This is a common "over-use injury" caused by increased activity with inadequate support to the arch or plantar fascia. Individuals who are required to stand or walk as part of their occupation, as well as increased use of flip-flops or flat shoes with little or no arch support, and the stress caused by hard floors (tile, concrete) can also create this very painful condition. There are several effective treatment modalities for this condition with a high success rate and this condition rarely requires surgery.

This condition causes pain (burning, numbness, swelling) in the ball of the foot or between the 2nd, 3rd, 4th toes and is caused by the nerve being pinched between the metatarsals. It is a benign growth of nerve and can be debilitating if not treated.

Dr. Kinley performs in-office X-Rays to evaluate any type of trauma. Treatments can vary from simple splinting to cast immobilization, and surgery if needed.

This condition is caused by "wear and tear" of the body, especially common in the foot, which is the foundation of the entire body. Some systemic conditions can cause other types of arthritis/pain of the feet and Dr. Kinley works in conjunction with local rheumatologist in helping her patients to maintain their desired activity level. Often, cortisone injections will relieve the inflammation in specific joints or tendons for long periods of time. Dr. Kinley offers many other types of treatment based on her patient's symptoms and specific situations. She is known for giving "very gentle injections".

These conditions are often seen in combination, caused either by hereditary factors, long-term poor shoe gear, or other mechanical problems of the foot/ankle. Dr. Kinley's treatments vary from conservative (padding of feet or shoe inserts and liners, trimming callouses and corns, shoe gear modifications, and sometimes Orthotic devices). However, this is also the most common type of surgical procedure performed by Dr. Kinley. Dr. Kinley has extensive surgical experience in treating multiple types of bunion deformities with procedures specific to the deformity. Bunion surgeries can vary in complexity from basic removal of spurs to cutting/shifting/screw fixation for more severe deformities. Patients with these conditions require a detailed examination through X-ray, physical exam, and biomechanical exam of the feet to determine the best treatment. Minor hammertoes and corns caused by bone spurs can be treated with minor office surgery. However, all bunion surgeries require hospital day surgery.

Florida is a perfect environment for fungus to invade and live in toenails. This is due to a combination of the warm/humid environment and a population more prone to infection with advanced age. Often the condition of fungus infection can be caused by an ingrown nail or vice versa. Permanent removal of the borders (sides) or the entire toenail is sometimes necessary to treat and prevent fungus infection of the nail. Dr. Kinley also uses a combination of effective topical medication (for mild infections) and oral medication (pill which requires liver monitoring, but very safe) to treat this condition.

This is one of the most common conditions treated by Dr. Kinley. Many times, the condition of ingrown nails is inherited and the nail becomes more curved and painful over time. In severe cases, individuals can't wear closed-in shoes and have pain of the toe even from the covers in bed. Ingrown nails can be treated in the office setting using gentle local anesthesia . The ingrown borders can be treated either temporarily which usually heals within 3-7 days or permanently which takes 4-5 weeks to heal. Permanent removal involves the use of a chemical which burns the root of the nail, causes minimal pain, and has a 97% success rate. Permanent removal can only be performed after any infection is treated and resolved.

Dr. Kinley treats these condition with a combination of trimming (debriding), topical medications, and surgery to biopsy or remove the growths as needed. These conditions are all treated in the office minor surgery suite with gentle local anesthesia. Any biopsies are sent to a well respected lab that specializes in the diagnosis of foot lesions.

These are common painful skin conditions caused by bunions, hammertoes, and bone prominences which cause excessive pressure spots in shoes or on the bottom of the feet when walking. Lesions can vary in severity from minor shoe pressure to severe pain limiting a person's ability to walk or wear closed-in shoes. Dr. Kinley provides gentle treatment for these conditions with a combination of trimming (debriding), padding, foam and gel spacers, shoe liner or arch support modifications, and sometimes surgery when indicated to give long-term relief of pain. X-rays are sometimes needed to evaluate the structural/bone condition causing the pain.

There are many causes for rashes or peeling of the feet and symptoms can vary. Dr. Kinley does a thorough evaluation to determine the cause of the condition. Sometimes a culture or biopsy is required, but usually these conditions can be treated with a combination of topical medications.

These conditions can vary from a minor annoyance to a limb-threatening condition, based on the cause and severity. The veins and their associated valves tend to become less efficient at pumping and returning blood from the legs with age, and swelling can become severe enough to cause open lesions (ulcers) of the legs. The arteries can become narrowed due to plaques caused by several diseases, which can lead to difficulty walking and eventually can lead to amputation due to lack of blood supply to the feet. When open lesions (ulcers) develop from disease of the arteries, a serious condition occurs and Dr. Kinley refers her patients to well-respected vascular specialists in the local area. Minor vascular testing can be performed in the office for less severe cases. Dr. Kinley uses several types of wound care products to treat ulcerations of the legs and feet and patients are monitored for progress on a regular basis. As always, Dr. Kinley uses gentle technique and sometimes local anesthesia if needed.

Dr. Kinley performs a thorough evaluation of the feet and legs and obtains a thorough history in attempting to find the cause of this difficult condition. Sometimes pain of the feet and legs can be caused by lower back conditions, which sometimes responds to specific medications to relieve the symptoms. However, if it is determined that the condition is caused by a specific foot condition, Dr. Kinley uses a combination of treatments to relieve and prevent continued pain. When indicated, Dr. Kinley prescribes a Prescription Vitamin or "medical food" to help regenerate the small nerve endings which sometimes relieves the pain and numbness.

This condition causes pain (burning, numbness, swelling) in the ball of the foot or between the 2nd, 3rd, 4th toes and is caused by the nerve being pinched between the metatarsals. It is a benign growth of nerve and can be debilitating if not treated.

Our office offers comprehensive Diabetic and Preventive Foot Care for several high-risk medical conditions. Most importantly, Dr. Kinley specializes in the treatment and prevention of diabetes-related conditions including neuropathy, ulcerations, conditions caused by poor fitting shoes. Education and shoe-gear modifications are important in preventing Diabetic Complications.

Individuals with Poor Circulation (Artery or Vein), Severe Neuropathy (lack of feeling in feet), treatment with certain blood thinners, paralysis, or Advanced Kidney disease are at high risk of developing severe foot complications and it's recommended that they receive preventive foot care by a Podiatrist on a regular basis.