June 2023

People may be prone to developing the foot condition that is known as cracked heels during the summer months. The warmer months invite flip-flops and backless shoes to be worn, and the heels may suffer. More pressure may be exerted on the heels while walking, which may be a result of a change in gait, or walking style. Obesity can also be a reason why cracked heels can develop, which can be from the excess weight the feet endure. Signs of cracked heels can begin with the skin becoming thicker, followed by small cracks forming. If prompt attention is not received, they can deepen into fissures, and possibly become infected. Mild relief may be found when the feet are washed and dried daily, and a good moisturizer is applied to them. Effective prevention methods for cracked heels can include wearing shoes that have a closed back and drinking plenty of water daily. If you have developed cracked heels, it is suggested that you confer with a podiatrist who can offer you helpful relief remedies.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. 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

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.

If you begin to feel pain in the middle joint of your big toe, it is quite possible that you may have a bunion. This deformity is caused by prolonged pressure that compresses the big toe and pushes it toward the smaller toes. This in turn causes the middle joint to push outward, resulting in a bony bump on the side of the foot. Besides a genetic disposition to bunions, wearing shoes that are too tight or too small is a major factor in their development. Side effects from bunions include pain in the joint of the big toe, corns, calluses, and difficulty wearing shoes. In some cases, the movement of the tip of the big toe toward the other toes causes it to overlap onto the second toe. This causes problems finding appropriate footwear and can have a negative effect on posture and gait. Wearing shoes with a wider and roomier toe box is one way to reduce the effects of a bunion. Also, avoiding high-heeled shoes can help. Foot pads are available to relieve some of the pressure, as well as wearing shoes made with mesh or more flexible materials. If you have a bunion, it is suggested that you make an appointment with a podiatrist for an evaluation and recommendations for treatment.

If you are suffering from bunions, 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 a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• 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.

Children’s health is a significant concern for parents, as it should be. The health of children’s feet is no exception. Children under age two commonly walk on the balls of their feet instead of with their heels touching the ground. This is known as toe walking. Most children will graduate from this gait pattern and walk heel-to-toe. If a child continues to walk this way, they might develop tight calf muscles, and walking in a typical way will become harder to learn. There is no known reason why a child may prefer to walk on their toes past young toddler age. However, if a youngster has certain conditions, such as cerebral palsy, muscular dystrophy, a spinal cord abnormality, or autism, this way of walking is more likely. To rule out any reasons for concern if your child toe walks, it is suggested that you consult with a podiatrist who can do an examination and discuss anything of significance.

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.

A plantar wart is a growth that develops on the sole of the foot. The wart is caused by coming into contact with the human papillomavirus, or HPV. Plantar warts are most commonly seen on the ball or heel of the foot. Because these two areas take the force of your weight, the wart may become hardened and look like a callus. It also may contain tiny black dots that are actually dried up or clotted capillaries. Plantar warts are contagious and should not be touched, if possible, because they can be spread to other body parts. Treatment options range from applying salicylic acid to remove the wart layer by layer to removing the wart at one time by surgery. Additional treatments of plantar warts include spraying with liquid nitrogen and laser therapy to burn off the wart. Each type of treatment brings with it certain painful or annoying side effects, and the methods take varied amounts of time to get the best result. For help with a plantar wart, it is suggested that you make an appointment with a podiatrist who can prescribe the treatment that will work best for you.  

Plantar warts can be very uncomfortable. If you need your feet checked, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.