Common Issues That Affect Big Toe Joints

The big toe joint plays a key role in balance and movement, and when problems arise, they can interfere with everyday activities. One of the most well-known conditions is a bunion, where the joint becomes enlarged and the tip of the toe starts to angle inward. Another frequent issue is arthritis, which can cause stiffness, pain, and reduced motion. Some people experience turf toe, a sprain caused by pushing off the toe with force, often during sports. Overuse, injury, or wearing tight shoes may contribute to these conditions. Symptoms often include swelling, aching, and difficulty bending the toe. Ignoring early signs may lead to worsening discomfort or joint damage. If you are feeling pain or notice changes in the shape or movement of your big toe, it is suggested that you see a podiatrist for an evaluation and the most appropriate treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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.

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How to Care for Plantar Warts

Plantar warts appear on the soles of the feet and are caused by a viral infection in the outer skin layer. They often develop in areas of pressure, such as the heel or ball of the foot, and may feel like stepping on a small stone. These warts can spread through skin contact or from walking barefoot on damp surfaces like gym floors or locker rooms. While some may go away on their own, others can grow, multiply, or cause discomfort with walking. Avoid picking at the area to prevent spreading the virus, and keep the foot clean and dry. For persistent or painful warts, or, if walking becomes difficult, seeing a podiatrist can help avoid further issues. If a plantar wart is not improving with home care, it is suggested that you consult a podiatrist for a proper evaluation and appropriate care.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

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Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Choosing the Right Walking and Running Shoe for Your Feet

Selecting the right walking or running shoe begins with understanding your arch and gait type. People with flat feet often need stability shoes, while those with high arches may benefit from extra cushioning. A gait analysis helps determine how your foot strikes the ground, which affects shoe choice. Walking shoes usually have more cushion in the heel and less in the forefoot because the heel absorbs the most impact during walking. Running shoes distribute support differently due to varied stride patterns. A podiatrist can assess your foot structure and gait, then recommend the best footwear or custom inserts. For optimal comfort and injury prevention, it is suggested that you visit a podiatrist to ensure your shoes meet your unique foot needs.

For more information about walking shoes versus running shoes, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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.

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How High Heels Affect Foot Health

Wearing high heels regularly can lead to a range of foot and ankle problems. The forward pitch of the foot in high heels places significant pressure on the forefoot, often leading to bunions, hammertoes, corns, and neuromas. Prolonged wearing of high heels can also contribute to plantar fasciitis, a painful condition involving the tissue on the bottom of the foot. High heels limit ankle mobility, which increases strain on the Achilles tendon and calf muscles. Over time, this can shorten and tighten the tendon, raising the risk of tendon tears and muscle cramping. The altered posture caused by high heels shifts the body's alignment and places extra stress on the ankle joints, leading to pain or instability. A podiatrist can assess the impact of wearing high heels on foot structure, recommend custom inserts, and determine whether surgery is needed for long-term problems. If you are experiencing foot or ankle pain from wearing high heels, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.

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Diabetic Foot Ulcers and Podiatric Care

Diabetic foot ulcers are open wounds or sores that typically develop on the bottom of the foot in diabetics. They are caused by a combination of poor circulation, nerve damage, and repetitive pressure or injury to the foot. Risk factors include long-term diabetes, smoking, poorly controlled blood sugar, and improper footwear. Symptoms may include redness, swelling, drainage, or a foul odor. These ulcers can become infected and lead to serious complications. A podiatrist plays a key role in managing diabetic foot ulcers by providing wound care, pressure relief, and guidance on foot hygiene. If you have diabetes, it is strongly suggested that regular visits to a podiatrist are part of a routine plan that can help you to manage existing foot ulcers.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

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The Importance of Proper Shoe Fitting

Wearing properly fitted shoes is essential for maintaining healthy feet and overall well being. Shoes that are too tight, too loose, or poorly structured can lead to a range of problems including blisters, bunions, corns, heel pain, and even joint or back discomfort. Proper shoe fitting supports natural foot movement, improves balance, and reduces strain on muscles and ligaments. It is especially important for people with specific foot conditions or unique foot shapes. A podiatrist can treat various foot conditions, in addition to assessing foot structure, measuring for accurate sizing, and providing guidance on selecting footwear that offers the right support and comfort. If you have foot pain from wearing shoes that do not fit correctly, it is suggested that you contract a podiatrist who can address concerns about existing foot issues.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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.

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Common Sources of Foot Pain

Foot pain often develops due to injury, structural issues, or medical conditions that affect the bones, joints, and soft tissues of the feet. Common sources of foot pain include bunions, heel spurs, flat feet, and plantar fasciitis. These conditions can place strain on the arch, heel, or forefoot and lead to discomfort with walking or standing. Nerve problems, such as Morton’s neuroma and peripheral neuropathy, may cause burning, tingling, or numbness, especially in the toes or ball of the foot. Pain can also result from arthritis, which may affect the joints of the toes and ankles, or from deformities, like hammertoe, that are caused by a muscle imbalance. Repeated stress, poor foot mechanics, and trauma can lead to stress fractures, tendon injuries, or ligament sprains. A podiatrist can evaluate your symptoms, examine foot alignment and mobility, and use imaging tests to confirm a diagnosis. If you have foot pain, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

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What to Know About Bunions

A bunion is a bony bump that forms at the base of the big toe, causing the joint to stick out and often push the toe inward. This condition develops slowly over time and may be caused by inherited foot structure, arthritis, or wearing tight, narrow shoes. Bunions can lead to pain, swelling, and difficulty finding comfortable footwear. The skin over the bunion may become red or irritated, especially after long periods of walking or standing. Wearing shoes with a wide toe box or using padding can help manage symptoms. In more advanced cases, custom orthotics or surgery may be recommended to correct the deformity. Early attention is key to preventing the bunion from worsening. If you have a painful bump on the side of your big toe or notice changes in the shape of your foot, it is suggested that you see a podiatrist for an evaluation and treatment options.

If you are suffering from bunions, 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.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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.

Read more about Bunions

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