Rheumatoid arthritis (RA) is a chronic autoimmune disease where the body’s own immune system actually attacks its joints. Antibodies are produced that target the lining around joints called synovium, causing pain, stiffness, and inflammation. Rheumatoid arthritis commonly affects the feet and ankles, eventually damaging the joint, cartilage, and bones. Side effects include anemia, loss of appetite, and fever. RA may also develop in other parts of the body, such as the skin, heart, lungs, eyes, and blood vessels. Symptoms of RA often flare up and then recede, and over time, they can cause joints to deform and shift out of place. Women are more likely to develop rheumatoid arthritis than men, and it often starts after the age of 40. Smoking, obesity, and genetics also may be contributing factors. A number of treatment options are available for sufferers of rheumatoid arthritis in the feet and ankles. If you think that you may have RA, seeing a podiatrist for an exam and diagnosis is a good idea.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

Research has indicated there is a large percentage of Americans that are considered to be obese. This condition is known to increase the risk of many physical ailments, including heel pain and plantar fasciitis. It can happen as a result of the added impact the feet endure from completing daily activities, and this may possibly damage the plantar fascia. This is defined as the band of tissue that runs along the bottom of the foot, and connects the heels to the toes. Walking can become difficult, and heel pain may increase. Partial relief may be found when a low-impact exercise routine is frequently followed. This type of exercise can include swimming, water aerobics or cycling, and some patients can feel the benefits of practicing yoga and Pilates as part of their exercise regime. This, along with eating foods that are healthy, are often effective ways to lose weight, which may relieve some of the pressure on the plantar fascia. If you have any type of foot pain, and feel your weight may be a contributing factor, please speak with a podiatrist who can treat foot conditions, and offer additional solutions for weight loss.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of 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.

Heel spurs are bony outgrowths of calcium deposits that grow underneath your heel. Because they can potentially cause you discomfort and pain, it is important to know their symptoms. The heel spur grows toward the arch of the foot. In some cases, heel spurs can cause pain. Other patients with heel spurs, however, might not experience any pain. If you have heel spurs, you might exhibit inflammation in the foot or even swollen heels. Some patients with heel spurs may notice that the affected foot and area become hot to the touch. It is important to note that not all individuals with heel spurs can see the bony spur. Therefore, some patients with heel spurs might only be able to confirm their condition after undergoing an X-ray scan to examine the heel area. Of course, every individual is different, and not every person’s symptoms are the same. Regardless of what having heel spurs might feel like for you, you might be able to avoid the development of heel spurs by wearing supportive and well-fitting footwear. If you think that you might have heel spurs, see a podiatrist who can help. 

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Lake City and Branford, FL . We offer the latest in diagnostic and treatment technology to meet your needs.

Warts are skin growths and are caused by the human papillomavirus (HPV). It may take several months after coming in contact with the HPV to notice if warts have developed. They are known to be contagious and can spread by sharing towels, socks, or shoes. Plantar warts are located on the bottom of the feet and grow inward as a result of standing and walking all day. A plantar wart can be uncomfortable and can cause severe pain. Most people notice they look like a callus with tiny black dots in the middle, which are blood vessels. In other people, the wart may be smooth and flat. A proper diagnosis can consist of taking a sample of the wart and looking for any bleeding, a large size, or if they are fast-growing. Many warts will gradually disappear, although it is advised that if you have plantar warts you speak with a podiatrist who can properly treat them. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Although it is rarely given much attention, the big toe plays an important role in carrying out many of our daily activities. The big toe joint, also known as the metatarsophalangeal (MTP) joint, connects the big toe to the foot, and supports the body with every step you take. When it is injured or sore, it can impede the ability to walk. Major causes of MTP joint pain are osteoarthritis, gout, bunions, injuries, and sesamoiditis. Osteoarthritis in the big toe causes the joint to become inflamed. The cartilage that connects the bones wears away, causing pain, tenderness, and swelling as the bones rub together. Gout is another form of arthritis, caused by uric acid crystals that often build up within the big toe joint. Intense pain, redness, and swelling are symptoms during a flare up. Big toe sprains and fractures cause pain, swelling, and bruising with any weight bearing activity. In the case of a fracture, please get immediate medical help. A bunion is a bone malformation of the big toe joint, often caused by wearing shoes that are tight around the toes. The top of the big toe moves toward the second toe, while the base of the toe bone shifts outward to form a bump. Bunions can be extremely painful, in addition to changing your gait and causing further problems in the feet. Sesamoiditis is an inflammation of two tiny bones wrapped within tendons at the base of the MTP joint. If you have any of the conditions, please consult a podiatrist for an exam, diagnosis, and treatment plan.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

As people get older, the feet and ankles have a higher blood volume level, which often results in having swollen feet and ankles. This generally produces little or no pain, despite the fact that some patients find it difficult to move their ankles as they once did. Swelling of the feet can occur for many reasons. A common concern is additional salt in the diet, as this may cause water retention. An antidote may be drinking plenty of fresh water daily, which is helpful in moving the fluids around in the body. Many people can develop swollen feet if they sit for extended periods of time, and this is common while flying. Additionally, blood can collect in the ankles in warm climates, and gravity may contribute significantly toward this. Losing weight, in addition to reducing sugar intake and avoiding unhealthy fats, may help to control swollen feet and ankles. Relief may come from elevating the feet as often as possible, and this is typically effective when coupled with other methods to reduce existing swelling. If you suffer from swollen feet and ankles, please confer with a podiatrist who can guide you toward proper management of this condition.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently 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 tools and technology to treat your foot and ankle needs.

When a child complains about pain in their leg, it might be coming from a problem with their foot. Flat feet, or feet without a well-developed arch, is common among children. While some kids might not experience any symptoms of flat feet, others might feel cramping or tenderness in their feet, lower leg, or knee. They might limp or show an aversion to athletic activities and walking because of pain in their feet. While foot pain in children might be from growing, it could be something else that deserves examination by a qualified podiatrist. They might have a structural abnormality of the foot that requires orthotics or surgery. If your child complains of foot or leg pain, it is suggested you consult with a podiatrist who can properly diagnose their condition and offer treatment options.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

People who have had athlete's foot are aware of the discomfort it can cause. The skin often becomes dry, red, and can itch too. It is considered to be a fungal infection and typically affects the soles of the feet and between the toes. It is a contagious infection and appropriate shoes are suggested to be worn while in public swimming areas, locker rooms, and shower room floors. This fungus lives in warm and moist environments including socks and shoes that are wet. There are three types of athlete's foot. A toe web infection can cause the skin to peel and crack between the third and fourth toes. Cracked skin on the heel can be referred to as a moccasin-type infection, and a blister on the sole of the foot is known as a vesicular type of infection. There are effective prevention techniques for athlete’s foot including keeping the feet clean and dry, refraining from sharing towels or shoes, and alternating the shoes worn daily. If you have been affected by athlete's foot, please consult with a podiatrist who can determine what the best type of treatment is for you.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Scott Samera, DPM from Samera / Foot + Ankle.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are 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 and ankle needs.