Merrillville, IN
Munster, IN
June 2025
Fungus Might Be the Reason for Change in Toenails

A nail that turns yellow, thickens, or starts to crumble can be more than a cosmetic issue. Fungal infections often start small, then slowly spread deeper into the nail bed, if left untreated. These infections thrive in warm, moist environments, like sweaty socks or damp shoes, and can be stubborn to eliminate once they take hold. Some people notice an unusual odor or a change in the shape of the nail, while others simply see a dull or brittle appearance. Over time, untreated fungal nails can become painful or lead to secondary problems, especially in people with diabetes or circulation issues. While mild remedies exist, they are often not enough for deeper infections. If your nails have changed in texture, color, or thickness, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
For more information about treatment, contact Ahmad Elsamad, DPM of The Institute of Foot & Ankle Reconstructive Surgery . Our doctor can provide the care you need to keep you pain-free and on your feet.
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.
Applying foot 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 our offices located in Merrillville, and Munster, IN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Causes and Symptoms of Ingrown Toenails

Ingrown toenails occur when the edge of a toenail grows into the surrounding skin, causing pain, swelling, and sometimes infection. This condition is often caused by improper nail trimming, wearing tight shoes, injury, or a genetic predisposition to curved nails. It most frequently affects the big toe. Symptoms include redness, tenderness along one or both sides of the nail, swelling, and sometimes drainage or pus if the area becomes infected. The toe may feel sore when touched or when pressure is applied from walking or wearing shoes. Infected ingrown nails can become increasingly painful and may lead to more serious complications if left untreated. A podiatrist can relieve discomfort and prevent recurrence by carefully removing the ingrown portion of the nail. In recurring or severe cases, a minor in-office procedure may be done to remove part of the nail root. Proper nail care guidance is also provided. If you are experiencing a painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Ahmad Elsamad, DPM of The Institute of Foot & Ankle Reconstructive Surgery . Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact our offices located in Merrillville, and Munster, IN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Using Ultrasound to Diagnose Foot Pain in Kids and Teens

When children or teens have foot pain, finding the exact cause is not always easy. Sometimes the pain comes from muscles, tendons, or small injuries that are hard to see with the eye alone. In these cases, ultrasounds can be a helpful tool. It uses sound waves to create real-time images of soft tissues in the foot and ankle. This allows doctors to check for inflammation, tears, or other problems without needing radiation. A problem-based approach means the ultrasound is used to look at specific areas where pain is reported, helping to pinpoint the source. This can lead to faster and more accurate treatment, especially when the pain is not clearly linked to a single injury. If a child has ongoing foot pain that does not improve, it is suggested that you see a podiatrist who may recommend ultrasounds to better understand the issue.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Ahmad Elsamad, DPM from The Institute of Foot & Ankle Reconstructive Surgery . Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This 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
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our offices located in Merrillville, and Munster, IN . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Nerve Damage Can Affect Your Feet

Peripheral neuropathy involves damage to the nerves outside the brain and spinal cord, often affecting the feet. It is commonly caused by diabetes, but can also result from alcohol abuse, certain medication, infections, or vitamin deficiencies. Symptoms typically include a strong burning sensation, tingling, numbness, or sharp, shooting pain in the feet. You may also experience weakness, sensitivity to touch, or a pins and needles feeling. In some cases, the skin may appear red or feel unusually warm or cold. These symptoms can worsen over time, making walking and maintaining balance difficult. A podiatrist plays a key role in diagnosing and managing peripheral neuropathy. They may perform a neurological exam, nerve conduction studies, or blood tests to determine the cause. Treatment options include medication, topical creams, custom orthotics, and guidance on foot care to prevent complications like ulcers or infections. If you have this condition, it is suggested that you are under the care of a podiatrist who can help you with relief and management tips.
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 Ahmad Elsamad, DPM from The Institute of Foot & Ankle Reconstructive Surgery . 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 offices located in Merrillville, and Munster, IN . We offer the newest diagnostic and treatment technologies for all your foot care needs.