May 2021

Hammertoe is a type of foot deformity in which the toes bend upward at the middle joint, giving them a hammer-like appearance. This condition is usually caused by a muscle or tendon imbalance, but can be aggravated by wearing shoes that are too tight or narrow in the front or have excessively high heels. In the initial stages, the hammertoe may still be flexible and the toes can be straightened. In later stages, the toes can become rigid and you will not be able to straighten them. Flexible hammertoe can be treated by wearing shoes that are comfortable and have a wide toe box, wearing orthotic inserts, and stretching and exercising the toes. Rigid hammertoe may require surgery to correct it. If you have hammertoe, please consult with a podiatrist to see which treatment options may be right for you.

Hammertoes can be a painful condition to live with. For more information, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work 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.

The Achilles tendon is located on the back of the ankle and connects the heel to the calf muscles. The two most common injuries that affect the Achilles tendon are Achilles tendinopathy and an Achilles tendon tear or rupture. Achilles tendinopathy symptoms include swelling, stiffness, and pain that is more noticeable in the morning. An Achilles tendon tear or rupture is often the result of forceful jumping and pivoting and sudden accelerations that result in overstretching and the eventual tearing of the tendon. A complete rupture can cause severe pain and a loss of strength and movement. Because of the seriousness of an Achilles tendon injury, patients who are experiencing pain and swelling in this tendon should consult with a podiatrist. A podiatrist will be able to help provide preventative measures to avoid a rupture, as well as guide you in healing the injury.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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.

Plantar warts are caused by the human papillomavirus (HPV). They occur on the sole of the feet—most typically on the balls of the feet, heels, and under the toes—and are spread by human contact when the virus enters the bloodstream through tiny cracks in the skin. They usually present as hard, thick, lesions akin to calluses, and sometimes tiny blood vessels are present, which look like black specks on the surface. Plantar warts can range in size, and are often tender or sometimes even painful. They can form as either independent growths or as part of a cluster of warts. While plantar warts can sometimes go away over a period of years, it is suggested that you seek the care of a podiatrist if you have circulatory problems or diabetes, or if your warts are painful, bleeding, or spreading quickly.

Plantar warts can be very uncomfortable. If you need your feet checked, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Ingrown toenails occur when a nail grows into the surrounding skin, rather than over it. This can cause symptoms such as pain, tenderness, redness, and swelling of the skin surrounding the ingrown toenail. While most ingrown toenails are not serious and often heal with home treatment, sometimes the area can become infected and require medical treatment. But what causes toenails to become ingrown anyway? Trauma to the toenail from stubbing the toe can lead to ingrown nails, as can wearing shoes that are too tight and push the nail into the skin, and trimming the toenails improperly. If you are prone to ingrown toenails, it is suggested that you see a podiatrist, who can assess your feet and advise you on how to prevent and treat ingrown toenails. 

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.