June 2020

A broken ankle is a fracture that occurs in the tibia, fibia, or the talus, which is the bone that connects the leg to the heel.  While broken ankles are usually caused by a twisting or turning motion, stress fractures can occur when the legs and feet are overused.  While there are many types of unique fractures, there are four that are most common. The bimalleolar ankle fracture occurs when the knob on the inside of the ankle is fractured. A trimalleolar fracture involves the medial (inside), lateral (outside), and posterior (back) malleoli all breaking.  Medical malleous ankle fractures occur in the lower portion of the tibia, and a pilon fracture occurs on the weight bearing roof of the ankle. Fractures can also be displaced, meaning bones are out of their normal alignment, or non displaced, which are bones that are aligned but still broken. While these are the most common fractures, each break is unique, so it is important to consult with a podiatrist for more detailed information about your injury and a treatment plan towards recovery. 

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Cascade Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many runners understand the importance of listening to the body, especially in the case of trying to prevent an injury as a result of overuse. Runners who are new to this sport can become injured from running excess miles in the beginning. Additionally, injuries can happen from running at accelerated speeds. It is helpful to drink plenty of water during the day, get an adequate amount of rest, and eat foods that are rich in nutrients. People who enjoy the sport of running often alternate going for a run with cardiovascular exercises, which can include cycling and swimming. If you would like more information about how to prevent running injuries, and how they can impact the feet, please consult with a podiatrist.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact one of our podiatrists of Cascade Foot & Ankle. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

If you have any questions please feel free to contact our offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The Tarsal Tunnel is a narrow opening in the ankle that leads arteries, veins, tendons, and nerves to the foot. Tarsal Tunnel Syndrome occurs when the tibial nerve is squeezed anywhere along this tunnel. While flat feet lead to a higher risk of Tarsal Tunnel Syndrome, an injury, diabetes, or an abnormal structure like a bone growth, can all lead to the compression or squeezing of the nerve. Symptoms are usually felt in the ankle or bottom of the foot and include a tingling or burning sensation, numbness, and shooting pain. In order to prevent permanent damage to the nerve, it is important to have Tarsal Tunnel Syndrome diagnosed by a podiatrist as soon as possible. A podiatrist will be able to diagnose the extent of the injury and determine the best course of treatment that may include surgery, therapy, orthotic devices, or simply rest.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Cascade Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Athlete’s foot is a contagious condition, and as its name suggests, is often common among those who participate in sporting activities. Athlete’s foot can be identified by a few different symptoms. These indicators may include cracking or peeling blisters between the toes, redness and scaling on the soles of the feet, rashes and bumps on the feet, and itchiness. Even though the name is athlete’s foot, this condition can develop for anyone. Not wearing the proper footwear in warm and moist environments can lead to developing athlete's foot, as that is where fungi tend to thrive. These environments can include public swimming pools, communal showers, gyms, and locker room floors. If you believe you have developed athlete’s foot, it is suggested that you seek the help of a podiatrist for proper and professional care.

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 one of our podiatrists from Cascade Foot & Ankle. Our doctors 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 offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wounds on the feet require prompt treatment, and this may be helpful in preventing serious foot conditions from developing. Wounds can occur as a result of existing medical conditions that can include diabetes, high blood pressure, and kidney disease. A wound on the foot may happen from having neuropathy, and this can cause the inability to feel any pain that is associated with cuts or bruises. There are specific methods that can be implemented which may be helpful in controlling the number of wounds that can develop on the feet. These can consist of drinking fresh water daily, wearing shoes that fit correctly, and practicing gentle stretching exercises. If you have wounds on  your feet, it is strongly advised that you are under the care of a podiatrist who can perform a diagnosis, and offer a treatment plan that is correct for you. 

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Cascade Foot & Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.