August 2022

A bump on the side of the big toe may be classified as a bunion. It can be large or small depending on how fast it develops. It may be uncomfortable and can happen as a result of wearing shoes that do not have adequate room for the toes to move around in. Some patients have pain in the bottom of their big toe that may gradually develop into the rest of the foot. In severe cases, the bunion may cause the other toes to shift and can result in overlapping. Many patients choose to have an X-ray taken and this can be beneficial in determining the extent of the deformity, in addition to observing if there is wear and tear on the joint. This condition may be the result of an abnormal foot structure and may happen to people who have flat feet. Additional reasons why people may develop a bunion can be from having endured a foot injury or possibly from collagen deficiency diseases. If you have a bunion, please confer with a podiatrist who can recommend what type of treatment is correct for you, and how to find permanent relief.

If you are suffering from bunions, 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.

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?

Doctors 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 doctor.

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 offices located in Yakima and Ellensburg, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

If you are serious about protecting the health of your feet, you ought to make yourself familiar with various common foot afflictions that can negatively impact the vitality of your feet. Plantar fibroma is one of these conditions. Plantar fibroma occurs when a benign (noncancerous) tumor or nodule develops on the bottom of the foot. Most commonly, a plantar fibroma develops on the plantar fascia, the band of tissue that stretches from a person’s heel to the toes and makes up the arch of the foot. Plantar fibromas typically measure less than an inch, and they do not usually appear in an individual during the first 10 years of their life. This condition can either manifest itself as one entity or multiple entities. When plantar fibromas come in clusters and they become more invasive, this might be considered plantar fibromatosis. A plantar fibroma can be treated in various ways. One technique is to address the plantar fibroma with orthotics, or corrective shoe inserts. A surgical procedure might be needed to treat other cases of plantar fibroma. If you believe that you are suffering from plantar fibroma, consider reaching out to a podiatrist who can help you address this problem.

A plantar fibroma may disrupt your daily activities. If you have any concerns, 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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

Most sprained ankles occur when the ankle rolls outward as the foot twists inward. This causes the ligaments on the outside of the ankle to stretch and possibly tear. With a mild sprain, the ankle may be sore and stiff. It may swell slightly, but you should be able to walk with minor pain. As the severity of the sprain increases, your ankle may become bruised and tender, making walking far more painful. With a severe sprain, the ankle joint will feel unstable, and bearing weight is not possible. Ankle sprains can take a while to heal, but this long process is important to avoid re-spraining the ankle or developing chronic ankle problems. If you hear a popping sound at the time of the sprain, please see a podiatrist immediately. You will undergo an exam and be given a treatment schedule that may include pain medication, exercises, or bracing to protect the joint and allow it to heal properly. In some cases surgery may be required. 

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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.

Most people experience sweaty feet from time to time, but excessive sweat under the feet can be a sign of plantar hyperhidrosis. Sweating is a part of our body’s way of cooling itself off and managing body temperature. Our feet have more sweat organs per inch than any other place in the body, and they can produce as much as half a quart of sweat per day. When it comes to controlling clammy feet, there are some things you can do for yourself and some things that might need medical attention. Cleanliness, shoes, socks, diet, and anxiety can influence how much your feet sweat. Hyperhidrosis is more common in men than women and in youth than grown-ups. If one has over the top sweating on their feet, it is likely that this happens to their palms as well. Feet that sweat too much may slip around inside of shoes. The feet might also have a whitish, wet appearance, and they may smell. These conditions are conducive to foot diseases, like a fungus. Adolescents are particularly sensitive about this ailment and the related foot odor at their age. To prevent sweaty feet, one should wash their feet regularly, dry them well, apply a moisturizer, and consider using antifungal powder or antiperspirant. Shoes should be rotated between use so that any moisture can dry out. Wearing shoes that are made of breathable material and fit well are imperative. Socks that wick moisture (cotton in warmer months and fleece or wool in cooler months) from the foot should be worn as well. Keep well hydrated. If regular foot care does not control your clammy feet, consult with a podiatrist who can provide additional suggestions for how to prevent and treat this annoying condition.

If you are suffering from hyperhidrosis contact one of our podiatrists of Cascade Foot & Ankle. Our doctors can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

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.

There are thin tendons on the top of your feet that connect your toes with muscles in the front of the lower leg. These are called extensor tendons. Extensor tendons help you flex your feet and raise your toes. Because they reside just underneath the skin on the top of the feet and have no padding, they are susceptible to becoming injured, inflamed, and painful. This is known as extensor tendonitis. Extensor tendonitis can sometimes be caused by overuse, or from shoes that are too tight. Dancers, runners, skiers, and skaters are susceptible to developing extensor tendonitis because they wear shoes that lace tightly in the front which can press hard against these tendons. In this way, extensor tendonitis is sometimes a sports-related injury. Extensor tendonitis can be diagnosed and treated by a podiatrist who may need to analyze imaging tests to rule out other injuries and make sure no other damage has been done to surrounding structures. It is suggested you consult with your podiatrist for shoe modifications, stretching, and strengthening exercises, and they may prescribe anti-inflammatory drugs, suggest icing, or even prescribe steroid therapy. In very severe cases, surgery may be necessary to repair the extensor tendons.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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.