3 Reasons Why you Have Ingrown Toenails!

No-one likes to talk about toes and toenails, but it’s my job as a Podiatrist to change that!

Here at Foot + Nail Solutions we see ingrown toenails on the daily, and by acknowledging the risk factors and seeking proper help when needed, we can get back on our feet ASAP.


AKA Onychocryptosis.

Dermatological nail condition where the nail plate starts to grow into the grooves of the skin, causing inflammation and pain! If left untreated, can lead to infection and extreme pain when weight-bearing.

So what causes ingrown toenails to occur?

  • Incorrect nail cutting techniques! Improper cutting of the nail where it leaves a spiked edge behind (spicule) encourages the nail edge to grow in to the skin As simple as it is, it can be difficult to fix once the nail has been cut wrong.
  • Tight fitting or narrow footwear! Narrow shoes add pressure on the nail plate, encouraging the nail to grow deeper into the side of the nail. Common examples of narrow shoes are high heels/ dress shoes, football cleats and weightlifting shoes.
  • You haven’t seen a Podiatrist yet! By seeing a Podiatrist, not only can the ingrown toenail be removed conservatively or surgically, wound management is key!
  • Other causes such as chronic infections, genetic predisposition, heavy sweating, pincer-shaped nails, the use of some medications etc, needs a medical Podiatry assessment.


  • Be proactive about your ingrown toenails
  • Cut toenails straight across
  • Avoid narrow fitting shoes
  • See a Podiatrist!



Should I be worried about my Bunions?

Let’s face it, I’m sure that you or someone you know has bunions. Unfortunately, not many people know how or why it occurs and what could happen if it is left untreated.

This post was not intended to fully describe the mechanism of bunions … but what could happen to bunions if it reaches the end-stages.


Progressive subluxation and rotation of the 1st toe joint causing the whole toe to move towards the midline of the foot. Some risk factors include tight footwear, genetics and dysfunction of the first MTPJ

So when should I take action to treat my bunions?

There are 3 simple answers to this!

  • Pain
  • Function
  • Progression

Why? Because pain can become worse over time, and causes dysfunction to the joint itself leading to the inability to move the joint through a range of motion. It also limits function leading to difficulty and pain when wearing shoes, walking/ standing, and other daily activities.


If left untreated and progresses, it can cause arthritic changes to the joint. Surgical intervention will then be warranted.


  1. First toe joint subluxation causing joint in a sub-optimal position
  2. Degeneration/ erosion and spurring of hyaline cartilage
  3. Joint space narrowing causing Osteoarthritis of the joint


  • Bunions can progress and worsen over time
  • Be proactive about bunion pain, progression and function
  • Leaving it untreated can lead to surgical intervention
  • See a Podiatrist!


What do you need to know about how we can treat your Ingrown Toenails.

Did you know that we offer CONSERVATIVE treatments at Foot + Nail Solutions Podiatry!

Here at Foot + Nail Solutions we are experts at treating ingrown toenails and see them on a regular basis. An ingrown toenail occurs when the nail grows into the surrounding skin. They can become red, hot, swollen and extremely painful. The nail can often pierce the skin, creating a portal of entry for infection.

So what causes ingrown toenails?

  • Incorrect cutting
  • Tight footwear
  • Trauma
  • Fan-shaped nails
  • Naturally turned in nails
  • Excessive sweating

Conservative treatment

  • Our podiatry experts will remove the piece of nail piercing into the skin
  • This may cause a small amount of pain
  • You will be given education on how to care for any infection present
  • The underlying cause of the ingrown nail will address to prevent re- occurrence

 Surgical Treatment

If an ingrown toenail is unable to be treated conservatively, (i.e. recurrent or extremely painful), a small surgical procedure may be required. A Partial Nail Avulsion (PNA) is completed under a local anaesthetic. The offending piece of nail is removed, and the nail base (matrix) is sterilised to prevent regrowth. This procedure is extremely successful.

No matter if you have a recurrent or newly presenting ingrown toe nail, Foot + Nail solutions can help you!


How does Diabetes affect your feet?

How does Diabetes affect my feet?

Diabetes is a complex group of conditions that results in the body’s Blood glucose levels being too high. The most common forms of diabetes are Type 1 and Type 2 Diabetes. Having diabetes increases the risk of developing a wide range of foot problems, often because of two complications of the disease: nerve damage (Peripheral neuropathy) and poor circulation (vascular insufficiency).

  • PERIPHERAL NEUROPATHY: Peripheral neuropathy is a disorder of nerve(s) apart from the brain and spinal cord. Patients with peripheral neuropathy may have tingling, numbness, unusual sensations, weakness or burning pain in the feet and complete loss of feeling.
  • POOR CIRCULATION: Poor circulation of the legs and feet can lead to serious complications including open wounds that do not heal properly and cramping in the calves.
  • CHARCOT FOOT: Charcot’s foot is a condition causing weakening of the bones in the foot that can occur in people who have significant nerve damage (neuropathy). As the disorder progresses, the joints collapse and the foot takes on an abnormal shape, such as a rocker-bottom appearance.

