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.

Ankle sprains are injuries that occur when the ligaments that support the ankle stretch beyond their limits or tear. These injuries are often caused by twisting the ankle during physical activities, such as sports or even walking on uneven surfaces. Treatment for ankle sprains ranges from conservative to more intensive approaches, depending on the severity of the sprain. Initial treatment for mild sprains typically includes rest and elevation to reduce swelling and pain.  More severe sprains may require immobilization with a brace or cast to allow the ligaments to heal properly. Certain stretches may be recommended to restore ankle strength, flexibility, and balance, and prevent future sprains. In cases where the ligament damage is extensive and stability is compromised, surgical intervention may be considered to repair the ligaments. If you have sprained your ankle, it is suggested that you promptly schedule an appointment with a podiatrist to get the right treatment. 

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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 heel pain, often referred to as plantar fasciitis, can cause discomfort and interfere with daily activities. It typically occurs when the band of tissue that supports the arch of the foot, called the plantar fascia, becomes irritated or inflamed. This condition often brings sharp pain in the heel, especially when taking the first steps in the morning or after prolonged periods of rest. Plantar heel pain can be triggered by various factors, including overuse, improper footwear, obesity, or certain foot structures. A podiatrist, or foot doctor, may recommend treatments such as stretching exercises, orthotic inserts, or in severe cases, corticosteroid injections and possibly surgery. With proper care and treatment, most people can find relief from plantar heel pain and get back to enjoying their daily activities without discomfort. If you are suffering from heel pain, it is suggested that you make an appointment with a podiatrist. 

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Stress fractures are common injuries to the bones of the legs and feet, resulting from repetitive stress rather than sudden injury. These hairline cracks in the bone affect athletes, including runners, basketball players, or dancers. Pain from stress fractures is particularly felt during weight-bearing activities and direct pressure on the bone. They may be difficult to diagnose as the pain often subsides when activity stops. Because they do not always show up on an  X-ray, further diagnostic tests, like CT or MRI scans may be needed. Left untreated, stress fractures in the feet or ankles can worsen, leading to more severe complications. Seeking timely medical attention from a podiatrist is essential for proper diagnosis and treatment tailored to individual needs. This facilitates pain relief, promotes healing, and prevents further damage. If you are experiencing symptoms suggestive of a stress fracture, it is suggested that you schedule an appointment with a podiatrist.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

Choosing the right shoes is important for people with arthritic feet. Wearing proper footwear can significantly alleviate pain and improve mobility, while the wrong shoes can worsen symptoms of arthritis. Shoes with a wide toe box, cushioned soles, and adequate arch support can help distribute weight evenly, reduce pressure on sensitive areas, and support the foot's natural shape. Additionally, shoes with adjustable closures, such as Velcro straps or laces, can accommodate changes in foot size due to swelling. Podiatrists play a key role in this selection process by evaluating your specific foot structure, identifying areas of concern, and recommending footwear that addresses your unique needs. Podiatrists may also suggest custom orthotics, which are personalized insoles that fit inside your shoe. If you suffer from arthritic feet, it is suggested that you consult a podiatrist when choosing shoes for maximum support and comfort. 

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 joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

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.