Flat feet, or pes planus, occur when the arches of the feet are flattened, causing the entire sole to make contact with the ground. This can result in pain and cause difficulties with walking. In some cases, people with flat feet may benefit from surgical correction. Flat foot reconstruction aims to reshape the foot by repairing or realigning the bones, tendons, and ligaments to support the arch. The specific technique used can vary, based on such factors as the patient’s anatomy and the severity of their symptoms. While flatfoot surgery often results in improved mobility and relief from pain, the recovery process can take several months and may require the use of a cast or orthopedic boot. A podiatrist can determine if non-surgical treatments are still viable or if surgery is the best course of action. If you have foot problems related to flat feet, it is suggested that you schedule an appointment with a podiatrist.

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.

A bunion is a bony bump that forms at the base of the big toe, causing the toe to angle toward the second toe. This condition often leads to discomfort and changes in foot shape. Several factors contribute to the development of bunions, including genetic predisposition, wearing tight or ill-fitting shoes, and certain foot conditions such as flat feet. Signs of a bunion include redness, swelling, and pain surrounding the affected joint, particularly when wearing shoes. Individuals may also notice a visible bump on the side of the foot, which can become more pronounced over time. In some cases, the condition can lead to difficulty in walking or participating in physical activities. If you see the beginning signs of a bunion forming, it is suggested that you contact a podiatrist who can monitor its progression, and offer you relief tips.

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.

Pickleball is an enjoyable sport that can lead to injuries, particularly ankle sprains. Ankle sprains occur when ligaments are stretched or torn, often due to sudden movements. There are two primary types of ankle sprains known as inversion and eversion. Inversion sprains happen when the foot rolls inward, causing damage to the ligaments on the outer side of the ankle. Eversion sprains occur when the foot rolls outward, affecting the ligaments on the inner side. Both types can result in pain, swelling, and limited mobility. It is essential for players to engage in proper warm-up routines and wear appropriate footwear to minimize the risk of these injuries. Strengthening exercises for the ankles can also help improve stability. If you have endured an ankle sprain from playing pickleball, it is suggested that you consult a podiatrist who can effectively treat this injury.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains 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 and ankle needs.

Foot blisters form when friction or pressure causes the outer layers of the skin to separate, leading to the formation of a small pocket of fluid. This often happens from wearing shoes that do not fit or from excessive walking or running, increasing the likelihood of skin irritation. Blisters act as the body’s natural defense, protecting the underlying skin while it heals. Wearing shoes that are too tight, damp socks, or having an irregular foot shape can increase the risk of blisters. While most blisters heal on their own, recurrent or painful blisters may signal an underlying issue. A podiatrist can prescribe custom orthotics or recommend footwear changes that can help to prevent further occurrences. For those with conditions like diabetes, a podiatrist’s guidance is especially important to prevent infections and ward off more serious complications. If you frequently have blisters on your feet, it is suggested that you schedule an appointment with a podiatrist to find out why.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, 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.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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.

Flatfoot, also known as pes planus, is a condition where the arch of the foot is lower than normal or completely flattened. This can be noticable in one or both feet. Flatfoot can occur in both children and adults, although many children develop normal arches by age five. Causes of flatfoot include genetics, injury, or conditions like rheumatoid arthritis or diabetes. Some people with flat feet experience pain from prolonged standing, sudden weight gain, or poorly fitted shoes. Treatment options typically involve wearing supportive footwear and orthotic devices to relieve discomfort. Surgery is rarely required for flatfoot but may be considered in severe cases. A podiatrist can assess the condition and prescribe custom orthotics to provide better arch support and reduce strain on the feet. If you have pain from flat feet, it is suggested that you schedular regular appointments with a podiatrist for appropriate 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.

Peripheral neuropathy caused by diabetes affects the nerves in the feet and can lead to a variety of uncomfortable or extremely painful sensations. People with diabetic peripheral neuropathy may experience numbness, tingling, or a burning feeling in their feet. In some cases, they may notice sharp, shooting pains that occur suddenly. These symptoms can make walking difficult and increase the risk of balance issues or falls. Nerve damage can also make it hard to detect injuries, leading to foot sores or blisters that go unnoticed. Without proper sensation, even minor injuries can become serious if left untreated, leading to infection or gangrene. A podiatrist plays an important role in managing peripheral neuropathy by diagnosing the condition, offering treatment options to alleviate pain, and helping prevent further complications. If you have foot pain caused by neuropathy, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

The foot is a complex structure comprised of numerous bones and joints, vital for movement and support. The forefoot includes the five metatarsal bones and the phalanges, which form the toes and are essential for balance and propulsion. The midfoot consists of the five tarsal bones, including the cuboid, navicular, and three cuneiform bones, which provide structural support and flexibility. The hindfoot comprises the talus and the calcaneus, with the talus connecting the foot to the leg and the calcaneus forming the heel. These bones work together through various joints, such as the subtalar joint and the metatarsophalangeal joints, allowing for a wide range of motion and shock absorption. If you have any kind of foot injury, it is suggested that you promptly schedule an appointment with a podiatrist who can diagnose and treat various foot injuries.

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.

Finding the right shoes is vital for managing arthritis that affects the feet. Arthritis, which is an inflammation of the joints, can lead to significant pain and difficulty in walking, especially when it involves the ankle, midfoot, or big toe. It is important to avoid high heels or tight flats, as these can increase discomfort by putting excessive pressure on your feet and misaligning your joints. Instead, look for shoes with a low, thick heel, a wide toe box, and rubber soles that provide cushioning and stability. These features help maintain a natural foot position, reduce pressure on painful joints, and offer the necessary support. Stability shoes, with their cushioned midsole, can also be helpful, particularly for those with arthritis in the foot or ankle. Consulting a podiatrist can ensure you select the best footwear to relieve your arthritis symptoms. If you have arthritis and footwear is a problem, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

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.