March 2022

Anyone who has worn shoes has, most likely, at some point developed a blister. Blisters are pockets of fluid that form between the top layer (epidermis) of skin and underlying layers of skin due to friction, heat, chemical, or other damage to the epidermis. A blister can sometimes darken when blood from broken vessels mixes with the blister’s normally clear serum. This is known as a blood blister. Newer blood blisters are usually red and, as time progresses, can turn to darker shades of red, purple, or even black. Blood blisters can form on your feet in areas that have been under extreme pressure or friction, or where the skin has been pinched without any breakage in the skin. Blood blisters are usually nothing to worry about. However, if you have a reoccurring blood blister, or one that feels warm or has red streaks radiating away from it — or if the blister appears suddenly without any apparent cause — it is wise to make an appointment with your podiatrist for an evaluation.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dawn Miles, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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.

Heel cups are a type of orthotic device. They are placed directly under the heel and provide cushioning and support. Heel cups can help treat heel pain caused by plantar fasciitis, prolonged standing, and more. They can make your shoes more comfortable as you go about your daily activities. Heel cups are typically made of gel, foam, or some other type of cushioning material. They can be bought over-the-counter at many drug and shoe stores. It is best to check with a podiatrist prior to purchasing heel cups to determine if this is the right type of orthotic for you. 

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.

Bunions are an acquired foot deformity where a misalignment in the bones of the big toe causes a protrusion to form on the outside of the foot at the toe’s joint. This forces the toe to angle toward the other toes rather than pointing straight ahead. Bunionettes, also known as tailor bunions, form on the outside of the pinky toe. Both bunions and bunionettes can cause pain, swelling, and soreness. Bunions that go untreated may lead to limited range of movement and will not get better on their own. Wearing proper footwear with lower heels, a rounded toe box and plenty of room for the toes can help you avoid getting a bunion or bunionette, although the shape of your feet, heredity, and certain medical conditions can also be contributing factors. If you have a bunion or bunionette, it's a good idea to seek the professional care of a podiatrist for treatment options.

If you are suffering from bunions, 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 a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• 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.

Your feet take a pounding every day, and thankfully, the strong band of connective tissue on the sole of the feet (plantar fascia) is there to absorb a lot of this stress. However, the plantar fascia can eventually become overly stressed or damaged, and even suffer micro-tears where it attaches to the heel. This condition, known as plantar fasciitis, causes inflammation in the tissue and a great deal of heel pain. This pain may come on gradually and is usually at its worst first thing in the morning or after periods of rest. Once you start moving around the pain typically subsides, but eventually returns as the day progresses. What causes the plantar fascia to become damaged? There are many possible factors that can lead to plantar fasciitis such as: obesity, age, ill-fitting or non-supportive footwear, standing for long periods of time, excessive strain during exercise, tight Achilles’ tendons or calf muscles, running on hard surfaces, and certain foot disorders like flat feet or high arches. There are a variety of treatments that a podiatrist can administer to relieve the pain and reduced mobility associated with plantar fasciitis. If you have heel pain, it is suggested that you make an appointment with a podiatrist.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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.

Your child’s feet will grow very quickly in the first 5 years of their life. Proper footwear during this time is very important in order to allow the bones in the feet to grow straight. When your child is just a baby, the bones in the toes are very soft, and shoes and socks that are too tight can restrict these bones from growing properly. In fact, shoes are not necessary for children until they are walking on their own, and even then, they are only needed for walking outside. It is important to also make sure that your child’s shoes are fastened with either laces or Velcro in order to keep the heel from slipping out of the shoe. Parents who have further questions about what shoes their child should be wearing as they grow can consult with a podiatrist for further advice and recommendations.  

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dawn Miles, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.