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Ellensburg
(509) 925-4633

December 2019

Tuesday, 10 October 2023 00:00

Diabetic Foot Care

Diabetes can cause two problems that can potentially affect the feet: Diabetic neuropathy and Peripheral Vascular Disease. Diabetic neuropathy occurs when nerves in your legs and feet become damaged, which prevents you from feeling heat, cold, or pain. The problem with diabetic neuropathy is that a cut or sore on the foot may go unnoticed and the cut may eventually become infected. This condition is also a main cause of foot ulcers. Additionally, Peripheral vascular disease also affects blood flow in the body. Poor blood flow will cause sores and cuts to take longer to heal. Infections that don’t heal do to poor blood flow can potentially cause ulcers or gangrene.

There are certain foot problems that are more commonly found in people with diabetes such as Athlete’s foot, calluses, corns, blisters, bunions, foot ulcers, ingrown toenails, and plantar warts. These conditions can lead to infection and serious complications such as amputation. Fortunately, proper foot care can help prevent these foot problems before they progress into more serious complications.       

Each day you should wash your feet in warm water with a mild soap. When you finish washing your feet, dry them carefully especially between your toes. You should also perform daily foot inspections to ensure you don’t have any redness, blisters, or calluses. Furthermore, if you are diabetic, you should always wear closed-toed shoes or slippers to protect your feet. Practicing these tips will help ensure that your feet are kept healthy and away from infection.

If you have diabetes, contact your podiatrist if you have any of the following symptoms on your feet: changes in skin color, corns or calluses, open sores that are slow to heal, unusual and persistent odor, or changes in skin temperature. Your podiatrist will do a thorough examination of your feet to help treat these problematic conditions.

Tuesday, 10 October 2023 00:00

Essential Tips for Diabetic Foot Health

For individuals living with diabetes, proper foot care is more than just a routine, it is a necessary aspect of managing their overall health. Diabetes can lead to a range of foot complications, making preventive measures and vigilant care essential. This can start with inspecting the feet daily. Check for any cuts, blisters, sores, or changes in skin color or temperature. Since diabetes can lead to neuropathy, which is nerve damage, you may not feel minor injuries. It is important to keep feet clean and dry, making sure to gently wash them with lukewarm water and mild soap. Avoid hot water, as it can lead to burns or injuries you may not notice. Moisturize the feet regularly, but avoid applying lotion between the toes to prevent fungal infections. Choose comfortable, well-fitting shoes with adequate support and cushioning. Inspect the inside of your shoes for foreign objects or rough seams. By following these diabetic foot care tips diligently, you can reduce the risk of complications. If you have diabetes, it is suggested that you are under the care of a podiatrist who can help you to manage this condition. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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 Diabetic Foot Care
Tuesday, 03 October 2023 00:00

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.

Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.

Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.   

Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.

It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.

Tuesday, 03 October 2023 00:00

Common Foot and Ankle Injuries in Dancers

Dancing is a beautiful art form that demands precision and grace. However, it also places a significant amount of stress on the feet and ankles, making dancers susceptible to a wide range of injuries. Ankle sprains often occur when dancers land after jumps or quick turns. Proper warm-up and ankle-strengthening exercises can reduce the risk. Stress fractures can develop from the repetitive impact of dancing, causing tiny cracks in bones. Adequate rest and proper nutrition are essential for healing. Achilles tendinitis may result from overuse of the Achilles tendon, leading to inflammation and pain. Stretching and calf strengthening exercises can help to prevent this. Plantar fasciitis often occurs due to the strain on the arch of the foot. Wearing shoes with adequate arch support and incorporating stretching exercises can be effective preventive measures. Dancer’s fracture is the name given to the fracture of the 5th metatarsal, which is the bone connecting the pinky toe to the midfoot. This fracture can occur when the ankle is rolled while the dancer is on their toes, causing immediate pain and swelling in the foot. It is suggested that dancers have regular check-ups with a podiatrist to detect and address these and other foot or ankle injuries early. 

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.

Read more about Sports Related Foot and Ankle Injuries
Tuesday, 26 September 2023 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Tuesday, 26 September 2023 00:00

Definition and Underlying Causes of Gout

Gout is a painful form of arthritis that results from the buildup of uric acid crystals in the joints. This condition can affect anyone, and it typically targets the big toe joint. A noticeable symptom of gout is intense pain, swelling, and redness in the affected joint, often occurring suddenly and causing discomfort that can last for days or weeks. The primary cause of gout is an overabundance of uric acid in the bloodstream, a condition known as hyperuricemia. Uric acid forms when the body breaks down purines, which are found in certain foods and are also produced naturally by the body. Factors such as genetics, a diet rich in purines, excessive alcohol consumption, and obesity can contribute to elevated uric acid levels. Treatment of gout typically involves managing pain during flare-ups with anti-inflammatory medications and lifestyle modifications can help to reduce uric acid levels. Long-term strategies often include dietary changes, weight management, and medications to lower uric acid production. By understanding gout's definition, causes, and appropriate treatment options, individuals can take proactive steps to alleviate pain and prevent future attacks. If you suffer from gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Cascade Foot & Ankle. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 Gout

The ankle is a hinged synovial joint made up of three bones: the tibia (shin bone), the fibula (outer ankle bone), and the talus (between the heel and leg). These three bones are bound, supported, and stabilized by strong, fibrous bands of tissue called ligaments.

