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October 2023

Tuesday, 31 October 2023 00:00

Pickleball Foot and Common Foot Injuries

Pickleball, a fast-growing racquet sport, is loved for its accessibility and friendly competition. However, the rapid lateral movements and frequent stops and starts can take a toll on your feet, leading to a variety of injuries. Ankle sprains are perhaps the most common, often resulting from quick direction changes or missteps. Plantar fasciitis, characterized by heel pain, can arise due to the constant motion and stress on the arches. Overuse injuries, such as tendinitis, are also prevalent, typically affecting the Achilles tendon or the tendons in the foot. Wearing improper footwear, especially shoes without adequate arch support or cushioning, can exacerbate these problems. To enjoy pickleball safely, it is vital to prioritize injury prevention, which can range from Investing in quality court shoes and practicing proper warm-ups. If you are interested in pursuing pickleball, prior to playing, it is suggested that you speak with a podiatrist, who can advise you on additional injury prevention strategies.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe


Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.


Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

Read more about Sports Related Foot and Ankle Injuries
Tuesday, 24 October 2023 00:00

Benefits of Custom Orthotics

Foot orthotics, whether over-the-counter or custom-made, are specialized insoles designed to address various foot and gait-related issues. They work by correcting imbalances in foot structure and gait, improving posture, and relieving pain through support and pressure redistribution. Custom orthotics, which are molded to the individual's foot shape, offer a personalized fit ideal for specific alignment problems, pathologies, or deformities. They aid in healing by reducing strain on injured areas and can prevent conditions like stress fractures, tendonitis, and tendon rupture. Orthotics also provide cushioning, shock absorption, and enhanced stability, thereby reducing the risk of falls. Athletes can benefit from custom foot orthotics by improving foot support, limiting shock, and reducing tendon stress. This can enhance performance while minimizing injury risk. Over-the-counter insoles may offer basic comfort but lack the effectiveness of custom orthotics. This makes custom orthotics the preferred choice for those with unique foot-related needs. It is suggested that you make an appointment with a podiatrist to ensure the proper fit and function of orthotics tailored to your individual foot 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.

Read more about Foot Orthotics
Tuesday, 17 October 2023 00:00

Medical Causes of Cracked Heels

Cracked heels, though often viewed as a cosmetic concern, can be indicative of underlying medical issues. One common medical cause is dry skin or xerosis, which leads to the skin on the heels losing its moisture and elasticity, making it prone to cracking. Conditions such as eczema and psoriasis can exacerbate this dryness, intensifying heel fissures. Another medical culprit is athlete's foot, a fungal infection that can cause dry, flaky, and cracked skin not only on the feet but also between the toes. Peripheral neuropathy, a condition affecting nerve function, can lead to dry skin and decreased sweat production, contributing to heel cracking. Furthermore, systemic diseases like diabetes and thyroid disorders can impair skin health, making individuals more susceptible to cracked heels. Addressing the medical causes of cracked heels often involves treating the underlying condition. Additionally, practicing proper foot care, such as moisturizing and wearing appropriate footwear may help to manage cracked heels. If you have this condition, it is strongly suggested that you are under the care of a podiatrist who can offer prescribed medication as a successful treatment tool.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dawn Miles, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

Read more about Solutions for Cracked Heels

Heel pain in children should never be casually dismissed, as it could be a potential sign of a condition known as Sever's disease. It is common among active youngsters and adolescents, especially those involved in sports. Sever's disease, medically known as calcaneal apophysitis, involves the growth plate within the heel bone and typically emerges in children aged between 8 and 15 years old. Repeated stress placed on the heel due to activities such as running, jumping, and participation in various sports can trigger this ailment. It is characterized by irritation and inflammation in the heel that results in pain. If your child experiences such pain during or after physical activities, or if you observe them limping or favoring tiptoe walking, it may indicate Sever’s disease. Swelling and tenderness in the heel area may also accompany these symptoms. Treatment involves a combination of rest, gentle stretching exercises, and, in some cases, the use of orthotics or specialized shoe inserts. Ignoring heel pain in children can lead to more severe complications or long-term discomfort. For an evaluation, it is suggested that you make an appointment with a podiatrist. 

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.


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.

Read more about Sever's Disease
Wednesday, 04 October 2023 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 03 October 2023 00:00

Common Sources of Heel Pain

Heel pain can be a real hindrance, affecting your daily life and mobility. Recognizing symptoms of heel pain helps you identify the cause and find relief. Plantar fasciitis is the most common complaint associated with heel pain. It often causes a sharp pain in the heel, especially in the morning. This condition occurs when the plantar fascia, the tissue connecting your heel bone to your toes, becomes inflamed. Achilles tendinitis results in pain in the back of the heel as the Achilles tendon, which connects the calf muscles to the heel bone, is torn and becomes inflamed. Heel spurs, bony growths on the underside of the heel bone, often accompany conditions like plantar fasciitis and may induce further pain. Bursitis, the inflammation of the bursa sacs around the heel, can lead to pain when walking or wearing tight-fitting shoes. Stress fractures, tiny cracks in the heel bone caused by repetitive stress, result in localized pain. If you're experiencing heel pain, it is suggested that you make an appointment with a podiatrist for an examination and a diagnosis. Then this medically trained foot doctor can formulate a  personalized treatment plan to get you back on your feet pain-free.

Many people suffer from bouts of heel pain. For more information, contact Dawn Miles, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running


Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Read more about Heel Pain
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