January 2026

In individuals living with diabetes and reduced sensation in the feet, skin warmth can offer important clues about tissue health. Under normal conditions, both feet tend to show similar surface warmth when measured at matching locations. Small variations are expected, but noticeable differences between the left and right foot may signal irritation, inflammation, or increased stress on one area. Consistently higher warmth at a specific spot can appear before visible skin breakdown or pain develops, especially in people who do not feel early warning signs. Daily activity, footwear, circulation, and swelling can all influence readings, which is why patterns matter more than a single measurement. Monitoring changes over time helps identify potential problems early and supports preventive care strategies. When unusual warmth differences, redness, or skin changes are noticed, it is suggested that a podiatrist is seen for a proper evaluation and appropriate treatment.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact John Mccain, DPM from Advanced Foot & Ankle Specialists, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Psoriatic arthritis is an inflammatory condition linked to psoriasis, which can affect the feet in multiple ways because both joints and soft tissues become involved. Many people notice stiffness in the toes or mid-foot, along with swelling that makes shoes feel tighter than usual. The condition can also inflame the tendons, especially around the heel or along the top of the foot, creating soreness during walking or climbing stairs. Some individuals develop dactylitis, where an entire toe becomes swollen and tender, giving it a sausage-like appearance. Skin plaques related to psoriasis may also appear on the feet and add to irritation. Because symptoms can fluctuate and progress over time, early evaluation helps determine which areas need the most support. A podiatrist can assess joint alignment, recommend footwear, provide inserts, and offer treatments that reduce inflammation. If foot symptoms from psoriatic arthritis are affecting daily activities, it is suggested that you see a podiatrist for effective relief tips.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact John Mccain, DPM from Advanced Foot & Ankle Specialists, PA. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please contact one of our offices located in Stuart and Jupiter, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A partial tear of the long peroneal tendon is a challenging injury, especially for athletes who rely on speed, balance, and rapid direction changes. This type of damage often develops after a significant ankle sprain, when the tendon is overstretched or strained during an abrupt twist. Evaluation begins with a careful physical exam to identify tenderness, swelling, and weakness along the outer side of the ankle. Imaging plays an important role as well. X-rays help rule out fractures, while MRI offers a detailed view of the soft tissues, confirming the extent of the tendon injury. Treatment focuses on reducing inflammation, protecting the tendon, and restoring stability. Bracing, activity modification, and targeted rehabilitation strengthen the surrounding muscles and support healing. In some cases, advanced therapies may be recommended for optimal recovery. It is suggested that you see a podiatrist promptly if you suspect a tendon injury.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with John Mccain, DPM from Advanced Foot & Ankle Specialists, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

Hagland's deformity is a bony enlargement on the back of the heel that often develops where the Achilles tendon attaches. It is commonly caused by wearing rigid footwear or high heels, repetitive irritation, or inherited foot structure. This condition may look like a noticeable bump on the back of the heel, and is often accompanied by redness or swelling. It can feel sore, stiff, tender, or painful, especially when wearing closed shoes or during walking and exercise. Some people experience aching or burning sensations as the surrounding tissue becomes inflamed. A podiatrist can help from the start by performing a thorough examination, reviewing footwear habits, assessing biomechanics, and using imaging, if needed for confirmation. Treatment may include shoe modifications, padding, stretching programs, and inflammation management to relieve pressure and discomfort. Early care can prevent worsening symptoms and improve daily comfort. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnose and effective treatment solutions.

Many people suffer from bouts of heel pain. For more information, contact John Mccain, DPM of Advanced Foot & Ankle Specialists, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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