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Hammertoe and the Role of Podiatric Care

Hammertoe is a deformity that causes one of the smaller toes to bend abnormally at the middle joint, creating a curled or hammer-like appearance. This condition often develops due to a muscle imbalance that places excessive pressure on the toe. Common symptoms include pain, swelling, redness, corns, calluses, and difficulty wearing shoes comfortably. Over time, the joint may become stiff and less flexible. Risk factors include wearing tight or narrow footwear, foot structure abnormalities, arthritis, and previous toe injuries. Early evaluation is important to prevent progression. A podiatrist can provide customized treatment, such as padding and orthotics, as well as offer footwear guidance or corrective procedures as needed. If you have symptoms of a hammertoe, it is suggested that you consult a podiatrist who can offer appropriate treatment solutions.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact George Tellam, DPM from Ankle & Foot Associates. Our doctor will answer any of your foot- and ankle-related questions.
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.
Symptoms
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
Causes
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
Treatment
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 feel free to contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
When Ankle Sprains Do Not Fully Heal

Chronic ankle instability often develops after repeated ankle sprains that never fully recover. People may notice frequent rolling of the ankle, weakness, swelling, or a feeling that the joint cannot be trusted. To better understand risk and recovery, podiatrists look at both movement and daily function. Simple balance testing can show how well the ankle controls motion during standing and reaching tasks, which reflects real world stability. Self-reported questionnaires help capture how the ankle feels during normal activities such as walking, standing, or climbing stairs. When poor balance is paired with difficulty performing everyday tasks, the likelihood of long-term instability increases. Using both physical testing and patient feedback provides a clearer picture than either approach alone. This combined information helps guide treatment and reduce repeat injury. If ankle weakness or repeated sprains continue, it is suggested that you see a podiatrist for a proper evaluation and appropriate treatment.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact George Tellam, DPM from Ankle & Foot Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Identifying Toenail Fungus

Toenail fungus develops when fungi enter the nail through small cracks, often thriving in warm, moist environments. It may begin subtly, but symptoms can progress to discoloration, thickening, and changes in nail shape. Many people notice yellow or white streaks, brittle texture, or debris under the nail. The affected nail may look dull, misshapen, or crumbly, and while it is sometimes painless, it can also feel tender, uncomfortable, or sensitive to pressure as it thickens. Causes include prolonged moisture exposure, tight footwear, nail injuries, or walking barefoot in shared areas like locker rooms. A podiatrist can help by starting with a thorough examination and testing to confirm the diagnosis, since nail changes can mimic other conditions. Treatment may begin with topical therapies and nail care, and progress to oral medications, or targeted procedures depending on severity and response. If you have toenail fungus, it is suggested that you make an appointment with a podiatrist.
For more information about treatment, contact George Tellam, DPM of Ankle & Foot Associates. 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 contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Cellulitis of the Feet

Cellulitis is a bacterial skin infection that affects the deeper layers of the skin and soft tissue, often involving the feet and ankles. It can cause redness, warmth, swelling, and pain, sometimes spreading quickly. In the feet, cellulitis may begin through a cut, blister, or ulcer. It is often confused with gout because both conditions can cause sudden swelling, redness, and significant pain. Gout symptoms typically include intense joint pain, stiffness, and inflammation, often starting in the big toe. Cellulitis symptoms also include tenderness, fever, and skin that appears tight or shiny. Cellulitis is caused by bacteria entering the skin, while gout is caused by uric acid buildup. A podiatrist can diagnose the condition, provide appropriate treatment, and help prevent complications. If you have any of the above symptoms, it is suggested that you promptly consult a podiatrist who can guide you toward appropriate relief and treatment solutions.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with George Tellam, DPM from Ankle & Foot Associates. 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 Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
