
The feet can often reveal early signs of liver problems that might otherwise go unnoticed. One common indication is the appearance of spider veins, which are small, visible blood vessels that can form on the feet and ankles when the liver is not properly filtering blood. Cracked heels may also suggest liver dysfunction, as poor circulation and dehydration associated with liver issues can lead to dry, splitting skin. Another sign to watch for is white nail beds, which can signal a lack of healthy blood flow or low protein levels caused by liver disease. These changes in the feet may seem minor at first, but they can provide important clues about underlying liver health. If you notice any changes to your feet, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you if an underlying health issue is a concern.
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 one of our podiatrists from Adler Foot and Ankle. Our doctors 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 feel free to contact our offices located in Hallandale and North Miami Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Selecting the proper shoes for marathon running is essential to ensure comfort, performance, and injury prevention. The ideal running shoe should match your foot type, gait, and running style. It is important to choose a shoe that offers adequate cushioning to absorb impact while providing support and stability over long distance. Trying on shoes later in the day, when feet are slightly swollen, can give a more accurate fit. A snug but not tight fit is key, with enough room in the toe box to accommodate foot movement. Prioritizing comfort and function over style will help you stay focused on your training. If you are considering running in a marathon, it is suggested you confer with a podiatrist who can help you choose shoes that are right for you.
If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Adler Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.
- Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
- Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
- Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.
If you have any questions please feel free to contact our offices located in Hallandale and North Miami Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Peripheral neuropathy in people with diabetes often affects the feet, toes, and ankles, leading to symptoms such as numbness, tingling, or reduced sensation. This can make it difficult to detect minor injuries, which may become serious without proper care. For example, a small blister from wearing poorly fitting shoes or a cut from stepping on something sharp can go unnoticed and develop into a diabetic foot ulcer. Ulcers are slow-healing wounds that can become infected, especially when high blood sugar levels restrict blood flow to the feet. Reduced circulation limits the delivery of infection-fighting cells, increasing the risk of complications like gangrene. In cases where gangrene develops, surgery may be required to remove damaged tissue, and, in severe situations, loss of a toe or foot might result. A podiatrist can provide regular foot exams, remove damaged tissue, treat ulcers, and help manage infections before they progress. If you have foot issues caused by diabetes, it is suggested that you schedule regular appointments with a podiatrist for appropriate treatment.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Adler Foot and Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our offices located in Hallandale and North Miami Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Custom orthotics can be used to relieve foot pain and discomfort. They're also used to treat various foot conditions and deformities. Flat feet, bunions, and Morton's neuroma are just a few of the foot conditions that have been known to benefit from the use of orthotics.
Comfy feet are happy feet! Contact us today.