June 2023

Elderly people who routinely practice building their strength and flexibility may decrease their chances of falling. Balance and confidence may become stronger from performing stretches and exercising, which may help to enhance the vestibular system. This is found in the inner ear and contributes to how well the body can balance. Having good balance is crucial in preventing falls, and this can help the bones, joints, and muscles in the feet to stay strong. Some effective activities and stretches can include playing ping pong, golf, learning tai chi, or taking up gardening. Making improvements in the household is also an effective fall prevention technique. These can consist of installing grab bars in the shower and toilet area and removing worn rugs from the living environment. Additionally, it is beneficial to have regular physical and eye examinations that can update existing medications and eyeglasses. If you would like more information about how having strong feet can help to prevent falling, it is suggested that you consult with a podiatrist who can provide you with the information you are seeking.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

Foot shuffling is when someone takes shorter strides and drags their feet when walking. Consistent shuffling can be a sign of an underlying health issue related to the nervous system, joints, or muscles. The most common neurological condition causing a shuffling gait is Parkinson’s disease. Foot shuffling can also come on from foot drop. This is when there is a difficulty or inability to lift the foot while taking a step. This condition can be caused by multiple sclerosis, peripheral neuropathy, or stroke, among other things. As one ages, the gait can change with decreased walking speed and range of motion in the ankles, knees, and hips, as well as impaired foot clearance. When the joints of the legs are tight or there is muscle weakness from injuries, health conditions like arthritis, or long periods of inactivity, a shuffling gait can also happen. Stretching and strengthening exercises, balancing activities, and orthotics can help, as well as assistive devices like a walker or cane. If you have a shuffling gait, it is strongly suggested that you see a podiatrist to help identify the underlying cause and devise an appropriate treatment plan individualized to your needs.

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.

A bunion is a deformity that can alter the shape of the foot. Bunions are visible due to the bony lump that develops on the side of the big toe. If the bunion grows large enough, it can cause the other toes to shift toward each other, and wider shoes may have to be purchased. A bunion can develop from genetic reasons or from wearing shoes that have little room in the toe area. High heels can fall into this category and that may be a reason why women incur this condition more than men. One of the first symptoms that many patients notice is inflammation surrounding the joint of the big toe. The bunion may gradually turn red and the texture can change. Untreated bunions can affect an individual’s balance and walking and running can be compromised. Temporary relief may come from putting a protective pad over the bunion as this may help to prevent calluses from forming. If you have a bunion, it is suggested that you confer with a podiatrist who can determine what the best treatment is for you.

If you are suffering from bunion pain, 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?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, 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.

Clubfoot is a congenital foot disorder that occurs during the later stages of pregnancy. It is noticeable as the infant’s foot turns inward, which causes the bottom of the foot to face up or to the side. Clubfoot generally falls into one of two categories. Isolated clubfoot is considered to be the most common form of this condition, and it can occur in children where there are no other medical issues. Non-isolated clubfoot occurs along with other health problems, such as include spina bifida. It may be difficult to move the hands and legs, and the joints in the body can be affected. High incidences of clubfoot may occur if the baby is a male, or if there is a family history of clubfoot. If your child is born with this foot condition, it is strongly suggested that you confer with a podiatrist as early as possible so the correct treatment can begin.

Congenital foot problems require 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome 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.