August 2023

Maintaining good circulation is vital for overall health. Symptoms often noticed in the feet include a numbing or tingling sensation and they may feel cold. There are methods that can be implemented that may help to prevent poor circulation naturally. First, stay active and engage in regular exercise to promote blood flow. Avoid sitting or standing for prolonged periods of time, and take short walks or stretch breaks. Maintain a healthy diet, including foods rich in antioxidants and essential nutrients. Quit smoking, as it constricts blood vessels and hinders circulation. Manage stress through relaxation techniques, like meditation or yoga. Opt for compression socks or stockings to improve blood flow in the legs. Keep your body hydrated and avoid excessive alcohol consumption. Ensure proper posture and avoid crossing your legs when sitting. Finally, avoid tight-fitting clothing that can restrict blood flow. If you notice signs of poor circulation in your feet, it is suggested that you consult with a podiatrist who can help you to manage this condition.

Poor circulation is a serious condition and needs immediate medical attention. 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

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

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 and ankle needs.

Ballet dancers are applauded for their graceful movements and poise, but behind the scenes lies the reality of the toll their ability takes on their feet. The pros of ballet dancer's feet are apparent in their strength, flexibility, and dexterity, allowing them to execute intricate routines with finesse. The intense training helps develop well defined arches and toned muscles. However, the cons cannot be ignored. Constant strain on the feet can lead to painful conditions such as bunions, stress fractures, and plantar fasciitis. The pressure to maintain a certain appearance may result in dancers pushing through injuries, possibly leading to chronic foot issues. Additionally, the repetitive movements can cause wear and tear on the joints, leading to long term problems. While the beauty of ballet is undeniable, it is essential to acknowledge the physical demands it places on dancers' feet and prioritize their foot health through proper care and attention. It is suggested that ballet dancers include a podiatrist on their medical team who can effectively treat any foot problems that may arise.

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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Diabetes has a profound impact on foot health, making it crucial for individuals with this condition to manage their blood sugar levels effectively. Elevated blood sugar can lead to reduced blood flow in the feet, resulting in serious complications. Diabetic neuropathy is a common condition, causing tingling sensations and pain in the feet. Nerve damage can lead to unnoticed injuries, which may worsen due to lack of sensation, which may eventually result in gangrene. Peripheral vascular disease, caused by restricted blood flow, is also a concern. Charcot foot, a rare condition, can deform the foot and raise the risk of sores. Monitoring foot health, managing blood sugar, and seeking early treatment are essential to prevent severe complications and ensure better overall well-being for individuals with diabetes. If you have diabetes and are experiencing foot problems, it is strongly suggested that you make an appointment with a podiatrist for regular examinations and needed treatment.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Stretching plays a vital role in maintaining healthy feet and overall well-being. It offers numerous benefits, such as improved flexibility, better circulation, reduced risk of injury, and less pain. By incorporating a few minutes of stretching into your daily routine, you can experience these advantages. Morning stretches can be instinctive, where your body subconsciously stretches to modify tension in the feet, surrounding muscles, organs, and blood vessels. Sitting or standing for extended periods can lead to muscle tightness and discomfort. Incorporating stretching breaks can help ease tension in the neck, back, hips, legs, and feet. Stretching before bedtime can promote relaxation and improved sleep quality. If you would like more information about specific stretches that will help your feet, it is suggested that you make an appointment with a podiatrist who can provide this type of information.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet 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.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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.

Normal activity can resume after an ankle fracture, despite it taking considerable time. A broken ankle can happen from falling, or if something heavy drops on the leg. Immediate symptoms can include bruising, swelling, and it is difficult, if not impossible to walk. Prompt medical attention is often sought, and having an X-ray performed can provide an accurate diagnosis. Once confirmed, a protective boot or cast is worn that can provide stability and mobility while the healing process occurs. Many people who run may be concerned about resuming their running or jogging routine after fracturing their ankle. There are specific stretches that can be done which may help to increase ankle strength and range of motion. When these are frequently performed, the average time for people to start running again may be between three and four months. This can depend on whether surgery was performed, how severe the fracture is, and the amount of effort that is put into doing all that is possible to have a healed ankle. If you have fractured your ankle, it is suggested that you confer with a podiatrist who can help you to heal successfully.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.