Foot and ankle bones have some elasticity and bend. If there is not enough of this, and one continually performs activities causing repetitive stress like running or jumping, microscopic breaks in the bones can develop. These are known as stress fractures. A crack would not be seen with these types of fractures unless looking under a microscope and then tiny fracturing would be seen. If there is a high amount of stress or a sudden load sustained, a complete fracture would occur. With stress fractures that come on slowly over time, the best treatment is rest. With a complete fracture, the bone must be reset or held together with a cast or surgery. If you think you have a fracture in your foot or ankle, it is suggested you see a podiatrist for an evaluation of its severity and proper treatment options.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

Peripheral artery disease, PAD, is a circulatory condition that affects the lower limbs and feet, among other extremities. It is the result of a buildup of fat and plaque in the artery walls that restricts blood flow. Signs that you may have peripheral artery disease include pain, numbness, and a feeling of coldness. In addition, if you have PAD, you may notice that minor wounds on the ankle or foot take an unusually long time to heal. You may be more at risk of having PAD if you are a diabetic, have high blood pressure or high cholesterol, and if you are a smoker. If left untreated, PAD can cause serious health problems, including gangrene and, in extreme cases, the loss of a limb. A podiatrist can examine your feet and ankles to determine if peripheral artery disease is the cause of your symptoms. Tests may include checking the pulse in the feet, as well as taking CT or ultrasound scans. For more information about peripheral artery disease in the feet, please contact a podiatrist.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Hyperhidrosis of the feet is simply defined as a condition that can cause an individual to sweat excessively in the feet area. The sweating can be so severe that the feet even slip around in the shoes due to the excessive moisture. Due to the constant sweat on the feet, hyperhidrosis can make the feet more susceptible to infection. Hyperhidrosis of the feet might be linked to some kind of anxiety. If an individual has a particular kind of anxiety disorder, a common symptom that might manifest itself is sweaty feet. This can be linked to anxiety because sweating due to nervous feelings can often lead to a vicious cycle where an individual stresses about their sweating, causing more sweating. If you are someone that struggles with anxiety and sweating, consider reaching out to a podiatrist today. This foot specialist will be able to help you address any problems you have with hyperhidrosis.

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

One of the most common causes of pain on the inside of the foot is posterior tibial tendonitis. It occurs when the all-important posterior tibial tendon becomes inflamed, usually from overuse. This tendon starts in the back of the leg, runs under the ankle, and attaches to the inside of the foot. The posterior tibial tendon helps to slow you down as your foot hits the ground and then pushes you forward with each step. If that motion is repeated during a workout, or if your feet flatten too much as you walk or run, the posterior tibial tendon can become overworked and painful. One way to stop this from happening is to find footwear that helps to stabilize the foot, support the arch, and keep the foot from rolling inward. Another way is to be fitted by a podiatrist for custom orthotics. It is important to note that substantial pain under the foot may indicate a torn tendon, and you may wish to seek immediate medical attention. If you are experiencing pain on the inside of the foot, it is a good idea to consult a podiatrist to determine the cause and get the proper treatment for you.  

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Arthritis can affect many parts of the body, including the joints of your feet. There are several types of arthritis that can affect the feet, the most common being osteoarthritis. The joints are covered with articular cartilage, connective tissue that covers the surface of bones in joints. This cartilage reduces friction with joint movement. Arthritis will cause the joints to wear down and lose this cartilage, resulting in the bones rubbing against each other. Soft tissues in joints might also become worn, and this can cause stiff joints that will not function properly. Early signs of foot arthritis include pain, swelling, and stiffness. This ailment can cause acute, or sudden, symptoms or chronic, or long-lasting, symptoms. When osteoarthritis affects the feet, it is usually the joint in the big toe that is first impacted. However, this kind of arthritis can also affect the midfoot. If you have pain in your feet for any reason, or think you might have arthritis, see a podiatrist who can properly evaluate your condition and offer treatment options to provide relief.

Arthritis can be a difficult condition to live with. 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

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.

One of the most painful foot conditions is known as an Achilles tendon injury. It happens when the tendon that is located in the back of the ankle partially or completely tears. This may be more common in middle-aged people. This type of injury can be caused in people who have poor flexibility, or who engage in occasional sporting activities without properly warming up. The symptoms that often accompany an Achilles tendon injury can include hearing a pop at the time of the injury, and the affected foot may be red, swollen, and bruised. Patients have found mild relief when the foot is elevated, and this can help to diminish some of the swelling. The approximate healing time is several weeks, and this depends on how severe the injury is. Additional relief techniques can consist of wearing a boot or cast that can provide stability as the healing process occurs, and specific stretches and exercises are performed. If you have endured this type of injury, please schedule an appointment with a podiatrist who can guide you toward proper treatment methods, which may include surgery in severe cases.

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.

Anyone who has broken their ankle knows how uncomfortable it can be. It is also known as a fractured ankle, and in most cases, it can be extremely difficult to walk. There are three bones that the ankle is comprised of, which are the tibia, fibula, and talus. The larger bone in the lower leg is referred to as the tibia, and the calf bone is called the fibula. This is the smallest bone in the lower leg, and the talus bone is located between the tibia and fibula. Any one of these bones can break during a foot injury, and a popping sound may be heard at the time. Additional symptoms can include immediate bruising, severe pain, and discomfort, and the foot may turn a blue or purplish color. Temporary relief may be found when the affected foot is elevated until a proper diagnosis can be performed. This involves having an X-ray taken, followed by wearing a cast or protective boot. The recovery period is approximately eight weeks, and it is suggested that you initially consult with a podiatrist who can properly treat a broken ankle.

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.

Sever’s disease primarily affects growing children, and it is defined as the aggravation or inflammation of a growth plate in the foot. The most common symptom of Sever’s disease is heel pain. Importantly, recurrence of Sever’s disease is possible. This means that once a child develops Sever’s disease and it goes away, it might come back. There are several steps that a parent might consider taking to help prevent the recurrence of Sever’s disease in their child. Ensuring that your child is wearing proper footwear that provides sufficient support is critical in preventing the recurrence of Sever’s disease. Also, ensuring that the child is not overweight and is maintaining a healthy amount of weight can be important in preventing recurrence. If you have more concerns or questions about dealing with or preventing the recurrence of Sever’s disease in your child, contact a podiatrist today. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Scott Samera, DPM from Samera / Foot + Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.