The Do's and Don’ts of Diabetic Foot Care

Diabetes is a condition that can affect the feet. Maintaining proper diabetic foot care is crucial in preventing unwanted foot ailments from developing. This can begin by washing and drying the feet every day, followed by applying a moisturizer on them. It is helpful to refrain from using any creams between the toes, as this may lead to additional foot conditions. Diabetic patients may have neuropathy, which is the inability to feel sensations in the feet and lower legs. As a result,  using a mirror is a good way to check the soles of the feet for any cuts or scrapes that may have developed. It is beneficial to have the toenails properly trimmed weekly, and this helps to prevent an ingrown toenail from developing. Many people who are diabetic know the importance of refraining from walking barefoot, which can be detrimental to the feet. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

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.

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Wearing High Heels May Cause Ingrown Toenails

A common foot condition that can develop from frequently wearing high heels is ingrown toenails. Despite the pain and discomfort this ailment can cause, many women continue to wear this type of shoe and choose to suffer through the pain. When these types of shoes are worn, pressure can be exerted on the toes, possibly preventing the toenails from growing properly. Additionally, this may cause the nail to puncture the skin, and an infection may ensue. Ingrown toenails may be managed when high heels must be worn by refraining from wearing tight hosiery and soaking the feet in lukewarm water. Patients who have diabetes may need to pay extra attention if they have developed an ingrown toenail. It is beneficial to temporarily stop wearing the high heels that caused the toenail to become ingrown, and an infected ingrown toenail may require minor surgery for relief. If you wear high heels and have developed an ingrown toenail, it is suggested that you confer with a podiatrist who can help you to manage this condition.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.

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Which Type of Orthotic Do I Need?

Medical devices that are placed inside the shoes for walking and running are referred to as orthotics. They are used to relieve pain from abnormal foot structures, or from having general discomfort while walking. There are several types of orthotics, and choosing the right ones depends on the condition they will be correcting. Patients who have corns and calluses may benefit from wearing epidermal insoles, which can be successful in removing pressure from the affected parts of the foot. People who desire to have a balanced distribution of weight on the feet may opt to wear comfort insoles that can absorb shock. Orthopedic insoles that are made of one piece may help patients that have flat feet, or additional specific types of deformities. If you have foot pain, and are interested in learning more about orthotics, it is suggested that you speak with a podiatrist who can determine which type is correct for you.

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 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.

Read more about Ankle Foot Orthotics for Athletes

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Cuboid Syndrome From Pronated Feet

Cuboid syndrome is a particular kind of foot condition that primarily affects the cuboid bone, located on the outside of the foot. There are various potential causes for cuboid syndrome such as overuse and sprained ankles. However, pronated feet is an important reason cuboid syndrome can develop. Pronated feet occur when the feet slightly roll in while walking and running. This condition can ultimately lead to cuboid syndrome because tightened calf muscles associated with pronation can move the cuboid bone out of place. As a result, cuboid syndrome can ensue. If you are someone that struggles with pronation in the feet, it is suggested that you contact a podiatrist today for treatment options and advice.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.

 

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Poor Circulation of the Feet

Poor blood circulation can cause the feet to feel cold, numb, or tingly. It can also cause dry skin on the feet and brittle toenails. This happens because there is an interference with blood delivery of vital oxygen and nutrients to the feet. Poor circulation can make wounds heal slower and increase the risk of infection. Lifestyle changes may help some patients, and others may have to take medicine to widen blood vessels. Though vitamins and supplements cannot cure circulation problems, they may provide relief from symptoms. If you have signs of poor circulation in your feet, it is strongly suggested that you visit a podiatrist as quickly as possible who can determine what the cause is, and offer advice on treatment. 

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

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Exercise Can Help to Prevent Falling

Falling can cause serious injuries. The feet are often affected, and this can compromise the ability to complete daily activities. Having the eyes checked regularly can help to update existing eyeglasses, in addition to having routine physical examinations for medication checks. The living environment can be made safer by implementing simple fall prevention techniques, such as improving lighting in the household and removing worn rugs. Some people find it beneficial to install grab bars in the shower and toilet area, in addition to using non-skid bath mats. It is wise to wear shoes that fit correctly, and keeping items in a lower cabinet may make them easier to reach. Engaging in a gentle exercise program can be helpful in keeping the body strong while improving balance. Tai Chi and yoga are good examples of this. If you would like more information about effective fall prevention methods, it is suggested that you contact a podiatrist who can provide you with the information you are seeking. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

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Signs You May Have a Broken Toe

Most broken toes are the result of falling, dropping something heavy on it, or bumping it into a hard object. Symptoms of a broken, rather than sprained, toe include severe throbbing pain that does not subside, swelling, bruising, and redness of the skin. The inability to put weight on the toe is another sign, as standing or walking is likely to send shooting pain up through the body. Worse, it may even cause you to lose your balance and fall. A telltale sign of a broken toe is a popping or cracking noise heard when the injury occurs. If you have a broken toe it will become extremely tender to the touch. Putting on shoes, or even socks, may become impossible to bear. An obvious sign that a toe is broken is if the bone becomes visible through a break in the skin. Besides being painful, the toe is then more likely to be exposed to infection. Further, if not properly healed, this can lead to a permanent deformity. If you are experiencing any of these symptoms, it is suggested that you make an appointment with a podiatrist for treatment. 

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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.

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Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

How Did I Sprain My Ankle?

A sprained ankle can happen in a variety of ways. These can include unexpectedly stepping off a curb, or twisting it during a sporting activity. Regardless of how it happens, a sprained ankle can be painful and cause difficulty completing daily activities. Additional symptoms may include swelling, bruising, and a reduced range of motion. When the foot is frequently elevated, the swelling may decrease, and wrapping the affected ankle in an elastic bandage may help to stabilize the foot. If the sprain is severe, the healing process may take several weeks, and activities may have to be temporarily stopped until enough time has passed. Severely sprained ankles may affect the joints, and it is beneficial to seek immediate medical attention if the foot appears to be deformed. If you have sprained your ankle, it is suggested that you speak with a podiatrist who can effectively treat this condition.

Ankle sprains are common but need immediate attention. If you need your feet checked, 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 Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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.

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