Toenails grow over the skin, and an ingrown toenail occurs when the nail grows into the skin instead of over it. This can be an extremely painful foot condition, and may be caused by genetic reasons, or from wearing shoes that are too tight. It may also happen if a toe injury has occurred, such as stubbing the foot against a piece of furniture. Research has indicated that having poor posture may lead to developing an ingrown toenail. This may cause the toes to push together, and pressure can be exerted on them as they grow. Additionally, a common reason to have an ingrown toenail can be from cutting the toenails incorrectly, or from having poor foot hygiene. If you have an ingrown toenail, it is strongly suggested that you are under the care of a podiatrist who can correct this painful condition, which may include surgery for permanent relief. 

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.

Tarsal tunnel syndrome is a foot condition that can be painful. The tibial nerve is found inside the tarsal tunnel, and an injury can cause this nerve to become compressed. It may also occur from having an abnormal foot structure, such as flat feet or a bone spur. The tibial nerve is located in the ankle and allows movement and feeling in various parts of the foot. The tarsal tunnel lies in the back of the inside of the ankle, and when this nerve is irritated in this narrow tunnel, tarsal tunnel syndrome can develop. Some of the symptoms that are associated with this foot condition can consist of a tingling or numbing sensation on the sole of the foot, and the toes may be difficult to move. Treatment generally begins with resting the foot and eliminating any activities that can cause discomfort. Some patients choose to wear orthotics, which may help reduce some of the symptoms. If the pain is severe and daily activities are difficult to accomplish, surgery may be an option to enlarge the tarsal tunnel. If you have this syndrome, it is suggested that you visit a podiatrist who can guide you toward the treatment that is best for you.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.

There is an intricate process that occurs between bones, muscles, tendons, and ligaments that allow people to stay on their feet and move through a variety of activities with grace and efficiency. The study of how the feet work and move and why they might not function properly is referred to as foot biomechanics. The bones in the different parts of the feet are connected by joints that allow a balance of stability and mobility. The arches of the feet act as natural shock absorbers and distribute forces exerted on the feet during movement. The muscles in the feet and lower legs work together to aid propulsion. By understanding the biomechanics of how the feet work and move, valuable insights can be used to improve footwear design.  Also, helpful interventions and treatments can be developed to improve foot health, enhance athletic performance, and prevent injuries. If you would like to learn more about the biomechanics of the feet and how it can help you specifically, it is suggested that you make an appointment with a podiatrist to discuss this matter further.

If you have any 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

As one ages, their feet also age. A common sign of aging feet is the inability to absorb impact, also termed a loss of springiness. This is the result of loosening of the tendons that hold the arch in place. Additionally, the joints can become less flexible as one ages, especially if osteoarthritis sets in, further reducing the flexibility of the feet. Rheumatoid arthritis, gout, and obesity are other factors that may affect the foot’s suppleness. Another effect of aging is decreased muscle strength. Add to that a natural thinning of the bones, which can become worse by smoking and not intaking adequate vitamin D amounts. This increases the chance of getting stress fractures. Another way that aging affects the feet is a loss of resilience in the skin, which reduces its cushioning. Furthermore, the fat pads, particularly under the ball of the foot and the heel begin to thin out, increasing the chances of having foot pain. Wearing proper footwear is generally the easiest way to lessen the effects of aging on the feet. Shoes with ample cushioning and arch support are essential. For help with foot problems caused by aging, it is suggested that you make an appointment with a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.