July 2025

Foot pain can be more than just a local issue. It may be the first signal of an underlying health condition. Stiffness in the feet can indicate systemic inflammation, such as arthritis, while toe pain may result from gout or bunions. Tingling or numbness in the feet may point to peripheral neuropathy, which is often linked to diabetes or nerve damage. Heel pain is commonly associated with plantar fasciitis, a condition triggered by strained fascia along the bottom of the foot. Swelling in the feet and ankles can reflect fluid retention or poor circulation, and may be associated with heart, liver, or kidney concerns. Persistent skin issues like warts or fungal infections may signal immune dysfunction, or, in some cases, thyroid problems. A podiatrist can evaluate symptoms, identify the root cause of your foot pain. If you have foot pain that persists or worsens, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our podiatrists from Cascade Foot & Ankle. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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.

Hammertoe is a deformity in which one or more of the smaller toes bends abnormally at the middle joint, often making it point upward. Hammertoe commonly affects the second toe and may develop from a muscle imbalance, flat arches, or pressure caused by shoes that do not allow enough room for the toes. Symptoms may include a claw-like toe appearance, discomfort in the ball of the foot, and pain when wearing shoes. Corns or calluses that develop from rubbing against the top of a shoe, and difficulty finding shoes that fit can result from a hammertoe. A podiatrist can diagnose hammertoe through a physical examination and may use imaging if joint disease is suspected. In more severe cases where the joint becomes rigid, surgery may be needed to straighten the toe. If you have a toe deformity that is causing pain, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment.

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 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.

A foot fracture in a child involves a break in one or more of the bones in the foot and may occur from direct impact, twisting injuries, or overuse. Common signs of a broken foot include pain, swelling, bruising, and difficulty bearing weight or walking. In some cases, the foot may appear misshapen or have an open wound. A podiatrist will examine the foot and may order imaging studies such as X-rays, CT scans, MRIs, or bone scans to determine the extent of the injury. Diagnostic imaging helps identify the exact location and severity of the break. Treatment may involve immobilizing the foot with a cast or splint to promote bone healing and reduce movement. In more severe fractures, surgery may be needed to realign the bones and stabilize them using hardware such as wires or screws. Prompt professional care reduces the risk of long-term complications. If your child has sustained a foot fracture, it is suggested that you schedule an immediate appointment with a podiatrist for appropriate treatment.

A broken foot requires immediate medical attention and treatment. 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.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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.

Hammertoe surgery is a procedure to correct a deformity in the second, third, or fourth toe when the middle joint bends and the toe looks like a hammer. This outpatient procedure is designed to lessen pain and improve flexibility when the toe muscles cannot stretch and straighten on their own. A podiatrist may recommend hammertoe surgery after conservative options have failed. Options include fusion, tendon transfer, or joint resection to straighten the toe. Fusion cuts the bone ends and uses pins, rods, or screws to keep the toe straight. Tendon transfer reroutes a tendon to help the toe lie flat. Joint resection removes part of the bone and uses pins to hold alignment. Recovery from hammertoe surgery involves wearing a surgical shoe or boot, keeping weight off the foot, and follow-up visits for pin or stitch removal. If you have a painful hammertoe, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Cascade Foot & Ankle. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Ankle pain can come from a variety of sources, ranging from minor injuries to underlying health conditions. Common causes include sprains, fractures, tendon irritation, arthritis, or nerve compression. Repetitive movement, poor footwear, or uneven surfaces can also contribute to discomfort in the joint. Symptoms include aching, swelling, stiffness, bruising, or difficulty bearing weight. In some cases, the pain may be sharp and sudden, while in others it may develop slowly over time. Treatment depends on the cause, but may involve rest, elevation, compression, or the use of a brace or support. Targeted exercises, footwear changes, or custom orthotics may help in recovery and prevention. More severe cases might require medication or surgical evaluation. If your ankle pain is not improving or limits your mobility, it is suggested that you visit a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.