December 2023

When too much pressure is applied to a nerve in the foot, it can lead to a pinched nerve. This disrupts the nerve's normal function and causes a range of symptoms, including weakness, numbness, tingling sensations, and pain. Tarsal tunnel syndrome is a common condition that can result in a pinched nerve in the foot. The tarsal tunnel is a narrow passage in the ankle through which the tibial nerve runs, providing sensation to the bottom of the foot. When this nerve becomes compressed, it leads to tarsal tunnel syndrome and may cause a pinched nerve in the foot. Morton's neuroma is another condition that can lead to a pinched nerve in the foot. This condition involves the growth of a benign tumor on a nerve, often occurring between the third and fourth toes, just before the arch. Morton's neuroma results from the thickening of nerve tissue leading to the toes. It results in pain radiating from the ball of the foot to the ankle or toes and can cause numbness, cramping, or tingling sensations. People with Morton’s neuroma may feel a sensation of standing on a fold in a sock or having a pebble in the shoe. If you experience symptoms such as numbness, tingling, pain, or discomfort in your feet, it is suggested that you make an appointment with a podiatrist for an exam and a diagnosis.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Gout, a form of arthritis, is characterized by the accumulation of urate crystals in joints, leading to inflammation and intense pain. The onset of gout is marked by sudden and severe joint pain, commonly affecting the big toe. As the condition progresses, these painful episodes may recur, spreading to other joints such as ankles, knees, and wrists. Gout evolves through distinct stages. In the asymptomatic hyperuricemia stage, elevated uric acid levels exist without noticeable symptoms. The acute gouty arthritis stage follows, presenting with sudden and excruciating joint pain. Without proper management, the inter-critical gout stage ensues, marked by symptom-free intervals between painful episodes. In advanced cases, chronic tophaceous gout manifests, characterized by the formation of tophi, which are visible lumps of urate crystals that form in joints and surrounding tissues. Understanding the stages of gout is essential for effective management, emphasizing the importance of lifestyle changes and medical interventions to alleviate symptoms and prevent long-term joint damage. If you are afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you with pain management strategies.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dawn Miles, DPM from Florida. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Claw toe, a foot deformity characterized by a claw-like appearance of the toes, demands prompt attention to alleviate discomfort and prevent worsening. Non-surgical interventions are often the initial line of defense, focusing on enhancing toe flexibility and optimizing foot mechanics. Taping or splinting to maintain toes in a more natural position, can reduce the progression of a claw toe. Gentle exercises also promote joint mobility and encourage toes to assume a healthier alignment. Activities like picking up small items with your toes can be beneficial. In severe cases, surgical options become a consideration. Joint fusion or tendon and bone operations may be recommended to address the root cause and provide lasting relief. Early intervention significantly improves the prognosis for individuals grappling with claw toe deformity. It is suggested that you schedule an appointment with a podiatrist who can determine the most appropriate treatment plan tailored to managing claw toes. Early intervention significantly improves the prognosis for individuals with claw toe deformity.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

Flat feet, or fallen arches, can lead to discomfort and negatively affect your posture, which can cause problems in other parts of the body. Strengthening the arches through targeted exercises for flat feet not only helps alleviate this discomfort but can also contribute to improved posture in the long run. The towel scrunch and stair heel raises are two of many exercises that can improve your arch strength. For the towel scrunch exercise, sit on a chair with a towel laid flat under your feet. Using only your toe muscles, scrunch the towel toward you until you can't pull it any further. Complete two sets with each foot and gradually increase sets as you feel more comfortable. To perform stair heel raises, stand on a step with only your toes and the balls of your feet on the step. Slowly raise your heel into the air, holding for a few seconds. Resist lowering your heel below the stair line for effectiveness. Begin with 10 raises as one set, aiming for three sets per day without pain. These exercises are designed for all fitness levels and can be done in the comfort of your home. Start at a beginner level and progress at your own pace. If you experience pain, it is a sign to stop. Also, it is beneficial to skip a day if your muscles are sore. For further guidance on methods to manage flat feet, it is suggested that you schedule an appointment with a podiatrist.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dawn Miles, DPM from Florida. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.