June 2022

There is no mistaking heel pain when it happens. It can be a gradual occurrence, and many people ignore the first pangs of heel pain. A common reason people experience heel pain is from a condition known as plantar fasciitis. It affects the plantar fascia, which is located on the sole of the foot and connects the heel to the toes. This band of tissue can become inflamed for several reasons, including wearing shoes that do not fit correctly and standing on hard surfaces for most of the day. Heel pain, often the first symptom of plantar fasciitis, can become severe if not treated promptly. Patients have found mild relief when the affected foot is elevated because pressure on the heel is reduced. There are specific stretches that can help the pain of plantar fasciitis. An effective stretch is done by standing on a step, followed by lowering the heels one at a time until a gentle stretch is felt. If you have with heel pain and think it may be caused by plantar fasciitis, it is strongly suggested that you speak with a podiatrist as quickly as possible so the correct treatment can promptly begin.

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.

Most children are born with flat feet and the arch will eventually develop. Several foot conditions may affect children in addition to having flat feet. Some children are born with bow legs, which is often noticeable as the leg below the knee bends outward. Research has indicated it often corrects itself as the growing process occurs. Pigeon toes, which are also known as in-toeing, are prevalent among babies and will begin to diminish as standing and walking begin. The opposite condition called out-toeing can be a common ailment and will correct itself as the child grows older. Many children walk on their toes as they learn how to walk and the body will eventually outgrow this too. Children between the ages of three and six may experience knock knees but treatment is rarely needed. If you notice that your child is experiencing any of these conditions, it is suggested that you consult with a podiatrist who can provide the treatment that is needed.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dawn Miles, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

We use our feet for most of what we do in life and given that each foot is made up of 26 bones, developing various foot problems over our lifetimes is not surprising. One’s feet can get injured, inflamed, or malfunction in a multitude of ways. Wearing improper footwear, having a chronic disease like diabetes, and aging are the major contributors to foot problems. The most common symptom of foot problems is pain—in the ankles, toes, heels, or soles of the feet. Some conditions causing foot pain are discussed here. Athlete’s foot is a contagious fungal infection resulting in itchy, stinging, and burning feet and toes. A bunion is a bump on the side of the big toe causing the toe to bend inward towards the other toes. Corns are round circles of thickened skin on toes or soles of feet that develop to prevent blisters. Plantar Fasciitis is when the plantar fascia ligament running along the bottom of the foot becomes strained or sustains micro tears.  Heel spurs are bony protrusions that grow from calcium deposits between the heel and arch of the foot and appear on the front of the heel. Hammertoes are when toes curve down rather than out. An ingrown toenail is when a toenail grows into the surrounding skin. A plantar wart is a wart on the bottom of the foot that arises from the human papillomavirus. Flat foot is when the arch of the foot collapses. Diabetic neuropathy is when there is damage to the nerves of the feet due to unregulated high blood sugar and one experiences a tingling feeling or loss of feeling in the foot. If you suffer from pain in any part of your foot, consult with a podiatrist for proper diagnosis and a customized treatment plan.

If you have any concerns about your feet, contact Dawn Miles, DPM from Florida. 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 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.

If you walk around feeling like you have a pebble in your shoe under the ball of the foot, you might have Morton’s neuroma. This is a thickening of the tissues next to nerves leading to the toe. Women are much more likely to suffer from this condition than men because they are more apt to wear high heels, which put pressure on the feet. Wearing shoes that are too tight or narrow may also lead to this uncomfortable foot ailment. Beyond feeling like there is a pebble under your foot, one can experience pain, burning, cramping, and/or numbness of the foot. Rest, foot stretching exercises to promote blood circulation, massaging the affected part of the foot, using shoe pads or orthotics to help absorb pressure, and wearing well fitting, flatter, supportive shoes should all help with irritation of a Morton’s neuroma. However, if you are having troubling symptoms for a prolonged time, it is suggested that you contact a podiatrist for proper diagnosis and a treatment plan.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dawn Miles, DPM of Florida. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.