A break in an ankle bone can be either traumatic or stress related. This injury may be referred to as a break or fracture. A traumatic fracture can result from tripping, twisting or rolling the ankle, falling, or by blunt impact to the ankle. These traumatic ankle breaks usually occur during sporting activities or accidents. Stress fractures, however, occur over time and are the result of repetitive stress to the ankle. These fractures sometimes occur when a new activity that engages the ankle is introduced, or when the level of activity is abruptly increased or intensified. 

There are various symptoms that accompany an ankle break. The most significant symptoms are pain and swelling that occurs in the ankle and sometimes spreads up from the foot to below the knee. Bruising or discoloration may develop eventually. It will be difficult or even impossible to put weight on the affected foot, and in severe cases there may be a visible deformity or even exposed bone.

It is very important to seek immediate treatment when an ankle break occurs or is suspected to have occurred, in order to allow the bone to properly heal and to avoid future complications such as stiff joints, limited range of motion, and osteoarthritis.

To diagnose a broken ankle, your podiatrist will first ask you to explain how the injury occurred and what your symptoms are. They will perform a thorough examination, checking for damage to nerves, blood vessels, and other structures around the injury site. They will also test your range of motion. An X-ray will need to be reviewed and, in some cases, an MRI or CT scan may be necessary.

Proper treatment of a broken ankle will depend on where and how severe the break is, how stable the ankle is, and whether the bone is displaced (misaligned or separated) or non-displaced (broken yet still aligned properly). 

Mild fractures (where the bone is non-displaced) may be treated by resting, icing, and elevating the ankle at first, followed by immobilization with a cast or walking boot. Pain and inflammation may be treated with acetaminophen. More severe or complicated fractures where bones or joints are displaced may require surgery. 

Recovery time will also vary, and it may take 4-6 weeks or longer for a broken ankle to heal. Your podiatrist will most likely order progressive X-rays or stress tests to be taken in order to monitor the healing process.

Tuesday, 19 September 2023 00:00

Treatment and Recovery for Broken Ankles

Dealing with a broken ankle can be both painful and challenging. The first step is to seek medical attention for diagnosis through an X-ray. The treatment approach will depend on the severity of the fracture. Treatment options include using a specialized boot or a plaster cast to stabilize the ankle, possible bone manipulation under anesthesia, or even surgical intervention. Regular follow-up appointments are essential to monitor healing progress. Once diagnosed and treated, the recovery process begins. Healing typically takes 6 to 8 weeks or longer, depending on the severity of the break. Specific post-treatment instructions include how long the boot or cast will be needed and guidelines for weight-bearing. Gradual ankle movement and prescribed exercises may be recommended to prevent stiffness. Other recovery tips include resting and elevating the ankle, taking prescribed pain relievers, and being cautious about weight bearing. Gently moving your toes and bending your knee to prevent muscle stiffness is thought to be helpful. For help in dealing with a fractured ankle, it is suggested that you make an appointment with a podiatrist. 

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.

Read more about Broken Ankle Causes, Differences, Symptoms and Treatments
Tuesday, 12 September 2023 00:00

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.

The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.

There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.

Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.

To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.

If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.

Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.

Tuesday, 12 September 2023 00:00

Definition and Reasons for Developing Hammertoe

Hammertoe, a relatively common foot condition, is often the source of discomfort and inconvenience for many individuals. This deformity occurs when the middle joint of one or more of your smaller toes becomes bent and stuck in an abnormal position. The affected toes often resemble the shape of a hammer, hence the name. Hammertoes can develop for a variety of reasons, including genetics, foot structure, or wearing ill-fitting shoes. High heels and shoes that squeeze the toes together can exacerbate the problem. Hammertoes can lead to pain, corns, calluses, and difficulty finding comfortable footwear. While the condition can be hereditary, early intervention through wearing proper footwear and certain medical treatment can help prevent or alleviate the discomfort associated with hammertoes, allowing individuals to maintain healthier and happier feet. If you are afflicted with hammertoe, it is strongly suggested that you are under the care of a podiatrist who can guide you toward effective relief options.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Cascade Foot & Ankle. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

Read more about Hammertoe
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