Total contact casts are extremely effective for managing diabetic foot ulcers, particularly those caused by neuropathy. These casts distribute pressure evenly across the foot and ankle, to reduce stress on the ulcerated area and promote healing. By immobilizing the foot, a total contact cast also limits excessive movement, which can further aggravate wounds. Total contact casts ensure consistent pressure relief since patients cannot remove them, leading to higher healing rates. These casts are particularly beneficial for non-infected ulcers where circulation remains adequate. While total contact casts offer significant advantages, they require careful monitoring to prevent complications like skin irritation or new pressure points. A podiatrist can assess whether a total contact cast is appropriate based on wound severity, circulation, and overall foot health. Regular evaluations are needed to ensure proper healing and adjust the cast. If you are experiencing foot problems related to diabetes, it is suggested that you schedule an appointment with a podiatrist to see if a total contact cast is right for you.

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 Scott Samera, DPM from Samera / Foot + Ankle. 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 office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a form of arthritis that causes sudden, severe pain, redness, and swelling in the joints, often in the big toe. It occurs when uric acid builds up in the blood and forms crystals in the joints, triggering an inflammatory response. Symptoms typically include intense, throbbing pain, especially at night, and the joint may become hot and tender to the touch. The main cause of gout is high levels of uric acid due to a high purine diet, rich in red meat. Other causes are alcohol, and sugary foods, dehydration, or genetics. Over time, untreated gout can lead to the formation of nodules, or tophi, which are hard, painless lumps that develop around the joints, often in the toes, fingers, or elbows. A podiatrist can help by diagnosing gout through blood tests and joint fluid analysis. Treatment may include medications to reduce pain and inflammation, dietary changes, and lifestyle modifications to manage uric acid levels. If you have symptoms of gout, it is suggested that you schedule an appointment with a podiatrist.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Morton’s neuroma is a painful condition that affects the ball of the foot, typically between the third and fourth toes. It occurs when the tissue surrounding the nerve becomes thickened, often due to irritation or pressure. The symptoms include a sharp, burning pain, a sensation of something being stuck in your shoe, or numbness in the toes. The pain usually worsens with activity or wearing tight shoes, particularly high heels. The primary causes of Morton’s neuroma are repetitive pressure on the feet, such as from tight shoes or high heels, flat feet, or abnormal foot mechanics. A podiatrist can help diagnose Morton’s neuroma through a physical examination and imaging tests. Treatment options include footwear changes, padding, custom orthotics to reduce pressure, and anti-inflammatory medication. In some cases, injections or surgical removal of the affected tissue may be necessary. If you have any of the above symptoms, it is suggested that you schedule an appointment with a podiatrist for proper diagnosis and appropriate care.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails occur when the edge of the nail grows into the surrounding skin, causing pain, redness, swelling, and sometimes infection. This condition is common among teenagers and those who are overweight, as tight shoes or excess pressure can aggravate the toenails. In addition to discomfort, you may notice pus or drainage if an infection sets in.  A podiatrist can help by assessing the severity of the ingrown toenail and providing treatment options. For mild cases, they may suggest soaking the foot, proper nail trimming techniques, or padding to reduce pressure. If the condition persists or becomes infected, a podiatrist may need to remove part of the nail, or, in more serious cases, perform a permanent nail removal procedure. They may also recommend wearing properly fitting shoes to prevent recurrence. If you are struggling with an ingrown toenail, it is suggested that you prompty schedule an appointment with a podiatrist who can offer effective treatment remedies. 

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Achilles tendon injuries are a frequent concern for cyclists due to the repetitive motion and sustained force placed on the lower leg. The Achilles tendon connects the calf muscles to the heel bone, and excessive strain can lead to inflammation or degeneration. Poor bike fit, improper cleat placement, and muscle imbalances may increase the likelihood of an Achilles tendon injury, particularly when the heel or toes are forced into an unnatural position while pedaling. Symptoms include stiffness, swelling, and pain near the heel or along the tendon, which may worsen in the morning or after cycling. People with tight calf muscles or restricted ankle mobility may also be at higher risk, as limited flexibility can cause additional strain on the tendon. A podiatrist can evaluate your foot and ankle mechanics, recommend custom orthotics to improve alignment, and provide treatment to reduce pain and promote healing. Severe cases may require surgery to repair tendon damage. If you are experiencing Achilles tendon pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A bunion is not just a bump on the side of the foot. It is your foot’s way of protesting years of pressure, wearing poor footwear, or genetic predisposition. This bony misalignment at the base of the big toe develops gradually, often starting as mild discomfort before turning into persistent pain. Shoes that once fit perfectly start to feel tight, and walking can become a struggle. Beyond appearance, bunions can affect balance, alter gait, and lead to secondary problems like corns, calluses, and joint stiffness. While wider shoes, padding, and toe spacers can ease symptoms, they do not fix the underlying issue. Severe bunions may require corrective surgery to realign the toe and restore function. Ignoring the pain will not make it disappear. If a bunion is interfering with your daily life, it is suggested that you see a podiatrist for options to relieve discomfort and prevent further damage.

If you are suffering from bunion pain, contact Scott Samera, DPM of Samera / Foot + Ankle. 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.

Causes

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

Symptoms

• 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 office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Choosing the right running shoe is vital for comfort and performance. There are four main types of running shoes, each designed to address different needs. Motion control shoes are ideal for runners who overpronate, offering extra support to prevent excessive inward rolling of the foot. Stability shoes provide moderate support and cushioning, making them suitable for runners who need a balance between comfort and stability. Neutral shoes are designed for runners with a neutral stride, providing cushioning without added support, perfect for those with a natural gait. Lastly, minimalist shoes aim to mimic barefoot running by offering minimal cushioning and support, encouraging a more natural foot movement. Understanding your running style and foot mechanics is key to selecting the right shoe, as it can help improve performance and prevent injuries during your runs. If you have sustained a foot or ankle injury while running, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on what type of running shoe to purchase.

If you are a runner, wearing the right running shoe is essential. For more information, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sesamoiditis is named after the sesamoid bones, which are small, pea-shaped bones embedded in tendons beneath the big toe joint. These bones act like pulleys, aiding movement and bearing weight. Sesamoiditis occurs when these bones or surrounding tendons become inflamed, often due to repetitive stress or overuse. It is common among athletes, dancers, and individuals who engage in activities requiring frequent toe pressure, such as running or jumping. People with high arches or those who wear high heels are also at a higher risk. Symptoms include pain beneath the big toe, swelling, and difficulty bearing weight. Left untreated, it may lead to chronic discomfort or restricted mobility. If you have this type of foot pain, it is suggested that you schedule an appointment with a podiatrist who can provide an accurate diagnosis and offer treatments like orthotics, activity modification, or in severe cases, surgery. Early care helps alleviate pain and prevent further damage.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.