November 2021

Orthotics are special shoe inserts that are designed to help correct a variety of foot related issues by relieving pressure or realigning the feet. They can also help reduce pain in the feet, knees, and lower back. There are three common types of orthotics known as soft, rigid, and semi-rigid. Soft orthotics are made to provide extra cushioning while the foot is planted on the ground. Semi-rigid orthotics, which are often used on flat feet, are designed to provide both cushioning and stability. Meanwhile, rigid orthotics are designed to provide stability and to help prevent movements that can cause pain. Patients who believe that orthotics are right for them should visit a podiatrist. A podiatrist will be able to customize an orthotic and tailor it to your needs.

If you are having discomfort in your feet and would like to try orthotics, contact Dawn Miles, DPM from Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

There are many running shoes available on the market, and they can usually be classified into five different types of shoes: motion control, stability, cushioned, lightweight, and trail. Motion control running shoes are designed to reduce any excessive rolling in your gait while you run and provide extra shock absorption. These shoes are especially useful for someone with an overpronated gait. Stability running shoes are designed to stop excess motion in the foot and ankle. Cushioned running shoes absorb shock and help protect the feet. Lightweight running shoes are more flexible and can decrease pain and fatigue while running. Trail shoes are designed to help you run on rugged terrain. They are usually more durable and have a better grip than other types of running shoes. To find out which running shoes may be best for you, it is suggested that you consult with a podiatrist. 

If you are a runner, wearing the right running shoe is essential. For more information, contact Dawn Miles, DPM from Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fasciitis can occur when the ligament that runs along the bottom of the foot, known as the plantar fascia, becomes inflamed or torn. The most common sign of plantar fasciitis is pain and swelling in the heel that is worse in the morning or after standing for long periods of time. As patients get older, the plantar fascia loses its ability to stretch, and the fat pad of the heel begins to wear. This results in a higher risk of developing plantar fasciitis. Other factors for developing plantar fasciitis include being overweight and having high arches or tight calf muscles. Patients who believe that they have plantar fasciitis should consult with a podiatrist for a proper diagnosis and treatment plan.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dawn Miles, DPM  from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle pain can be caused by a variety of factors. For instance, you may have an ankle sprain or fracture. Ankle sprains occur when ligaments that support the ankle get stretched or torn, and fractures are actual breaks in one or more bones that make up the ankle joint. Pain in the ankle may also be caused by gout, rheumatoid arthritis, osteoarthritis and other types of arthritis which affect the ankle joint. There are other conditions such as nerve injuries, heel injuries, and blockages in blood vessels that may produce ankle pain. Pain due to tarsal tunnel syndrome (a compression of the tibial nerve in the tarsal tunnel) can be felt anywhere along the nerve, including the ankle. There may be painful damage to the cartilage or tendons in the ankle. If you are feeling pain in your ankle, get your condition evaluated and diagnosed by a podiatrist who can also create a treatment plan based on their findings.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The cuboid bone is cube-shaped and located near the middle of the foot. When this bone is displaced, the resulting condition is known as cuboid syndrome. Cuboid syndrome causes pain and swelling along the side of the affected foot. The pain typically worsens during physical activity and while bearing weight. Cuboid syndrome is often seen following an ankle sprain. If the cuboid bone is displaced, your podiatrist may be able to physically manipulate it back into place with a technique called the “cuboid whip.” Your podiatrist will also be able to perform tests that can rule out other potential causes for your pain, such as a fracture or plantar fasciitis. If you are suffering from foot pain, please seek the care of a podiatrist near you. 

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 Dawn Miles, DPM from Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.