Regular foot care is essential for people with diabetes, as high blood sugar can lead to nerve damage known as neuropathy, and poor circulation, making feet more vulnerable to injury and infection. Symptoms often include numbness, tingling, or a loss of sensation in the feet, making it difficult to feel cuts, blisters, or sores. If left untreated, even minor injuries can lead to serious complications, including ulcers and infections. The primary causes of foot issues in diabetics patients are nerve damage, poor circulation, and reduced ability to heal wounds. Diabetic individuals may also experience dry skin, calluses, or fungal infections. A podiatrist can provide essential care, including regular foot exams, wound care, and preventative treatments. They may recommend custom shoes or orthotics to reduce pressure points, prescribe medications for infections, and teach proper foot hygiene techniques. If you have diabetes, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Toenail fungus causes toenails to become discolored, thickened, and brittle. People most likely to develop toenail fungus include those with medical conditions like diabetes, poor circulation, or a weakened immune system. Smoking can also increase the risk, as it damages blood vessels and reduces circulation to the feet. Additionally, older adults are more susceptible, as aging can lead to reduced nail growth and changes in skin structure, making it easier for fungi to invade. Toenail fungus is caused by dermatophytes, yeasts, or molds that thrive in warm, damp environments like public showers or tight, sweaty shoes. Symptoms include yellow, brittle, or distorted nails and there may be an unpleasant odor. Persistent or severe infections may require prescription antifungal medication or laser treatment. A podiatrist can provide a proper diagnosis and develop an effective treatment plan to ensure the infection is fully treated. If you suspect toenail fungus, it is suggested that you schedule an appointment with a podiatrist.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dawn Miles, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

A plantar fibroma is a benign growth of tissue that develops on the bottom of the foot, typically in the arch area. It is characterized by the formation of fibrous nodules or lumps in the plantar fascia, the band of tissue that runs along the bottom of the foot. The exact cause of a plantar fibroma is not always clear, but it may be linked to genetic factors, injury, or excessive stress on the feet. Symptoms of a plantar fibroma include the presence of a small, firm lump in the arch of the foot, which can cause pain or discomfort, especially while walking or standing for long periods. In some cases, the fibroma may not cause noticeable symptoms unless it grows large or presses on surrounding tissues. If you have a lump in the arch of your foot, it is suggested that you consult a podiatrist who can provide an accurate diagnosis, and offer the best treatment for you.

A plantar fibroma may 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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.

Choosing the right shoe size is essential for overall foot health and comfort. Wearing shoes that are too tight can lead to blisters, calluses, and even long-term conditions like bunions or hammertoes. Shoes that are too loose can cause instability, leading to slips, falls, or joint pain. Properly fitting shoes provide adequate support to the arches, cushioning to absorb shock, and protection from external pressure. They can help improve posture, reduce foot fatigue, and prevent injuries by promoting better alignment. Additionally, the right shoe size enhances overall comfort during physical activities like running, walking, or standing for extended periods. When shoes fit well, they allow for natural foot movement, providing a balance of support and flexibility, which is essential for maintaining foot health and avoiding discomfort. If you have endured foot pain from wearing the wrong shoe size, it is suggested that you contact a podiatrist who can offer relief techniques, and guide you on how to find your correct shoe size.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dawn Miles, DPM from Florida. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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.

Chronic kidney disease, or CKD, has a significant impact on foot health, often leading to complications that require vigilant care. Poor kidney function affects blood flow and can contribute to peripheral artery disease, reducing circulation to the legs and feet. This diminished blood flow slows the healing process, increasing the risk of ulcers, especially in people with diabetes, a common condition in CKD patients. Reduced kidney function also leads to fluid retention, causing swelling in the feet and ankles, which can be painful and limit mobility. Additionally, CKD affects the body’s ability to regulate calcium and phosphorus, weakening bones and potentially causing fractures in the feet. Since CKD can dull sensation due to nerve damage, it may delay the detection of injuries or infections. If you have chronic kidney disease, it is suggested that you include a podiatrist on your team of doctors as regular foot exams and preventive care are essential for the best quality of life.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dawn Miles, DPM from Florida. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the 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 needs.