January 2021

An ingrown toenail is noticeable when the toenail grows into the surrounding skin. This is a condition that can cause severe pain and discomfort, and can occur for a variety of reasons. These can include genetic factors, wearing shoes that do not fit properly, or it may happen if the toenail has endured an injury. Common symptoms many patients have include swelling, redness, and soreness in the surrounding area. It may feel better if you soak the affected toe in warm water, as this can help to soften the area so the nail can separate from the skin. If you have developed an ingrown toenail, please speak to a podiatrist as quickly as possible so the correct treatment can begin.

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.

Sesamoiditis causes pain in the ball of the foot due to pressure on the sesamoid bones beneath the big toe. This condition is an overuse injury and is common among athletes who participate in activities which put pressure on the ball of the foot such as running, ballet, and basketball. Sesamoiditis is diagnosed through a physical examination. The doctor may also take X-rays of your foot in order to rule out a fracture. When sesamoiditis is diagnosed, treatment is typically conservative. You may be required to rest the affected foot and modify your daily activities and footwear to reduce pressure on the sesamoids. Your doctor may also suggest wearing orthotic inserts in your shoes in order to cushion the foot. If you suspect that you have sesamoiditis, it is recommended that you see a podiatrist for treatment. 

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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.

Arthritis is a condition that causes inflammation and swelling in your joints. There are over a 100 different types of arthritis, including osteoarthritis, rheumatoid arthritis, psoriatic arthritis, and gout. The most common form of arthritis is osteoarthritis or OA, which is associated with aging. OA frequently affects the joints of the feet and ankles. With this condition, the protective cartilage layer between the joints breaks down. This causes symptoms such as joint stiffness, pain, redness, warmth, swelling, and a decreased range of motion. When the joints of the feet and ankles are involved, osteoarthritis can severely limit your mobility. If you have osteoarthritis in your lower limbs, a podiatrist can help you manage this condition and keep you on your feet.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Cracked heels affect many people worldwide. When the cracks deepen and become uncomfortable, they can be called fissures. This ailment can develop as a result of wearing shoes that have an open back. Additionally, patients can notice they have cracked heels from standing on hard surfaces for the majority of the day. Existing medical conditions that can contribute to causing this condition can include psoriasis and eczema. Mild relief may be found when the affected foot is soaked in warm water, and followed by applying a good moisturizer. Additionally, it may be beneficial to drink fresh water daily, and this may aid in reducing cracked heels from forming. If you have developed cracked heels, please speak to a podiatrist for effective prevention methods and healing techniques.

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.