July 2021

Contusions occur when an injured blood vessel leaks blood into the surrounding areas. On your skin, this typically means that a bruise will appear, with skin discoloration, tenderness, and pain. But did you know that you can also bruise a bone? Bones are made of tissues and blood vessels. An injury to the area, from a car accident, fall, or high impact sport for example, could make a blood vessel leak, creating a contusion. Symptoms of a bone contusion include stiffness, swelling, tenderness, difficulty using the affected area, and pain that lasts longer than the pain caused by a bruise elsewhere on the body. Bone bruises can take anywhere from a few days to a few months to heal, and recommended treatments vary based on the severity of the injury. If you are experiencing any foot or ankle pain, it is suggested that you consult with a podiatrist.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

Poor circulation in the lower limbs can be a sign of peripheral artery disease (PAD). This is a serious condition that can cause leg cramps, muscle weakness, numbness, tingling, foot and ankle wounds, and difficulty walking. Older individuals and those with a history of cardiovascular problems are said to be particularly at risk. Your podiatrist can play a major role in detecting, diagnosing, and helping you manage PAD. Podiatrists can perform diagnostic vascular tests in the clinic. These tests are safe and noninvasive ways to assess blood flow in your lower limbs. Frequently used tests include the Ankle-Brachial Index test and Doppler ultrasonography. To learn more about PAD and to get tested, schedule an appointment with a podiatrist near you.  

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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 big toe is most commonly affected when an ingrown toenail develops. An ingrown toenail is defined as the nail growing into the skin instead of over it. This can develop for several reasons including a recent toe injury, wearing shoes that do not fit properly, or from trimming the toenails incorrectly. A common symptom of this condition is pain in the big toe and surrounding areas, followed by redness and swelling. Mild relief may be found when the affected toe is soaked in warm water, and this can make it easier to gently pull the skin away from the toenail. It is also beneficial to wear shoes that have ample room for the toes to move freely in, in addition to refraining from putting pressure on the ingrown toenail. If you have symptoms of an ingrown toenail it is strongly suggested that you meet with a podiatrist who can effectively treat this condition.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Feet come in many different shapes and sizes, and so do their arches. The arch is the curved area that is located along the bottom of the foot, roughly at the foot’s center. Not everyone is born with and arch and not everyone develops an arch. Many people have flat feet, where their arch is not visible, either all the time or just while bearing weight. Flat feet are common and can be present from birth or acquired later in life. Flat feet may cause foot pain or a dysfunctional walking pattern, but in many cases, they are asymptomatic. High arches are a rarer occurrence where the arches are unusually raised. High arches may cause pain while going about your daily activities and make it harder to find shoes that fit comfortably. If you have flat feet or high arches that are bothering you, it is suggested that you seek the care of a podiatrist. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of 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.