Hammertoe is a deformity in which one or more of the smaller toes bends abnormally at the middle joint, often making it point upward. Hammertoe commonly affects the second toe and may develop from a muscle imbalance, flat arches, or pressure caused by shoes that do not allow enough room for the toes. Symptoms may include a claw-like toe appearance, discomfort in the ball of the foot, and pain when wearing shoes. Corns or calluses that develop from rubbing against the top of a shoe, and difficulty finding shoes that fit can result from a hammertoe. A podiatrist can diagnose hammertoe through a physical examination and may use imaging if joint disease is suspected. In more severe cases where the joint becomes rigid, surgery may be needed to straighten the toe. If you have a toe deformity that is causing pain, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment.

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

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best 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.

Type 1 diabetes can affect many parts of the body, including the feet. High blood sugar levels over time may damage nerves and reduce circulation, making it harder to feel or notice small injuries. Even minor pressure from a poorly trimmed toenail can lead to inflammation or an ingrown nail, especially if shoes are tight or put stress on the toes. People with diabetes are also more prone to infections, and what starts as a simple nail problem can become more serious if left untreated. Thickened or brittle nails, often seen in diabetic patients, may be harder to trim properly, increasing the chance of the nail growing into the skin. Proper nail care and early attention to changes in the feet are essential for avoiding complications. If you notice redness, swelling, or pain surrounding a toenail, it is suggested that you see a podiatrist for an accurate diagnosis and appropriate treatment.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dawn Miles, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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 and ankle needs.

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 and ankle needs.

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 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.

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 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.