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    • Hammertoes
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    • Metatarsal Disorders
    • Pediatric Foot And Ankle Problems & Injuries
    • Plantar Fasciitis
    • Plantar Warts
    • Reconstructive Surgery Of The Foot And Ankle
    • Sports Related Injuries
    • Traumatic Surgery Of The Foot And Ankle
    • Treatment Of Charcot Foot And Ankle Deformities
    • Treatment Of Ingrown, Fungal And Thickened Nail Conditions

    Welcome to the Patient Information Center! Here you will find information about the most common foot and ankle ailments. Click on any of the issues below to find out more about specific problems and what treatment options are available. Here you will also find links to interesting websites pertaining to podiatry. If you have any questions, feel free to Contact Us through the website or give us a call!

    Common Ailments

    Helpful Information & Links

    The path to board certification by the American Board of Podiatric Surgery (ABPS) begins after graduating from an approved podiatric surgical residency program after which our doctors pass a rigorous written examination to become board qualified. Next, doctors spent up to 6 years of their initial practice time collecting various patient cases which demonstrate to the ABPS their decision-making, competency, and skills as a foot and ankle surgeon. After submission of these cases, detailed review, and acceptance to the ABPS, doctors sit for the ABPS oral examination held in Chicago, IL.

    • Dr. Paradoa has satisfied requirements by the ABPS to become board certified in Foot, Reconstructive Rearfoot/Ankle Surgery.

    Our patients can feel confident that they are being treated by a foot and ankle surgeon who has dedicated years of her education, training, and experience to achieving board certification status by the American Board of Podiatric Surgery.
    The American Board of Podiatric Surgery website has a wealth of information about podiatry and the requirements that must be met.

    A Doctor of Podiatric Medicine (DPM) is to the foot and ankle what a dentist is to the mouth, or an ophthalmologist to the eye — a doctor specializing in the prevention, diagnosis and treatment of foot disorders resulting from injury or disease. A DPM makes independent judgments, prescribes medications and performs surgery. The human foot has a complex interrelation with the rest of the body which means that it may be the first area to show signs of serious conditions such as diabetes and cardiovascular disease. Since the podiatric physician is often the first to detect symptoms of these disorders, he or she becomes a vital and sometimes lifesaving link in the health care team.

    The American College of Foot & Ankle Surgeons is a professional society of thousands of foot and ankle surgeons. Their website contains a plethora of information about advances in podiatry and connects its members to share that knowledge.

    FootHealthFacts.org is the official consumer website of the American College of Foot and Ankle Surgeons. This is a wonderful resource of information! From what foot injuries Olympians have suffered from during the 2012 London Olympics to a growing trend in lawn mower accidents, you will find interesting, informative and compelling articles in the world of Podiatry.

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    AccesNav1What is the Accessory Navicular? 
    The accessory navicular (os navicularum or os tibiale externum) is an extra bone or piece of cartilage located on the inner side of the foot just above the arch. It is incorporated within the posterior tibial tendon, which attaches in this area.  

    An accessory navicular is congenital (present at birth). It is not part of normal bone structure and therefore is not present in most people.  
     
    What is Accessory Navicular Syndrome?
    People who have an accessory navicular often are unaware of the condition if it causes no problems. However, some people with this extra bone develop a painful condition known as accessory navicular syndrome when the bone and/or posterior tibial tendon are aggravated. This can result from any of the following:

    • Trauma, as in a foot or ankle sprain
    • Chronic irritation from shoes or other footwear rubbing against the extra bone
    • Excessive activity or overuse

    Many people with accessory navicular syndrome also have flat feet (fallen arches). Having a flat foot puts more strain on the posterior tibial tendon, which can produce inflammation or irritation of the accessory navicular.

    Signs and Symptoms of Accessory Navicular Syndrome
    Adolescence is a common time for the symptoms to first appear. This is a time when bones are maturing and cartilage is developing into bone. Sometimes, however, the symptoms do not occur until adulthood. The signs and symptoms of accessory navicular syndrome include:

    • A visible bony prominence on the midfoot (the inner side of the foot, just above the arch)
    • Redness and swelling of the bony prominence
    • Vague pain or throbbing in the midfoot and arch, usually occurring during or after periods of activity

    AccesNav2Diagnosis
    To diagnose accessory navicular syndrome, the foot and ankle surgeon will ask about symptoms and examine the foot, looking for skin irritation or swelling. The doctor may press on the bony prominence to assess the area for discomfort. Foot structure, muscle strength, joint motion, and the way the patient walks may also be evaluated.  

    X-rays are usually ordered to confirm the diagnosis. If there is ongoing pain or inflammation, an MRI or other advanced imaging tests may be used to further evaluate the condition.

    Treatment: Non-Surgical Approaches 
    The goal of non-surgical treatment for accessory navicular syndrome is to relieve the symptoms. The following may be used:

    • Immobilization. Placing the foot in a cast or removable walking boot allows the affected area to rest and decreases the inflammation.
    • Ice. To reduce swelling, a bag of ice covered with a thin towel is applied to the affected area. Do not put ice directly on the skin.
    • Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be prescribed. In some cases, oral or injected steroid medications may be used in combination with immobilization to reduce pain and inflammation.
    • Physical therapy. Physical therapy may be prescribed, including exercises and treatments to strengthen the muscles and decrease inflammation. The exercises may also help prevent recurrence of the symptoms.
    • Orthotic devices. Custom orthotic devices that fit into the shoe provide support for the arch, and may play a role in preventing future symptoms.

     

    Even after successful treatment, the symptoms of accessory navicular syndrome sometimes reappear.  When this happens, non-surgical approaches are usually repeated.

    When Is Surgery Needed? 
    If non-surgical treatment fails to relieve the symptoms of accessory navicular syndrome, surgery may be appropriate. Surgery may involve removing the accessory bone, reshaping the area, and repairing the posterior tibial tendon to improve its function. This extra bone is not needed for normal foot function.

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    Vero Beach Location

    Monday:

    9:00 AM-5:00 PM

    Tuesday:

    9:00 AM-5:00 PM

    Wednesday:

    9:00 AM-5:00 PM

    Thursday:

    9:00 AM-5:00 PM

    Friday:

    9:00 AM-12:00 PM

    Saturday:

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    Sunday:

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    Sebastian Location

    Monday:

    Closed

    Tuesday:

    1:00 PM-5:00 PM

    Wednesday:

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    Thursday:

    1:00 PM-5:00 PM

    Friday:

    9:00 AM-12:00 PM

    Saturday:

    Closed

    Sunday:

    Closed