
Foot Surgery
In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.
The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.
While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.
Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries.
Chronic Plantar Fasciitis

Plantar fasciitis is a common condition caused by inflammation of the plantar fascia, a thick band of tissue connecting the heel to the toes. It typically results in sharp heel pain, especially during the first steps in the morning or after prolonged periods of rest. This condition is often linked to overuse, improper footwear, obesity, or high-impact activities like running. While many cases improve with conservative treatments, plantar fasciitis can become chronic if untreated or mismanaged. Chronic plantar fasciitis occurs when the inflammation persists for several months, leading to degenerative changes in the fascia, ongoing pain, and limited mobility. Treatment for chronic cases may include custom orthotics, targeted exercises, or advanced options like shockwave therapy, injections, or even surgery. If you have ongoing pain from plantar fasciitis, it is suggested that you see a podiatrist who can provide expert care.
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 the podiatrists from Issaquah Foot & Ankle Specialists. 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 one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.
There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.
People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.
Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.
If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.
Prevent Injury and Fatigue With Custom Orthotics

Custom Orthotics aren't just about comfort; they're your shield against injury and fatigue. By aligning your feet just right, they reduce strain on muscles and joints, ensuring you stay active longer without the usual wear and tear. Whether you're an athlete pushing limits or someone seeking day-to-day ease, Custom Orthotics offer the support you need. Don't let fatigue set the pace; with Custom Orthotics, you're always one step ahead. Call today for more information.
How Pronation Affects the Health of Your Feet

Pronation refers to the natural inward movement of the foot during walking or running, which helps absorb shock and distribute weight evenly. However, irregular pronation patterns, such as overpronation or underpronation, can disrupt this balance and contribute to foot and ankle discomfort. Overpronation occurs when the foot rolls excessively inward, often linked to flat arches. Meanwhile, underpronation, or supination, causes the foot to roll outward, frequently associated with high arches. Both conditions can increase stress on the foot, toes, and ankle, often leading to problems like plantar fasciitis, shin splints, or ankle sprains. A podiatrist is trained to evaluate your gait, determine the extent of pronation, and recommend solutions to improve foot alignment and support. This may include the use of custom orthotics or advice on footwear that enhances stability and reduces strain on vulnerable areas. If you are experiencing foot pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
If you have any concerns about your feet, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
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 and ankle needs.
Biomechanics in Podiatry
Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.
Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.
At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.
Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates. They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.
Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.
When Are Custom Orthotics the Right Choice?

Custom orthotics can be especially beneficial for individuals with specific foot issues or unique needs. For example, those with significantly flat feet, advanced arthritis-related foot deformities, or diabetes may find essential support and pain relief with orthotic devices tailored to their condition. Diabetic patients, in particular, face a higher risk of foot complications due to reduced sensation and circulation, increasing the likelihood of developing sores or ulcers. If you have foot problems, it is suggested that you visit a podiatrist for an assessment of your feet and a discussion of how custom orthotics can address specific health concerns, improve mobility, and enhance overall foot health.
Custom orthotics and shoe inserts are not just for cushioning the soles; they are about supporting the foundation of our body - our feet. The advantages extend far beyond immediate relief from discomfort. These personalized solutions, that Our doctors can prescribe, can significantly impact a person’s posture, alleviate pain in various parts of the body, and even enhance athletic performance.
As we lace up our shoes each day, having the right support can make a world of difference. Custom orthotics are like tailored suites for our feet, offering a bespoke solution to address our unique biomechanical needs. They provide stability where it is lacking, correct imbalances, and ensure that every step is a confident and pain-free one.
Custom orthotics and shoe inserts offer long-term health benefits. By addressing issues such as overpronation or underpronation, heel pain, plantar fasciitis, etc. orthotics can help prevent injuries and mitigate the progression of existing conditions. It’s an investment not just in the present, but in the future health of your feet and consequently, your overall well-being.
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.
Investing in Custom Orthotics Means Investing in Foot Health
Custom orthotics offer a tailored approach to foot health, providing a host of benefits that extend far beyond conventional shoe inserts. One of the primary advantages lies in their ability to address specific biomechanical issues. Unlike off-the-shelf inserts, custom orthotics are crafted based on an individual's unique foot structure, gait, and any existing foot conditions.
The personalized design of custom orthotics ensures optimal support for the arches, promoting proper alignment and distributing pressure evenly across the feet. This can be particularly beneficial for individuals dealing with issues such as overpronation or underpronation, as custom orthotics help correct imbalances that may lead to discomfort or injury.
Beyond biomechanics, custom orthotics can alleviate a range of foot problems, including plantar fasciitis, bunions, and metatarsalgia. They provide targeted relief to areas under stress, reducing pain and inflammation. Additionally, for those with specific medical conditions like diabetes, custom orthotics can play a crucial role in preventing complications associated with poor foot health.
Comfort is another key aspect of custom orthotics. By accommodating the unique contours of an individual's feet, these inserts enhance overall comfort, making daily activities more enjoyable. Whether for athletes looking to optimize performance or individuals seeking relief from chronic foot pain, custom orthotics offer a versatile solution.
Investing in custom orthotics is an investment in long-term foot health. They not only provide immediate relief but also contribute to the prevention of future issues. With the ability to seamlessly integrate into various types of footwear, custom orthotics empower individuals to prioritize foot comfort without compromising on style. In essence, custom orthotics are a personalized prescription for happy, healthy, and pain-free feet.
Chronic Kidney Disease and the Feet

Chronic kidney disease, or CKD, has a significant impact on foot health, often leading to complications that require vigilant care. Poor kidney function affects blood flow and can contribute to peripheral artery disease, reducing circulation to the legs and feet. This diminished blood flow slows the healing process, increasing the risk of ulcers, especially in people with diabetes, a common condition in CKD patients. Reduced kidney function also leads to fluid retention, causing swelling in the feet and ankles, which can be painful and limit mobility. Additionally, CKD affects the body’s ability to regulate calcium and phosphorus, weakening bones and potentially causing fractures in the feet. Since CKD can dull sensation due to nerve damage, it may delay the detection of injuries or infections. If you have chronic kidney disease, it is suggested that you include a podiatrist on your team of doctors as regular foot exams and preventive care are essential for the best quality of life.
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 the podiatrists from Issaquah Foot & Ankle Specialists. 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 feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Systemic Diseases of the Foot
There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.
In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.
Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.
There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.
Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.
All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.
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