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Dr. Horlebein will be joining Advanced Regional Ankle & Foot Care LLC as a full time physician in Altoona PA, as of June 1st 2023. Feel free to call our office with any scheduling inquires/questions!

November 2024

Tuesday, 19 November 2024 00:00

Changes in Foot Growth During Pregnancy

Many women notice changes in their feet during pregnancy, often leading to the question of whether their feet actually grow. The answer is yes, as hormonal changes and weight gain can cause the ligaments in the feet to relax, leading to a widening and lengthening of the foot. This is largely due to the hormone relaxin, which prepares the body for childbirth by loosening ligaments. Additionally, the increased weight and fluid retention can contribute to swelling. For some women, feet may return to their pre-pregnancy size after childbirth, while others find their feet remain larger permanently. This lasting change can be attributed to factors such as age, genetics, and the amount of weight gained during pregnancy. If you have developed foot pain or other foot problems during your pregnancy, it is suggested that you contact a podiatrist who can offer you effective relief solutions.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

Read more about Pregnancy and Foot Health
Tuesday, 12 November 2024 00:00

Description and Causes of a Bunion

A bunion, medically known as hallux valgus, is a bony prominence that forms at the base of the big toe, causing the toe to angle towards the second toe. This condition can lead to significant discomfort and pain, especially when wearing shoes. Bunions develop gradually and are often caused by factors such as genetic predisposition, which influences foot structure, and wearing tight or ill-fitting footwear that places pressure on the toes. Other contributing factors include arthritis, flat feet, and repetitive stress from certain activities. As the bunion progresses, the surrounding soft tissue may become inflamed, resulting in redness and swelling. Understanding the causes of bunions is essential for prevention and management, as making appropriate footwear choices and addressing foot mechanics can help reduce discomfort and slow the progression of this common foot condition. If you see the beginning signs of a bunion, it is suggested that you consult a podiatrist who can offer you effective relief tips.

If you are suffering from bunion pain, 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?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

Read more about Bunions
Tuesday, 05 November 2024 00:00

Exploring Surgery for Flat Feet

Flat feet, or pes planus, occur when the arches of the feet are flattened, causing the entire sole to make contact with the ground. This can result in pain and cause difficulties with walking. In some cases, people with flat feet may benefit from surgical correction. Flat foot reconstruction aims to reshape the foot by repairing or realigning the bones, tendons, and ligaments to support the arch. The specific technique used can vary, based on such factors as the patient’s anatomy and the severity of their symptoms. While flatfoot surgery often results in improved mobility and relief from pain, the recovery process can take several months and may require the use of a cast or orthopedic boot. A podiatrist can determine if non-surgical treatments are still viable or if surgery is the best course of action. If you have foot problems related to flat feet, it is suggested that you schedule an appointment with a podiatrist.

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 and ankle needs.

Read more about Foot and Ankle Surgery
Friday, 01 November 2024 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

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