Items filtered by date: April 2025

Toenails can fall off for a number of reasons, including injury, infection, or underlying health issues. Trauma, such as stubbing a toe or dropping something heavy on it, may cause blood to collect under the nail, called a subungual hematoma, which can lead to toenail loss. Fungal infections can also weaken the nail, causing it to become discolored, thickened, and brittle until it detaches from the nail bed. Skin conditions like psoriasis may damage the nail matrix and lead to nail separation. Certain health conditions, like diabetes or poor circulation from peripheral artery disease, can limit blood flow to the feet and make the nails more prone to falling off. Certain  medications may affect nail growth and strength. A podiatrist can examine the affected nail and recommend proper treatment, including antifungal care, or monitoring circulation. If you have problematic toenails, it is suggested that you schedule an appointment with a podiatrist for appropriate  treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Devin Wahlen, DPM of Eastern New Mexico Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Clovis, NM . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Sever’s disease is a common cause of heel pain in growing children, especially those who are physically active. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress during periods of rapid bone development. The condition often affects children involved in running or jumping activities, as the heel bone grows faster than the surrounding muscles and tendons can stretch. Symptoms include heel pain during or after activity, tenderness, and difficulty walking or running. Pain may worsen with pressure on the back of the heel. Risk factors include participation in sports, poor footwear, tight calf muscles, and a recent growth spurt. If your active child has heel pain, it may be Sever’s disease, and it is suggested that you consult a podiatrist who can accurately diagnose and offer relief tips for this condition.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Devin Wahlen, DPM from Eastern New Mexico Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Clovis, NM . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

A broken toe can be painful and may limit movement in the foot or ankle, especially if left untreated. While some toe fractures may seem minor, many require medical attention to prevent complications. Common signs include swelling, bruising, pain when walking, and changes in toe alignment. A podiatrist can evaluate the broken toe through a physical exam and imaging tests to determine the type of fracture and what treatment is needed. Minor breaks may be stabilized with buddy taping, which involves taping the broken toe to a neighboring one. More severe fractures, such as displaced or complex breaks, might require a cast or walking boot to keep the toe straight during healing. In some cases, surgery is required to reposition the bones or insert pins that help maintain proper alignment. Healing can take up to two months, and returning to activity too soon can increase the risk of reinjury. A podiatrist can monitor the healing process and address complications, such as long-term pain or joint damage. If you have broken a toe, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Devin Wahlen, DPM from Eastern New Mexico Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions, please feel free to contact our office located in Clovis, NM . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The running gait cycle is a complex sequence of movements that allows efficient forward motion. It consists of alternating phases of contact, propulsion, and flight, where both feet momentarily leave the ground. The feet play a vital role in absorbing impact, maintaining balance, and generating force. Strong foot muscles help stabilize each step, while proper alignment ensures smooth transitions between phases. Greater joint range of motion in the ankles and toes enhances flexibility and stride efficiency. The coordination of muscles in the legs and core supports overall movement, reducing the risk of injury. Maintaining proper running mechanics through strength training, flexibility exercises, and supportive footwear helps improve performance and prevent strain. Understanding how the feet function during running allows for better technique. If you have sustained a foot or ankle injury from running, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on specific foot strengthening stretches.

If you have any concerns about your feet, contact Devin Wahlen, DPM from Eastern New Mexico Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in Clovis, NM . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot wounds can lead to serious complications if not cared for properly. A podiatrist is a trained specialist who takes specific steps to clean and treat a foot wound to ensure it heals effectively and reduces the risk of infection. After the hands are washed, the wound is assessed for any foreign debris, such as dirt or stones. Using sterile gauze or a clean cloth, the wound is cleaned with mild soap and water, and caution is taken to not scrub the affected area. This is followed by applying a suitable antiseptic solution to disinfect the wound. Once the area is properly cleaned and disinfected, the wound is covered with a sterile bandage to create a protective barrier, promoting faster healing. If you have sustained a foot wound, it is suggested to seek professional care from a podiatrist to ensure the wound is treated appropriately and to receive guidance on the best care practices for your specific injury.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Devin Wahlen, DPM from Eastern New Mexico Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Clovis, NM . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic neuropathy affects the nerves in the feet, toes, and ankles due to prolonged high blood sugar levels. This nerve damage can cause numbness, tingling, burning pain, and muscle weakness, making walking more difficult. Since people with diabetic neuropathy may not feel injuries, even minor cuts or blisters can go unnoticed and lead to serious complications, including infections and foot ulcers. Poor circulation, another complication of diabetes, can slow the healing process and increase the risk of added problems. A podiatrist can assess nerve function, monitor for foot deformities, and recommend appropriate footwear to prevent pressure sores. Regular checkups with this type of doctor can help by detecting issues early, reducing the risk of complications that may require wound care or surgery. A podiatrist may also provide guidance on managing calluses, toenail problems, and dry skin to prevent infections. If you struggle with the effects of diabetic neuropathy, it is suggested that you schedule an appointment with a podiatrist for regular checkups and appropriate care.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Devin Wahlen, DPM from Eastern New Mexico Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our office located in Clovis, NM . We offer the newest diagnostic and treatment technologies for all your foot care needs.