If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
Dr. Horlebein will be joining Advanced Regional Ankle & Foot Care LLC as a full time physician in Altoona PA, as of June 1st 2023. Feel free to call our office with any scheduling inquires/questions!

September 2022

Tuesday, 27 September 2022 00:00

What Is Sever’s Disease?

Sever’s disease is a common overuse injury that affects the heels in growing children. This typically occurs in children ages seven to 14 when their bodies are undergoing rapid growth. Pain may develop due to inflammation where the Achilles tendon inserts into the growth plate located in the heel bone. Activities, like running and jumping can exacerbate the stress on the heel bone’s growth plate and cause pain. As might be expected, this affliction is most often seen in young athletes who participate in sports including soccer, gymnastics, football, and basketball. Such pain often goes away with rest and worsens the activities that caused it. It can be in one or both heels and a child might start limping or walking on their toes to avoid putting pressure on their heels. Resting the affected foot/feet is the best course of action. If the pain does not subside after a short period of time, take your child to a podiatrist who can properly diagnose the condition and treat it appropriately.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their 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 injuries.

Read more about Sever's Disease
Tuesday, 20 September 2022 00:00

Measuring Your Child’s Feet

Taking good care of your child’s feet is essential in ensuring that they will grow up to have healthy, well-functioning feet. One critical element of maintaining the health of your child’s feet is measuring their feet properly before going shopping for shoes. There are several different ways in which you can take an accurate measure of your child’s feet, but you might consider performing a tracing. Simply have your child stand on a piece of paper with one end touching a wall. Your child should have their heel against the wall. Using a ruler, mark on the paper where your child’s longest toe ends. You can then perform this on the other foot. You might consider even adding one centimeter onto the final measurement so that your child’s shoe provides enough space in the toe box. If you want to learn more about children’s foot health, contact your podiatrist today.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Read more about What to Do to Keep Your Child’s Feet Healthy
Tuesday, 13 September 2022 00:00

Laser Treatment May Help Toenail Fungus

Research has shown toenail fungus may be prevalent among the elderly population. There are several methods that can be implemented to treat toenail fungus, including laser treatment. This is a procedure that has been approved by the FDA and is said that it may be effective in killing the fungus as laser beams penetrate the nail bed. It is a painless procedure and many patients have had good results, but they could vary. Toenail fungus can be unsightly, and the symptoms generally consist of yellowed, thickened nails that often become brittle with the possibility of falling off. Patients who have toenail fungus are often embarrassed by their toenails and tend to hide their feet. If you have this condition and would like more information about the pros and cons of laser treatment, it is strongly advised that you schedule an appointment with a podiatrist who can answer any questions you may have.

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

  • Nail thickening
  • Brittleness of the nail
  • Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

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.

Read more about Laser Treatment for Fungal Nails
Thursday, 08 September 2022 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Wednesday, 07 September 2022 00:00

Stretching the Feet Before a Workout

Before an individual begins their exercise routine, they may briefly stretch their neck, arms, and legs. It is undoubtedly important to ensure that these body parts are loose and limber. However, stretching out the feet before an exercise routine is just as important. This is because foot pain, injuries, and afflictions developed from not stretching can make it difficult to continue working out the next day. If an individual properly stretches or warms up their feet before a workout, other parts of the body may benefit. For example, depending on the stretch, the calves, hamstrings, and shins might benefit from foot stretches. Before a workout, you might consider performing the tiptoe walk. This stretch can be performed by standing on your tiptoes and walking on an exercise mat for about thirty seconds or so. Some individuals who perform this pre-workout stretch might notice increased ankle stability. When stretching, it is always important to listen to your body and never push or strain your body. If you are someone who works out frequently and has always neglected stretching the feet, contact a podiatrist. They will be able to help you with more information about stretching your feet.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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.

Read more about Exercise for Your Feet
Connect with us