Common Toenail Problems

At Pennsylvania Foot and Ankle Associates, we treat a wide range of common toe problems and toenail fungus, including the following:


Onychia is an inflammation of the tissue that surrounds the nail plate. This area is called the nail fold. This painful toenail condition usually results from the introduction of microscopic pathogens through small wounds in the skin. The inflammation is usually accompanied by the formation of pus and the eventual shedding of the nail.


Onychocryptosis is another name for an ingrown nail and this condition can affect the fingernails as well as the toenails, but it most commonly affects the toes. Patients who suffer from onychocryptosis will experience pain and inflammation as the nail cuts into one or both sides of the nail bed. In severe cases, infection can arise. Treatment for mild cases involves trimming and rounding the nail, but in more severe cases where an infection has occurred, surgical excision of the ingrown portion of the nail down to its bony origin is usually recommended in order to prevent recurrence.


Onychomycosis is a toenail fungus that is also known as tinea unguium. This type of fungal infection is contagious and it is caused by the same fungal organisms that cause ringworm in the skin. Signs of onychomycosis include discoloration and thickening of the nails. The affected nails may also appear chalky and the nails may start to crumble. In most cases, powerful oral and/or topical antifungal medications are required in order to treat the infection.


Paronychia is a bacterial or fungal infection that develops where the nail and skin meet. In acute cases, the affected area will usually appear red and swollen and pus will usually form. The pus will eventually cause the nail to separate from the skin. In chronic cases of paronychia, the skin around the nail will appear less red and the toenail will usually have a greenish hue to it. The discoloration is due to Pseudomonas infection.

Subungual Hematoma

A subungual hematoma is a pooling of the blood under the nail as a result of a recent trauma to the nail. This painful condition can also be caused by repeated minor trauma to the nail from activities such as running in undersized shoes. In cases where the subungual hematoma is causing pain, the podiatrist will drain the blood to relieve the pressure using one of a variety of different measures.

If you are suffering from a toenail problem that is causing you pain or discomfort, then schedule an appointment with one of our doctors today. We can help you find the relief you’re looking for so you can return to your regular activities as quickly as possible.

Some of the most common insurances accepted. Please call our office if your insurance is not listed.