There are many great treatment options for osteoarthritis of the foot and ankle. However one of the most promising therapies is platelet rich plasma injections. This procedure is done in the office and involves using your own natural healing cells to stimulate healing potentials. We have seen many candidates for joint replacement that have benefited from platelet rich plasma therapy. It is important to be evaluated properly before adding platelet rich plasma injections, including  of the joint function and x-rays to see if your candidate. We find platelet rich plasma good alternative surgical therapy or joint replacement.

There are many great treatment options for osteoarthritis of the foot and ankle. However one of the most promising therapies is platelet rich plasma injections. This procedure is done in the office and involves using your own natural healing cells to stimulate healing potentials. We have seen many candidates for joint replacement that have benefited from platelet rich plasma therapy. It is important to be evaluated properly before adding platelet rich plasma injections, including  of the joint function and x-rays to see if your candidate. We find platelet rich plasma good alternative surgical therapy or joint replacement.

Achilles tendinitis is a common condition that can affect many active people. The majority of people that have Achilles tendinitis have this occurring from overuse.

There are many grade stretching routines that can be initiated to help the Achilles tendon. One of the most successful treatments that we have seen is shockwave technology. We are one of the only few clinics that has shockwave technology available. The shockwave technology allows revascularization of the tendinitis and a quicker return to activities. It is important to treat the Achilles tendinitis quickly as this can lead to rupture and other further complications. If you are experiencing any pain, please call us at 425-391-8666.

A prescription orthotic is a medical device used to control biomechanical instabilities of the foot and ankle. There are many different types of prescription orthotics that can be produced depending on the pathology present. It is important to have a complete biomechanical evaluation as well as gait analysis for a proper orthotic to be prescribed. Some of the newer materials used in prescription orthotics can be made in a more low profile fashion so we can fit them in variety of shoes. We have found the majority of foot and ankle conditions can be resolved with a successful prescription orthotic.

There are a lot of treatments available for treatment of fungal toenails. Being that there are a lot of treatments available, this tells us that fungal toenail treatment can be challenging. The most effective techniques we have found are a combination of therapeutic approaches. We have an FDA approved laser that we combined with some topicals and an oral vitamin that gives us a very high success rate. Often times we are able to avoid oral medications that require liver function testing. Our protocol is the most successful protocol we have seen, and it has taken us years to develop it. Patients have seen dramatic improvement in nails.

Today we're going to talk about Cheilectomy. Cheilectomy is a surgery that's done for arthritis of the great toe joint. What happens is people develop arthritic spurs from mechanical jamming of this joint --they get wear and tear of the joint. The cartilage becomes more narrow and damaged, and they get large painful arthritic spurs on top of the joint. The joint becomes quite stiff. It becomes enlarged and it becomes painful. Once someone has this, they may have orthotics, they may have had injections, but at some point, a lot of people have surgery. The goal of surgery is to clean up the spurs and remove the enlargement of the joint. When we do the surgery, we make an incision over the top of the joint, and we go down on the capsule, which strengthens the joint. Once we have access to the joint, we can inspect the joint and look at the cartilage. Once we've cleaned out the joint and exposed it, we take a saw and remove the spurs. We also remove the top portion of the joint to improve the gliden of the joint. Once the surgery is done, patients are usually put into a cast boot. For this procedure, we use local anesthetic. If you would like to make an appointment, please call us at 425-391-8666. 

Achilles tendon ruptures are common condition for males, especially between the ages of 40 and 60. Often, patients present feeling as though someone has kicked them in the back of the leg or the feeling of a pop in the back of their ankle. There are many alternative treatment options for Achilles tendinitis, including shockwave therapy, platelet rich plasma therapy, and anteromedial injections. If you experience any sort of Achilles tendon pain or swelling, it is important to get in and see a foot and ankle physician as soon as possible. Our clinic offers the latest treatment modalities for Achilles tendinitis that are not available elsewhere. We have vast experience in treating Achilles tendinitis with platelet rich plasma injections that have yielded a high success rate. There are side off of these treatment modalities. If you would like to schedule appointment call 425-391-8666.

One of the most common causes of big toe pain is arthritis. This is a common condition that can cause pain and swelling around the big toe. Often times patients relate increasing pain with activity, especially running and jumping. This is commonly called a Hallux Limitus or Hallux Rigidus depending on the severity of the arthritis. There are many great treatment modalities available for this condition at Issaquah Foot and Ankle Specialists. It is important to see your foot and ankle specialist any time you develop big toe pain as we can help alleviate some of t1his pain and slow progression of the disease process.

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An important distinction needs to be made between an over-the-counter foot insert and a custom molded prescription orthotic. Any shoe insert that you by over-the-counter is nothing more than a piece of plastic with some foam. A shoe store, even if it’s a running shoe store, does not provide custom orthotic. A Custom molded prescription orthotic is made by a foot and ankle physician and involves taking biomechanical measurements, performing a gait analysis and incorporating any pathological foot or ankle conditions. Custom molded prescription orthotic can be made for athletic shoes, flats, dress shoes and even some high heels. The best custom molded prescription orthotics are made at Issaquah Foot & Ankle Specialists.

Please contact us if you have any questions, concerns, or if you would like to make an appointment at (425) 391-8666.