For those with diabetes, small foot problems can turn into serious complications. It is recommended that people with diabetes see our Podiatrist’s regularly to prevent ulceration, foot complications and infection.

What can Foot + Nail Solutions Podiatry do for me?

People with diabetes should have their feet examined often. Here at Foot + Nail Solutions Podiatry during these appointments, we can inspect your feet for circulation issues, early signs of nerve damage and other foot problems that may cause infections. Information provided from examinations done during these visits will allow your Podiatrist to provide personalised care to maintain good foot health.

A small tip from us at Foot + Nail Solution is to KEEP AN EYE for cuts, cracks, blisters and other signs of the beginning of a wound. So, if you do experience a sore on your foot book an appointment immediately with our expert team and we will offer you a suitable care plan.

Fiona Here at Foot + Nail Solutions holds a graduate certificate in diabetes education and management.


What do your shoes say about you??

Have you ever wondered what your shoe wear patterns mean? Shoe wear patterns can provide a glimpse of how we walk/run but misinterpretation of these patterns may lead us down a road of inappropriate shoe selection and modification that could potentially reduce performance and increase risk of injury.

Even Wear (Optimal Shoe Wear Patterns)

Approximately 80 percent of people show even wear patterns on their shoes.

The normal foot-type or optimal healthy stride shows an even wear transition along the foot from heel-strike to toe off.

We should strike at the lateral or outside aspect of our heel and slowly roll in until we can propel off the ground between our second and first toes.

Slight lateral (outside) wear at heel is noted on normal foot types. It is common to have slight wear at the forefoot also in this foot type.

Excessive outside edge Wear for Over-Pronation (Common for collapsed, mobile flat arches)

Walker/runners who over-pronate or roll their feet to far inward as they land tend to have shoe wear along the medial (inner) aspect of the shoe.

In severe cases this wear can distort the upper of the shoe that the shoe will medially tilt inward.

People with this wear often have flat arches and a more flexible foot, so it rotates farther inward on the ground. Over pronation can cause increases in rotation at the hip or knee joint.

Tread wear loss on the inside of the heel and ball of foot extending to the big toe is abnormal and can increase your chance of injury.

Plantar fasciitis (heel pain), calf strain, Achilles tendinopathy and patellofemoral pain syndrome (knee pain) are common injuries experienced by this foot type.

This foot type can benefit greatly from anti-pronation orthotics to redistribute the medial forces of the foot within the shoe.

Edge Wear for Supination (Under pronation, high arch or commonly known as a rigid foot type)

Over supination of the foot will show significant wear on the lateral borders of the heel and forefoot areas.

Walkers/runners who have high arches tend to wear the shoe more laterally. A supinator will strike at the heel, continue to mid-foot on the lateral edge, and then toe off laterally because their arches prevent the foot from pronation (rolling in). This will result in a wear pattern leaning heavily towards the outside of the shoe.

In extreme cases the upper of the shoe will tilt to the outside edge of the shoe and the foot and toes can break through the upper of the shoe mesh.

Landing on the outside of the foot puts a lot of pressure on the legs, ankles, knees and hips during motion and can lead to overuse injury or acute ankle sprains.

Functionally designed anti-supination orthotics from Sole Therapy are individually designed to decrease these lateral load forces and bring the foot strike more neutral. This orthotic combined with a neutral cushioned shoe can prevent lateral compartment injuries, ball of foot pain and shin stress syndromes or runners knee.

The illustration below is a nice summary of shoe wear patterns for the three different foot types. Turn your shoes over and look at the sole and check the wear of your shoes. What foot type are you?

At Foot + Nail Solutions Podiatry we know feet and are experts when it comes to identifying the right shoe for your individual needs. We all move differently and strike the ground uniquely every step. When we assess our clients for injury prevention or correction it is important that we investigate shoe wear patterns as this gives us insight into your biomechanics, foot shape and foot type. This is very important for you to consider if you want to perform at your best.

Foot + Nail Solutions Podiatry Shoe Tips:

  1. Your heel should fit snug but not tight, slight heel movement with comfort. Try different lacing techniques like the lace heel lock to prevent heel slippage.
  2. The shoes should bend at the same point where your foot flexes. This is just behind the ball of your foot if you flex the shoes toe box. Unsupportive shoes will always bend in the middle or in half.
  3. If the shoe is fitted to your foot type, go for a quick little walk/jog around the store.
  4. Change your shoes. Nagging little niggles in the form of sore arches, shin pain, achy knees or other small annoyances will start to manifest themselves when you are not getting the support and protection you once were from your shoe. Look at the wear pattern of your shoes and change them if worn.

