Diabetic foot ulcers are open sores or wounds that develop on the feet of individuals with diabetes. Ulcers may arise due to poor blood circulation, nerve damage known as neuropathy, and high blood sugar levels, which impair the body's ability to heal. Symptoms include redness, swelling, and drainage from the ulcer, and they may become infected if not properly treated. Some risk factors for diabetic foot ulcers are prolonged diabetes, poor glycemic control, smoking, and wearing inappropriate footwear. Additionally, foot deformities and a history of foot ulcers or amputation increase the likelihood of developing these sores. Treatment involves keeping the ulcer clean and covered, managing blood glucose levels, and taking antibiotics to prevent or treat infection. A podiatrist plays a crucial role in managing and preventing diabetic foot ulcers. They can provide routine foot care, recommend proper footwear, and offer guidance on foot hygiene. If you have diabetes and notice any foot abnormalities, it is strongly suggested that you schedule an appointment with a podiatrist to prevent complications.

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.

Circulation refers to the movement of blood throughout the body, delivering oxygen and nutrients to tissues while removing waste products. Poor circulation in the feet can lead to various problems and is often caused by conditions such as peripheral artery disease, diabetes, obesity, and prolonged inactivity. Smoking and a sedentary lifestyle also contribute to reduced blood flow. Symptoms of poor circulation in the feet include numbness, tingling, cold feet, swelling, cramping, and skin discoloration. If left untreated, these issues can lead to more severe complications like ulcers, infections, and, in extreme cases, gangrene. Improving circulation involves lifestyle changes such as regular exercise, maintaining a healthy weight, quitting smoking, and eating a balanced diet rich in fruits, vegetables, and whole grains. Wearing compression stockings and elevating the feet can also help. If you have trouble with poor circulation in your feet, it is suggested that you consult a podiatrist for personalized advice and effective treatment options.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

Pickleball, a rapidly growing sport appealing to all ages and skill levels, combines elements of tennis, badminton, and ping pong. Played on a smaller court with a solid paddle and a perforated plastic ball, it is enjoyed for its simplicity and social aspect. However, like many physical activities, pickleball can pose risks to foot health. Injuries to the feet during pickleball commonly result from strain or overuse due to sudden movements, pivoting, and repetitive footwork. Such injuries may include sprains, strains, and stress fractures. To prevent foot injuries while playing pickleball, it is important to stay active, stretch before and after playing, and engage in other physical activities to maintain overall fitness and foot strength. Additionally, staying hydrated by drinking water helps to prevent muscle cramps and fatigue. If you have persistent foot pain or injuries from playing pickleball, it is suggested that you see a podiatrist. A foot doctor can offer guidance on injury prevention techniques and provide treatment to alleviate discomfort and promote foot health.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

Plantar fasciitis surgery is a treatment option for individuals who have not found relief from conservative measures and continue to experience severe and debilitating heel pain. The surgery typically involves releasing or removing a portion of the plantar fascia to alleviate tension and reduce inflammation. This procedure aims to provide long-term pain relief and restore normal foot function. Success rates of plantar fasciitis surgery vary depending on various factors, such as the patient's overall health, the severity of the condition, and the specific surgical technique used. While many patients experience significant improvement in symptoms and quality of life following surgery, it is essential to understand that success is not guaranteed, and there are risks associated with any surgical procedure. If you have this condition and are considering surgery, it is strongly suggested that you speak with your podiatrist who can guide you toward making an informed decision. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

The cuboid bone, a vital component of your foot's structure, often remains unnoticed until a problem arises. The cuboid bone is located on the outer side of the foot, just in front of the heel. It plays a significant role in mobility, aiding in pointing the foot downward and supporting lateral movement. An injury of this bone can lead to cuboid syndrome, which is a partial dislocation at the joint between the heel and the cuboid. Symptoms may include metatarsal pain, lateral ankle instability, hammertoes, or plantar fasciitis. If left untreated, these symptoms can escalate into more severe conditions, such as ankle arthritis or stress fractures. Treatment options involve padding and a manipulation technique to realign the bone. For cuboid fractures, patients may need to refrain from weight-bearing activities for a period of time, followed by a transition to a walking boot. Where conservative methods fail, surgical intervention may be used to stabilize the bone and restore its function, ensuring a quicker recovery. If you are experiencing symptoms of a lateral foot injury, it may involve the cuboid bone. It is suggested that you schedule an appointment with a podiatrist for a thorough exam and indicated treatment options.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.