Foot deformities occur when the bones, joints, muscles, and ligaments that support the foot move out of their normal position. The foot is built to be strong and flexible so it can support body weight and allow smooth walking. When its structure changes, the shape of the foot and the way a person walks may also change. Several types of foot deformities can develop. A splayfoot occurs when the bones in the front of the foot spread apart, making the forefoot wider. Flat feet develop when the arch, the curved area under the foot that helps absorb shock, becomes lowered. High-arched feet have an arch that is higher than normal and place more pressure on the heel and ball of the foot. Some deformities, such as clubfoot, are present at birth. Others develop over time due to injury, arthritis, tight shoes, or repeated strain on the feet. A podiatrist can evaluate foot structure and recommend treatment to improve comfort and walking ability. If you have a foot deformity, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

If you have any concerns about your feet, contact Scott Samera, DPM from Samera / Foot + Ankle. 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 our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Clubfoot is a congenital condition in which a newborn foot appears twisted inward and downward due to abnormal development of muscles, tendons and ligaments. The exact cause is not always known, but genetics play a significant role and the condition may run in families. Environmental factors during pregnancy may also contribute. Diagnosis is often made at birth through a physical examination and sometimes confirmed with a prenatal ultrasound. Symptoms include a visibly rotated foot, limited range of motion, and stiffness, although the condition is not typically painful in infancy. A podiatrist provides early evaluation, guidance, and ongoing care through stretching, casting, bracing, and monitoring progress. Early treatment improves long-term mobility and function. If your child has been born with clubfoot, it is strongly suggested that you include a podiatrist on your health care team to ensure the best outcome for your child’s development.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Scott Samera, DPM of Samera / Foot + Ankle. 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 our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

When three parts of the ankle break at the same time, the injury is serious and often unstable. The ankle is made up of the lower ends of the two leg bones and the back portion of the shinbone, all of which work together to form the joint that allows the foot to move up, down, and side to side. These bones also help hold strong bands of tissue in place that keep the ankle steady. A broken ankle of this type usually happens during a high-impact event, such as a car accident, a fall from a height, or a sports injury that causes the ankle to twist forcefully. Severe pain, swelling, bruising, visible deformity, and an inability to stand or walk are common symptoms. Diagnosis requires imaging to see how the bones are positioned. Treatment likely involves surgery to realign the bones and secure them with hardware so the joint can heal properly. If you have broken an ankle, it is suggested that you make an emergency appointment with a podiatrist for an exam, diagnosis, and treatment.

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Fungal nails and black toenails are common concerns that can affect both comfort and confidence. A fungal nail often begins as a yellow or white discoloration and may thicken, crumble, or lift from the nail bed over time. The nail can appear brittle and distorted and may feel tender or produce a mild odor. A black toenail is frequently caused by trauma, such as repetitive pressure from running or wearing tight shoes, that leads to bleeding beneath the nail. A fungal toenail can lead to a black toenail, It may look dark purple or black and can feel sore or throbbing. Risk factors include damp environments, shared locker rooms, ill-fitting footwear, injury, and certain medical conditions. A podiatrist can examine the nail and order laboratory testing to confirm infection or rule out other causes. Treatment may include antifungal medication, trimming and debridement, footwear guidance, or minor procedures. If you have fungal nails or a black toenail, it is suggested that you make an appointment with a podiatrist.

For more information about treatment, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.