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How Diabetes Can Affect the Feet

Diabetes is a complex condition that affects various parts of the body, and one often underestimated area is the feet. One of the most common diabetes-related foot problems is neuropathy, which can result in a loss of sensation. Additionally, it can cause tingling, pain, or weakness in the foot. This loss of sensation can lead to injuries that are unnoticed, such as stepping on a tack or developing a blister, which can worsen and become infected. In addition, nerve damage can also alter the shape of your feet and toes, making it essential to avoid wearing ill-fitting shoes. Having high blood sugar levels for an extended period of time can also cause blood vessels in the foot and leg to narrow and harden, inhibiting proper blood flow to the extremities. This poor circulation to the feet makes them less able to heal and fight off infections and can result in the development of ulcers. If left unattended, foot ulcers can turn into gangrene and possibly the loss of a limb. Wearing proper footwear, lifestyle changes, and working closely with your podiatrist are essential steps in managing diabetes and protecting your feet from complications. If you have foot problems that result from diabetes, it is suggested that you make regular appointments to see a podiatrist for checkups.
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 Ramin Nadjafi, DPM from Advanced Podiatry Group. 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 our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The Seriousness of Foot Pain

Foot pain can be more than just an inconvenience, it can be a warning sign of underlying health issues. Various health conditions can manifest through foot pain. For instance, a malfunctioning thyroid gland can affect nerve sensation in your feet. Similarly, degenerative changes in your lower back could irritate spinal nerves, impacting foot health. Peripheral arterial disease, or PAD, results from plaque buildup in leg arteries, causing foot pain and increasing the risk of heart attack and stroke. Rheumatoid arthritis is another culprit that can result in foot and ankle symptoms and severely alter the shape of your feet over time. Additionally, gout results from uric acid buildup, causing intense foot pain. Diabetes can damage nerves and blood vessels in the feet, leading to numbness and infections. Ignoring foot pain can be perilous. Not only could it indicate a localized issue, but it may also be a symptom of more systemic health problems. Therefore, if you have chronic or severe foot pain, it is strongly suggested that you make an appointment with a podiatrist for a proper diagnosis and individualized treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Ramin Nadjafi, DPM from Advanced Podiatry Group. 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 our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Definition and Underlying Causes of Gout

Gout is a painful form of arthritis that results from the buildup of uric acid crystals in the joints. This condition can affect anyone, and it typically targets the big toe joint. A noticeable symptom of gout is intense pain, swelling, and redness in the affected joint, often occurring suddenly and causing discomfort that can last for days or weeks. The primary cause of gout is an overabundance of uric acid in the bloodstream, a condition known as hyperuricemia. Uric acid forms when the body breaks down purines, which are found in certain foods and are also produced naturally by the body. Factors such as genetics, a diet rich in purines, excessive alcohol consumption, and obesity can contribute to elevated uric acid levels. Treatment of gout typically involves managing pain during flare-ups with anti-inflammatory medications and lifestyle modifications can help to reduce uric acid levels. Long-term strategies often include dietary changes, weight management, and medications to lower uric acid production. By understanding gout's definition, causes, and appropriate treatment options, individuals can take proactive steps to alleviate pain and prevent future attacks. If you suffer from gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Ramin Nadjafi, DPM from Advanced Podiatry Group. 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 our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Navigating Volleyball Foot Injuries

Volleyball players commonly experience foot injuries due to the fast-paced and dynamic nature of the sport. Sprained ankles and twisted knees frequently occur, often resulting from sudden stops, starts, and side-to-side movements on the court. Additionally, repetitive jumping and landing can lead to conditions like plantar fasciitis, stress fractures, and Achilles tendonitis. Immediate relief for these types of injuries includes taking a break from volleyball play, resting the affected foot, and elevating it as often as possible. If you have more severe injuries or those that worsen over time, it is suggested that you consult with a podiatrist for care. This foot and ankle expert can accurately diagnose the problem and provide appropriate treatment so that you can return to the game as quickly as possible.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Ramin Nadjafi, DPM of Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Plantar Fasciosis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Ignoring Toenail Fungus Can Be Harmful

A sign that you may have developed toenail fungus is the yellow appearance of the nails. They may also become thicker and begin to crumble. If ignored, a fungal toenail infection, medically termed onychomycosis, may result in other problems. It can easily spread to other parts of the foot simply by not changing socks and shoes daily. Toenail fungus is especially risky for diabetics, whose skin may have cracked as a result of poor circulation. This allows for the additional possibility of bacteria entering the body, and may in turn cause cellulitis. In some cases of fungal toenail infections, the only way to treat it is to remove the nail. The nail will grow back with time. If the infection is extremely serious, the toenail may have to be permanently removed, by performing a procedure called matrixectomy. This destroys the growing center at the base of the nail bed, ensuring that the fungus will not grow back. If you have toenail fungus, it is suggested that you make an appointment with a podiatrist for an examination and treatment options.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Ramin Nadjafi, DPM of Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions, please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
An Infected Ingrown Toenail

