September 2021

Overuse and repetitive motion is the cause of Sever’s disease. It is a condition that affects the heel of the foot in young children and teenagers, and typically occurs in active people of this age group. It happens as a result of the muscles, tendons, and ligaments pulling on the growth plate in the heel when overuse occurs. Common symptoms that are associated with this condition can consist of heel pain, and it is often worse upon arising in the morning. Effective treatments often begin with temporarily stopping the activity that caused the condition, followed by elevating the affected foot. If you notice your child is limping, please schedule a consultation with a podiatrist who can properly treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dawn Miles, DPM from Florida. 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 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 injuries.

Diabetic foot ulcers (DFUs) are a common complication of that can occur because of diabetes. People with diabetes often have poor circulation and neuropathy which make foot wounds slow to heal and difficult to detect. If your doctor spots a DFU on your foot, there are several potential treatment options, depending on the severity of the wound. Your doctor may debride the wound by removing dead tissue. A bandage will usually be placed over the wound to keep the area moist and protect it from infection. Taking pressure off of the wound, by resting the foot and using cushions, braces, or orthotics, will help it heal. In very severe cases, surgery may be necessary. If you have a DFU, please seek the care of a podiatrist. 

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 Dawn Miles, DPM from Florida. 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 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.

Achilles tendonitis is a common injury to the Achilles tendon which is a strong, fibrous band of tissue which connects the calf muscles to the heel bone at the back of the lower leg. There are two places along the Achilles tendon where someone might develop Achilles tendonitis. Insertional Achilles tendonitis occurs at the bottom of the heel, where the tendon attaches to the heel bone. This type of tendonitis can happen to both athletes and those who live a sedentary lifestyle. It is often accompanied by heel spurs, which can make the tendonitis worse. Non-insertional Achilles tendonitis occurs in the middle of the tendon, approximately 2-4 cm above the ankle. This type of tendonitis is more common in athletes and young people. If you are suffering from Achilles tendon pain or stiffness, please seek the care of a podiatrist. This professional can determine the type of Achilles tendonitis you have and find the right treatment for you. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dawn Miles, DPM of Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

An ankle fracture open reduction or internal fixation (ORIF) is a type of surgical procedure that can be used to fix a severe ankle fracture. Done while under anesthesia, open reduction means that any displaced bones will be put back into proper alignment. Internal fixation means that hardware such as wires, screws, pins, or plates, will be used to hold the bones in place as they heal. Following the surgery, a cast or splint will likely need to be worn on the injured leg. This prevents movement and allows the broken bones to heal properly. Your doctor may also prescribe medications to manage pain or prevent infection. To learn more about this and other treatment options for broken ankles, please consult with a podiatrist. 

Broken ankles need immediate treatment. If you are seeking treatment, contact Dawn Miles, DPM from Florida. 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 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.