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Dr. Horlebein will be joining Advanced Regional Ankle & Foot Care LLC as a full time physician in Altoona PA, as of June 1st 2023. Feel free to call our office with any scheduling inquires/questions!
Tuesday, 09 April 2024 00:00

Treatment for hammertoe, a condition where the toe bends abnormally, varies depending on the severity of the condition. Treatment can range from non-invasive approaches to surgical intervention. Initially, a podiatrist may recommend conservative methods, such as wearing roomier, more comfortable shoes to accommodate the deformity and using custom orthotic devices to relieve pain. Stretching exercises may also be recommended to strengthen toe muscles and improve flexibility. For more persistent cases, where the toe becomes rigid or pain is severe, surgical options may be considered. Surgery aims to straighten the toe, and this may involve removing a portion of the bone or realigning the tendons and ligaments. Post-surgery, patients often go through some rehabilitation to restore function and mobility. Consulting with a podiatrist about hammertoe is suggested to determine the most appropriate treatment plan for your specific needs. 

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.

Read more about What Are Hammertoes?
Wednesday, 03 April 2024 00:00

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 02 April 2024 00:00

Wearing high heels can lead to a variety of discomforts and health issues. Continuous friction and pressure from ill-fitting shoes can cause blisters, corns, and calluses. Moreover, the unnatural foot position in high heels can contribute to ankle sprains, stress fractures in the foot or ankle bones, and even long-term problems like arthritis. The altered posture and gait induced by high heels can lead to pain in the knees, hips, and lower back. Additionally, the pressure on the toes can result in deformities like hammertoes or ingrown toenails. A podiatrist can provide valuable assistance in managing these issues. They can offer advice on proper footwear selection and fitting, as well as prescribe custom-made orthotic inserts to alleviate pressure points and improve foot mechanics. Podiatrists can also treat existing foot problems such as blisters, corns, and ingrown toenails, and provide guidance on stretching and strengthening exercises to mitigate the impact of high heels on foot health. If you wear high heels and are experiencing foot pain or any other foot problems, it is suggested that you make an appointment with a podiatrist for care.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.

Read more about Effect of High Heels on the Feet
Tuesday, 26 March 2024 00:00

Poor circulation in the feet refers to reduced blood flow to the lower extremities, leading to symptoms like cold feet, numbness, tingling, and slow wound healing. It occurs when blood vessels become narrowed or blocked, restricting the flow of oxygen-rich blood to the feet. Typical causes of poor circulation include peripheral artery disease, atherosclerosis, diabetes, smoking, high blood pressure, and high cholesterol levels. Obesity can exacerbate poor circulation in the feet due to several factors. Excess body weight increases the workload on the heart and blood vessels, leading to conditions like hypertension and atherosclerosis. Fat accumulation around blood vessels can also compress them, further impairing blood flow. Managing poor circulation involves lifestyle changes like regular exercise, maintaining a healthy weight, quitting smoking, and controlling underlying medical conditions. In severe cases, medical interventions like medications or surgical procedures may be necessary to improve blood flow. If you have symptoms of poor circulation in your feet, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.

Problems & Complications Stemming from Obesity

  • When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
  • Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
  • Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.

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.

Read more about Obesity and the Feet
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