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When an Ingrown Toenail Keeps Coming Back

Tuesday, 09 June 2026

An ingrown toenail happens when the edge of a nail grows into the surrounding skin instead of resting above it. This can cause tenderness, swelling, redness, and sometimes drainage, if an infection develops. Tight shoes, improper nail trimming, injury, and natural nail shape can all play a role. Early cases may improve with conservative care, but some ingrown nails continue to return or become increasingly painful. When simpler treatments do not bring relief, a podiatrist may recommend a minor in-office procedure that removes the problem section of the nail while preserving the rest. This targeted approach is commonly chosen because it is straightforward, well-tolerated, and associated with a smooth recovery for many patients. The goal is to ease discomfort and lower the chance of the issue returning. If you have a painful or recurring ingrown toenail, it is strongly suggested that you visit a podiatrist for appropriate treatment solutions.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

Improper toenail trimming
Genetics
Improper shoe fitting
Injury from pedicures or nail picking
Abnormal gait
Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Common Reasons for the Development of a Hammertoe

Tuesday, 02 June 2026

Hammertoes are considered to be a foot deformity, commonly affecting the second, third or fourth toes. This condition can cause the toe to bend downward, resembling a hammer. Hammertoes can be brought on by a muscle imbalance in the feet, wearing tightly fitted shoes, and nerve damage, which is often linked to complications with diabetes. Hereditary reasons pertaining to the overall structure of the legs and feet can also play a role in the development of a hammertoe. To help treat this condition, custom orthotics are often prescribed to improve the structure and function of the affected toe. For a proper diagnosis and advised treatment plan, please consult with a podiatrist.

Hammertoes can be a painful condition to live with. For more information, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

Painful and/or difficult toe movement
Swelling
Joint stiffness
Calluses/Corns
Physical deformity

Risk Factors

Age – The risk of hammertoe increases with age
Sex – Women are more likely to have hammertoe compared to men
Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wounds That Don't Heal Need to Be Checked

Sunday, 31 May 2026

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Numbness in the Feet and Loss of Sensation

Tuesday, 26 May 2026

Numbness in the feet can develop from several causes related to nerve function, circulation, or underlying conditions. One common cause is peripheral neuropathy, which affects the nerves responsible for sensation, and can interfere with how the feet detect touch, temperature, and pain. The nerves play an important role in balance and protection, so when they are impaired, individuals may notice tingling, burning, or a reduced ability to feel the ground when walking. Causes include diabetes, prolonged pressure on nerves, injury, or poor circulation. Symptoms can develop gradually and may worsen over time, increasing the risk of unnoticed cuts or sores. A podiatrist can evaluate sensation and circulation through an examination ,and may recommend further testing, if needed. Treatment focuses on managing the underlying cause and protecting the feet. It also aims to improve function through supportive care and targeted exercises. If you have numbness in your feet, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnose and 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 John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor 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 office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever’s Disease and Growing Feet

Tuesday, 19 May 2026

Sever's disease affects children and teens, causing pain in the heel due to inflammation of the growth plate where the Achilles tendon attaches. It often develops during periods of rapid growth or increased physical activity, placing repeated stress on the heel. Symptoms include heel pain that worsens with running, jumping, or prolonged standing. Swelling and tenderness at the back of the heel are other symptoms. Risk factors include participation in sports, tight calf muscles, flat feet, and improper footwear that does not provide adequate support. Without proper care, discomfort may limit activity and affect mobility. A podiatrist can help by assessing foot mechanics, recommending supportive footwear or orthotics, and providing treatment to relieve pain. If your active child has heel pain, it is suggested that you consult a podiatrist who can offer appropriate relief solutions.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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