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Cascade Foot and Ankle - DefaultDecember 2022
Tuesday, 13 September 2022 00:00
What Are Hammertoes?
Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity. Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.
Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.
Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.
For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.
If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.
Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.
Tuesday, 13 September 2022 00:00
Three Classes of Hammertoes
The feet are often taken for granted as we go through our day completing various activities. One ailment, known as hammertoe, gradually develops from genetic factors or from wearing shoes without enough room for the toes to move freely. Hammertoe is a deformity that affects the second, third, and fourth toes. The joints of the toes bend downward and resemble a hammer. Research has shown there are three classifications of hammertoe. Rigid hammertoes are severe and occur when the toes can not move in any direction. Flexible hammertoes are when the affected toes can only move forward and backward. Semi-rigid hammertoes mean the toes become stiff. Hammertoe may cause a decrease in range of motion and completing daily activities may be compromised. If you have any signs of hammertoe, contact a podiatrist as quickly as possible who can provide you with the correct treatment options.
Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Cascade Foot & Ankle. Our doctors will answer any of your foot- and ankle-related questions.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.
Symptoms
- Painful and/or difficult toe movement
- Swelling
- Joint stiffness
- Calluses/Corns
- Physical deformity
Risk Factors
- Age – The risk of hammertoe increases with age
- Sex – Women are more likely to have hammertoe compared to men
- Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
- Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe
Treatment
If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best 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 care needs.
Wednesday, 07 September 2022 00:00
Athlete's Foot
Athlete’s foot is an extremely contagious infection caused by a fungus that results in itching, burning, dry, and flaking feet. The fungus that causes athlete’s foot is known as tinea pedis and thrives in moist, dark areas such as shower floors, gyms, socks and shoes, commons areas, public changing areas, bathrooms, dormitory style houses, locker rooms, and public swimming pools. Athlete’s foot is difficult to treat as well because of the highly contagious and recurrent nature of the fungus.
Tinea is the same fungus that causes ringworm, and is spread by direct contact with an infected body part, contaminated clothing, or by touching other objects and body parts that have been exposed to the fungus. Because the feet are an ideal place for tinea to grow and spread, this is the most commonly affected area. It is, however, known to grow in other places. The term athlete’s foot describes tinea that grows strictly on the feet.
The most commonly infected body parts are the hands, groin, and scalp, as well as the feet. Around 70% of the population suffer from tinea infections at some point in their lives, however not all of these cases are athlete’s foot. Just like any other ailment, some people are more likely to get it than others, such as people with a history of tinea infections or other skin infections, both recurring and non-recurring ones. The extent to which a person experiences regrowth and recurrent tinea infections varies from person to person.
Sometimes people will not even know that they are infected with tinea or that they have athlete’s foot because of a lack of symptoms. However, most experience mild to moderate flaking, itching, redness, and burning. However, some of the more severe symptoms include cracking and bleeding skin, intense itching and burning, pain while walking or standing, and even blistering.
Because of the recurring nature of the tinea fungus and the athlete’s foot it causes, the best way to treat this condition is with prevention. You can take some preventative measures such as wearing flip flops or sandals in locker rooms and public showers to reduce contact with the floor. It also helps to keep clean, dry feet while allowing them to breathe. Using powders to keep your feet dry is a good idea, as well as keeping your feet exposed to light and cool air, to prevent the growth of tinea. If you do happen to get athlete’s foot, opt for using topical medicated creams, ointments or sprays. These treatments help eliminate and prevent it from coming back.
Wednesday, 07 September 2022 00:00
What Athlete’s Foot Looks Like
Athlete’s foot is a fairly common affliction of the foot that primarily affects the skin. Caused by a fungal infection, athlete’s foot is developed when an individual’s skin comes into direct contact with an infected person. This condition can also occur when walking barefoot in warm, moist, public environments such as locker rooms and pool sides. Athlete’s foot might look significantly different depending on where the infection is located and which fungus has caused the infection. For example, when located on the top of the foot, athlete’s foot may appear to be red and patchy. In some individuals, the top of the skin might even look scaly. When located between the toes, athlete’s foot can make the skin look soggy or even split. It is important to note that when this condition affects the skin between the toes, it is quite common for the skin to be significantly itchy. Lastly, athlete’s foot can manifest itself on the bottom, or soles, of the feet. When it appears on the soles of the feet, the condition may appear to be a shade of pink or red. It will also tend to have a scaly texture. If you suspect that you have a case of athlete’s foot, contact a podiatrist to help you address your problem.
Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact one of our podiatrists from Cascade Foot & Ankle. Our doctors will treat your foot and ankle needs.
Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.
Solutions to Combat Athlete’s Foot
- Hydrate your feet by using lotion
- Exfoliate
- Buff off nails
- Use of anti-fungal products
- Examine your feet and visit your doctor if any suspicious blisters or cuts develop
Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best 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.
Tuesday, 30 August 2022 00:00
What Are Bunions?
Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.
The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.
Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.
Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.
Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.
If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.
Tuesday, 30 August 2022 00:00
Reasons a Bunion Can Develop
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.
Tuesday, 23 August 2022 00:00
Plantar Fibroma
A plantar fibroma is a knot in the arch of the foot. It can cause pain when repeated pressure is applied by walking barefoot or wearing tight shoes. While plantar fibromas can appear in anyone, men who are middle-aged or older are said to be more susceptible. The main symptom of a plantar fibroma is a firm lump on the arch of the foot. If there is pain, it can be intensified by putting pressure on the nodule. The lump can stay one size or grow larger. You may have one or more fibromas in the feet and there tends to be a high incidence of recurring plantar fibromas. Generally, a plantar fibroma can be treated without surgery. Treatment might include steroid injections to help shrink the lump, orthotics to help redistribute weight away from the nodule, plantar fascia stretching, or physical therapy to help use anti-inflammatory medication on the lump. If a lump grows larger or more painful, a podiatrist can be consulted to confirm the diagnosis. The doctor will palpate the lump and this may cause pain that can be felt all the way to the toes. An X-ray, MRI, or biopsy might be done if further evaluation is necessary. A lump in the arch of the foot might be something other than a plantar fibroma, such as cysts, nerve or fatty tumors, swollen tendons, or an infection in the foot. It is important to see a podiatrist for proper diagnosis and treatment of plantar fibromas.
Tuesday, 23 August 2022 00:00
What Is a Plantar Fibroma?
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.
Tuesday, 16 August 2022 00:00
Ankle Sprains
Although ankle sprains may not be as serious as a broken ankle, they should be given immediate attention and care. An ankle sprain can lead to a significant amount of pain, as well as limited mobility. They are often characterized by the swelling and discoloration of the skin. This occurs when the ligaments are stretched beyond their limits.
The simple act of walking can sometimes cause a sprain, which makes ankle sprains a very common injury that can happen to anyone. They occur when the ankle twists in an awkward way or rolls over itself, causing a pop or snap in the tendons around the ankle. Some people are more at risk than others. These include athletes who continually push their bodies to the limits and also people who have previously suffered accidents to the feet, ankles, or lower legs.
Most of the time, an ankle sprain is not severe enough for hospital attention. There are many at-home treatment options available, including propping the leg up above your head to reduce blood flow and inflammation, applying ice packs to the affected area as needed, taking over-the-counter pain relievers and anti-inflammatory medication, using an ACE bandage to wrap and support the injured ankle, and most importantly, remaining off your feet until the ankle has fully healed.
Despite this, an ankle sprain can turn into a severe injury that might require hospitalization. If the ankle ligaments or muscles are damaged from a tear or rip, that is one sign that the sprain is severe enough for hospital attention and possibly for surgery. Even after the surgery, the recovery process can be long. You may need to have rehabilitation sessions administered by your podiatrist to get your ankle back to full health.
The severity of your sprain might become apparent if you are unable to stand or walk, consistent pain occurs over a prolonged period of time, swelling is much more severe than initially present, or if you start to experience tingling or numbness. These signs may indicate that your ankle sprain might actually be a broken ankle, an injury that requires immediate medical attention.
Although they are not completely avoidable, ankle sprains can be curbed with some preventative treatment measures. These include wearing appropriate-fitting shoes that not only provide a comfortable fit, but also ankle support. It is also recommended to stretch before doing any kind of physical activity, as this will help lower your body’s chance for an injury.
Tuesday, 16 August 2022 00:00
Facts About Sprained Ankles
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.
