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Gout and Foot Pain

Tuesday, 07 April 2026

Gout is a form of inflammatory arthritis caused by high levels of uric acid in the blood, which leads to the formation of sharp crystals in the joints. Gout commonly affects the big toe and foot, causing intense pain, swelling, redness, and warmth. Symptoms often appear suddenly and can make walking difficult. Causes include the body producing too much uric acid or not removing enough through normal processes. Risk factors include genetic predisposition, excess body weight, high blood pressure, and diabetes. Diet and lifestyle choices may also contribute to flare-ups. A podiatrist can diagnose gout, recommend treatments to reduce pain and inflammation, and provide guidance on managing symptoms and preventing future attacks. Gout can be extremely painful and may cause difficulty in completing daily activities. If you have sudden foot pain or swelling, it is suggested that you promptly consult a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dawn Miles, DPM from Florida. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
Inflammation and Redness -Affected joints may become swollen, tender, warm and red
Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

Genetics - If family members have gout, you’re more likely to have it
Medications - Diuretic medications can raise uric acid levels
Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
Diet - Eating red meat and shellfish increases your risk
Alcohol - Having more than two alcoholic drinks per day increases your risk
Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Reminder: When Was the Last Time...?

Wednesday, 01 April 2026

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Diabetic Foot Ulcers and the Importance of Early Care

Tuesday, 31 March 2026

A diabetic foot ulcer is an open sore or wound that develops on the foot due to complications of diabetes, often related to poor circulation and nerve damage. Symptoms include redness, drainage, swelling, and slow-healing tissue. Risk factors include prolonged pressure, reduced sensation, and untreated minor injuries. Without proper care, these ulcers can worsen and lead to infection. Treatment often involves debridement to remove damaged tissue and pressure relief to protect the affected area and support healing. A podiatrist plays a key role in managing such wounds, improving circulation, and preventing complications. If you have diabetes and have developed a foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can effectively treat foot wounds and help you to manage this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

A Broken Foot and Prompt Podiatric Care

Tuesday, 24 March 2026

A broken foot is a serious injury defined as a fracture in one or more of the bones that form the structure of the foot. This condition often occurs as the result of a sports-related injury, sudden impact, or a fall that places excessive force on the foot. A compound fracture occurs when the broken bone passes through the skin, while a closed fracture describes a break that remains beneath the skin without external exposure. Symptoms include severe pain, swelling, bruising, and difficulty bearing weight. Risk factors include high impact activities, weakened bone strength, or accidents that stress the foot. A podiatrist can evaluate the injury, provide treatment, and guide recovery. If you have broken your foot, it is suggested that you promptly consult a podiatrist who can offer appropriate treatment solutions.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dawn Miles, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury.

Common Symptoms of Broken Feet:

Bruising
Pain
Redness
Swelling
Blue in color
Numbness
Cold
Misshapen
Cuts
Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

What Causes Heel Spurs?

Tuesday, 17 March 2026

Heel spurs are bony growths that form on the calcaneus, or heel bone, after long-term stress or irritation. These spurs often develop when repeated pulling from tight soft tissue at the back of the ankle places strain on the bone. Eventually, the body responds by laying down excess calcium, creating a pointed growth that looks like a spur. Heel spurs can form underneath the heel or at the back, sometimes causing a visible lump. Symptoms include sharp pain with the first steps in the morning, a lingering dull ache during the day, stiffness, numbness, or thickened skin from friction. A podiatrist can assess foot alignment, evaluate walking patterns, and order X-rays to confirm the diagnosis. Treatment options include custom orthotics, bracing, anti-inflammatory care, or surgery when necessary. If you have pain from heel spurs that affect daily activities, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

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 Dawn Miles, DPM from Florida. 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.

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