Blog

Tips for Selecting Running Shoes

Tuesday, 03 February 2026

Choosing the right running shoe plays an important role in foot comfort and preventing injuries. Start by considering where you run, as road, trail, and treadmill surfaces place different demands on the feet. Proper fit is essential, with enough room in the toe box to prevent pressure on the toes, while still holding the heel securely. Cushioning should match your body weight and running style, because too little may increase impact stress and too much can affect stability. Pay attention to shoe flexibility and how the sole bends, since this influences foot motion. Replacing running shoes is important because worn materials reduce protection for the feet. A podiatrist can evaluate your foot structure, gait, and running habits to recommend features that support movement and reduce strain. If you experience foot pain after running, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
There should be little to no slipping at the heel
Don’t assume your size in one shoe brand will be your size in another
Do not lace up your shoes too tightly
Walk around in the store with your new shoes before you buy them

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.

Do You Suffer From Painful Feet?

Friday, 30 January 2026

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Facts About Toenail Fungus

Tuesday, 27 January 2026

Toenail fungus is an infection that develops when microscopic organisms grow beneath or on the nail, leading to gradual changes in appearance and comfort. The nail may become thick, discolored, brittle, or crumbly, and, in some cases a foul odor or lifting of the nail can occur. Risk factors include warm damp environments, sweaty footwear, minor nail injuries, reduced circulation, and a weakened immune system. A podiatrist can confirm the diagnosis, trim and manage the affected nail, and provide advanced treatment options that target the infection and support healthy regrowth. Early care can prevent the fungus from spreading and protect surrounding nails. If you notice changes in your toenails, it is suggested that you schedule an appointment with a podiatrist for expert guidance and effective treatment.

For more information about treatment, 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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

When Cracked Heels Need Professional Treatment

Tuesday, 20 January 2026

There are several reasons why cracked heels occur. You may be walking around barefoot too much, standing on hard surfaces for extended amounts of time, or wearing open-back shoes or flip flops that can allow fat pads under the heel to spread out sideways and increase the chances of cracks developing. Certain medical conditions such as arthritis, diabetes, psoriasis, athlete’s foot, or even obesity can increase your risk of developing cracked heels as well. Nutritional deficiencies, exposure to certain harsh chemicals or detergents, and dry skin due to aging can all pave the way for cracked heels. Most mild cracked heels are often just a minor annoyance and can be treated with proper foot care. Left untreated, however, they may deepen, bleed, become painful or even infected—which is particularly dangerous for those with compromised immune systems or diabetes. If you are struggling to heal your cracked heels, or they are severely cracked, it is suggested you contact a podiatrist for proper treatment.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.

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.

The Difference Between a Stress Fracture and a Complete Fracture

Tuesday, 13 January 2026

Stress fractures, or hairline cracks, occur in bones that have been weakened by overuse or repetitive motions over time. Because there are many bones in the feet which bear the weight of our bodies, the feet are a common location for stress fractures—especially in the long, thin metatarsal bones which connect the toes with the ankle and help us stay balanced. Participating in activities with a lot of running, suddenly increasing the intensity or changing the surface of your workouts, as well as bone-weakening conditions like osteoporosis can increase your risk of stress fractures. Swelling, bruising, or pain that builds gradually over time and subsides during resting periods are all possible indicators of a stress fracture. Contact a podiatrist at the earliest signs of these symptoms, as an untreated stress fracture may get worse and turn into a complete fracture or break.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use. The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

Runners
People affected with Osteoporosis
Tennis or basketball players
Gymnasts
High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Blog

Blog Archives