Gout is a form of arthritis caused by a buildup of uric acid crystals in the joints, leading to sudden and intense pain. Common symptoms include severe joint pain, typically in the big toe, along with swelling, redness, and warmth in the affected area. The pain often starts at night or early morning and can become excruciating within hours.  A gout flare-up usually lasts between three to 10 days, with the most severe symptoms occurring in the first 24 to 48 hours. It may subside on its own but can return if left untreated. To handle a gout flare-up, rest the affected joint, and it is suggested that you contact a podiatrist for an appointment and examination. This type of doctor can prescribe medications such as colchicine or corticosteroids that can help reduce symptoms.

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.

Clubfoot is a congenital condition where a baby’s foot or feet are abnormally twisted. This deformity causes the foot to point downward and inward, resembling a club. It occurs due to an abnormal development of the tendons, muscles, and bones of the foot. The exact cause is often unclear but may involve genetic and environmental factors. Diagnosis typically occurs through physical examination shortly after birth, where the abnormal positioning is evident. In some cases, clubfoot affects both feet, known as bilateral clubfeet. Symptoms include an abnormal foot shape, limited movement, and difficulty placing the foot flat on the ground. If your child has clubfoot, it is strongly suggested that you contact a podiatrist who can properly diagnose the condition, and begin treatment which may include specific stretches, casting, or surgery to increase mobility. 

Congenital foot problems require immediate attention to avoid future complications. 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.

A tailor's bunion, also known as a bunionette, is a bony bump that forms on the outside of the foot near the base of the little toe. Unlike a regular bunion, which occurs on the inner side of the big toe, a tailor's bunion develops from pressure and misalignment of the little toe. The condition often results from wearing tight, narrow shoes or high heels that squeeze the toes, leading to the protrusion. Tailor's bunions can cause discomfort, pain, and difficulty finding well-fitting footwear. The pain may be aggravated by friction or pressure from shoes. Treatment for a tailor's bunion involves wearing wider, more comfortable shoes, using padding to reduce pressure, and potentially wearing orthotics to correct foot alignment. In severe cases, surgery may be necessary to realign the toe and remove the bony bump. If you have a painful tailor’s bunion, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and relief options.

If you are suffering from bunions, 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?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• 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 and treatment technologies for all your foot care needs.

Plantar fasciitis often causes heel pain and discomfort, but specific foot stretches can provide significant relief. Stretching the Achilles tendon and calf muscles can help to reduce tension on the plantar fascia, easing pain. One effective stretch involves gently pulling the toes back towards the shin while keeping the knee straight, which targets the calf muscles. Another useful stretch is to sit with one leg extended, reaching for the toes to stretch the hamstrings and the bottom of the foot. Rolling the foot over a tennis ball or frozen water bottle can also alleviate pain and reduce inflammation. If you have heel pain, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and offer you a comprehensive treatment plan, which often includes foot stretches.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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.