Juvenile idiopathic arthritis is an inflammatory condition that affects children and can cause pain, stiffness, and reduced joint movement. When inflammation involves the feet and ankles, children may experience swollen and tender joints, difficulty walking, and reduced participation in play or sports. Foot and ankle disability can develop when inflammation affects joint function and changes normal movement. Risk factors may include immune system dysfunction, family history of autoimmune disease, and genetic influences. Early evaluation can protect mobility and quality of life.

A podiatrist starts by examining the child’s feet, ankles, footwear, and activity level. The examination may include a gait assessment and review of medical information from the child’s healthcare team. If additional support is needed, custom foot orthotics may be recommended. These devices are designed around the child’s foot structure and symptoms. Orthotics can help stabilize the feet, distribute weight more evenly, and support comfortable movement during activities.

For children with juvenile idiopathic arthritis, properly fitted orthotics may reduce mechanical stress around painful areas and improve how forces move through the feet and ankles. Better pressure distribution can make walking more comfortable and may reduce strain associated with swollen and tender lower joints. Orthotics do not treat the underlying inflammation, but they can complement medical care by supporting mobility and function. A podiatrist may also recommend supportive shoes, activity changes, and regular follow-up.

Improving comfort can help children participate more confidently in school, exercise, and other activities. Because children grow quickly, orthotics should be checked regularly for fit and effectiveness. If your child has foot pain from this or any other foot or ankle condition, it is suggested that you consult a podiatrist who can determine if orthotics can provide the relief that is sought.

If you are having discomfort in your feet and would like to try orthotics, 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.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.

A foot puncture wound occurs when a pointed object pierces the skin and leaves a small entry hole. Nails, glass, and needles are frequent causes. Unlike a cut, a puncture can extend deep into the foot while looking minor at the surface. The object can also push dirt, pieces of sock, or shoe material into the wound. These trapped materials can damage soft tissue and raise the risk of infection. Walking barefoot increases exposure to sharp objects, but a puncture can also pass through a shoe. The wound’s depth and the object’s cleanliness both affect its severity.

Prompt evaluation is important because patients cannot always tell how deeply an object has entered the foot. A retained piece of material can remain hidden beneath the skin. Infection can develop in the skin and spread to a joint or bone. Warning signs include increasing pain, redness, and swelling. Drainage, warmth, or fever can also signal a problem. Diabetes, poor circulation, and reduced feeling in the feet increase the chance of serious complications. A wound that seems small can therefore require urgent attention, especially when the object broke off inside the foot or was dirty.

A podiatrist can examine the wound, determine its depth, and look for damage to nearby structures. The podiatrist can clean the injured area and remove material left beneath the skin. X-rays can reveal foreign objects or bone damage. Other imaging tests can locate materials that do not appear on an X-ray. Treatment includes protecting the foot from pressure and monitoring the wound. The podiatrist can check for infection and decide whether further care or surgery is required. Follow-up visits help confirm that healing is progressing and no hidden material remains. Early care lowers the risk of infection, painful scarring, and lasting damage. If you have a puncture wound on your foot, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please 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.

A broken ankle can affect the bones that connect the lower leg to the foot. The three main bones that make up the ankle are the tibia, or shin bone, the fibula, or smaller leg bone, and the talus, which helps connect the leg to the foot. A fracture can happen after a twisting injury, fall, or sudden impact. Pain is usually strong, and swelling and bruising can develop surrounding the ankle. Some patients cannot put weight on the injured foot or move the ankle normally. An ankle that looks out of place needs prompt medical attention. Early evaluation is important because a severe fracture can affect ankle stability and movement.

A podiatrist can examine the ankle and review imaging, such as  X-rays, to understand the location and severity of the break. The type of fracture helps determine the appropriate treatment. A stable fracture can sometimes heal with a protective boot or cast. A more serious or unstable fracture may require surgery to bring the bones back into proper position and help the ankle heal correctly. A podiatrist can also monitor the injury as it heals and check for problems with movement, pain, or swelling. Treatment plans are based on the specific fracture and the condition of the ankle.

Recovery from a broken ankle can take time, especially when more than one bone is injured. Some patients experience stiffness, soreness, or pain after the fracture has healed. An ankle fracture can also affect how the joint moves and can increase the chance of arthritis, which is a condition that causes joint pain and stiffness. A podiatrist can assess healing, monitor changes in movement, and help guide the return to normal activities. Follow-up care can also help identify concerns that could affect the ankle’s function. If you have broken your ankle, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions. 

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

The Achilles tendon connects the calf muscles to the heel bone and plays an important role in walking, running, and jumping. It handles strong forces when the foot pushes downward or the body lands after a jump. Achilles tendon injuries can range from irritation and small tears to a complete rupture. Repeated activity can weaken the tendon, while a sudden force can cause it to tear. Basketball, track, and volleyball can place high stress on this area because they involve frequent jumping and landing. However, an Achilles injury can occur in many sports and daily activities.

A rupture can happen when the knee is straight and the foot is suddenly pulled upward while the tendon is under heavy force. Patients can hear or feel a pop at the time of injury. They can also develop immediate weakness when pushing off the foot, making walking difficult. Previous Achilles tendon irritation can increase the risk of a rupture. Weak calf muscles and poor conditioning can also raise the risk. Some patients experience Achilles pain or other symptoms in the weeks before a complete tear occurs, making early evaluation important.

A podiatrist can examine the Achilles tendon and determine the location and severity of an injury. The evaluation can include checking foot movement, calf strength, and the tendon for a gap that can indicate a rupture. A podiatrist can then develop a treatment plan based on the injury and the patient's activity level. Treatment for serious tears can involve immobilization or surgery. Prompt care is important because an untreated rupture can become stiff and scarred, making repair more difficult. If you have an Achilles tendon injury, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions. 

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.