September 2023

High heels have long been celebrated for their ability to elevate fashion and style. However, it is important to recognize that these fashionable footwear choices can come at a significant cost to the health of your feet. One of the primary concerns is the alteration of your foot's natural position. High heels force your body weight forward, causing an unnatural distribution of pressure. This can lead to conditions such as bunions, hammer toes, and metatarsalgia. Additionally, the increased pressure on the balls of your feet can cause pain and calluses. The elevated heels also reduce the length of your calf muscles, which can lead to shortening of the Achilles tendon and discomfort. Wearing high heels regularly may also contribute to balance issues and an increased risk of ankle sprains. While high heels may be a fashion statement, it is essential to wear them in moderation and prioritize your foot health. Consider lower-heeled options or flats for daily wear, saving those stylish stilettos for special occasions. If you would like more information about the dangers of wearing high heels, it is suggested that you confer with a podiatrist who can provide you with the knowledge you are seeking. 

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.

Losing a limb, particularly a lower extremity, is one of the greatest risks derived from diabetic foot ulcers. Preventing such a drastic outcome starts with undergoing an annual foot screening for those who have lost protective sensation in their feet. Next, experts believe that simple self-care techniques can allow patients to assume a certain amount of responsibility for their foot health. Knowledge of proper foot care and daily habits can go a long way in preserving limb health. This includes daily self-inspection. Regular and thorough self-examinations are critical for identifying early signs of foot injuries, calluses, or nail problems. By detecting issues such as blisters, redness, cracked skin, swelling, or abnormalities in their early stages, patients can prevent these problems from progressing into more severe conditions. Further, ill-fitting shoes that can make diabetic foot conditions worse include narrow-toed shoes, high heels, flip flops, or shoes that are too loose or tight. Timely intervention can help to prevent these issues from escalating into dire complications. If you are at risk for diabetic ulcers, it is suggested that you add a podiatrist to your medical team.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, 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.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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.

Plantar fasciitis, a common and often debilitating foot condition, can bring your daily life to a halt due to severe heel pain. Fortunately, various treatment options are available to help you regain your comfort and mobility. Conservative measures like rest and taking anti-inflammatory medications can help to alleviate discomfort. Wearing supportive footwear with proper arch support and cushioning can significantly reduce strain on the plantar fascia. Stretching exercises that target the calf muscles and Achilles tendon can also provide relief by loosening tight structures around the foot. Custom orthotics may be recommended to support the arch and distribute pressure evenly. In rare cases, when conservative treatments are not sufficient, medical interventions such as cortico-steroid injections or surgery may be considered. Plantar fasciitis can be challenging, but with the right approach and patience, you can overcome it and return to a pain-free, active lifestyle. If you have heel pain, it is suggested that you contact a podiatrist who can effectively diagnose and treat plantar fasciitis.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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.

Stress fractures are microscopic cracks in bones, and can significantly impact foot health and mobility. These fractures are often the result of repetitive strain and overuse, which can gradually weaken the bones. Athletes, especially runners and dancers, are susceptible to developing a foot stress fracture, as a result of the constant impact on their feet. Sudden increases in activity intensity or duration can also trigger stress fractures. Factors such as wearing improper footwear, inadequate rest between activities, and poor foot structure can lead to a heightened risk of incurring a stress fracture. Additionally, medical conditions such as osteoporosis can reduce bone density, and increase vulnerability. Individuals with certain nutritional deficiencies, hormonal imbalances, or a history of stress fractures can face an elevated risk. Preventative measures include proper training progression, adequate nutrition, and wearing supportive shoes. If you have a foot stress fracture, it is suggested that you confer with a podiatrist who can effectively treat this condition. 

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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.