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February 2024

Tuesday, 27 February 2024 00:00

How Peripheral Artery Disease Affects the Feet

Peripheral artery disease, or PAD, is a condition akin to coronary artery disease and carotid artery disease. It affects arteries outside the heart and brain, particularly in the legs and feet. Peripheral artery disease involves the accumulation of fatty deposits on the inner linings of artery walls, narrowing the arteries and impeding blood flow. This reduction in blood circulation causes pain during activities such as walking, in addition to slow healing foot wounds, temperature disparities between feet, and potential development of gangrene. Severe cases may necessitate removal of the affected toe, foot, or leg. Individuals with diabetes face an elevated risk of PAD, which is further heightened by additional factors, including being overweight or obesity, physical inactivity, smoking, and high blood pressure. In addition, those with high LDL cholesterol, a family history of cardiovascular diseases, stroke, or a previous history of coronary artery disease or stroke are at higher risk of developing PAD. Early detection and intervention along with lifestyle changes, medication, and, in some instances, surgical procedures, can effectively manage PAD. If you have symptoms or risk factors of peripheral artery disease, it is suggested that you schedule an appointment with a podiatrist who is specially trained to manage this condition. 

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 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.


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.


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.

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Tuesday, 20 February 2024 00:00

Suitable Shoes for Walking and Running

When it comes to choosing between running and walking shoes, understanding the key differences can make all the difference. Both walkers and runners have distinct footwear needs, and these needs are reflected in the design of their shoes. The important factors to consider include shoe weight, cushioning, and flexibility. Running shoes are typically lightweight, facilitating quick movements, while walking shoes are generally heavier to provide stability and support during a slower, consistent pace. Running shoes offer more cushioning in the forefoot and heel to absorb the impact of continuous running strides. Walkers require good foot support over extended periods. Running shoes are more flexible in the midfoot or arch, accommodating the runner's constant strike at their midfoot or the ball of their foot. Additionally, walkers need arch flexibility since they rely on their toes to push off. Regardless of your choice, monitor how your shoes support your needs during your walk, and remember to replace them after every 300 to 400 miles or every four to six months to maintain optimal comfort and prevent injury. If you need help in determining what the right shoes are for running or walking, it is suggested that you consult with a podiatrist who is an expert in feet and ankle knowledge.

For more information about walking shoes versus running shoes, consult with one of our podiatrists from Cascade Foot & Ankle. Our doctors can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.


Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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.

Read more about Differences between Walking and Running Shoes
Tuesday, 13 February 2024 00:00

Strategies for Sustaining Healthy Feet

Caring for your feet is a cornerstone of overall well-being, directly influencing our ability to move and navigate the world with ease. Prioritize cleanliness by washing and thoroughly drying feet daily, safeguarding against infections and discomfort. Choose footwear wisely, opting for pairs that provide proper support, fit well, and allow ample room for toes to move freely. Regularly trim toenails straight across to prevent ingrown toenails and maintain proper foot hygiene. Additionally, embrace moisture management by applying a mild moisturizer to prevent dryness and cracking. Stretching exercises not only promote flexibility but also enhance circulation, supporting optimal foot health. Mindful inspection of feet for any unusual changes, such as swelling, redness, or pain, allows for prompt intervention if issues arise. Finally, prioritize regular physical activity to promote overall circulation and foot health. If you are seeking additional everyday foot care tips, it is suggested that you consult a podiatrist.

Everyday foot care is very important to prevent infection and other foot ailments. 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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.

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Friday, 09 February 2024 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Tuesday, 06 February 2024 00:00

Symptoms of Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, a condition affecting the posterior tibial nerve in the ankle, unveils a spectrum of symptoms that can significantly impact one's daily activities. Individuals with this syndrome often experience tingling or burning sensations along the inner ankle and sole of the foot. Numbness may extend to the toes, creating a sense of weakness or instability. Pain, resembling an electric shock or shooting sensation, may radiate from the ankle to the arch of the foot. Swelling in the affected area and a noticeable increase in discomfort during extended periods of standing or walking are common indicators. As the symptoms progress, individuals may find relief through rest but experience a resurgence of discomfort upon resuming activities. Recognizing these various signs is critical for a timely diagnosis and intervention. If you are experiencing one or more of these symptoms, it is suggested that you speak with a podiatrist who can diagnose and treat tarsal tunnel syndrome.

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.

Read more about Tarsal Tunnel Syndrome
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