December 2023

Overlapping toes, also known as toe overlap or crossover toe, can be a painful and annoying condition. It occurs when one toe sits on top of another, making it difficult to wear shoes and, in some cases, inhibiting mobility. Toe overlap can be the result of genetics, wearing tight-fitting shoes, and muscle imbalances. It can also be associated with other conditions, such as bunions or hammertoes. When dealing with toes that overlap, several treatment options are available. Manual separation, involving the taping of toes into a straight position, can be effective for both children and adults when initiated early. Orthotic footwear, including specialized shoes and custom insoles, can help to alleviate pressure and promote proper toe alignment. Muscle imbalances and joint misalignment can be addressed through targeted exercises. In severe cases, or with the presence of large bunions, surgical intervention may be necessary to correct overlapping toes and their associated issues. If you are suffering the effects of toes that overlap, it is suggested that you make an appointment with a podiatrist who can conduct a thorough examination in order to determine the most suitable treatment plan for you. 

Toe pain can 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

Wearing high heels can have long-lasting effects on your feet and overall health. While they may be a fashionable choice, prolonged use can lead to various problems. Ankle injuries and stress fractures can occur even with short-term wear, especially if you are not accustomed to wearing heels. Additionally, high heels can contribute to arthritis in the knees and foot joints due to altered posture and gait. If you already have foot issues such as hammertoes, ingrown toenails, corns, or bunions, wearing high heels can exacerbate these problems. Pump bumps, or Haglund deformities, may form on the back of the heel due to friction. High heels can also lead to plantar fasciitis, Achilles tendinopathies, and calf problems.. If you enjoy wearing high heels and you would like to learn about how to protect the health of your feet and prevent foot deformities, it is suggested that you schedule an appointment with a podiatrist for professional advice.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.

Ankle fractures, involving breaks in the bones forming the ankle joint, vary in location and severity. A lateral malleolus fracture occurs in the fibula, which is the smaller leg bone, and is the most frequent type of ankle fracture. Medial malleolus fractures affect the tibia's inner side, while a posterior malleolus fracture involves the back of the tibia. Bimalleolar fractures involve both the medial and lateral malleoli, and trimalleolar fractures include the posterior malleolus as well. Pilon fractures are severe, affecting the bottom of the tibia and potentially damaging the ankle joint's surface. Stress fractures, resulting from repetitive stress rather than a single injury, are minor cracks in the bone. Each type of ankle fracture varies in treatment and recovery, with severity ranging from simple breaks that may heal with rest and immobilization to complex fractures requiring surgical intervention. If you have fractured your ankle, it is strongly suggested that you schedule an appointment with a podiatrist who can determine the type and severity of the break, and provide appropriate treatment options.

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.

Tarsal tunnel syndrome, a condition affecting the inner ankle and foot, arises from compression of the tibial nerve within the tarsal tunnel. This tunnel, enclosed by bone and soft tissues, houses nerves, arteries, and tendons. When pressure on the tibial nerve increases, it can result in tarsal tunnel syndrome. Causes vary, with one primary factor being overuse, leading to inflammation and swelling within the tunnel. Flat feet or conditions altering foot biomechanics may contribute by narrowing the tunnel and compressing the nerve. Ankle injuries, cysts, or tumors within the tunnel can exacerbate the compression, as can systemic conditions like diabetes or arthritis. Symptoms encompass tingling, burning sensations, and pain radiating to the arch, heel, or toes. Recognizing these indicators and understanding the diverse causes of tarsal tunnel syndrome is vital for timely intervention. If you have foot pain, it is strongly suggested that you schedule an appointment 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.