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Possible Causes of Toenail Loss

Toenail loss can happen for several reasons, and is often painful. Injuries from stubbing the toe or dropping something on it are common causes. Fungal infections may also damage the nail and make it loosen over time. Runners are at risk of toenail loss caused by repeated impact against the inside of the shoe, especially during long distances or downhill strides. Some people may develop a bony growth under the nail, called a subungual exostosis, which puts pressure on the nail until it detaches. Illness, certain medications, or poor circulation may also cause nail loss. If a toenail falls off, a new nail must grow, which can take several months to a year. If part of the nail is still attached, do not pull it off. That can lead to infection or injury. A podiatrist can examine the toe, remove a damaged nail safely, and guide proper regrowth. If your toenail falls off, it is suggested that you promptly schedule an appointment with a podiatrist for appropriate treatment.
For more information about treatment, contact Jack A. Sasiene, DPM of Texas. 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 Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Common Foot Disorders in the Elderly

Foot disorders in the elderly population are common due to natural aging, changes in biomechanics, and the long-term effects of chronic conditions. As people age, their feet may lose strength, flexibility, and cushioning. This process increases the risk of developing arthritis, bunions, hammertoes, and poor circulation. Biomechanical changes can alter walking patterns, leading to instability and discomfort. These issues can impact mobility, independence, and overall well-being. A podiatrist can assess the feet, diagnose underlying problems, and provide personalized treatment, including custom orthotics and footwear recommendations. If you are experiencing any foot pain, it is suggested that you schedule a visit with a podiatrist who can treat various foot conditions and guide you on foot care tips.
If you need your feet checked, contact Jack A. Sasiene, DPM of Texas. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.
Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.
It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.
Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities.
Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.
Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Do Your Child's Feet Hurt?
What Is Hammertoe?

Hammertoe is a condition where one or more toes become bent at the middle joint, resembling a hammer. It often develops from wearing tight shoes or high heels that force the toes into a curled position. Causes may also include muscle imbalance, trauma, or arthritis. Symptoms include pain, stiffness, swelling, and difficulty wearing shoes. Risk factors include age, foot structure, and a history of foot problems. If left untreated, the joint can become rigid and require surgery to correct the problem. A podiatrist can evaluate the severity, recommend proper footwear, suggest exercises, or provide splints or custom orthotics. If you have symptoms of hammertoe, it is suggested that you consult a podiatrist who can offer effective treatment solutions.
Hammertoes can be a painful condition to live with. For more information, contact Jack A. Sasiene, DPM of Texas. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.
Symptoms
- Painful and/or difficult toe movement
- Swelling
- Joint stiffness
- Calluses/Corns
- Physical deformity
Risk Factors
- Age – The risk of hammertoe increases with age
- Sex – Women are more likely to have hammertoe compared to men
- Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
- Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe
Treatment
If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Where It Hurts Can Say a Lot About Your Foot Pain

Pain in the foot can show up in many places, and each one tells a different story. Heel pain may point to plantar fasciitis or a strained ligament. Pain in the ball of the foot could mean a nerve issue, joint inflammation, or overuse from certain activities. If the pain is near the arch, it might relate to flat feet or a tendon problem. Even the toes can be a source of trouble, especially when joints become stiff, irritated, or misshapen. Where the pain begins, how it feels, and when it shows up all help identify the problem. Because feet carry the body every day, even minor discomfort can grow into a bigger issue if ignored. A podiatrist can examine the entire foot, uncover the cause, and offer effective treatment. If your foot pain is not going away, it is suggested that you schedule a visit with a podiatrist and take the first step toward lasting relief.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Jack A. Sasiene, DPM from Texas. 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 Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Managing a Stress Fracture

A foot stress fracture is a tiny crack in the bone, often caused by repetitive force or overuse, and is most commonly found in the toes, midfoot, or heel. It typically starts with dull, aching pain that gradually worsens with activities like walking, running, or standing for long periods. The pain is usually focused on one specific spot and may feel mild at first, leading many people to overlook it. What makes a stress fracture tricky is that it usually does not cause visible swelling or bruising, unlike other injuries. As the fracture progresses, the pain may become sharp and more limiting, interfering with everyday movement. A podiatrist can diagnose a stress fracture through imaging tests, such as X-rays or MRIs. Treatment usually involves reducing weight or pressure through crutches, a walking boot, or rest. In rare cases, surgery may be necessary if the fracture does not heal properly. If you suspect a stress fracture, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate care.
Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Jack A. Sasiene, DPM from Texas. Our doctor 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:
- Runners
- People affected with Osteoporosis
- Tennis or basketball players
- Gymnasts
- High impact workouts
Symptoms
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 you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Causes and Complications of Athlete’s Foot

