July 2023

Peripheral artery disease, or PAD, results from a buildup of fatty deposits in the arteries that restrict blood supply to the lower extremities. As the blood vessels narrow, the feet are unable to receive the normal amount of oxygenated blood that is needed to keep them healthy, and studies show that people over the age of 60 have a significantly increased chance of developing PAD. Men are also more at risk than women. The most common risk factors for developing peripheral artery disease are smoking, excessive alcohol consumption, diabetes, and high cholesterol. Symptoms of peripheral artery disease include loss of hair on extremities, weakness in the legs, brittle toenails, and shiny skin. Certain lifestyle changes can help to reduce the effects of PAD. If left untreated, PAD also can lead to serious or life-threatening conditions, such as heart disease or stroke. If you notice a loss of sensation in the feet or legs, a burning or prickling feeling, or a change of color in the feet or toes, it is suggested that you make an appointment with a podiatrist for an exam and options for treatment. 

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

Bunions are a specific kind of foot affliction that can develop when a bony bump forms on the side of the foot, commonly at the big toe. Bunions may also develop near the pinky toe. Living with a bunion can make particular physical activities significantly more difficult to engage in. For example, climbing is an activity that many Americans enjoy. However, climbing with ill-fitting footwear can increase one’s risk of developing a bunion. In particular, climbing with shoes that are too tight can ultimately lead to bunion formation. Since climbing requires a person to put a significant amount of pressure on the feet, climbing with bunions may prove to be challenging. If you are a climber and want to prevent or treat a foot condition like bunions, it is suggested that you schedule an appointment with a podiatrist today.

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 regularly suffer from foot pain, it is beneficial to spend some time investigating the best type of insoles, which are also referred to as orthotics, to address the situation. Foot pain can have many causes, so the first order of business is to determine the source of discomfort. Many people with plantar fasciitis, metatarsalgia, bunions, or flat feet are candidates for shoe inserts, which are premade, one-size-fits-all types. Custom orthotics, however, are produced from a mold of your feet and designed to address the specific foot problem you have. While store-bought inserts are less expensive, a custom orthotic is well worth the extra cost. In addition, because the custom orthotic fits your foot perfectly, it also feels comfortable inside your shoe. Finally, a premade orthotic insert may change your gait and do more harm than good. For help with finding the right orthotics for your feet, it is suggested that you make an appointment with a podiatrist for a thorough examination of your foot problem.

If you are having discomfort in your feet and would like to try orthotics, 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.

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

Arthritis in the feet can cause significant discomfort and interfere with normal functioning. Arthritis is a condition that leads to inflammation in or around joints. Symptoms include pain, swelling, and stiffness. The two major categories of arthritis are osteoarthritis and inflammatory arthritis. Osteoarthritis is the most common form of arthritis. This causes the cartilage between the bones at the joints to gradually erode with use. When this happens, the bones will grind against each other. This type of arthritis often affects the joint of the big toe. Bone spurs can develop on the joint to try to protect it, but often results in more pain and decreased motion of the joint. Gout is another form of arthritis that can cause severe joint pain in the big toe. Men, and women who are postmenopausal, are most susceptible to this affliction.  Gout develops from high uric acid levels in the blood, and this causes deposits of urate crystals to form around joints. Though there is no cure for arthritis, there are relief strategies that can be employed. If you suffer from arthritis in your feet, it is suggested that you visit a podiatrist who can provide more information about these approaches to relief.

Arthritis can be a difficult condition to live with. 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

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.