November 2019

Corns are classified into two groups that are referred to as hard or soft corns. A hard corn typically develops on top of the toes, or on the sole of the foot, and soft corns are often found in between the toes. Both types of corn can occur if there is increased friction from wearing shoes that do not fit correctly. This small area of hardened skin may cause severe pain and discomfort. Relief may be found when the affected area is soaked in warm water. Some patients also find it helpful to use a pumice stone to file away the dead skin, in addition to wearing a corn pad between the toes. If you have a corn that is interfering with your daily activities, it is suggested that you consult with a podiatrist who can offer you correct treatment options.

If you have any concerns regarding your feet and ankles, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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.

The symptoms that are common in the condition that is referred to as plantar fasciitis typically consist of discomfort in the heel and arch area, pain while taking the first steps after arising, and difficulty in raising the toes off the floor. Mild relief may be found when the foot is elevated, and it may help to wear insoles in the shoes. Many patients find it beneficial to incorporate gentle stretches into their daily routines, in addition to practicing exercises that have no impact on the feet, which can include swimming. This painful condition may be caused by standing on hard surfaces for the majority of the day, or from wearing shoes that do not fit correctly. If you have developed this ailment, it is advised that you speak to a podiatrist as quickly as possible who can offer orthotics that are specifically designed for you feet as a treatment option.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is 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.

Research has shown that ankle sprains are common among people who frequently participate in sporting activities. This is often the result of tearing or overstretching the ligaments in the ankle. Common symptoms of this type of injury may include severe swelling, pain, and it may be difficult to put weight on the ankle. Relief may be found when the affected foot is elevated, and this may help to alleviate a portion of the swelling. Additionally, it may be beneficial to wrap the ankle in an elastic bandage, and this can help to provide the support that is needed as the healing process takes place. If the activity is resumed that caused the sprain before the ankle has had a chance to completely heal the sprain may return, and ligaments may be scarred. If you have fallen or twisted your ankle, and think it may be sprained, it is suggested that you consult with a podiatrist who can diagnosis and treat this condition.

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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.

When a gout attack occurs, severe pain and discomfort often accompany this condition. It is considered to be a form of arthritis, and can occur as a result of genetic factors or from the foods that are eaten. Specific types of foods have elevated levels of purines. This may cause crystals to lodge in the joints of the big toe, and will typically cause redness and swelling. These foods can include shellfish, red meat, and drinks that are laden with sugar. There may be medications that can be taken to relieve some of the symptoms, despite the fact that there is no cure for gout. There are methods that can be implemented, which can possibly prevent painful gout attacks from occurring. These can consist of engaging in a frequent exercise program, and maintaining healthy eating habits, including drinking plenty of water daily. If you have developed gout, it is strongly suggested that you speak to a podiatrist as quickly as possible to obtain relief. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.