An ingrown toenail is when the corner of the toenail grows into the surrounding skin. This typically happens to the nail on the big toe from improper nail cutting and it can be painful. There may be redness, a hardening of the skin, and swelling around the nail. If an ingrown toenail is not tended to, it can bleed and foul-smelling pus may ooze from it. An infection can also develop, which can spread to underlying bones. Those who have reduced circulation to the feet, such as people who are diabetic or who have peripheral arterial disease, may be more prone to developing ingrown toenails. An infection from a bacteria or fungus can come from an ingrown toenail. Those with risky underlying conditions may find it harder to heal which may lead to severe complications. If you have an ingrown toenail and it is painful or looks like it is infected, it is strongly suggested that you see a podiatrist for immediate treatment.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Ramin Nadjafi, DPM of Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Painful Rheumatoid Arthritis

The feet are often affected when rheumatoid arthritis, or RA, occurs. There are several joints in the feet, and this condition can make it difficult to walk and complete daily activities. RA may be responsible if the feet swell and become inflamed, often causing embarrassment. This condition may lead to bone spurs, numbness, and plantar fasciitis, which can all cause pain and discomfort. Patients afflicted with RA may need to change their shoe size and wear custom-made orthotics. RA is a painful disease, and many patients report they cannot walk without shoes. Patients with RA also report losing range of motion in their feet. Rheumatoid arthritis can affect the quality of an individual’s life. If you have developed this painful condition, it is strongly suggested that you confer with a podiatrist who can provide the best treatment for you.
Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Ramin Nadjafi, DPM of Advanced Podiatry Group. Our doctor will assist you with all of your podiatric concerns.
What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.
Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.
Symptoms
- Swelling and pain in the feet
- Stiffness in the feet
- Pain on the ball or sole of feet
- Joint shift and deformation
Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.
If you have any questions please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Rheumatoid Arthritis in the Feet
Although rheumatoid arthritis attacks multiple bones and joints throughout the entire body, ninety percent of people who actually develop this condition usually do so in the foot or ankle area. Those who develop this kind of arthritis in the feet usually develop symptoms around the toes and forefeet first, before anywhere else. Rheumatoid arthritis appears to have a genetic component. If it runs in the family, then you will be more likely to develop it as well.
Rheumatoid arthritis is an autoimmune disorder in which the body’s own immune system attacks the lining of the membranes surrounding the joints. This causes inflammation of the membrane lining, and the gradual destruction of the joint’s cartilage and even bone.
Some of the most common symptoms that are associated with RA include pain and swelling of the feet. Stiffness in the feet is also another common symptom that people experience. Those who have RA in the feet usually feel the pain in the ball or sole of their feet. This can get to be very painful at times. A person's joints can even shift and become deformed after a period of time.
In order to properly diagnose RA in the feet it is usually necessary for a doctor or podiatrist to evaluate the area. Your doctor will also question you about your medical history, occupation, etc., to determine whether anything in your lifestyle may have triggered the condition. There are a number of tests that may be performed to help diagnose RA, such as a rheumatoid factor test. There is, however, no one single test that will tell you for sure if you have RA. There are different X-rays that can be taken as well to determine if a person has RA in their feet.
There is a range of treatment options for rheumatoid arthritis. Treatment of RA is usually a lifelong process that includes a variety of methods of treatment and therapy. Your doctor can prescribe special shoes that should help with arch support as well as heel support. A physical therapist can help those with this condition learn exercises which will keep their joints flexible. Surgery may be needed to correct some of the issues with the feet, such as bunions, and hammertoes. Fusion is usually the most successful surgical option for rheumatoid arthritis. However, people need to keep in mind that there are some risks associated with these surgeries.
What Is the Arch of the Foot?

Learning about the biomechanics of the feet can help an individual become more knowledgeable about how the foot works and how to prevent injury. Learning about the arch of the foot can be especially helpful. The arch of the foot is complex and has many essential functions. There are three different arches in the foot. The medial arch, the lateral arch, and the anterior transverse arch. Each of these arches is ultimately formed by the interaction of different bones, ligaments, and tendons in the feet. The arch enables the feet to perform many functions. For example, the arches in the feet provide flexibility and shock absorption when walking and running. In a way, the arch helps act as a kind of spring in the feet. If individuals did not have arches in their feet, engaging in motion would be significantly different and perhaps more difficult. If you are someone that wants to learn more about the biomechanics of your feet, it is suggested that you contact a podiatrist today.
If you have any concerns about your feet, contact Ramin Nadjafi, DPM from Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact our office located in Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Biomechanics in Podiatry
Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.
Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.
At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.
Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates. They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.
Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.