February 2024

Gout, a form of arthritis, affects the feet due to high uric acid levels. It is well-studied, with genetics playing a significant role. Symptoms can range from none to acute attacks and chronic conditions. Diagnosis involves tests and imaging, such as finding monosodium urate, or MSU, crystals in fluid, and advanced scans help to monitor it. Treatment includes managing flares, chronic issues, and preventing future attacks. Medication, lifestyle changes, and education are key. If you have gout and it is affecting the joints of your feet, it is suggested that you are under the care of a podiatrist for a proper diagnosis and advice in managing this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Recognizing the early signs of an ingrown toenail can help you to avoid more serious complications by getting quicker treatment. One of the first signs is tenderness or pain along the edge of the toenail. You may feel it most when you walk or apply pressure to the area. As the condition progresses, redness and swelling may develop around the affected toenail, indicating inflammation and potential infection. The skin along the edge of the nail may become irritated or appear puffy. If there is pus or discharge appearing at the edge of the nail, the ingrown toenail has likely become infected. If you have an ingrown toenail, or struggle with recurrent ingrown toenails, it is suggested you consult a podiatrist who can effectively treat the condition and prevent complications from arising. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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 and ankle needs.

Understanding toe walking in toddlers is important for parents to discern normal development from potential issues. It's common for children under two years old to exhibit toe walking as they learn to walk. Toe walking is defined as the absence of heel strike during initial contact. It typically resolves as the child grows older, with most children demonstrating ankle dorsiflexion by age of five. However, toe walking can also be associated with specific conditions like cerebral palsy, muscular dystrophy, or autism spectrum disorders. For that reason, it's important to distinguish idiopathic toe walking, or ITW, where no pathology exists, from toe walking caused by underlying conditions. Recent studies suggest that more than half of young toe walkers will not face significant developmental or neuropsychiatric issues. While parents should monitor their child's development closely, toe walking alone isn't always indicative of a serious problem. If your child continues to toe walk past the age of five, it is suggested that you consult a podiatrist who can conduct a thorough exam and suggest the next course of action. 

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.

There are multiple varieties of arthritis, and a challenge many of them share in common is foot pain. Arthritic foot care is important to finding relief from arthritis, a condition that has no cure. Luckily, help from a podiatrist, lifestyle modifications, and physical therapy can all contribute to happier feet. If you have foot pain, it is suggested you consult a podiatrist who can provide personalized guidance based on your condition. They may recommend suitable footwear with good arch support and cushioning to reduce pressure on the affected joints. Podiatrists may also recommend regular stretching exercises, such as gentle calf stretches and toe exercises, which can help maintain flexibility and alleviate stiffness in the feet. Lifestyle modifications, such as losing weight and switching to lower-impact exercise, can also be important to arthritic foot care.  Over-the-counter or prescribed medications can be part of the treatment plan, and in some cases, your podiatrist may suggest custom orthotic inserts to provide additional support to your feet. If you are experiencing foot pain from arthritis, it is suggested that you make regular appointments with a podiatrist for ongoing care. 

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.