Dr. Horlebein will be joining Advanced Regional Ankle & Foot Care LLC as a full time physician in Altoona PA, as of June 1st 2023. Feel free to call our office with any scheduling inquires/questions!

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Common Reasons for the Development of a Hammertoe

Hammertoes are considered to be a foot deformity, commonly affecting the second, third or fourth toes. This condition can cause the toe to bend downward, resembling a hammer. Hammertoes can be brought on by a muscle imbalance in the feet, wearing tightly fitted shoes, and nerve damage, which is often linked to complications with diabetes. Hereditary reasons pertaining to the overall structure of the legs and feet can also play a role in the development of a hammertoe. To help treat this condition, custom orthotics are often prescribed to improve the structure and function of the affected toe. For a proper diagnosis and advised treatment plan, please consult with a podiatrist.

Hammertoes can be a painful condition to live with. For more information, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor 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 office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Hammertoes?

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Numbness in the Feet and Loss of Sensation

Numbness in the feet can develop from several causes related to nerve function, circulation, or underlying conditions. One common cause is peripheral neuropathy, which affects the nerves responsible for sensation, and can interfere with how the feet detect touch, temperature, and pain. The nerves play an important role in balance and protection, so when they are impaired, individuals may notice tingling, burning, or a reduced ability to feel the ground when walking. Causes include diabetes, prolonged pressure on nerves, injury, or poor circulation. Symptoms can develop gradually and may worsen over time, increasing the risk of unnoticed cuts or sores. A podiatrist can evaluate sensation and circulation through an examination ,and may recommend further testing, if needed. Treatment focuses on managing the underlying cause and protecting the feet. It also aims to improve function through supportive care and targeted exercises. If you have numbness in your feet, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnose and appropriate treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Neuropathy

Sever’s Disease and Growing Feet

Sever's disease affects children and teens, causing pain in the heel due to inflammation of the growth plate where the Achilles tendon attaches. It often develops during periods of rapid growth or increased physical activity, placing repeated stress on the heel. Symptoms include heel pain that worsens with running, jumping, or prolonged standing. Swelling and tenderness at the back of the heel are other symptoms. Risk factors include participation in sports, tight calf muscles, flat feet, and improper footwear that does not provide adequate support. Without proper care, discomfort may limit activity and affect mobility. A podiatrist can help by assessing foot mechanics, recommending supportive footwear or orthotics, and providing treatment to relieve pain. If your active child has heel pain, it is suggested that you consult a podiatrist who can offer appropriate relief solutions.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sever's Disease

How Acute Ankle Sprains Are Treated

An ankle sprain can happen suddenly with a twist, misstep, or fall. It often causes pain, swelling, and difficulty putting weight on the foot. Early care focuses on protecting the joint and reducing swelling. Resting the ankle, using light compression, and elevating the foot can help control discomfort in the first few days. Support may be needed to allow healing. This can include a brace, wrap, or short period of limited weight-bearing. As pain improves, gentle movement and strengthening exercises are introduced to restore stability and prevent future sprains. In more severe cases, imaging may be used to check for additional damage, and a longer period of support may be required. Recovery takes time and proper care is important. If pain, swelling, or instability continues after an ankle sprain, it is suggested that you see a podiatrist for a thorough evaluation and appropriate treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ankle Sprains
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