June 2025

Plantar fasciitis occurs when the thick ligament on the bottom of the foot, called the plantar fascia, becomes irritated from overuse or strain. This tissue supports the arch and helps absorb impact during walking or running. When the ligament becomes inflamed, it can cause sharp pain near the heel, especially first thing in the morning or after standing for a long time. The discomfort from plantar fasciitis may return after exercise or long periods of walking. Risk factors include being between the ages of 40 and 60, carrying excess body weight, or participating in activities that put stress on the heel, such as long-distance running or dance. The condition may affect one or both feet, depending on how much strain is placed on them. A podiatrist can diagnose plantar fasciitis through a physical exam and imaging to rule out other foot problems. If you are experiencing pain along the bottom of your feet, it is suggested that you schedule an appointment  with a podiatrist who can accurately diagnose and treat plantar fasciitis. 

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is 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.

Falls in older adults are often linked to underlying foot conditions that can impair balance, strength, and coordination. Issues such as numbness, joint stiffness, weak ankles, and pain from deformities like bunions or hammertoes may increase the risk of losing balance while walking. Improperly fitting shoes or worn soles can further compromise footing. Addressing these problems can significantly reduce the risk of falls. A podiatrist can assess your foot structure, diagnose conditions affecting mobility, and recommend proper footwear or custom orthotics to improve support. For those with nerve damage or poor circulation in the feet, early detection and treatment are essential to maintaining balance. In some cases, surgery may be advised to correct structural issues that impair gait. Regular foot exams can also help detect progressive conditions before they contribute to instability. If you have foot problems that are likely to contribute to a fall, it is suggested that you schedule an appointment with a podiatrist for expert advice and guidance.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Cascade Foot & Ankle. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

Achilles tendon pain can result from conditions like tendonitis, tendinosis, or a partial or complete tendon rupture. The Achilles tendon connects the calf muscles to the heel and is vital for walking, running, and jumping. Tendonitis is an acute inflammation, often triggered by sudden activity or repetitive strain, and may cause swelling, warmth, and pain. Tendinosis is a chronic condition caused by long-term overuse, which leads to gradual tendon degeneration. Symptoms include stiffness, aching, and pain that worsens with activity but eases with rest. The tendon may feel thickened, tender, or produce a creaking sensation. A rupture can occur suddenly, often during sports, and may feel like a sharp pain or a kick to the back of the leg. It often causes difficulty walking and may result in a visible gap in the tendon. Diagnosis typically involves ultrasound or MRI imaging. Treatment includes rest, orthotics, targeted exercises, or surgery, in severe cases. If you are experiencing heel or ankle pain, especially during or after physical activity, it is suggested that you consult a podiatrist for an accurate diagnosis and personalized treatment plan.

Many people suffer from bouts of heel pain. 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Cracked heels occur when the skin surrounding the heel becomes dry, thickened, and splits due to pressure and lack of moisture. This condition can result from standing for long periods of time, wearing open-back shoes, obesity, or skin conditions such as eczema. In the initial stage, the skin may appear dry and rough. As it progresses, visible cracks form, causing discomfort. In severe cases, the cracks develop into fissures, which can lead to bleeding, pain, and risk of infection. Symptoms may include itching, flaking, and soreness while walking. A podiatrist can evaluate the severity, remove thickened skin safely, recommend moisturizing treatments, and advise on footwear and daily care. If you have cracked heels that are painful, it is strongly suggested that you contact a podiatrist who can offer effective treatment remedies, which often includes prescribed medication.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.