June 2022

The ankle is commonly injured during athletic activities, and ankle sprains account for a large percentage of sports injuries. Ankle sprains can occur in many service members and non-athletes as well. It is important to seek professional treatment for an ankle sprain, because an improperly healed ankle sprain may make recurrent ankle sprains more likely, which can lead to chronic ankle instability. If the ligament(s) that have been overly stretched in an ankle sprain remain loose, this is typically indicative of mechanical ankle instability. Functional ankle instability may be associated with weakness in the muscles, and deficits in the nervous and neuromuscular systems. If you have suffered one or more ankle sprains and your ankle feels painful, stiff, weak or wobbly, or gives out when standing or walking, it is wise to consult a podiatrist. They will perform a physical examination and may conduct imaging tests to diagnose chronic ankle instability and begin an appropriate treatment program. 

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.

Arches are incredible structures of the feet. They help absorb shock, distribute weight evenly, and balance our bodies when we stand, jump, run, and walk. The arch also provides the feet with flexibility and the leverage necessary to push off. When the arches are flattened it causes the feet to excessively roll inward when you walk, known as over-pronation. Most babies are born with no arches, but typically develop them as they grow. It is possible, however, for a person not to develop arches. One also may acquire flat feet with age, by being obese, or by suffering from damage to the tissues that help form the arch. Certain medical conditions such as arthritis, diabetes, muscular dystrophy, and Parkinson’s disease can also contribute to fallen arches. Flat feet may produce symptoms like fatigue, pain or stiffness in the feet, imbalance, gait issues, bunions, blisters, and even problems in the back, legs, and ankles. Sometimes, flat feet are asymptomatic. If your flat feet are problematic, contact a podiatrist who has a myriad of treatments to reduce symptoms and possibly even help restore the structure of the arch. 

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.

Heel pain can be caused by a variety of factors, including biomechanical issues, injuries, arthritis, and more. By far, the most common form of heel pain is plantar fasciitis, a painful inflammation of the plantar fascia tissue on the bottom of the foot that connects the heel bone with the toes. Heel spurs, which often occur concurrently with plantar fasciitis, are actually bone growths that build up on the heel bone where the plantar fascia attaches to it as a result of long-term stress. Sever’s disease occurs in growing children. It is an inflammation in the growth plate of their heel that occurs from repetitive stress to the area from physical activity or overuse. Haglund’s deformity, also known as a pump bump, occurs when the bony section at the back of the heel rubs against shoes and causes the soft tissue to become irritated and form a bump where the heel attaches to the Achilles tendon. Nerve compression can also cause heel pain, numbness, and tingling. It is sometimes associated with an ankle sprain and is known as heel neuritis. There is a fluid-filled bursa sac at the back of the heel which can become irritated and swollen from improperly fitted footwear. This condition is known as bursitis. A podiatrist can diagnose your particular heel pain after reviewing your medical history, examining you, and running diagnostic tests. Call a podiatrist today to begin to get relief from your heel pain today.

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.

If blood circulation is healthy, blood flows from the legs to the heart. Prolonged sitting or standing can lead to swelling in the legs, ankles, and feet. This is edema, or the buildup of fluid in the legs and feet. This is often a benign condition but can indicate a serious medical condition. Some of the more severe causes of edema in legs and feet are failure of the heart, liver, or kidneys. Those with the medical conditions above, pregnant woman, older people, and those undergoing long recovery periods from surgery are more at risk for edema in their lower extremities. Treatment for swelling, regardless of cause, is compression, elevation, exercise, weight loss, and a reduction of salt in the diet. If the swelling in your feet and ankles is persistent, the cause is not known, or you start having pain as a result, consult with a podiatrist to find out what might be going on and to discuss a treatment plan.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.