February 2019

Many people experience cracked heels, and if it begins in childhood, genetic reasons may be the cause. If it starts as an adult, the reasons may be environmental or hormonal. Additionally, medical conditions, which may include eczema and psoriasis, may play a significant role in developing cracked heels. It typically appears as a thickening of the skin on the heel, and deep cracks, or fissures may form if left untreated. Patients who wear open-back sandals or who stand for extended periods of time during the day may find they have cracked heels. Mild relief may be found when washing and drying the feet thoroughly, followed by utilizing a good moisturizer. If you have cracked heels that are painful, it is suggested to speak to a podiatrist who can properly treat this condition.

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 medical condition that is referred to as poor circulation can be an indication of  health issues that may exist in the body. It may be caused by poor dietary habits or sitting for extended periods of time. Additional causes may consist of diabetes, peripheral artery disease (PAD), or blood clots in the legs. Many patients experience symptoms that are indicative of poor circulation, and these may include a lack of energy, feet that are cold the majority of the time, or a tingling or numbing sensation in the hands and feet. Other symptoms may consist of having a poor memory, a weakened immune system, or a loss of appetite. Research has indicated that maintaining a healthy diet and engaging in an exercise regime may be helpful in treating poor circulation. It’s important to drink plenty of fresh water daily, in addition to avoiding alcohol. If poor circulation is affecting your feet, it is suggested to speak to a podiatrist who can properly diagnose and treat this condition.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

Sever’s disease is a painful heel condition that only affects children. Swelling of the growth plate is what causes this disease, along with discomfort and pain. Children that are involved in sports are more likely to have this affiliation, because injuries to the growth plate are caused by weight-bearing activities. Stretching can help to prevent Sever’s disease, and it can also assist in the healing process. Movements that stretch the hamstring, calf muscles, and tendons on the back of the leg should be performed 2 to 3 times a day, with the stretch being held for around 20 seconds. Even if there is only pain in one heel, the stretches should be done with both legs. Exercises that strengthen the muscles surrounding the shin will also help alleviate some discomfort and help to prevent this condition from developing again. If you think your child may have Sever’s Disease, then it is highly recommended to consult with a podiatrist in order to receive more information and proper treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

There are many patients who are afflicted with rheumatoid arthritis who may experience discomfort in the big toe, in addition to painful ankles and joints. This may result in difficulty in walking, which may hinder completing daily activities. There are specific conditions that may develop if rheumatoid arthritis is present, and these include the formation of bunions, hammertoe, or plantar fasciitis. Additionally, it may be beneficial to wear shoes that fit properly which have adequate room for the toes to move about in. This may put less pressure on the joints in the toes, and a moderate level of relief may be attained. Research has indicated there may be measures that can be implemented to reduce a portion of the pain and discomfort that is associated with this condition, and these include maintaining a healthy body weight, avoiding standing for the majority of the day, and engaging in a massage or warm foot bath. If you have symptoms of rheumatoid arthritis, it is strongly advised to speak to a podiatrist who can properly guide you toward proper treatment.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.