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  • Congenital Foot And Ankle Deformities
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    • 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.

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    What Is a Neuroma?
    A neuroma is a thickening of nerve tissue that may develop in various parts of the body. The most common neuroma in the foot is a Morton’s neuroma, which occurs between the third and fourth toes. It is sometimes referred to as an intermetatarsal neuroma. “Intermetatarsal” describes its location in the ball of the foot between the metatarsal bones. Neuromas may also occur in other locations in the foot.

     

    MortonThe thickening, or enlargement, of the nerve that defines a neuroma is the result of compression and irritation of the nerve. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage.

    Causes
    Anything that causes compression or irritation of the nerve can lead to the development of a neuroma. One of the most common offenders is wearing shoes that have a tapered toe box, or high-heeled shoes that cause the toes to be forced into the toe box.

    People with certain foot deformities – bunions, hammertoes, flatfeet, or more flexible feet – are at higher risk for developing a neuroma. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running or court sports. An injury or other type of trauma to the area may also lead to a neuroma.

    Symptoms
    If you have a Morton’s neuroma, you may have one or more of these symptoms where the nerve damage is occurring:

    • Tingling, burning, or numbness
    • Pain
    • A feeling that something is inside the ball of the foot
    • A feeling that there’s something in the shoe or a sock is bunched up

    The progression of a Morton’s neuroma often follows this pattern:

    • The symptoms begin gradually. At first they occur only occasionally, when wearing narrow-toed shoes or performing certain aggravating activities.
    • The symptoms may go away temporarily by removing the shoe, massaging the foot, or by avoiding aggravating shoes or activities.
    • Over time the symptoms progressively worsen and may persist for several days or weeks.
    • The symptoms become more intense as the neuroma enlarges and the temporary changes in the nerve become permanent.

    Diagnosis
    To arrive at a diagnosis, the foot and ankle surgeon will obtain a thorough history of your symptoms and examine your foot. During the physical examination, the doctor attempts to reproduce your symptoms by manipulating your foot. Other tests or imaging studies may be performed.

    The best time to see your foot and ankle surgeon is early in the development of symptoms. Early diagnosis of a Morton’s neuroma greatly lessens the need for more invasive treatments and may avoid surgery.

    Non-surgical Treatment
    In developing a treatment plan, your foot and ankle surgeon will first determine how long you’ve had the neuroma and evaluate its stage of development. Treatment approaches vary according to the severity of the problem.

    For mild to moderate neuromas, treatment options may include:

    • Padding. Padding techniques provide support for the metatarsal arch, thereby lessening the pressure on the nerve and decreasing the compression when walking.
    • Icing. Placing an icepack on the affected area helps reduce swelling.
    • Orthotic devices. Custom orthotic devices provided by your foot and ankle surgeon provide the support needed to reduce pressure and compression on the nerve.
    • Activity modifications. Activities that put repetitive pressure on the neuroma should be avoided until the condition improves.
    • Shoe modifications. Wear shoes with a wide toe box and avoid narrow-toed shoes or shoes with high heels.
    • Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
    • Injection therapy. Treatment may include injections of cortisone, local anesthetics or other agents.

    When Is Surgery Needed?
    Surgery may be considered in patients who have not responded adequately to non-surgical treatments. Your foot and ankle surgeon will determine the approach that is best for your condition. The length of the recovery period will vary, depending on the procedure performed.

    Regardless of whether you’ve undergone surgical or nonsurgical treatment, your surgeon will recommend long-term measures to help keep your symptoms from returning. These include appropriate footwear and modification of activities to reduce the repetitive pressure on the foot.

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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:

    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