Menu

Location

  • AminoFix injection for Plantar Fasciitis & Achilles Tendonitis
  • Arch Pain
  • Bunions And Bursitis
  • Certified Wound Care Specialist
  • Comprehensive Foot And Ankle Surgery
  • Congenital Foot And Ankle Deformities
  • Corns And Calluses
  • Diabetic Foot Care
  • Flat Feet
  • Foot And Ankle Fractures
  • Fungal Skin Infections


    • Hammertoes
    • Laser treatment for fungal nails
    • Heel Spurs
    • 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.

    Patient Forms

    Please print and fill out these forms so we can expedite your first visit:

    New Patients Form  [PDF]  [Online Form]

    In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download itGet Adobe Reader

    What is Diabetic Peripheral Neuropathy?
    Diabetic neuropathy is nerve damage caused by diabetes. When it affects the arms, hands, legs and feet it is known as diabetic peripheral neuropathy. Diabetic peripheral neuropathy is different from peripheral arterial disease (poor circulation), which affects the blood vessels rather than the nerves.

     

    Three different groups of nerves can be affected by diabetic neuropathy:

    • Sensory nerves, which enable people to feel pain, temperature, and other sensations
    • Motor nerves, which control the muscles and give them their strength and tone
    • Autonomic nerves, which allow the body to perform certain involuntary functions, such as sweating.

    Diabetic peripheral neuropathy doesn’t emerge overnight. Instead, it usually develops slowly and worsens over time. Some patients have this condition long before they are diagnosed with diabetes. Having diabetes for several years may increase the likelihood of having diabetic neuropathy.

    The loss of sensation and other problems associated with nerve damage make a patient prone to developing skin ulcers (open sores) that can become infected and may not heal. This serious complication of diabetes can lead to loss of a foot, a leg, or even a life.

    Causes
    The nerve damage that characterizes diabetic peripheral neuropathy is more common in patients with poorly managed diabetes. However, even diabetic patients who have excellent blood sugar (glucose) control can develop diabetic neuropathy. There are several theories as to why this occurs, including the possibilities that high blood glucose or constricted blood vessels produce damage to the nerves.

    As diabetic peripheral neuropathy progresses, various nerves are affected. These damaged nerves can cause problems that encourage development of ulcers. For example:

    • Motor Neuropathy (Deformity)

      +

      Ill-fitting shoes

      +

      Sensory Neuropathy (numbness)

      =

      Ulcers (sores)

      Deformities (such as bunions or hammertoes) resulting from motor neuropathy may cause shoes to rub against toes, creating a sore. The numbness caused by sensory neuropathy can make the patient unaware that this is happening.
    • Because of numbness, a patient may not realize that he or she has stepped on a small object and cut the skin.
    • Cracked skin caused by autonomic neuropathy, combined with sensory neuropathy’s numbness and problems associated with motor neuropathy can lead to developing a sore.

    Symptoms
    Depending on the type(s) of nerves involved, one or more symptoms may be present in diabetic peripheral neuropathy.

    For sensory neuropathy:

    • Numbness or tingling in the feet
    • Pain or discomfort in the feet or legs, including prickly, sharp pain or burning feet

    For motor neuropathy:

    • Muscle weakness and loss of muscle tone in the feet and lower legs
    • Loss of balance
    • Changes in foot shape that can lead to areas of increased pressure

    For autonomic neuropathy:

    • Dry feet
    • Cracked skin

    Diagnosis
    To diagnose diabetic peripheral neuropathy, the foot and ankle surgeon will obtain the patient’s history of symptoms and will perform simple in-office tests on the feet and legs. This evaluation may include assessment of the patient’s reflexes, ability to feel light touch, and ability to feel vibration. In some cases, additional neurologic tests may be ordered.

    Treatment
    First and foremost, treatment of diabetic peripheral neuropathy centers on control of the patient’s blood sugar level. In addition, various options are used to treat the painful symptoms.

    Medications are available to help relieve specific symptoms, such as tingling or burning. Sometimes a combination of different medications is used.

    In some cases, the patient may also undergo physical therapy to help reduce balance problems or other symptoms.

    Prevention
    The patient plays a vital role in minimizing the risk of developing diabetic peripheral neuropathy and in preventing its possible consequences. Some important preventive measures include:

    • Keep blood sugar levels under control.
    • Wear well-fitting shoes to avoid getting sores.
    • Inspect your feet every day. If you notice any cuts, redness, blisters, or swelling, see your foot and ankle surgeon right away. This can prevent problems from becoming worse.
    • Visit your foot and ankle surgeon on a regular basis for an examination to help prevent the foot complications of diabetes.
    • Have periodic visits with your primary care physician or endocrinologist. The foot and ankle surgeon works together with these and other providers to prevent and treat complications from diabetes.

    Appointment Request

    Our Locations

    Find us on the map

    Hours of Operation

    Our Regular Schedule

    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:

    Closed

    Sunday:

    Closed

    Sebastian Location

    Monday:

    Closed

    Tuesday:

    1:00 PM-5:00 PM

    Wednesday:

    Closed

    Thursday:

    1:00 PM-5:00 PM

    Friday:

    9:00 AM-12:00 PM

    Saturday:

    Closed

    Sunday:

    Closed