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Arthritis Can Cause Pain in the Feet and Ankles

Friday, 30 January 2026

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

When the Fat Pad Under the Foot Breaks Down

Tuesday, 27 January 2026

Fat pad syndrome affects the soft cushioning under the heel or ball of the foot that helps absorb impact during walking. Over time, this padding can thin out, shift, or lose its shock absorbing ability. Aging, repetitive impact, long periods of standing, walking barefoot on hard surfaces, and poorly cushioned shoes can all contribute. Pain is often described as a deep ache or bruised feeling that worsens with activity and improves with rest. Discomfort is usually felt directly under the heel or forefoot rather than along the sides. The area may feel tender to the touch, and walking barefoot can be especially uncomfortable. Because symptoms can resemble other foot problems, proper evaluation is important. Supportive footwear and targeted care can help protect the area and reduce strain. If your foot feels bruised or painful and persists or worsens with walking, it is suggested that you see a podiatrist for a diagnosis and appropriate treatment.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dawn Miles, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions

Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
Gouging toenails affecting nearby toe
Shoes that don’t fit properly
Pressure sores
Loss of circulation in legs & feet
Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

Hammertoes That Involve Ligament Changes

Tuesday, 20 January 2026

A hammertoe can develop when the soft tissues that guide toe movement stop working together the way they should. In some cases this includes a ligament in the foot that becomes overly tight or loses its normal support, causing the toe to lift at the middle joint and settle into a curved position. When this happens, the toe may feel stiff, sore, or crowded in a shoe because its alignment no longer matches the surrounding toes. The skin can become irritated from rubbing, and pressure points may form that make walking uncomfortable. Addressing the problem depends on how rigid the toe has become and how much the involved ligament is influencing the deformity. A podiatrist can examine the toe, review how the ligament is functioning, and suggest options such as shoe adjustments, protective padding, inserts, or procedures that correct the underlying cause. If the toe is becoming painful or harder to move, it is suggested that you see a podiatrist for effective treatment solutions.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dawn Miles, DPM from Florida. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

Pain in the affected toes
Development of corns or calluses due to friction
Inflammation
Redness
Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

Types of Bunion Surgery

Tuesday, 13 January 2026

Bunion surgery is used to correct a painful bony bump that forms at the base of the big toe and interferes with normal foot alignment. Several types of bunion surgery exist depending on severity and joint condition. An exostectomy involves removing the enlarged bone to reduce pressure and irritation. An osteotomy corrects the deformity by cutting and realigning the bone to restore proper positioning, and arthrodesis, used for more advanced cases, involves fusing the joint to relieve pain and improve stability. Each approach is selected to reduce discomfort and improve function. A podiatrist evaluates foot structure, symptoms, and lifestyle needs to determine the most appropriate surgical or nonsurgical care. If bunion pain is limiting walking or daily activities, it is suggested that you schedule a consultation with a podiatrist to explore treatment options and steps toward lasting foot relief.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dawn Miles, DPM of Florida. 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.

Why the Big Toe Is Affected by Ingrown Toenails

Tuesday, 06 January 2026

The big toe carries much of the body weight and often experiences the most pressure inside a shoe, which makes the nail more likely to grow into the surrounding skin. Its nail is larger, thicker, and more curved than the others, so even a small change in how the nail grows or how the shoe fits can cause irritation. Wearing tight shoes, improper nail trimming, and repeated bumping of the toe can increase the chance of the nail edge digging into the tissue. When discomfort develops, a podiatrist can provide gentle care that removes the offending nail portion and eases the inflammation. Treatment may include reshaping the nail, protecting the skin, or using a procedure that prevents the troublesome edge from returning. If you notice pain, swelling, or difficulty walking because of a toenail problem, it is suggested that you see a podiatrist who can offer effective treatment solutions for ingrown toenails.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dawn Miles, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

Bacterial infections
Improper nail cutting such as cutting it too short or not straight across
Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
Ill-fitting shoes that bunch the toes too close together
Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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