February 2024

Custom-made orthotics are a valuable solution for alleviating foot pain and addressing various foot conditions. These personalized shoe inserts are designed to provide optimal support and alignment for an individual's unique foot structure and gait patterns. Custom orthotics offer precise support tailored to your specific needs. They are crafted based on a detailed assessment of your foot anatomy, including arch height, pronation, and other biomechanical factors. This ensures they provide the right level of support where needed, redistributing pressure evenly, and reducing strain on problematic areas. Custom orthotics can also improve alignment and stability. Correcting imbalances in your feet, ankles, or legs can reduce the stress on joints and muscles, promoting a more natural and efficient walking or running pattern. Furthermore, orthotics can alleviate pain caused by plantar fasciitis, bunions, or flat feet. They can provide cushioning and shock absorption, reducing discomfort during daily activities or sports. If you have persistent foot pain, it is suggested that you schedule an appointment with a podiatrist to discuss whether custom-made orthotics are a viable option for you.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Mobility is a critical aspect of maintaining independence and overall well-being as people age. Concerns about losing the ability to move freely can be a source of anxiety for many older adults. Factors such as changes in gait, balance, and physical strength can impact mobility, leading to increased falls and limitations in daily activities. This loss of mobility is associated with higher rates of disease, disability, hospitalization, and decreased quality of life. If you are a senior or taking care of one and want to learn more about what you can do to maintain mobility in terms of proper gait and balance, it is suggested that you schedule an appointment with a podiatrist to increase your chances of living independently and enjoying a good quality of life.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

Gout, a form of inflammatory arthritis, develops when there is an excess buildup of uric acid in the body, leading to the formation of needle-like crystals in the joints. The primary cause of gout lies in the body's inability to metabolize uric acid efficiently, resulting in its accumulation. Dietary factors, such as consuming purine-rich foods like organ meats and certain seafood contribute to elevated uric acid levels. Additionally, genetic predispositions and underlying health conditions, such as kidney dysfunction, may increase the risk of gout. Diagnosis involves a comprehensive examination by podiatrists, considering symptoms like sudden, intense joint pain, swelling, and redness. Blood tests may be conducted to measure uric acid levels, and imaging studies such as X-rays or ultrasound can aid in visualizing joint damage. If you have been afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you to successfully manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.

Complex regional pain syndrome, or CRPS, a perplexing and debilitating condition, manifests as chronic pain, swelling, and changes in skin color and temperature, often affecting the extremities. When CRPS strikes the feet, it introduces a unique set of challenges for individuals grappling with this complex disorder. The condition arises typically after an injury or trauma, triggering an abnormal response in the nervous system. In the feet, CRPS can lead to severe, constant pain, sensitivity to touch, and difficulty bearing weight. The affected foot may change skin texture, temperature, and color, presenting a mosaic of symptoms that defy conventional explanations. Understanding how CRPS impacts the feet is essential for accurate diagnosis and tailored treatment plans. If you have foot pain that encompasses the above symptoms, it is strongly suggested that you seek the counsel of a podiatrist who can accurately diagnose and treat CRPS.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot 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 care needs.