SPOTLIGHT DOCTOR OF THE MONTH  Nicole Roth, D.P.M. Foot & Ankle Surgery/Podiatric Medicine Dr. Nicole Roth is a Board Qualified Foot and Ankle Surgeon. She is a graduate of the Kent State University College of Podiatric Medicine, formally the Ohio College of Podiatric Medicine. Dr. Roth completed her three-year surgical residency at J.F.K Medical Center in Atlantis, FL. She is trained in reconstructive foot and ankle surgery, podiatric medicine, traumatic and non-traumatic surgical management of the foot and ankle. She is also trained in sports medicine, internal and external fixation for extremity reconstruction, management of various lower extremity deformities, limb corrective surgery, trauma stabilization, arthrodesis techniques of the foot and ankle joints, diabetic limb salvage, and wound care. Dr. Roth is an active member of the American College of Foot and Ankle Surgeons, the American Podiatric Medical Association, Florida Podiatric Medical Association, and the Palm Beach County Podiatric Medical Association.   Adult Acquired Flatfoot A variety of foot problems can lead to adult acquired flatfoot deformity (AAFD), a condition that results in a fallen arch with the foot pointed outward. Most people - no matter what the cause of their flatfoot - can be helped with orthotics and braces. In patients who have tried orthotics and braces without any relief, surgery can be a very effective way to help with the pain and deformity. One of the more common signs of flatfoot is the "too many toes" sign. Even the big toe can be seen from the back of this patient's foot. In a normal foot, only the fourth and fifth toes should be visible. Symptoms Depending on the cause of the flatfoot, a patient may experience one or more of the different symptoms below: Pain along the course of the posterior tibial tendon which lies on the inside of the foot and ankle. This can be associated with swelling on the inside of the ankle. Pain that is worse with activity. High intensity or impact activities, such as running, can be very difficult. Some patients can have difficulty walking or even standing for long periods of time. When the foot collapses, the heel bone may shift position and put pressure on the outside ankle bone (fibula). This can cause pain on the outside of the ankle. Arthritis in the heel also causes this same type of pain. Patients with an old injury or arthritis in the middle of the foot can have painful, bony bumps on the top and inside of the foot. These make shoewear very difficult. Occasionally, the bony spurs are so large that they pinch the nerves which can result in numbness and tingling on the top of the foot and into the toes. Diabetics may only notice swelling or a large bump on the bottom of the foot. Because their sensation is affected, people with diabetes may not have any pain. The large bump can cause skin problems and an ulcer (a sore that does not heal) may develop if proper diabetic shoewear is not used. Click her for more information We are EXCITED to announce that we are MOVING to our new home in Lake Worth. -March 2016-   180 JFK Drive  Atlantis, FL 33462 CONTACT US    Lake Worth Office:  (Until March 2016) 4801 S. Congress Ave.  Suite 400 Lake Worth, FL 33461   Boynton Beach Office: 6056 Boynton Beach Blvd. Suite 245 Boynton Beach, FL 33437   Wellington Office: 1035 S. State Rd 7 Suite 119 Wellington, FL 33414   Main Number for all offices: 561.967.6500 www.ocpbc.com   Click here to join our mailing list.