November 2022

The pandemic may have contributed to the increase in running injuries that have occurred throughout the nation, and this may be a result of gyms that couldn't open. Training may have been compromised, and patients would begin to run on pavement without a proper warm-up or cool-down. Research has shown that it is easier to prevent running injuries than it is to treat them, and this can be accomplished in several ways. It is beneficial to increase speed and distance gradually, which can prepare the body for running longer distances. Stress fractures are a common injury among people who enjoy running, and many people choose to ignore the aches and pains that are associated with this type of injury. It may be prevented by wearing shoes that fit correctly and resting the body for a day between runs. Additionally, running injuries may be avoided by keeping the body strong through strength training, and high repetitions while lifting lighter weights may be effective in achieving this. If you are interested in pursuing running, it is strongly suggested that you speak with a podiatrist who can guide you toward practicing the right running injury prevention techniques. 

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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.

Cracked heels are unsightly and can become painful. This foot condition can develop for a variety of reasons and may bring embarrassment to the affected patient. The causes can include wearing shoes with an open back, standing on hard surfaces for most of the day, and a lack of moisture. Additionally, research has indicated that cracked heels may develop from specific vitamin or mineral deficiencies as well as aging skin. There may also be medical conditions that lead to cracked heels, which consist of obesity, thyroid disorders, eczema, and psoriasis. Many patients find relief when their feet are soaked in warm water, followed by applying a good moisturizer. Choosing shoes that have a closed back may help to prevent cracked heels in addition to wearing shoes that generally fit well. Patients who have dry heels or show signs of fissures, also known as deep cracks, are urged to speak with a podiatrist who can prescribe medication to treat this ailment.

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.

Foot problems are the most common reason diabetics are hospitalized. Diabetics might have slow-healing wounds, infections, or other foot issues they may not even be aware of. This could be due to loss of sensation in the feet known as neuropathy, which is from poor blood flow to the lower extremities. Amputation of a limb could be the result if a wound develops, becomes infected, and is beyond salvaging. Diabetics can also get peripheral arterial disease, or PAD, which can lead to leg arteries becoming too clogged to restore blood flow to the feet. If you are a diabetic, practice proper foot care which includes washing, drying, and moisturizing the feet every day and checking them for wounds or infections regularly. Practicing good foot care also includes scheduling visits with a podiatrist who can help you make sure that diabetes is not causing any other foot conditions in the feet. If you or a loved one has diabetes, it is strongly suggested that you consult with a podiatrist. 

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and 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 Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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.

As children grow, it is important to create a safe home for them in order to reduce the risk of them falling and injuring themselves. Certain precautions can be useful to aid in this. If you choose to have screened windows, it is important to have them properly installed, as this may prevent children from accidentally falling out. Be mindful to open the window from the top, if possible, so as to bring added safety for children. It is also helpful if existing chairs are removed near the windows to stop the child from climbing up and falling out of the window. Another crucial prevention technique is to ensure children are strapped in while in high chairs, strollers, swings, and infant carriers. This may help to prevent them from attempting to stand up, falling out, and possibly hurting themselves. Research has indicated that baby walkers may be dangerous, and can roll down the steps if the baby moves too close to them. An acceptable alternative may be using a stationary activity center to give the child a chance to stand without possibly falling. If you would like information about how falling can affect children’s feet, and how to safely reduce your child’s chances of falling, please confer with a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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 generally affected when an ingrown toenail has developed. It happens when the nail grows into the skin instead of over it, and can cause severe pain and discomfort. Many people can get ingrown toenails from frequently wearing shoes that are too tight, or from trimming the toenails incorrectly. The skin surrounding the affected toenail may become inflamed, and is often red and swollen. Occasionally, there may be new tissue that grows over the toenail, and this is referred to as a granuloma. It may be accompanied by a discharge which can be blood or pus. Additionally, it may emit an odor if bacteria gets into the wound. Temporary relief may be found when the affected nail is soaked in warm water, followed by gently pushing the nail away from the skin using a cotton swab. For more severe infections, surgery may have to be performed that can permanently repair the nail. If you are afflicted with an ingrown toenail, please speak to a podiatrist as quickly as possible who can effectively treat this condition.

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.