December 2022

Many people fall in their place of employment, which often decreases work productivity. Research has shown that falling is the most common cause of injuries related to work, and it is important to be aware of correct fall prevention techniques. It is the employer's responsibility to have employees understand the dangers of falling and implement changes to the workplace for protection. Scenarios that fall into this category can include covering or guarding floor holes and installing railings around dangerous machines. Additionally, safety nets, stair rails, and handrails can be included in other forms of fall prevention methods. Many employers understand the importance of keeping the work area clean and dry, and it is beneficial to train employees about specific job hazards. If you would like more information about how the feet can become injured during a fall, please speak with a podiatrist who can teach you about effective fall prevention strategies.

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.

Choosing running shoes that fit well can be a daunting task. It can help to decide what kind of running is desired and find shoes that are a match. There are various types of running surfaces, including trails, roads, and treadmills. In addition to that, it is beneficial for the running style to be considered which can be racing, casual, or long-distance. Shoes that are made for road running often have extra cushioning and must be able to handle running on a hard surface. Trail running requires shoes that have more traction than other shoes and this can make it easier to run on dirt, mud, or rocks. Many people choose to wear lighter shoes if treadmill running is their style. This lighter type of shoe may have less cushioning. To ensure a proper fit for any type of running the foot must be accurately measured. This is done by combining the width of the shoe, the heel fit, and the instep. If you would like additional information about how to choose the right running shoes, please consult with a podiatrist.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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.

Any pregnant woman knows that the feet undergo a series of important changes. For example, the feet may seem to expand in size over the course of a pregnancy. Additionally, many soon-to-be mothers are not fully aware of the fact that the feet may actually become more odorous during a pregnancy. Foot odor during pregnancy might be caused by edema, hormonal alterations, and a higher body temperature. If the increased foot odor during pregnancy is becoming bothersome, there are several things that you might consider doing to combat the smell. For example, you might wear shoes that provide enough space for the feet to breathe in. The use of moisture-wicking socks also might be beneficial. If you are expecting a baby in the near future, contact a podiatrist today who can help you best prepare yourself for the changes that your body and feet will undergo during the process.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

Wearing high heels can be significantly damaging to the feet for many different well-established reasons. For example, wearing high heeled shoes can put an excess amount of pressure on the toes. If a woman wears high heels while she is pregnant, there is a whole other host of problems that can occur. When a woman becomes pregnant, she experiences a variety of changes to the feet that can alter the balance of her weight. Additionally, if a woman wears high heels while she is pregnant, it can further exacerbate any swelling in the feet that might already be occurring because of the pregnancy. Wearing shoes with heels that are high can also reduce a pregnant woman’s stability, which might lead to falls that would be potentially very dangerous for both the woman and her growing baby. For more information about high heels during pregnancy, contact a podiatrist today.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.