January 2022

There are many possible causes of heel pain, with plantar fasciitis (an inflammation of the connective tissue on the bottom of the foot) topping the list. Injuries during exercising or while playing sports can also cause heel pain, which can sometimes occur if you have not first properly stretched your calves, ankles, and feet. Running too frequently, training on hard surfaces, suddenly turning your heel inwardly, or coming down hard or landing awkwardly on your heel can all lead to painful injuries of the heel. Wearing shoes that do not sufficiently absorb shock or support the heel can also contribute to heel pain, as can bone spurs on the heel, swelling of the bursa sac at the back of the heel (bursitis), and conditions that affect the Achilles tendon (which attaches to the heel bone). Pain in the heel should not be ignored. A podiatrist can diagnose your heel pain to determine its cause and create a treatment plan to treat it accordingly.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The Achilles tendon is a band of fibrous tissue that connects your calf muscles to your heel bone. Though this tendon is tough, it can tear or rupture during physical activity. A ruptured Achilles tendon can cause many symptoms, including a sharp, sudden pain at the back of the ankle, difficulty walking, weakness, and an inability to raise the injured foot. Some people are able to walk or continue playing sports with a ruptured Achilles tendon due to the surrounding muscles compensating. However, this can make the injury worse. A rupture can be treated conservatively or with surgery. Conservative treatment typically involves immobilizing the injured leg with a cast to allow it to heal. Surgery repairs the ruptured tendon. If you believe that you may have ruptured your Achilles tendon, it is strongly suggested that you seek the care of a podiatrist. 

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.

Most people associate diabetes with blood sugar and insulin levels, but many diabetics are also at risk for severe foot problems. Over time diabetes may cause nerve damage and this is commonly referred to as diabetic neuropathy. This condition can cause numbness, tingling, and pain in the feet. Once this develops you might not notice a cut or sore on the foot which could lead to an infection. Diabetes can also reduce blood flow to the feet making it even more difficult for a cut or infection to heal. Without treatment an infection may lead to gangrene, and in severe cases amputation of a toe or foot could be necessary. If you have diabetes there are ways to keep your feet healthy: inspect your feet every day for cuts, sores, scrapes, or any other changes; wash and dry your feet thoroughly; trim toenails straight across and not too short; wear socks and shoes that fit correctly; and elevate your feet while you are sitting. If you have foot wounds that won't heal, notice an odor coming from your feet, or see changes to the color or shape of your feet, it is strongly suggested that you seek the care of a podiatrist as soon as possible.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Pain to the side of the foot is generally caused by an injury, standing for long periods of time, or overuse from repetitive physical activity. Common causes of such pain are sprains from tripping or rolling over the ankle; overuse of the feet, ankles or legs, especially in sports or other vigorous movement; stress fractures as a result of running and jumping; and collapsed arches that can put undue pressure on the rest of the foot and the ankle. At the first sign of such pain, you can ease it by stopping the activity, putting ice on the site of the pain, wrapping your foot with an elastic bandage or brace, and keeping it elevated as much as possible. In cases where the pain is ongoing and more severe, it would be wise to consult with a podiatrist who can examine the site of the pain to determine the proper treatment options for you. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.