Items filtered by date: October 2023

Tuesday, 31 October 2023 00:00

Nerve Pain in the Feet

Nerve pain in the feet, commonly known as neuralgia, often results from irritation of the nerves between the toe bones, leading to nerve enlargement and neuroma formation. This discomfort can be attributed to various factors, including wearing ill-fitting shoes, diminished fat padding around the nerves, poor foot posture, and structural abnormalities. Women are more susceptible to neuromas. Diagnosis relies on clinical evaluation and patient symptom description since imaging techniques such as X-rays, MRIs, and ultrasonography are used mainly to exclude other conditions. Treatment options include corticosteroid injections into the affected area to reduce inflammation and pain. In some instances, cryotherapy, which involves the application of extreme cold, can help numb the nerves and reduce discomfort. Wearing custom orthotic devices may provide added support and evenly distribute the weight across the foot, reducing nerve irritation and improving the patient's quality of life. For effective treatment options for nerve pain in the feet, it is suggested that you make an appointment with a podiatrist.


Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Darren Day, DPM from Hawaii. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.


To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Honolulu and Kahuku, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 24 October 2023 00:00

Can Orthotics Help With Bunions?

A bunion, known medically as hallux valgus, is a bony deformity affecting the joint at the base of the big toe. This condition is characterized by the big toe angling outward towards the other smaller toes on the same foot. This deviation from the toe's natural alignment can lead to discomfort and pain, especially as it progresses. Bunions can manifest with various symptoms and associated issues. These may include pain, swelling, numbness, a burning sensation, or tingling around the bunion area. Footwear can exacerbate these symptoms, leading to discomfort. Additionally, hard, calloused, red, or painful skin may develop over the top of the bunion. Mobility can be restricted, with the big toe being particularly painful to move up and down. Bunions can also contribute to the development of hammertoes, corns, and calluses on the ball of the foot. These conditions can affect one's gait, causing instability while walking. Finding appropriate and comfortable shoes can become challenging due to the deformity and pain associated with bunions, further impacting daily activities and comfort. Orthotics cannot correct a bunion, but they can help with reducing pain in the big toe joint and slow its progression. Conditions such as flat feet can put more pressure on your bunion and wearing orthotics can redistribute that pressure. If you are experiencing pain from your bunion when walking or exercising, it is suggested that you make an appointment with a podiatrist to discuss the use of custom-made orthotics for increased comfort and function.

If you are suffering from bunion pain, contact Darren Day, DPM of Hawaii. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.


  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development


  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Honolulu and Kahuku, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 17 October 2023 00:00

Excessive Foot Sweat

Excessive foot sweating, known as focal hyperhidrosis, is a common but distressing condition. It involves uncontrollable sweating of the feet even when not hot or physically active. Treatments can help manage its impact. Normal sweating occurs when you are hot, exercising, anxious, or nervous, as the nervous system triggers sweat glands to cool the body. Medical conditions, including diabetes, menopause, thyroid problems, and nervous system disorders, can cause excessive sweating of the feet. Some medications may contribute to this as well. While excessive sweating itself does not harm health, it can significantly affect quality of life, causing emotional distress, skin conditions, and discomfort. Diagnosis involves a medical evaluation to rule out underlying causes. Treatment options can include medications, therapy, and in severe cases, surgery. Moderate relief can consist of keeping the feet clean and dry, wearing moisture-wicking socks made from breathable fabrics, and seeking emotional support if needed. If you suffer from excessively sweaty feet, it is suggested that you make an appointment with a podiatrist for a proper evaluation and treatment.

If you are suffering from hyperhidrosis contact Darren Day, DPM of Hawaii. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

If you have any questions please feel free to contact our offices located in Honolulu and Kahuku, HI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Wednesday, 11 October 2023 00:00

Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Choosing the right footwear is essential for physical activity, including walking or running. While the two may seem similar, they entail different biomechanics and therefore require distinct types of shoes. Walking shoes are designed for forward motion and primarily provide cushioning in the heel and support for the arch. They tend to be more flexible to accommodate the natural rolling motion of the foot as you walk. The emphasis is on comfort and stability, making them ideal for daily strolls or leisurely walks. Running shoes, on the other hand, are engineered to handle the repeated impact of the foot striking the ground with greater force during a run. They offer more cushioning throughout the entire sole, a stiffer midsole to support the arch, and added stability to control pronation. Running shoes are essential for absorbing shock and preventing injuries during high impact activities like jogging or sprinting. Wearing the right shoes for your chosen activity can enhance performance, reduce the risk of injury, and ensure a more comfortable experience. If you would like additional facts about walking and running shoe differences, it is suggested that you speak with a podiatrist.

For more information about walking shoes versus running shoes, consult with Darren Day, DPM from Hawaii. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.


Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

If you have any questions, please feel free to contact our offices located in Honolulu and Kahuku, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 03 October 2023 00:00

Facts and Myths About Flat Feet

Flat feet, also known as pes planus, is a condition where the arches of the feet collapse, causing the entire sole to touch the ground. Contrary to common belief, flat feet are not always problematic or painful. Many individuals with flat feet experience no discomfort or other issues, leading active and fulfilling lives. However, some may face challenges such as foot pain or lower limb fatigue, especially if the condition alters their gait or posture. Flat feet can be hereditary, a result of injury, or develop over time due to wear and tear. Wearing proper footwear, practicing exercises to strengthen foot muscles, and using orthotic inserts can offer relief and support. Understanding the facts about flat feet can empower individuals to manage any associated concerns effectively and lead an active, healthy lifestyle. If you have flat feet, it is strongly suggested that you are under the care of a podiatrist who can help you to monitor this condition.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Darren Day, DPM from Hawaii. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  


  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn


If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our offices located in Honolulu and Kahuku, HI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flat Feet

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Advanced Podiatric Procedures & Services in the Honolulu County, HI: Honolulu (Manoa, Kaneohe, Waikiki, Aiea, Waimalu, Moanalua, Kailua, Maunawili, Pearl City, Waipahu, Ahuimanu, Hawaii Kai, Waialae - Kahala) and North Shore (Kahuku, Laie, Hauula, Kawela Bay, Pupukea, Punaluu, Kaaawa, Haleiwa, Waialua, Koolauloa) areas