Edema refers to the accumulation of excess fluid in the body’s tissues, leading to swelling. There are several types of edema, each with distinct causes and effects. Idiopathic edema is a condition where swelling occurs without any clear underlying medical cause, often affecting the feet and ankles. Pulmonary edema occurs when fluid builds up in the lungs, but it can also cause swelling in the feet and ankles as the body struggles to manage fluid balance. Lymphoedema, on the other hand, results from a blockage in the lymphatic system, leading to fluid retention and swelling, commonly in the legs and feet. In all cases, edema can cause discomfort, restricted movement, and skin changes in the affected areas. If you have swollen feet or ankles, it is suggested that you are under the care of a podiatrist who can help you manage this condition.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Coastal Foot & Ankle Wellness Center, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact one of our offices located in St. Augustine, and Palatka, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Preventing lower-limb amputations in people with diabetes involves diligent care and monitoring, especially for foot health. High blood sugar over time can lead to peripheral arterial disease, which reduces blood flow to the feet and makes it more difficult for wounds to heal. Additionally, nerve damage resulting from high blood sugar levels can reduce sensation, leading patients to miss injuries that can worsen and become ulcerated. Even a minor cut can develop into a severe infection if unnoticed or untreated. Regular foot exams by a podiatrist can help identify early signs of complications, such as sores, ulcers, or infections. Through specialized wound care and appropriate treatments, podiatrists play an essential role in helping to prevent problems that could lead to gangrene or ultimately amputation. Promptly addressing any concerns with a podiatrist can significantly reduce the risk of these serious complications. If you have problematic foot ulcers resulting from diabetes, it is suggested that you make regular appointments with a podiatrist.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with one of our podiatrists from Coastal Foot & Ankle Wellness Center, LLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

If you have any questions, please feel free to contact one of our offices located in St. Augustine, and Palatka, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The biomechanics of the foot and ankle are important for efficient movement, stability, and shock absorption. During walking, the foot moves through a cycle that begins with heel strike, where the heel contacts the ground, absorbing impact and distributing force through the arch. As the foot rolls forward, it enters midstance, a phase where the entire foot bears weight, allowing for balance and stability. In the final push-off phase, the toes lift off, propelling the body forward. The ankle joint, connecting the foot to the leg, allows up and down movement, while the subtalar joint below enables side to side motion. Ligaments and tendons provide structural support, and the arch acts as a spring, storing energy with each step. Proper biomechanics ensure efficient movement, protect joints from excess stress, and reduce injury risk, maintaining foot health over time. It is suggested that you visit a podiatrist to have a foot and ankle examination and gait analysis to ensure you have proper biomechanics enabling optimum comfort and mobility.

If you have any concerns about your feet, contact one of our podiatrists from Coastal Foot & Ankle Wellness Center, LLC. 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 one of our offices located in St. Augustine, and Palatka, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tinea unguium, also known as onychomycosis, is a fungal infection that affects the nails, particularly the toenails. This condition causes changes in the appearance of the nails, which may become thickened, discolored, and brittle. Infected nails can also separate from the nail bed, causing discomfort and potential pain. The primary cause of tinea unguium is the overgrowth of fungi, particularly dermatophytes, which thrive in warm and moist environments. Risk factors include wearing tight footwear, having a history of athlete's foot, and compromised immune systems. Poor hygiene can also contribute to the development of this infection. Recognizing the symptoms early is essential for effective treatment, as untreated cases can lead to more severe complications. If you have toenail fungus symptoms, it is suggested that you consult with a podiatrist who can offer you prescribed medication for effective treatment.

For more information about treatment, contact one of our podiatrists of Coastal Foot & Ankle Wellness Center, LLC. Our doctors 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 St. Augustine, and Palatka, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.