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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!

September 2019

Monday, 23 September 2019 00:00

How Can Poor Circulation Be Improved?

The symptoms that often accompany poor circulation can include a tingling and numbing sensation in the hands and feet, swollen toes, and toenails may be brittle and discolored.  Some patients experience dry skin, dizzy spells and headaches, and these may be indicative of this condition. Raynaud’s disease is a type of poor circulation, and this may cause the fingers and toes to turn white, and may feel cold for the majority of the day. It is helpful to know that symptoms of circulation conditions may be diminished by performing a gentle exercise routine as frequently as possible. This may help to improve blood flow in the body. Additionally, it may be beneficial to limit or stop smoking, which may stop the arteries from becoming narrow. If you would like to learn more about how poor circulation can affect the feet, please schedule an appointment with a podiatrist.

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.

Read more about Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet
Monday, 16 September 2019 00:00

Are Ingrown Toenails Painful?

Patients who have had ingrown toenails are often familiar with the pain and discomfort that is often associated with them. It occurs as a result of the edge of the toenail growing into the surrounding skin. This can happen if shoes that are worn do not fit correctly, and the toes may be crammed together. Additionally, this condition may be caused by trimming the toenails in a rounded fashion instead of straight across. Common symptoms that many patients notice are pain around the edge of the toenail, redness, and swelling. Moderate relief can be found when the feet are soaked in warm water, as this will be beneficial in softening the affected area. If it becomes infected, it is strongly advised to seek the counsel of a podiatrist who can properly treat this ailment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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.

Read more about Ingrown Toenail Care
Monday, 09 September 2019 00:00

How Important Is Proper Foot Care In Children?

Research has indicated when children's feet receive proper care, potential foot problems that can develop as adults may diminish. When children get into the habit of washing and drying their feet on a daily basis, foot conditions, including athlete’s foot, may be prevented. Children’s feet will benefit from walking barefoot while indoors. This helps the toes to become strong by grasping the floor. When it is time to walk outdoors, it is important to have your child’s feet properly measured. This can help to determine the correct size shoe to ensure comfortable walking. The unpleasant foot condition, known as ingrown toenails, may be prevented when the toenails are trimmed straight across the toe. Please consult with a podiatrist if you would like additional information about foot care for children.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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 to Do to Keep Your Child’s Feet Healthy
Friday, 06 September 2019 00:00

Heel Pain Can Be Treated!

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, 03 September 2019 00:00

Older Patients and Proper Foot Care

Many elderly patients may experience difficulty in taking care of their feet. They may find it challenging to bend down to properly trim their toenails, which could cause ingrown toenails to develop. Elderly people may find it helpful to use the services of caregivers to monitor the condition of their feet. They can help the patient to look for existing cuts, scrapes or bruises that may be on the bottom of the feet. This is beneficial if the patient is diabetic, and may be crucial in possibly preventing foot ulcers. The feet may feel better when they are soaked in warm water, followed by applying a moisturizer on them. Additionally, the feet can become stronger when gentle stretching techniques are performed. If you would like additional information about the importance of elderly foot care, it is suggested to seek the counsel of a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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 Elderly and their Feet
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