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Peripheral arterial disease, or PAD, is a condition that affects blood flow to the legs and feet due to narrowed or blocked arteries. Reduced circulation can lead to pain, numbness, cold feet, or slow-healing wounds, especially during walking or activity. Some people may feel cramping in the calves or feet that improves with rest. PAD is more common in older adults and those with diabetes, high blood pressure, or a history of smoking. It may also cause changes in skin color or hair loss on the legs. Left untreated, PAD increases the risk of serious complications such as foot ulcers or infections. Lifestyle changes, medications, and sometimes surgical options are used to improve circulation. If you notice pain in your feet during activity or other signs of poor circulation, it is suggested that you see a podiatrist who can assess your symptoms and recommend appropriate care.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Corns are thick, hardened areas of skin that develop on the feet due to repeated pressure or friction, often from wearing tight shoes or abnormal foot mechanics. Unlike callouses, which are broader and form on weight-bearing areas like the soles, corns are smaller, have a hard center, and typically develop on toes or between them. They can feel like you are walking on a pebble and may become painful, especially when wearing shoes. Common symptoms include a hard or raised bump, tenderness, and soreness in the affected area. Corns may be surrounded by inflamed skin and can sometimes lead to infection if not properly treated. A podiatrist can determine the cause of the corns and recommend appropriate treatment. Options include safe removal of the corn, padding to reduce pressure, custom orthotics to improve foot alignment, and guidance on proper footwear. Addressing the root cause helps prevent recurrence. If you are experiencing this condition, it is suggested that you schedule an appointment with a podiatrist.

If you have any concerns regarding your feet and ankles, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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.

Keeping the toes, feet, and ankles strong and flexible can improve balance, reduce pain and help prevent injury. Toe curls are easy to do by picking up a towel with your toes. Ankle circles help improve range of motion and can be done seated or lying down. Pointing and flexing the foot gently stretches tight muscles. Rolling the sole of the foot over a ball can ease soreness and improve blood flow. Calf raises strengthen the lower leg and support the ankle. These exercises are helpful for people with flat feet, plantar fasciitis, or anyone recovering from a foot injury. They take just a few minutes a day and can make a big difference in comfort and mobility. If you have ongoing pain or stiffness in your feet, it is suggested you see a podiatrist for diagnosis and appropriate treatment.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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.

Cracked heels, also known as heel fissures, occur when the skin on the heels becomes dry, thickened, and eventually splits. This condition often results from a lack of moisture and pressure on the fat pad under the heel, causing the skin to expand and crack. Symptoms of cracked heels include dry, rough skin, visible splits or fissures, pain while walking, and, in severe cases, bleeding or infection. Risk factors for developing cracked heels include prolonged standing, walking barefoot, wearing open-backed shoes, obesity, and certain skin conditions like eczema or psoriasis. Additionally, environmental factors such as cold weather and low humidity can also contribute to this condition. If you have developed painful cracked heels, it is suggested that you consult a podiatrist who can offer effective relief remedies, which may include prescribed medication.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.