Avoid these mistakes:

  1. Buying shoes that are too small. Smaller size shoes will cause blisters, and black toenails. That is why I recommend going later in the day when you have been on your feet all day as feet can become swollen.
  2. Do not go assuming your shoes are the same size across brands. Some shoe brands run larger/smaller than others.
  3. Do not just go for the colors. Focus on getting a shoe that feels comfortable and what helps you move with better form. It is important to choose a shoe for your individual foot type as shoes have different classes.

So, pay attention to your shoes! What you wear and how they are wearing can do more for injury prevention than you might think. For more information contact us at Foot + Nail Solutions Podiatry. We are experts in biomechanics. We offer great services that helps you determine the right shoe for your foot type and exercise needs to keep you performing at your best and be injury free. Call us 07 5449 7958 or book online.


Have you got pain in the balls of your feet? You might have Morton’s Neuroma..

Do you have a burning or tingling sensation in the balls of your feet? Do you feel like you are walking on a marble? Then you might have a Morton’s Neuroma.

A Morton’s neuroma is a common foot complaint whereby tissue surrounding one or more digital nerves becomes thickened. Symptoms often vary however, often involve burning/sharp pain, numbness, and/or radiating pain between two digits. The most common site for this to occur is between the 1st and 2nd and the 3rd and 4th digital space.

Signs that you might have a Morton’s Neuroma are:

· Burning pain in the ball of the foot

· Radiating pain into the toes

· Pain worsens when wearing shoes or when being active

· Tingling in the toes


The cause of Morton’s Neuroma are largely mechanical in nature. The pain starts from direct irritation of the digital nerve being pinched in between two bones. This pinching is due to:

· Over pronation or ‘rolling in’ of the feet

· Tight shoes

· High heels

· Tight calves

· Clawed toes

So how do we treat this at Foot + Nail Solutions Podiatry?

When being treated by Foot + Nail Solutions Podiatry we will aim initially to reduce pain and inflammation through application of ice, footwear changes, massage, dry needling and foot mobilization. Your podiatrist will then take a closer look at your biomechanics (foot function) to see if this is a contributing factor to the nerve irritation.

Treatment Types

Less invasive treatment options often work quite effectively, and they include:

– Wider shoes

– Metatarsal domes placed on the innersole of the shoe

– Ice

– Activity reduction

– Orthotics

More invasive treatment options include the following:

– Glucose/cortisone injections

– Surgery

Neuromas can be quite stubborn whereby early intervention often results in faster success rates as long-term swelling around a nerve can become more fibrous and harder to treat.

When being treated by Foot + Nail Solutions podiatrist they will aim initially to reduce pain and inflammation through application of ice, footwear changes, massage, dry needling and foot mobilization. Your podiatrist will then take a closer look at your biomechanics and footwear to see if they are a contributing factor to the nerve irritation.

At Foot + Nail Solutions Podiatry we aim to manage this condition without the need for surgery or injections. Managing poor biomechanics with a functional customized orthotic will facilitate further pain relief and prevent future re occurrence.


Is curing your Fungal Nail possible? We have a 95% Effective Fungal Nail Treatment Cure!

How is it possible to achieve an astounding 95% effective fungal nail treatment cure for treatment resistant nails. Chronic fungal nail (onychomycosis) infections are a challenging condition to eradicate. For an experienced podiatrist specialising in treating fungal finger and toenails this poses no problem. When the nail is chronically infected one successful option is to totally remove the damaged infected nail and then use a short course of lunula Laser treatments. This combined treatment option works phenomenally well for chronically infected nails.

Comfortable Nail Surgery

On average just 5 – 9 days post-operatively the nail bed is dry. Lunula laser treatments can now start. The Lunula laser is totally painless. It combines the powerful effect of 2 proven therapeutic laser wavelengths to accelerate quick nail growth. It will target and eradicate any rogue fungal spores. These may be trapped within nail folds and surrounding tissues. The reason many fungal nail treatments fail is because the dormant spores are not targeted. In chronically infected nails spores are trapped and can be treatment resistant.

Accelerated New Healthy Nail Regrowth

Toenails grow at just 1 – 1.62mm per month. A big toenail can take 12 – 18 months to fully grow back from its base (matrix) to the free edge. A fungal infected nail has retarded nail growth with very little forward expansion, but more upward thickening. The Lunula laser has been acknowledge for substantially accelerating nail plate growth. This is essential when tackling reluctant fungal nail infections. The quicker the nail growth, the success rates exponentially increase. Basically, stopping Fugus (dermaphytes) in their tracks and allowing the body to fight back.
Lunula laser will increase blood flow and nutrition to the nail’s matrix. The result is a burst of new keratin nail cell turnover. Nail growth can be doubled, also the actual nail bed structure is reconditioned and strengthened. Just weeks after a nail plate removal there can appear to be a new nail plate. This is noted with smaller digits. It is a ‘pseudo’ nail, just keratinisation of the nail bed’s epidermis. Which can be confused with new regrowth, but the actual nail plate is still on its way.
Point to remember: The Lunula is in effect reconditioning the nail bed making it stronger and damage free.

