
Nerve damage in the feet, particularly involving the nerves between the toes, may lead to pain in the ball of the foot, also termed metatarsalgia. This type of nerve damage may result in a neuroma, which is a benign thickening of nerve tissue, commonly found between the third and fourth toes. Tight or poorly fitted shoes, reduced fat padding in the foot, and structural foot issues may place excessive pressure on these nerves. Symptoms of neuropathy include a mild ache or tingling in the toes, often becoming more intense with certain footwear. As the condition progresses, a patient may feel persistent burning pain or the sensation of having a pebble inside the shoe. A podiatrist may recommend footwear changes, orthotic devices, or injections. If conservative methods fail, surgery may be required to remove the affected nerve. If you have foot problems related to nerve damage in the feet, it is suggested that you schedule an appointment with a podiatrist.
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.

Diabetic foot ulcers and neuropathy are serious complications of diabetes that can lead to infection, hospitalization, or even loss of limbs if left untreated. Neuropathy, or nerve damage, reduces sensation in the feet, making it difficult to feel pain, heat, or injuries. This numbness increases the risk of unnoticed wounds, which can develop into open sores called ulcers that are slow to heal. These ulcers often occur on pressure points like the ball of the foot or heel. Symptoms may include redness, swelling, drainage, and, in severe cases, a foul odor. Some people may not feel any pain due to the loss of sensation, which can delay treatment. A podiatrist will examine your feet, assess circulation, and possibly use diagnostic tools like X-rays or vascular studies. Treatment may involve wound care, custom footwear, antibiotics, and offloading pressure from the affected area. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
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 and ankle needs.

A bunion is a bony bump that forms at the base of the big toe, causing the joint to stick out as the tip of the toe leans toward the others. Symptoms often include swelling, pain, redness, and difficulty wearing certain shoes. Bunions develop over time due to pressure on the joint, often caused by improper footwear, inherited foot structure, or arthritis. Risk factors include wearing narrow shoes, standing for long periods, and a family history of bunions. A podiatrist can evaluate the severity of the bunion, recommend supportive footwear, provide custom orthotics, and offer treatment options to reduce pain, improve alignment, and prevent the condition from worsening. If you notice the beginning signs of a bunion developing, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions.
If you are suffering from bunion pain, 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.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, 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.