Peripheral artery disease, or PAD, is a widespread, yet often overlooked vascular condition affecting millions of Americans. Despite its prevalence, PAD's symptoms can be subtle, leading to under-diagnosis. These symptoms can include pain in the calves during activity, numbness, tingling, and slow-healing sores on the legs or feet. Peripheral artery disease occurs due to the accumulation of plaque in the blood vessels, which restricts blood flow to the lower extremities. Individuals with diabetes face a heightened risk as sores or bruises may not heal properly, leading to the formation of ulcers on the feet and lower legs. Risk factors for PAD include a family history of heart disease and hypertension. High cholesterol, smoking, obesity, and physical inactivity may also be factors. If you believe you have symptoms of PAD, it is suggested that you schedule an appointment with a podiatrist who is medically trained to manage this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Imaze Marian Davis, DPM from Marian Davis, DPM, PA. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our office located in Miami, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot drop is a condition marked by having difficulty lifting or moving the foot and toes. The foot fails to lift properly, causing a gait that looks like marching. Foot drop typically stems from nerve injuries as the result of sports injuries, spinal issues like slipped discs, or neuropathies associated with conditions such as diabetes. Other causes of drop foot  include inherited conditions like Charcot-Marie-Tooth disease or neurological disorders, such as stroke or multiple sclerosis. Treatment strategies for foot drop are multifaceted, depending on the underlying cause and severity of symptoms. Certain exercises can play an important role in strengthening and stretching muscles to improve function. In addition, braces, splints, or custom orthotics may offer external support and aid in maintaining proper foot positioning. In cases of permanent impairment, surgical joint fusion or nerve repair may be necessary. Electrical nerve stimulation devices also can offer promising therapeutic options, particularly for individuals affected by stroke or multiple sclerosis. If you have symptoms of foot drop, it is suggested that you schedule an appointment with a podiatrist for an exam and diagnosis, followed by the appropriate treatment options. 

If you have any concerns about your feet, contact Imaze Marian Davis, DPM from Marian Davis, DPM, PA. Our doctors 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 Miami, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

High heels are known for their stylish appearance, but they can lead to heel pain and foot problems, including Haglund's deformity. The design of many high-heeled shoes places increased pressure on the back of the heel, leading to friction and irritation. High heels and pumps often have rigid backs or narrow heel counters, which can contribute to rubbing against the heel. This persistent rubbing can cause the formation of a bony enlargement at the back of the heel, known as Haglund’s deformity. Haglund’s is also known as pump bump because pumps so often contribute to the development of the condition. Choosing shoes with softer, more accommodating heel structures and avoiding styles that excessively press on the back of the heel can play a pivotal role in preventing or minimizing the risk of developing this condition. If you are experiencing heel pain or Haglund’s deformity, it is suggested that you visit a podiatrist, who can help you find the cause of your pain, and guide you toward selecting appropriate shoes. 

Many people suffer from bouts of heel pain. For more information, contact Imaze Marian Davis, DPM of Marian Davis, DPM, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Miami, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sesamoiditis, a condition affecting the tiny sesamoid bones just below the big toe, can be a source of discomfort for many. The primary cause of sesamoiditis is repetitive stress on these small bones, often incurred during activities such as running and dancing, that involve increased pressure on the forefoot. Additionally, wearing high-heeled shoes or participating in sports that require frequent push-off movements can contribute to the development of sesamoiditis. Recognizing the symptoms, which include pain, swelling, and difficulty bearing weight on the affected foot, is vital for timely intervention. Diagnosing sesamoiditis involves a comprehensive examination by a podiatrist. Clinical evaluation, including assessing the range of motion and palpating the affected area, is key. Imaging studies like X-rays may be employed to visualize the sesamoid bones and confirm the diagnosis. If you have pain in this part of your foot, it is strongly suggested that you confer with a podiatrist who can diagnose and offer correct treatment for this condition.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Imaze Marian Davis, DPM of Marian Davis, DPM, PA. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our office located in Miami, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.