that benefits the ankles can be done while sitting down. This consists of rotating the ankle a few times, then changing direction. Additionally, it is beneficial to stretch the bottom of the foot. This can be accomplished by keeping the heel raised while the toes lie flat against the ground as you step back and gently stretch your right foot, then repeat on the opposite foot. A consultation with a podiatrist may be considered for additional knowledge about foot stretches
Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Michael E. Newman from Pennsylvania. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Stretching the Feet
Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.
Great ways to stretch your feet:
- Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
- Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
- Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle
Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.
If you have any questions, please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.Read more about Stretching Your Feet
One common cause of the condition known as hammertoe is wearing shoes that don’t fit correctly. When the toes are in a cramped position for an extended period of time, it’s natural for the muscles of the toes to become shorter, causing the toes to lock into a curved position. Patients who have arthritis or diabetes may be prone to developing hammertoe, and those who have a certain inherited gene may also be at risk. Occasionally the toes can be straightened, and in most cases, a splint may be utilized for stretching the toe. However, if the toe is completely locked up, surgery may be necessary. There are muscle strengthening exercises that aid in helping the foot to become stronger, possibly decreasing the discomfort originating from this condition. When the proper shoes are worn, which may make it necessary to increase the size of the shoe, more room is provided for the toes to feel comfortable. Often this is a condition that won’t disappear naturally, and a consultation is strongly advised for proper diagnosis and treatment.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
- Pain in the affected toes
- Development of corns or calluses due to friction
- Contracture of the toes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about What Are Hammertoes?
If you are experiencing abnormal walking patterns, you may want to consider wearing orthotics. Orthotics are custom-made inserts that are slipped into your shoes. Generally, an impression of your feet is taken to obtain a perfect fit, preventing any feelings of discomfort. The benefits of wearing orthotics may include keeping the foot stable while performing daily activities and helping to correct debilitating pronation. They’re also beneficial in aiding in conditions such as bunions, corns, and heel pain. It may take some time to get used to your new orthotics, since your feet have been functioning in a certain way for years. Therefore, a gradual increase in wearing them may be recommended. Please consider a consultation with a podiatrist for advice on how you can be measured for custom-made orthotics.
If you are having discomfort in your feet and would like to try orthotics, contact Dr. Michael E. Newman from Pennsylvania. Our doctors can provide the care you need to keep you pain-free and on your feet.
What are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain, but can’t correct serious biomechanical problems in your feet.
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.Read more about Foot Orthotics
A stress fracture typically occurs in the bottom of the leg or foot, due to repeated pressure incurred on the legs. Several types of athletes may suffer from this condition, although it’s common among long distance runners. Most of the symptoms include general achiness, pain in the affected area, tenderness, and swelling. There are a few different ways to diagnosis a stress fracture, including having an x-ray or bone scan performed. Treatment options include rest, and for severe pain, a plaster cast may be used. When the desired sport is resumed after healing, the legs should be stretched completely to avoid re-injury. If you think you may have a stress fracture in your foot or ankle, please consult with a podiatrist for a proper diagnosis and treatment options.
Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Michael E. Newman from Pennsylvania. Our doctors can provide the care you need to keep your pain free and on your feet.
Dealing with Stress Fractures of the Foot and Ankle
Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use. The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.
What are Stress Fractures?
Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:
- People affected with Osteoporosis
- Tennis or basketball players
- High impact workouts
Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.
If having a bunion is affecting your everyday activities, surgery may be a viable treatment option. The level of pain is generally lessened when the big toe is straightened, and recovery from surgery may involve wearing a surgical shoe for a few weeks. A permanently bent toe, known as hammertoe, can also be helped by surgery. The procedure removes the deformed joint between the toes, thus increasing flexibility. If the joint lining becomes inflamed, which can occur in certain forms of arthritis, surgery may be suggested to make the foot feel more comfortable. Another form of foot surgery is having an ankle fusion performed, in which case the ankle joint is removed and your foot is fused to your leg. Recovery generally involves wearing a cast for 6-12 weeks depending upon the severity of the surgery. It’s likely that normal shoes may be worn after the recovery, and the foot will feel more comfortable.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If your toenails become thick and begin turning yellow, chances are you may have a fungal infection. Also referred to as onychomycosis (OM), many people suffer from this, especially those afflicted with other health issues including diabetes or a weakened immune system. This type of fungus grows and lives in moist environments that are warm, typically affecting people whose feet sweat frequently. The infection may occur because of small cuts on the toes or under the nail, thereby allowing the fungi to enter. Prevention of this condition may include drying the feet thoroughly, keeping nails short, and wearing proper footwear in public showers. Please consider a consultation with a podiatrist for optimum treatment options.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Talcum powder – applying powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.Read more about Toenail Fungus