Athlete’s foot is a fungal infection that affects the skin of the feet, especially between the toes. Athlete’s foot is caused by a fungus that thrives in warm, damp environments, such as inside tight shoes or sweaty socks. Plastic shoes, which trap heat and moisture, often make the condition worse. Athlete’s foot can spread through direct contact with infected skin or indirectly through shared surfaces like showers, pool decks, socks, or shoes. The infection typically causes itching, stinging, redness, peeling, and cracking of the skin. In more advanced cases, blisters, oozing, and swelling may develop. If untreated, the infection can spread to the toenails, making them thick, discolored, and difficult to trim. A podiatrist can help diagnose the infection, recommend appropriate medication, and monitor foot health for any complications. If you have developed a problematic athlete's foot infection, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.
Athlete’s Foot
Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Jack A. Sasiene, DPM from Texas. Our doctor will assess your condition and provide you with quality treatment.
What Is Athlete’s Foot?
Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.
Prevention
The most effective ways to prevent athlete’s foot include:
- Thoroughly washing and drying feet
- Avoid going barefoot in locker rooms and public showers
- Using shower shoes in public showers
- Wearing socks that allow the feet to breathe
- Changing socks and shoes frequently if you sweat a lot
Symptoms
Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:
- Redness
- Burning
- Itching
- Scaly and peeling skin
Diagnosis and Treatment
Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Causes Thick Toenails?

Thick toenails can result from several causes, including toenail fungus, aging, or past trauma to the nail. Fungal infections are one of the most frequent culprits, causing the nail to become discolored, brittle, and misshapen. As people age, nail growth slows and thickens naturally. Injuries, even minor ones, can also damage the nail bed, leading to long-term thickening. Thick toenails may appear yellow, white, or brown, and often feel hard, rough, or crumbly. They can be painful, especially when wearing shoes. Trimming them often becomes difficult. A podiatrist can determine the exact cause through examination or lab testing. Treatment depends on the cause and includes topical or oral antifungal medications, trimming and thinning the nail, or permanent nail removal, in severe cases. Proper foot hygiene and footwear advice are also part of long-term care. If you have toenail fungus, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment solutions.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Wounds That Don't Heal Need to Be Checked
Diabetic Foot Infections

Diabetic foot infections are a serious complication of diabetes that can last weeks or even months, if not treated properly. High blood sugar levels can damage nerves and reduce blood flow, making it harder for wounds to heal and increasing the risk of infection. Symptoms may include redness, swelling, warmth, foul odor, drainage, or even blackened skin in severe cases. You may not always feel pain due to nerve damage, so regular foot checks are essential. Infections often start from small cuts, blisters, or ulcers that go unnoticed and worsen over time. A podiatrist plays a vital role in managing diabetic foot infections. They can perform wound care, remove infected tissue, prescribe antibiotics, recommend diabetic-friendly footwear, and monitor healing. In advanced cases, hospitalization or surgery may be necessary to prevent the spread of infection. If you have diabetes and are dealing with foot infections, it is suggested that you are under the care of a podiatrist.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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What Is Charcot-Marie-Tooth Disease?

Charcot-Marie-Tooth disease is a rare inherited disorder that affects the peripheral nerves, which are responsible for controlling muscles and relaying sensory information. This condition gradually damages the nerves, often leading to muscle weakness and decreased sensation in the feet and lower legs. People with Charcot-Marie-Tooth may develop high arches, curled toes, and an abnormal gait due to the weakening of foot and leg muscles. Over time, the condition can result in balance issues, foot deformities, and difficulty walking. Symptoms often begin in childhood or early adulthood and typically progress slowly. While there is no cure, treatment options like custom orthotics and supportive footwear can help manage discomfort and improve mobility for those living with this lifelong condition. If you have this condition, it is suggested that you are under the care of a podiatrist who can help you to manage Charcot-Marie-Tooth disease.
Some foot conditions may require additional professional care. If you have any concerns, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Rare Foot Conditions
The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.
There are many rare foot conditions that can affect children. Some of these can include:
- Freiberg’s disease
- Kohler’s disease
- Maffucci syndrome
Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.
Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.
Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.
A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.
If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Managing Bunions as You Age

As you age, managing bunions becomes important for maintaining mobility and comfort. A bunion is a bony bump that forms at the base of the big toe, often caused by years of pressure, wearing improper footwear, or genetic factors. Over time, the joint can become more stiff and painful, especially during walking or standing. Choosing supportive shoes with a wide toe box helps reduce pressure on the bunion and prevents further irritation. Gentle stretching and strengthening exercises can improve joint flexibility and ease discomfort. Custom orthotics may also help realign the foot and reduce stress on the affected area. If you have a bunion that is causing any discomfort, it is suggested that you consult a podiatrist who can offer effective relief and treat methods.
If you are suffering from bunions, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
How the Foot and Ankle Work Together to Keep You Moving

The foot and ankle are designed to support your body and allow for smooth, efficient movement. The ankle joint connects the leg to the foot and acts like a hinge, letting your foot move up and down. Below that, the subtalar joint helps with side-to-side motion, important for balance on uneven surfaces. The foot itself has three parts, the hindfoot, midfoot, and forefoot, that work together to absorb shock, adapt to the ground, and push the body forward. Arches in the foot help with weight distribution and flexibility. Muscles, tendons, and ligaments provide strength and control, keeping the foot stable as you walk or run. When everything works properly, your steps feel natural and balanced. If you notice pain, stiffness, or changes in the way you walk, it is suggested that you see a podiatrist for a diagnosis and appropriate treatment.
If you have any concerns about your feet, contact Jack A. Sasiene, DPM from Texas. 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 offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.