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Telltale Clues of an Athlete’s Foot Infection

Tuesday, 10 March 2026

Athlete’s foot often begins with subtle changes that are easy to overlook. Many people first notice mild itching between the toes or a soft, soggy feeling in the skin after wearing closed shoes for long periods of time. The skin may start to peel slightly, look pinker than usual, or develop small cracks that sting when touched. As the condition progresses, a faint odor or a burning sensation can appear, especially after activity or when removing socks. These early signs are important to catch because treating the infection promptly helps prevent it from spreading to other toes or the toenails. A podiatrist can confirm the diagnosis, recommend treatments that target the fungus, and provide guidance on keeping the feet dry and protected. If the irritation continues or worsens despite initial care, it is suggested that you see a podiatrist for effective treatment solutions, which may include prescribed medication.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

Thoroughly washing and drying feet
Avoid going barefoot in locker rooms and public showers
Using shower shoes in public showers
Wearing socks that allow the feet to breathe
Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

Redness
Burning
Itching
Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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.

Types of Bunion Surgery

Tuesday, 03 March 2026

Bunion surgery is used to correct a painful bony bump that forms at the base of the big toe and interferes with normal foot alignment. Several types of bunion surgery exist depending on severity and joint condition. An exostectomy involves removing the enlarged bone to reduce pressure and irritation. An osteotomy corrects the deformity by cutting and realigning the bone to restore proper positioning, and arthrodesis, used for more advanced cases, involves fusing the joint to relieve pain and improve stability. Each approach is selected to reduce discomfort and improve function. A podiatrist evaluates foot structure, symptoms, and lifestyle needs to determine the most appropriate surgical or nonsurgical care. If bunion pain is limiting walking or daily activities, it is suggested that you schedule a consultation with a podiatrist to explore treatment options and steps toward lasting foot relief.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

Removing foot deformities like bunions and bone spurs
Severe arthritis that has caused bone issues
Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

Bunionectomy for painful bunions
Surgical fusion for realignment of bones
Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Reminder: When Was the Last Time...?

Sunday, 01 March 2026

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Easing Hammertoe Pain Through Professional Podiatric Care

Tuesday, 24 February 2026

Hammertoes occur when the small toes bend abnormally, creating pressure points that lead to irritation, inflammation, and difficulty wearing shoes comfortably. As the deformity progresses, corns and calluses often form over the raised joints, increasing discomfort and limiting mobility. A podiatrist can relieve pain by addressing both the symptoms and the underlying mechanics of the foot. Treatment may begin with trimming or reducing thickened skin, applying protective padding, or recommending custom orthotics to improve alignment and reduce pressure on the affected toes. In some cases, splinting or taping can help position the toe more comfortably and slow the progression of the deformity. If hammertoe pain becomes persistent or if the toe becomes rigid, minimally invasive or surgical correction may be the most effective option to restore function and relieve discomfort. If you are experiencing hammertoe pain, it is suggested that you visit a podiatrist to ensure targeted care that is designed to improve comfort and support long-term foot health.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

Pain in the affected toes
Development of corns or calluses due to friction
Inflammation
Redness
Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

Managing Bunions

Tuesday, 17 February 2026

Bunions are a common foot condition where the tip of the big toe gradually shifts toward the smaller toes, creating a visible bump at the side of the foot. They are often caused by inherited foot structure, wearing improper footwear, arthritis, or repeated pressure on the joint. A bunion may look red, swollen, or enlarged and can feel tender, stiff, or painful, especially when walking or wearing narrow shoes. Some people experience burning sensations or limited toe movement. A podiatrist can help from the start by evaluating foot structure, gait, and joint alignment, sometimes using imaging to confirm the diagnosis. Non-surgical treatments may include footwear recommendations, padding, custom orthotics, and targeted exercises to reduce strain and improve comfort. Early management can slow progression, ease pain, and improve daily mobility. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

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?

Podiatrists 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 provider.

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.

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