April 2026
When Toenails Become Thick and Discolored

A fungal infection of the toenails, termed onychomycosis, causes changes in color, thickness, and texture. The nail may appear yellow, brown, or white, and can become brittle, crumbly, or separated from the nail bed. Some patients notice a foul odor or debris collecting under the nail. This condition develops when fungi enter through small cracks in the nail or surrounding skin, often thriving in warm, moist environments like sweaty shoes. Although it may begin as a cosmetic concern, untreated toenail fungus can lead to discomfort, pressure while wearing shoes, and the spread of infection to other nails or skin. A podiatrist will examine the nail and may take a sample to confirm the diagnosis before recommending treatment. Options include topical medication, oral antifungal therapy, or, in some cases, removal of the infected portion of the nail. If you have signs of a toenail infection, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.
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 the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors 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 contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Types of Athlete’s Foot

Athlete’s foot is a fungal skin infection caused by dermatophytes that thrive in warm, moist environments. It often develops after walking barefoot in public areas or wearing damp shoes for extended periods of time. Symptoms include itching, burning, redness, cracking skin, and sometimes blistering. The toe web type of infection affects the spaces between the toes, causing soggy, irritated skin, while the moccasin type appears as dry, scaly skin along the soles and sides of the feet. Risk factors include excessive sweating, wearing tight footwear, poor hygiene, and weakened immunity. A podiatrist can accurately diagnose the infection, prescribe targeted antifungal treatment, and provide guidance to prevent recurrence. If you have symptoms of athlete’s foot, it is suggested that you consult a podiatrist who can offer effective treatment solutions, which may include prescribed medication.
Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.
Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.
Solutions to Combat Athlete’s Foot
- Hydrate your feet by using lotion
- Exfoliate
- Buff off nails
- Use of anti-fungal products
- Examine your feet and visit your doctor if any suspicious blisters or cuts develop
Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.
If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Custom Orthotics for High Heels

Custom Orthotics help you not have to choose between style and comfort. With Custom Orthotics designed for high heels, you can walk with confidence, knowing your feet are supported. Custom Orthotics help distribute pressure evenly, reducing the risk of pain and discomfort. Whether it's a day at the office or a night on the town, make every step graceful and pain-free. Discover the magic of Custom Orthotics for high heels by calling our office today.
Explaining Ganglion Foot Cysts

A ganglion cyst on the foot is a small, soft, fluid-filled sac that usually develops near a joint or along a tendon sheath, most often on the top of the foot. The lump may feel movable beneath the skin and can change in size over time. Many ganglion cysts cause no discomfort, while others produce aching, burning, or pressure pain when a shoe presses against the area or during activity. Although generally harmless, the mass may interfere with walking or shoe comfort. The exact cause is uncertain, but prior injury, repetitive stress, and joint irritation are commonly associated factors. A podiatrist can evaluate the lump, confirm the diagnosis, and rule out other conditions with imaging when necessary. Treatment options include protective padding, pressure relief, fluid aspiration, or surgical removal. If you have an unexplained lump on the top of your foot, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors 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 one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Down Syndrome and Orthotics

People with Down syndrome often have low muscle tone and loose joints, which can make the feet and ankles less stable. These differences can lead to flat feet, uneven walking patterns, and extra stress on muscles and joints in the feet and legs. Because of this, many children and adults with Down syndrome feel foot pain, tired legs, and discomfort when walking or standing for long periods of time. Other symptoms include frequent tripping, fatigue in the feet, and aches in the arches or heels. Orthotics can help by giving extra support to the arch and helping the foot stay in a better position during movement. By spreading pressure more evenly across the foot, orthotics can reduce strain on muscles and joints and help the body move with less pain. This type of treatment can improve balance, reduce discomfort, and support more comfortable walking. If you or your loved one has Down syndrome and you feel orthotic treatment may be beneficial, it is suggested that you schedule an appointment with a podiatrist for expert guidance.
Custom orthotics can be an important solution for reducing foot pain by targeting its structural causes rather than just the symptoms. When the feet are misaligned, excess strain develops in the muscles, tendons, and ligaments, often resulting in discomfort in the arches, balls of the feet, or toes. Orthotics are designed to match each foot’s natural shape, supporting proper alignment and evenly distributing pressure to ease pain and improve movement.
Foot pain is commonly caused by overuse, wearing improper footwear, or biomechanical issues that place added stress on sensitive areas. By stabilizing the foot and restoring natural motion, custom orthotics help reduce strain, calm inflammation, and promote healing. Many patients experience lasting relief and greater comfort while walking, standing, or exercising.
Created from a detailed assessment using advanced imaging or casting, each pair of orthotics is tailored to your individual needs. If you are experiencing ongoing foot pain, it is suggested that you contact our office for an evaluation and treatment.
If you have any questions, please feel free to contact one of our offices located in Issaquah, WA .
Causes of Sharp Pain in the Big Toe

Sharp pain in the big toe can result from several underlying conditions that affect joints, bones, and soft tissues. Gout is an inflammatory arthritis caused by uric acid buildup in the joint, leading to sudden and intense pain. Sesamoiditis is irritation of the two small bones beneath the big toe joint, often due to repetitive pressure or overuse. Turf toe is a sprain of the big toe joint caused by forced upward bending, commonly seen in active individuals. Additionally, toe lumps may form from joint changes, cysts, or soft tissue swelling and can create pressure and discomfort. A podiatrist can accurately diagnose the cause of pain in the big toe, provide targeted treatment, and help prevent further damage. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.
Toe pain can disrupt your daily activities. If you have any concerns, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors 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 contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