Patience is Golden

Patience is required and it does pay-off. Healthy new nail regrowth is soon observed. Nail plate development is normalised which was not achieved with conservative fungal nail treatments even oral drug therapy. As previously mentioned, nail growth is slow, so results are often slow to be seen.


Ever wondered why your toenails look thick, discoursed and you think they might be fungal?

Foot + Nail Solutions Podiatry Noosa is proud to introduce and offer a simple, fast and effective way of diagnosing potential fungal nail infection. if think you suffer from a fungal nail infection or not we have the ability to treat and potentially diagnose without the expense and inconvenience of visiting a Pathology Lab and waiting weeks for results.

As Podiatrists we can now find out at the time of your consultation if you have a fungal infection or not and to be able to provide accurate treatment recommendations without the guess work.

Foot + Nail Solutions Podiatry Noosa Is now able to diagnose on the spot and offer treatment solutions for your fungal or discoloured nail, that show patches or streaks of white, yellow or brown. These nails often looks thickened to normal nail and often become quite crumbly. While these symptoms can be common, even for a trained professional it is often hard to distinguish the difference between a fungal nail and other pathologies.

Foot + Nail Solutions Podiatry Noosa is proud to offer the DIAFACTORY test, on the spot dermatophyte testing procedure which can be completed inside a standard consult to determine whether or not your nail has a fungal infection. In as little as a few five minutes, you will have peace of mind as to what’s going on with your toenail, and whether or not some of the many treatments for fungal nail that we offer here at Foot + Nail Solutions may benefit to you such as; Lunula laser nail therapy, topical antifungal treatment, oral antifungal treatment, general nail care.

If you have a strange toenail that looks unsightly, abnormal and you have no idea what’s going on, now is the perfect time to book an appointment at Foot + Nail Solution Podiatry Noosa to learn more about what’s going on with your toenails.

At Foot + Nail Solutions Podiatrists are members of the Australian Podiatry Association and offer over 27 years of experience. We are trained to diagnose and effectively treat variety of nail and foot conditions.

Put your feet in our hands! Your feet deserve it!

Book in for your Complimentary 15 Minute consultation. A small charge applies for the Diafactory test.

Ingrown toenail? Is nail surgery the answer? Some of your questions answered


What are the symptoms of an ingrown toenail?

Usually it is the big toenail that is affected however any toe can become ingrown. Symptoms include:
+ Swelling
+ Redness
+ Pain
+ Tenderness
+ Pus

Are there alternatives to nail surgery?

Routine podiatry treatment, such as cutting back the corner of the nail or following our self-care advice, may help in the short term, but is unlikely to offer a permanent solution if the problem has been recurrent or longstanding.

Why should I have nail surgery?

Thick, distorted or damaged nails give rise to pain and sometimes infection. Routine treatment in the clinic will resolve symptoms for a while, but often they reoccur, and the nail starts to be ingrown again. Nail surgery provides a permanent long term, safe answer.

What is nail surgery?

Nail surgery is a routine procedure performed under local anaesthetic making the procedure pain free. The offending section of nail is removed, a chemical is then applied to prevent regrowth.

Will there be pain after surgery?

The minimally invasive nature of the procedure results in minimal pain or discomfort following surgery. You have postoperative instructions that will minimise any discomfort and we are here to
support you.

Is this surgery safe?

This is one of the most regular treatments we perform. This minimally invasive procedure requires no skin incision or stiches and is suitable and safe for almost everyone.

How long does the procedure take?

Generally, the procedure takes 45 minutes to perform, if treating multiple toes, the procedure will take longer.

How will the toenail look after surgery?

Once healed, visible change in nail width does not change or is very minimal, as most of the nail removed is hidden under the skin. Rarely in sever cases, the whole toenail will be removed. This will be discussed prior to surgery.

When can I resume my normal activities after surgery?

The first 24 hours are the most import, you need to keep your foot elevated and the dressing dry. You will return 2 – 3 days later for the dressing to be removed and given redressing instructions. Depending on your activities you can return to them will be discussed at your initial appointment.

Can I drive after surgery?

For your own safety, we recommend that you arrange for someone to drive you following surgery.

Will my health fund cover this surgery?

If you have cover for Podiatry, most health funds rebate for ingrown toenail surgery. We have HICAPS facilities so can offer on the spot rebates.