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A bunion develops when the joint at the base of the big toe gradually moves out of its normal position. This change creates a noticeable bump along the inside of the foot. The big toe can also begin pointing toward the smaller toes. Foot structure can play an important role in bunion development, and certain inherited foot shapes can increase the risk. Shoes that place pressure on the front of the foot can make symptoms worse. Bunion symptoms can include pain, redness, and swelling around the big-toe joint. The joint can also become stiff and difficult to move. Corns or calluses can develop where the toes rub together or where increased pressure affects the foot.

A podiatrist can evaluate a bunion by examining the position of the big toe and the affected joint. The examination can include checking joint movement, areas of tenderness, and changes in foot structure. A podiatrist can also assess how the patient stands and walks to determine how the bunion affects foot function. X-rays can help show the position of the bones and the severity of the joint changes. Treatment can focus on reducing pressure and improving comfort while walking. Custom orthotics can help improve foot support and distribute pressure more evenly. A podiatrist can also recommend properly fitted shoes with enough space around the toes to reduce pressure on the bunion.

Bunions can affect balance, movement, and the ability to wear certain shoes comfortably. Patients can change how they walk to avoid pressure on the painful big-toe joint. This change can place added stress on other areas of the foot. A podiatrist can identify these changes and develop a treatment plan based on the patient's symptoms and foot structure. Care can focus on reducing painful pressure, supporting the foot, and maintaining comfortable movement. Regular podiatry evaluations can also track changes in the bunion and determine whether treatment should be adjusted. Addressing discomfort can help patients remain active and reduce problems caused by altered foot mechanics. If you have symptoms of bunions, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment.

If you are suffering from bunion pain, contact Dawn Miles, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Blisters between the toes are small, fluid-filled areas that develop when skin becomes irritated or damaged. They can be uncomfortable and may make walking difficult, especially when footwear presses against the affected area. Friction is one of the most common causes. Wearing tight shoes, damp socks, and repeated rubbing can create enough irritation to form a blister. However, not every blister between the toes comes from friction. Common skin conditions, including athlete's foot and eczema, can also cause irritation, peeling, or small fluid-filled bumps.

Symptoms can vary depending on the cause. A friction blister may appear as a raised area filled with clear fluid and may feel tender when touched. Skin affected by athlete's foot can become itchy, red, peeling, or cracked. Risk factors include wearing poorly fitting shoes, excessive foot sweating, and spending long periods of time walking or standing. People who frequently participate in sports may also experience repeated friction that increases the chance of developing blisters.

A podiatrist can determine why blisters are developing by examining the skin and reviewing your symptoms. If a fungal infection or another skin condition is suspected, additional testing may help confirm the diagnosis. Treatment depends on the underlying cause. A podiatrist may protect the area from further friction, recommend appropriate wound care, or prescribe medication when an infection or skin condition is involved. If a blister is large or painful, professional drainage may sometimes be considered. The area should be monitored for signs of infection during healing.

Blisters between the toes should not be ignored, especially when they return or become painful. Keeping feet dry and choosing properly fitted footwear can help reduce irritation. However, recurring blisters may signal an underlying condition that requires professional attention. Early evaluation can help identify the cause and support healthier skin. If you have blisters between the toes, it is suggested that you consult a podiatrist for effective relief and prevention solutions.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dawn Miles, DPM of Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Chronic ankle instability causes the ankle to repeatedly feel weak, wobbly, or ready to give way. The problem usually affects the outer side of the ankle and can occur while walking, exercising, or simply standing. It frequently begins after one or more ankle sprains. A sprain stretches or tears the ligaments, which are strong bands of tissue that support the joint. When an injury does not heal fully, the ankle can remain loose and poorly controlled. Symptoms include ongoing discomfort, swelling, and tenderness. The ankle may keep turning on uneven ground or while playing sports.

Each new sprain can further weaken or stretch the injured ligaments. This creates a cycle of repeated injury and increasing instability. Damage can also affect balance and the ankle muscles that help control movement. This can limit exercise, work duties, and other daily activities. Without proper care, chronic instability can contribute to cartilage damage and ankle arthritis. A podiatrist will ask about earlier injuries and when the ankle gives way. The examination includes checking swelling, tender areas, and joint movement. The podiatrist may also assess strength and balance. X-rays can reveal bone injuries or arthritis, while other imaging tests can show ligament or cartilage damage.

Treatment depends on the degree of instability, test results, and the patient’s activity level. A podiatrist can provide an ankle brace to support the joint and help prevent another sprain. A guided exercise plan can improve strength, balance, and control. Custom orthotics may improve foot alignment and help the ankle move more steadily. Early evaluation can protect the joint from repeated injuries and support a safer return to activity. If you frequently experience the feeling that your ankle is giving way, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Sever’s disease is a painful heel condition that affects growing children and teenagers. It develops when repeated stress irritates the growth plate at the back of the heel. A growth plate is an area of developing tissue near the end of a bone. During a growth spurt, the heel bone can grow faster than nearby muscles and tendons. This can create tension where the Achilles tendon attaches to the heel. Children who participate in running or jumping activities can place repeated pressure on this area, making irritation and pain more likely.

Heel pain is the main symptom of Sever’s disease. The pain can affect one heel or both heels and can become worse with physical activity. The heel can also feel tender when squeezed. Some children develop swelling or redness around the painful area. They can begin limping or walking on their toes to avoid pressure on the heel. Sports that involve frequent running and jumping can increase the risk. Tight calf muscles and a tight Achilles tendon can also place more stress on the heel. Sever’s disease does not cause permanent damage to the growth plate.

A podiatrist can evaluate heel pain and determine whether Sever’s disease is responsible for the symptoms. The examination can include checking the heel for tenderness and assessing how the foot and ankle move. A podiatrist can also evaluate walking patterns and foot structure to identify factors that place extra stress on the heel. Treatment focuses on reducing irritation and protecting the growth plate while it heals. A podiatrist can recommend activity changes, supportive devices, or appropriate stretches based on the child’s condition. Care can help relieve pain and support a safe return to normal activities. If your active child has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and offer effective relief tips for Sever's disease. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dawn Miles, DPM from Florida. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.