January 2024

In the journey of aging, maintaining a steady and balanced gait becomes increasingly vital for overall well-being and independence. Activities like walking and resistance training can enhance overall gait in individuals with arthritis. Nordic walking, with the aid of adjustable-length walking poles, engages the entire body and promotes better posture. This exercise involves the shoulder and arm muscles, as well as helping increase pelvic rotation, step length, and walking speed. It is a good idea to have an aid with you when starting out, ensuring the safe and effective use of walking sticks. Balance is fundamental to a stable gait. Performing balancing exercises while standing still is a safe way to begin. Then gradually introduce more dynamic balance exercises, such as simple tai chi movements or slow dance movements. Canes are particularly useful for those with arthritis or peripheral neuropathy. They offer support and transmit information about the walking surface that helps to avoid falls. Walkers, with their stability and varied designs, address factors like joint pain, balance issues, and walking efficiency. For more information on gait issues, it is suggested that you schedule an appointment with a podiatrist for a gait analysis and recommended treatment.

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.

Foot and ankle problems are prevalent medical issues, particularly among the elderly, who often suffer from pain, stiffness, swelling, or deformities. Common diagnoses include conditions such as corns, athlete's foot, bunions, flat feet, ingrown nails, and warts. Aging-related muscle mass and loss of bone strength may increase seniors' risk for injuries and fractures, compounded by balance and vision issues. Key foot and ankle injuries in the elderly include ankle sprains, where the ligaments are overstretched or torn, potentially weakening the ankle and leading to arthritis, if untreated. Achilles tendonitis and tears are also common. The Achilles is vulnerable to inflammation and overuse, which can escalate to tears or ruptures, especially with sudden trauma. Ankle fractures are serious injuries from traumatic impact, requiring immediate podiatric attention to prevent complications such as infections. The spectrum of foot and ankle injuries in the elderly ranges from minor, treatable conditions to severe injuries necessitating medical intervention, highlighting the need for attentive care to prevent these issues. If you are elderly and have foot or ankle problems, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

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.

Selecting the right shoes for warehouse work is vital for ensuring both comfort and safety during long hours on your feet. Prioritize sturdy, closed-toe shoes with ample support to guard against potential hazards such as falling objects or heavy equipment. Look for designs with slip-resistant soles to navigate varied surfaces and spills commonly found in warehouse environments. A proper fit is essential, and it is helpful to choose shoes that allow for natural movement while securing the foot to prevent discomfort and potential injuries. Consider the climate of the warehouse, opting for breathable materials in warmer settings and insulated options for cooler conditions. Additionally, if the job involves lifting or carrying heavy loads, shoes with adequate ankle support can help prevent strains. Investing in high-quality, durable footwear designed for the specific demands of warehouse work is a proactive step toward promoting both occupational well-being and overall job performance. If you would like more information about what type of shoes to buy for warehouse work, it is suggested that you confer with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

Experiencing swelling in one foot can be a perplexing and discomforting issue with various underlying causes. Trauma, such as a sprain or injury, often leads to localized swelling, restricting fluid flow in the affected area. Deep vein thrombosis, a blood clot in the leg, may cause one foot to swell due to compromised circulation. Inflammatory conditions like arthritis can contribute to unilateral swelling, affecting the joints and soft tissues. Lymphatic issues, such as lymphedema, result in fluid retention and swelling, predominantly on one side. Foot infections, including cellulitis, can lead to localized swelling as the body responds to the infectious agents. Vascular problems, like peripheral artery disease, may cause poor blood flow to one foot, resulting in swelling. Understanding the reasons is critical for seeking timely medical attention, as addressing the underlying cause is essential in managing and alleviating the swelling in a singular foot. If you have one foot that is swollen, it is strongly suggested that you consult a podiatrist who can determine the cause and offer effective relief and treatment options.

Swollen feet can be a sign of an underlying condition. If you have any concerns, 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Adult flat feet, a condition where the arches of the feet collapse, can be attributed to a multitude of factors, each contributing to the intricate landscape of this common ailment. One primary cause is weakened or overstretched tendons, often stemming from prolonged wear and tear or injury. Age-related changes to tendons and ligaments can also impact foot structure, leading to the development of flat feet. Genetic predispositions often play a role, as individuals with a family history of flat feet may be more susceptible. Certain medical conditions, such as arthritis, diabetes, or obesity, contribute to altered foot mechanics and increased stress on the arches. Pregnancy is another factor, with hormonal changes and increased weight-bearing influencing foot structure. Wearing unsupportive footwear, especially during critical developmental stages, can contribute to the prevalence of adult flat feet. If you have flat feet, it is suggested that you visit a podiatrist who can offer you relief techniques, which may include custom-made orthotics. 

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.