Adult-acquired flatfoot deformity can lead to dysfunction of the posterior tibial tendon, often affecting individuals later in life. Adult-acquired flatfoot can also arise from untreated injuries or inflammatory conditions. Typically, symptoms begin in an individual’s 50s and 60s. The posterior tibial tendon, which is essential for stabilizing the medial arch, can degenerate over time. This in turn reduces its ability to support the foot and causes pain. As this tendon weakens, other structures in the foot may also deteriorate, leading to further deformity. In their advanced stages, these deformities can become rigid, making treatment more challenging. Studies using weight-bearing CT scans indicate that individuals with adult-acquired flatfoot deformity may have a tendency towards hindfoot collapse, worsening the condition. If you have flat feet that are causing pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

Broken toes, common among runners, often result from stubbing the toe, dropping a heavy object on the foot, or repetitive stress from intense running. Symptoms include immediate pain, swelling, bruising, and difficulty walking or wearing shoes. For runners, broken toes can significantly impact training and performance. The injury requires prompt attention to prevent complications. Initial treatment involves rest, compression, and elevation. Buddy taping, where the injured toe is taped to an adjacent toe, provides support and stabilization. Wearing stiff-soled or supportive shoes can protect the toe during the healing process. If you have broken your toe, it is suggested that you consult a podiatrist for a proper diagnosis and treatment. This foot doctor can recommend appropriate footwear, exercises for maintaining foot strength, and a safe return-to-running plan to ensure a complete recovery.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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.

Gout, a type of arthritis, causes sudden, intense joint pain, often affecting the big toe initially. The affected joint becomes swollen, red, and tender to the touch during gout attacks. This condition arises from an accumulation of uric acid crystals in the joints, stemming from an overproduction or inefficient excretion of uric acid in the body. Dietary factors such as high-purine foods like red meat, seafood, and alcohol consumption can worsen gout attacks. Diagnosis typically involves a thorough medical history review, physical examination, and possibly joint fluid analysis to detect uric acid crystals. Blood tests measuring uric acid levels also aid in diagnosis. If you have had one or several gout attacks, it is suggested that you are under the care of a podiatrist who can offer you relief options and help you to manage this condition.

Gout is a painful condition that can be treated. 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 form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.

Diabetic foot wounds are a significant concern for individuals managing diabetes, with up to a third of patients developing foot problems during their lifetime. Early signs include dry skin and calluses, which can progress to poorly healing ulcers on the feet or toes. These complications arise from nerve and blood vessel damage that results from high blood sugar levels over a long period. Factors like wearing tight shoes, foot deformities, and thick calluses can increase the risk. This damage reduces the foot's sensitivity to pressure and injuries, leading to unnoticed and untreated wounds that are slow to heal. Preventive measures, such as proper foot care, wearing well-fitting shoes, and avoiding injuries, are essential in reducing the risk of diabetic ulcers. Regular visits to a podiatrist play an essential role in the early detection and management of diabetic foot problems. Podiatrists can provide comprehensive care, including examining the skin, assessing blood flow, and testing nerve sensitivity, which may prevent minor issues from developing into severe complications. If you are suffering from diabetic foot complications, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

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

Debridement is a key procedure in managing diabetic foot ulcers, involving a podiatrist removing dead and infected tissue to promote healing and prevent infection spread. This process is vital because the buildup of necrotic tissue can obscure the true extent of the ulcer. There are several methods of debridement. Surgical debridement involves a podiatrist using tools like scalpels to precisely remove dead tissue, often performed at the bedside or in an operating room for more severe cases. Mechanical debridement employs saline-soaked pads that adhere to and remove dead tissue upon removal, though this can be painful and may also disturb healthy tissue. Chemical debridement uses enzymes to dissolve dead material. Biological debridement, utilizing maggots, effectively cleanses wounds by consuming only dead tissue. Before any debridement, the podiatrist will assess the patient’s overall health, and the wound will be cleaned with a saline solution. If you have diabetic foot ulcers, it is suggested that you make a podiatrist a part of your medical team for expert wound care options.

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.

An Achilles tendon rupture is a serious injury that requires immediate attention. Common signs include a sudden, sharp pain in the back of the ankle or calf, often described as feeling like a direct hit or a snap. Swelling and bruising typically develop quickly surrounding the heel and lower leg. Individuals may also experience difficulty while walking, standing on tiptoe, or pushing off the injured foot. A noticeable gap or indentation above the heel is a clear indication of a rupture. Weakness in the affected leg and a decrease in range of motion are also symptoms. If you have pain in the back of the ankle, it is suggested that you confer with a podiatrist who can diagnose and treat Achilles tendon injuries.

Achilles tendon injuries need 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Identifying common foot problems is essential for maintaining optimum foot health and overall mobility. Issues such as bunions, characterized by a bony bump at the base of the big toe, and plantar fasciitis, marked by heel pain due to inflammation, are frequent concerns. Athlete's foot presents with itching, burning, and cracked skin between the toes. Corns and calluses, resulting from repeated pressure or friction, appear as thickened, hardened skin. Ingrown toenails, where the nail grows into the surrounding skin, cause pain and swelling. Foot pain or discomfort, visible deformities, persistent swelling, and changes in skin or nail appearance are clear indicators of these conditions. Early recognition and appropriate treatment, such as wearing proper footwear, maintaining hygiene, and seeking medical advice from a podiatrist are good ways to prevent complications. If you have any type of foot pain or condition, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

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.

Peripheral Arterial Disease, PAD, is a condition where the arteries that supply blood to your limbs become narrowed or blocked due to plaque, a buildup of fatty deposits. Due to reduced blood flow, symptoms such as leg pain, cramping, and fatigue may develop, particularly during physical activities like walking. PAD is both an uncomfortable and serious condition, as it can lead to more severe complications, including infections, sores that won't heal, and even an increased risk of amputation, if not treated properly. Early diagnosis and management are essential to improving blood flow, relieving symptoms, and protecting your overall limb health. If you notice these symptoms, it is suggested you meet with a podiatrist to discuss the best plan to improve and maintain your foot health.  

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.