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Bone spurs are areas of extra bone that can form near a joint. In the foot, they often develop around the big-toe joint, heel, or ankle. A bone spur does not always cause symptoms. However, it can press against nearby tissue, restrict movement, and make wearing shoes uncomfortable. Pain, stiffness, or a hard bump can interfere with walking. Arthritis, injury, and repeated stress can contribute to their formation. A podiatrist can examine the foot and use X-rays to confirm the spur's location and size.

Bone spur surgery is usually considered when pain continues despite treatment or when joint movement is severely limited. The procedure depends on the spur's location and the condition of the joint. For a spur on the big-toe joint, the podiatrist may remove the extra bone through an incision. The podiatrist may also remove damaged tissue around the joint. In advanced cases, another procedure may be necessary to stabilize or realign the joint. Before recommending surgery, the podiatrist reviews circulation, nerve function, and overall health. These factors help determine whether the foot is likely to heal properly.

Recovery varies with the procedure. After bone spur removal, care includes resting the foot, using a special shoe, and keeping the incision clean. The podiatrist provides instructions about weight-bearing and a safe return to regular shoes. Follow-up visits allow the podiatrist to check healing, remove stitches, and monitor joint movement. Possible problems include infection, delayed healing, and continued pain. Stiffness or another spur can develop later. Patients should report redness, drainage, or severe pain. Follow-up care can protect the incision and help the foot regain movement. The goal of surgery is to reduce pain and improve function, although results depend on the amount of joint damage. If you have symptoms of a bone spur on the big toe, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Athlete's foot, medically known as tinea pedis, is a common fungal infection that affects the skin of the feet. It typically develops in warm, moist environments where fungi thrive. This condition often begins between the toes, but can spread to other areas of the foot if not treated. Athlete’s foot is contagious and can be transmitted through direct contact or by walking on contaminated surfaces such as locker rooms or pool areas. Understanding the definition and causes of this infection is essential for prevention and proper care.

Symptoms of athlete’s foot include itching, burning, and stinging sensations on the skin. The affected area may appear red, scaly, or cracked. In some cases, peeling skin and small blisters may develop. The infection can also spread to the toenails, causing discoloration or thickening. These symptoms may worsen in damp conditions and can lead to discomfort during daily activities. Early recognition can help limit the spread and severity of the infection.

Several risk factors increase the likelihood of developing athlete’s foot. Wet or sweaty feet create an ideal environment for fungal growth. Wearing plastic-lined shoes or footwear that does not allow airflow can trap moisture and promote infection. Individuals with toenail injuries or compromised skin barriers may also be more susceptible. Additionally, walking barefoot in shared spaces increases exposure to fungi. These factors contribute to the widespread nature of this condition.

Preventing athlete’s foot involves keeping the feet clean and dry, wearing breathable footwear, and avoiding shared surfaces without protection. Changing socks regularly and allowing shoes to air out can reduce moisture buildup. Using protective footwear in public areas can also lower risk. Prompt treatment can prevent complications and spread. If you have athlete's foot, it is suggested that you consult a podiatrist for effective relief and treatment solutions, which may include prescribed medication. 

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are 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 and ankle needs.

A bunion is a common foot problem that develops near the big toe joint. The big toe may gradually move toward the other toes while the joint creates a noticeable bump along the side of the foot. This area can become sore, red, or swollen. You may also notice that your shoes feel tighter or that walking becomes uncomfortable. Bunions are not caused by shoes alone. Your natural foot structure and family history can also make you more likely to develop one.

Several factors may contribute to bunion development. Having a family history of bunions can increase your risk. Flat feet or flexible joints may also affect how your feet move. Wearing tight shoes and high heels can place extra pressure on the toes and make existing symptoms worse. Running may also increase discomfort if you already have a bunion. Long-distance running may increase this stress, especially when your shoes do not provide enough room or support.

A bunion often looks like a bump beside the big toe. The toe may gradually turn inward as the bunion becomes more noticeable. You may experience swelling, tenderness, or irritation around the joint. Friction from shoes can sometimes cause thickened skin or corns. Runners may notice pain while exercising, stiffness in the toe, or aching after a run. Everyone experiences bunions differently. Getting podiatric guidance early can help identify what may be contributing to your discomfort and support better foot function.

If running has started to make your bunion uncomfortable, small changes may help. Consider wearing running shoes with a roomy toe box. Avoid footwear that squeezes the front of your foot. A podiatrist can also evaluate how your feet and body move during activity. They can recommend supportive strategies and activity changes that may improve comfort. If you enjoy running and have developed a bunion, it is suggested that you consult a podiatrist to explore effective relief and management 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.

Hammertoe is a toe deformity that causes one of the smaller toes to remain bent instead of lying flat. It usually affects the second, third, or fourth toe. The abnormal bend can create pressure where the toe rubs against a shoe. Corns can form on top of the toe, while calluses can develop near its tip. Pain while walking can become more noticeable as the deformity progresses. Some patients also have other foot changes, including high arches or a bunion.

Several factors can contribute to hammertoe.  wearing shoes that are too tight in the toe box can squeeze the toes into a bent position. High-heeled shoes can also increase pressure on the front of the foot. In some patients, the structure of the foot or an imbalance in the muscles and tendons contributes to the deformity. A hammertoe can remain flexible in its early stages, meaning the toe can still be straightened. As the condition progresses, the joint can become stiff and remain fixed in a bent position.

A podiatrist can examine the affected toe and determine whether the deformity is flexible or rigid. X-rays can show which joints are involved and whether other changes are present. Treatment for a flexible hammertoe can include padding, splints, or prescription orthotics. A podiatrist can also recommend properly-fitting shoes with enough room in the toe box to reduce pressure. When the toe becomes rigid and painful, surgery can be considered to straighten it and improve function. Treatment depends on the severity of the bend, the amount of stiffness, and other foot problems. Early evaluation can help address painful pressure points before they become more difficult to manage. If you have developed a hammertoe,  it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Hammertoe

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

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.