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Podiatrist in Clearwater, FL – Heel Pain



Podiatrist in Clearwater, FL – Heel Pain The most common form of heel pain, is pain on the bottom of the heel. It tends to occur for no apparent reason and is often worse when first placing weight on the foot. Patients often complain of pain the first thing in the morning or after getting up to stand after sitting. The pain can be a sharp, searing pain or present as a tearing feeling in the bottom of the heel. As the condition progresses there may be a throbbing pain after getting off your feet or there may be soreness that radiates up the back of the leg. Pain may also radiate into the arch of the foot. To understand the cause of the pain one must understand the anatomy of the foot and some basic mechanics in the function of the foot. A thick ligament, called the plantar fascia, is attached into the bottom of the heel and fans out into the ball of the foot, attaching into the base of the toes. The plantar fascia is made of dense, fibrous connective tissue that will stretch very little. It acts something like a shock absorber. As the foot impacts the ground with each step, it flattens out lengthening the foot. This action pulls on the plantar fascia, which stretches slightly. When the heel comes off the ground the tension on the ligament is released. Anything that causes the foot to flatten excessively will cause the plantar fascia to stretch greater that it is accustom to doing. One consequence of this is the development of small tears where the ligament attaches into

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Bunions – Podiatrist in Clearwater, FL



Bunions – Podiatrist in Clearwater, FL One of the more common conditions treated by podiatric surgeons is the painful bunion. Patients with this condition will usually complain of pain when wearing certain shoes, especially snug fitting dress shoes. Treatment may involve shoe gear modification, padding and orthoses. When this fails to provide adequate relief, surgery is often recommended. There are several surgical procedures to correct bunions. Selection of the most appropriate procedure for each patient requires knowledge of the level of deformity, review of the x-rays and an open discussion of the goals of the surgical procedure. Almost all surgical procedures require cutting and repositioning the first metatarsal. In the case of mild to moderate bunion deformities the bone cut is most often performed at the neck of the metatarsal (near the joint). Cause of Bunion Deformity The classic bunion, medically known as hallux abductovalgus or HAV, is a bump on the side of the great toe joint. This bump represents an actual deviation of the 1st metatarsal and often an overgrowth of bone on the metatarsal head. In addition, there is also deviation of the great toe toward the second toe. Shoes are often blamed for creating these problems. This is inaccurate. It has been noted that primitive tribes, where going barefoot is the norm, will develop bunions. Bunions develop from abnormal foot structure and mechanics which place an undue load on the 1st metatarsal. This leads to

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Podiatrist in Clearwater, FL – Advanced Foot and Surgery Center



We are dedicated to serving our community by providing superior health care and personal attention for our patients. Our mission is to take pride and gain satisfaction in providing ongoing service to others in a gentle, caring environment. We realize and firmly believe that every individual has value and worth. Each and every one should be treated with the highest level of respect and integrity. To accomplish our mission, we will provide: 1. A highly trained and professional staff 2. State of the art equipment and technology 3. A concern for our patient’s time 4. Ongoing interaction and interest 5. Patient education and home care advice/supplies As a result of these provisions, we hope that: 1. Our patients will be highly satisfied with the personalized care and service they will experience here 2. They will continue as a part of our practice family 3. They will enjoy healthy, comfortable and improved foot function 4. Our patients will feel a desire to refer their friends and family One thing we promise and guarantee is: WE WILL DO OUR VERY BEST TO SERVE YOU! Dr. Miller has been a Podiatric Physician and Surgeon since 1987, with the majority of this time building a succesful practice in the St. Petersburg area. In 1981, Dr. Miller received his Bachelor of Science Degree from Wayne State University in Detroit, Michigan. He then went on to the Dr. William M. Scholl College of Podiatric Medicine in Chicago Illinois to receive his Doctor of Podiatric Medicine Degree. Dr

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Diabetic Foot Care – Podiatrist in Clearwater, FL



Diabetic patients are particularly at risk for significant foot problems that can lead to the loss of their feet or legs. The most common cause of hospitalization for the diabetic patient is foot infections. Foot related problems for the diabetic patient are responsible for significant time off work. Foot ulcerations can take weeks or months to heal. here are two conditions that are associated with diabetes that put the patient at risk. The first is called neuropathy, which is a nerve condition that frequently affects the feet. There is a gradual loss in the patient’s ability to perceive the protective sensations. The protective sensations are the ability to feel pain, to feel the difference between hot and cold, sharp and dull, vibration, and excessive pressure. This loss of sensation can become quite profound. Patients can step on sharp objects or cut themselves and not feel pain. They may burn themselves with scalding water and not be aware of it, and they can develop pressure sores and infections and experience little or no pain. Because of this condition, diabetic patients must be constantly aware of their feet and inspect them daily. They should avoid walking barefoot and always check the temperature of their bath water or foot baths prior to immersing their feet. Special care should be taken when trimming the toenails. The sharp trimming of corns and calluses and over-the-counter corn removers should be avoided. Shoe gear must be appropriately fitted to avoid areas

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Podiatrist in Clearwater, FL – Loren Miller, DPM



We are dedicated to serving our community by providing superior health care and personal attention for our patients. Our mission is to take pride and gain satisfaction in providing ongoing service to others in a gentle, caring environment. We realize and firmly believe that every individual has value and worth. Each and every one should be treated with the highest level of respect and integrity. To accomplish our mission, we will provide: 1. A highly trained and professional staff 2. State of the art equipment and technology 3. A concern for our patient’s time 4. Ongoing interaction and interest 5. Patient education and home care advice/supplies As a result of these provisions, we hope that: 1. Our patients will be highly satisfied with the personalized care and service they will experience here 2. They will continue as a part of our practice family 3. They will enjoy healthy, comfortable and improved foot function 4. Our patients will feel a desire to refer their friends and family One thing we promise and guarantee is: WE WILL DO OUR VERY BEST TO SERVE YOU! Dr. Miller has been a Podiatric Physician and Surgeon since 1987, with the majority of this time building a succesful practice in the St. Petersburg area. In 1981, Dr. Miller received his Bachelor of Science Degree from Wayne State University in Detroit, Michigan. He then went on to the Dr. William M. Scholl College of Podiatric Medicine in Chicago Illinois to receive his Doctor of Podiatric Medicine Degree. Dr

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Ingrown Toenails and Fungal Nails – Podiatrist in Clearwater, FL



Ingrown Toenails and Fungal Nails – Podiatrist in Clearwater, FL Ingrown toenails are due to the penetration of the edges of the nail plate into the soft tissue of the toe. It begins with a painful irritation that often becomes infected. With bacterial invasion, the nail margin becomes red and swollen often demonstrating drainage or pus. In people who have diabetes or poor circulation this relatively minor problem can be become quite severe. In this instance a simple ingrown toenail can result in gangrene of the toe. These patients should seek medical attention at the earliest sign of an ingrown toenail. There are several causes of ingrown toenails: a hereditary tendency to form ingrown toenails, improperly cutting the toenails either too short or cutting into the side of the nail and ill-fitting shoes can cause them. Children will often develop ingrown toenails as a result of pealing or tearing their toenails off instead of trimming them with a nail clipper. Once an ingrown toenail starts, they will often reoccur. Many people perform “bathroom” surgery to cut the nail margin out only to have it reoccur months later as the nail grows out. Treatment Treatment for ingrown toenails is relatively painless. The injection to numb the toe may hurt some, but a skilled doctor has techniques to minimize this discomfort. Once the toe is numb, the nail margin is removed and the nail root in this area is destroyed. The doctor may use an acid to kill the root of the nail, but other

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