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What You Need to Know About Bunion Removal

A bunion is a bony bump that forms at the base of the big toe, often caused by genetics, arthritis, or wearing tight shoes. Symptoms include pain, swelling, redness, and difficulty wearing shoes due to the toe’s misalignment. When conservative treatments like orthotics, padding, or shoe modifications fail to relieve pain, bunion removal surgery may be recommended. This procedure realigns the toe, removes the bony bump, and corrects deformities. While bunion removal can greatly improve comfort and foot function, it carries risks such as infection, nerve damage, stiffness, or recurrence of the bunion. Recovery typically involves rest, limited weight-bearing, and targeted exercises. A podiatrist can diagnose bunions through a physical exam and X-rays, helping determine if surgery is necessary and guiding you through treatment options. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist for an evaluation and appropriate treatment.
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.
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.
Fungus Might Be the Reason for Change in Toenails

A nail that turns yellow, thickens, or starts to crumble can be more than a cosmetic issue. Fungal infections often start small, then slowly spread deeper into the nail bed, if left untreated. These infections thrive in warm, moist environments, like sweaty socks or damp shoes, and can be stubborn to eliminate once they take hold. Some people notice an unusual odor or a change in the shape of the nail, while others simply see a dull or brittle appearance. Over time, untreated fungal nails can become painful or lead to secondary problems, especially in people with diabetes or circulation issues. While mild remedies exist, they are often not enough for deeper infections. If your nails have changed in texture, color, or thickness, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
For more information about treatment, contact Dawn Miles, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Various Causes of Toe Pain

Toe pain can be caused by a number of conditions, including gout, bunions, and hammertoes. Gout is a form of arthritis that often affects the big toe, causing sudden, intense pain, redness, and swelling due to a buildup of uric acid crystals. Bunions are bony bumps that form at the base of the big toe as the top of the toe shifts inward. This results in pain, swelling, and difficulty wearing shoes. Hammertoes, which occur when the toes become bent and curled, can lead to pain, corns, and calluses due to pressure from footwear. A podiatrist can diagnose the cause of your toe pain through a physical exam, and may use X-rays or blood tests for conditions like gout. Treatment may include medication for gout, custom orthotics, or footwear recommendations for bunions, and exercises or surgical options for hammertoes. If you have ongoing toe pain, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and effective treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact Dawn Miles, DPM of Florida. 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 contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Using Ultrasound to Diagnose Foot Pain in Kids and Teens

When children or teens have foot pain, finding the exact cause is not always easy. Sometimes the pain comes from muscles, tendons, or small injuries that are hard to see with the eye alone. In these cases, ultrasounds can be a helpful tool. It uses sound waves to create real-time images of soft tissues in the foot and ankle. This allows doctors to check for inflammation, tears, or other problems without needing radiation. A problem-based approach means the ultrasound is used to look at specific areas where pain is reported, helping to pinpoint the source. This can lead to faster and more accurate treatment, especially when the pain is not clearly linked to a single injury. If a child has ongoing foot pain that does not improve, it is suggested that you see a podiatrist who may recommend ultrasounds to better understand the issue.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This 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
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
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.
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