Medically known as bromodosis, smelly feet are a common year-round problem, especially for those living in the torrid climate of South Florida.

Why do feet smell?
Why do feet smell?

This unpleasant foot odor occurs when sweat mixes with bacteria that live on your skin and in your shoes, producing an acid byproduct that can leave you holding your nose in disgust.

Unfortunately, it’s impossible to completely stop your feet from sweating, regardless of the temperature or time of year. There are roughly 250,000 sweat glands in your feet — the largest concentration of sweat glands in the entire body — that produce around a pint of moisture every day. And unlike sweat glands elsewhere in the body, the sweat glands in your feet secrete all the time, not just in response to heat or exercise.

The main causes of foot odor are:

Poor personal hygiene: By not washing your body regularly, you fail to slow down the buildup of odor-causing bacteria.

Hormones: You excrete more sweat during hormonal changes, meaning teenagers going through puberty and pregnant women are at a higher risk for foot odor.

Fungal Infections: Any sort of fungal infection on your feet, such as athlete’s foot, can create foot odor.

Hyperhidrosis: A medical condition that causes your body to sweat more than usual.

Stress: Anxiety and stress trigger the release of a stress hormone called “cortisol,” which in turn stimulates the sweat glands.

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Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, is proud to announce the opening of his third practice in the South Florida region.

Dr. Goldbaum now has three offices serving the South Florida community.
Dr. Goldbaum now has three offices serving the South Florida community.

This new practice, located at 2900 N. Military Trail, Suite 290 in Boca Raton joins Dr. Goldbaum’s already established offices in Delray Beach and Boynton Beach.

With this new location, Dr. Goldbaum hopes to reach more patients in need of podiatric help in the area, while also making life easier on patients living in or around Boca Raton that previously had to drive long distances to seek out his care at either his Delray Beach or Boynton Beach office.

Dr. Goldbaum’s new office will feature the same hands-on, state-of-the-art treatment that many of you have already become accustomed to, such as Robotic Laser Therapy, 3-D Gait-Scan Analysis, Amniotic Stem Cell Therapy, and many other effective regenerative treatments.

If you would like to schedule an appointment at our new office, please see the contact information below.

We look forward to seeing you!

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The sesamoid bones are two small bones which are embedded in the tendon of the flexor hallucis brevis muscle just under the base of the big toe.

The purpose of the sesamoid bones is to protect the tendon of the flexor hallucis longus muscle and increase the strength of the muscle by giving it a mechanical advantage by acting as a level and take on most of the weight bearing on the inside of the foot.

Sesamoids provide a smooth surface over which the tendons slide, thus increasing the ability of the tendons to transmit muscle forces. The sesamoids in the forefoot also assist with weight bearing and help elevate the bones of the big toe.

Unfortunately, like all other bones, sesamoids can break. Additionally, the tendons surrounding the sesamoids can become irritated or inflamed, resulting in a condition known as sesamoiditis.


Sesamoiditis is commonly caused by performing similar actions that involve the toe over and over again.

Activities commonly associated with sesamoitis include:

  • Running
  • Dancing
  • Most sports


The symptoms of sesamoiditis can range from a dull ache to a sharp pain every time you walk. Additionally, bending the big toe upwards will generally cause the pain to worsen.

Other symptoms include:

  • Pain is focused under the great toe on the ball of the foot.
  • Pain often develops gradually
  • Swelling and bruising
  • The affected area may be swollen and slightly red.

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Running is a good and popular method of exercise that helps the runner lose weight and have better cardiovascular health. Running can also be very relaxing to some people since it can be therapeutic, and the additional health benefits make people choose running over many other types of exercise. Running also transports you from place to place, and it can be done with minimal equipment and whatever amount of time you have available. Running on different surfaces, such as pavement, sand and grass, all have a different impact to your feet.

Running on Different Surfaces

Running on Pavement

Running on pavement puts added stress on the foot and leg. (
Running on pavement puts added stress on the foot and leg. (

Running on pavement means you can run faster, because the surface is smooth and even. However, the consequence is that the surface is harder and has a bigger impact on the body due to the fact each stride can hit the same spot and cause the same impact stresses on the foot and leg. For those who already have issues with your feet, this may not be something you want to hear and maybe it’s time to change your scenery.

Beach Running

Running on the beach and sand is less stressful to the legs and hips because the impact of each stride is absorbed by the sand. It also requires more muscles to engage because of the lesser rebound effect, compared to pavement. The hip flexors, quads and glutes are all involved more when participating in beach running. For some, the intention of more muscle involvement makes beach running more attractive than other surfaces. For those with foot issues, this is a better alternative than pavement for your runs (and you can’t beat the views!).

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An estimated 20 million people in the United States suffer from some form of peripheral neuropathy, a condition that affects the normal activity of the nerves that connect the central nervous system — the brain and spinal cord — to the rest of the body.

Peripheral neuropathy can involve various different nerve types, including motor, sensory, and autonomic nerves. It can also be categorized by the size of the nerve fibers involved, large or small.

In the world of podiatry, most cases of peripheral neuropathy are found in the feet and develop from nerve damage caused by diabetes. Diabetic neuropathy can occur in both Type 1 and Type 2 diabetes. In Type 1 diabetes, the body does not produce the insulin necessary to convert glucose into the energy that the body needs. Type 2 diabetes, which is far more common, occurs when the body is unable to use insulin properly. It has been estimated that between 60 to 70 percent of diabetics will deal with some form of neuropathy in their lifetime, compared to only a 25 to 30 percent chance for non-diabetics.

The condition can also manifest itself in the feet as a side effect from certain medications, neurological disorders, arthritis or as a result from a traumatic injury. As of today, more than 100 types of peripheral neuropathy have been identified, each with its own symptoms and prognosis, and are classified according to the type of damage to the nerves have sustained.

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