People with Down syndrome often have low muscle tone and loose joints, which can make the feet and ankles less stable. These differences can lead to flat feet, uneven walking patterns, and extra stress on muscles and joints in the feet and legs. Because of this, many children and adults with Down syndrome feel foot pain, tired legs, and discomfort when walking or standing for long periods of time. Other symptoms include frequent tripping, fatigue in the feet, and aches in the arches or heels. Orthotics can help by giving extra support to the arch and helping the foot stay in a better position during movement. By spreading pressure more evenly across the foot, orthotics can reduce strain on muscles and joints and help the body move with less pain. This type of treatment can improve balance, reduce discomfort, and support more comfortable walking. If you or your loved one has Down syndrome and you feel orthotic treatment may be beneficial, it is suggested that you schedule an appointment with a podiatrist for expert guidance.

Custom orthotics can be an important solution for reducing foot pain by targeting its structural causes rather than just the symptoms. When the feet are misaligned, excess strain develops in the muscles, tendons, and ligaments, often resulting in discomfort in the arches, balls of the feet, or toes. Orthotics are designed to match each foot’s natural shape, supporting proper alignment and evenly distributing pressure to ease pain and improve movement.

Foot pain is commonly caused by overuse, wearing improper footwear, or biomechanical issues that place added stress on sensitive areas. By stabilizing the foot and restoring natural motion, custom orthotics help reduce strain, calm inflammation, and promote healing. Many patients experience lasting relief and greater comfort while walking, standing, or exercising.

Created from a detailed assessment using advanced imaging or casting, each pair of orthotics is tailored to your individual needs. If you are experiencing ongoing foot pain, it is suggested that you contact our office for an evaluation and treatment.

If you have any questions, please feel free to contact one of our offices located in Issaquah, WA .

Sharp pain in the big toe can result from several underlying conditions that affect joints, bones, and soft tissues. Gout is an inflammatory arthritis caused by uric acid buildup in the joint, leading to sudden and intense pain. Sesamoiditis is irritation of the two small bones beneath the big toe joint, often due to repetitive pressure or overuse. Turf toe is a sprain of the big toe joint caused by forced upward bending, commonly seen in active individuals. Additionally, toe lumps may form from joint changes, cysts, or soft tissue swelling and can create pressure and discomfort. A podiatrist can accurately diagnose the cause of pain in the big toe, provide targeted treatment, and help prevent further damage. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on. 

Toe pain can disrupt your daily activities. If you have any concerns, contact the podiatrists of Issaquah Foot & Ankle Specialists. 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 contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sever's disease is a common cause of heel pain in active children, especially during periods of rapid growth. Sever's disease develops when repetitive stress irritates the growth plate at the back of the heel bone where the Achilles tendon attaches. Running, jumping, and sports with frequent starts and stops can increase strain on this sensitive area. Children may report heel pain during or after activity, limp, or avoid placing weight on the heel. Symptoms may affect one or both feet and often worsen during sports seasons. A podiatrist can assess foot structure, gait, and activity demands to confirm the diagnosis and rule out other causes of heel pain. Treatment focuses on reducing stress at the heel and supporting a safe return to activity for young athletes. If your active child displays symptoms of Sever's disease, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors 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 one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.