April 2020

woman jogging near wire fence

Heel pain or plantar fasciitis continues to be the number one reason people visit a foot and ankle doctor or a podiatrist. Heel pain or pain when you first get up in the morning can be extremely uncomfortable. Many patients that we treat have seen multiple other doctors or physical therapists. Patients have often spent months going to physical therapy and are continuing to go weekly.

I think physical therapy is a great modality and can be highly beneficial for many conditions. However, for heel pain or plantar fasciitis we almost never send patients to physical therapy. The reason being is we cure the problem. At Issaquah Foot & Ankle Specialist, home of the Washington Heel Pain Center we have developed a protocol that has an almost 100% cure rate for plantar fasciitis. If you are still suffering daily with heel pain come see us and we will help you get rid of it once and for all. Give us a call at 425-391-8666 or make an appointment online. Our Issaquah Podiatrists would love to see you!


Warts can be very frustrating for patients. They can become quite large, painful and unsightly. Warts on the foot especially can be uncomfortable with playing sports or even walking. The most common type of wart is caused by Human Papillomavirus. There are many different strains of HPV and certain strains are more common on the foot.

The majority of these warts present on the bottom of the foot or the sole of the foot. We provide care for all types of warts and find most warts can completely resolve in just a few treatments. We offer many different treatment options depending on the size, number and location of the wart or warts. We provide care ranging from topical medications, lasers and even excision of warts. If you are looking for a warts specialist in the Issaquah, Bellevue, Mercer Island or Seattle area, come see us and we will help you get rid of them permanently. Give us a call today at 425-391-8666 or make an appointment online. Our Issaquah Podiatrists would love to see you.
Monday, 13 April 2020 16:14

Soft Tissue Growth and Bunions.

Bunion xray

Dr. Timothy Young Talks About Ganglion Cyst Developing Over a Bunion. 

This is not uncommon. In addition to a typical bunion it is possible to have a superimposed fluid filled sac. This could either be a ganglion cyst or a bursa sac.  During surgery, if the ganglion cyst or bursa sack is removed without addressing the underlying structure bunion problem, then there is a high likelihood of recurrence of the problem. The ganglion cyst can come back again, because the underlying capsule needs repairing along with the bunion that caused the problem. 

If you are concerned about a possible ganglion cyst or a soft tissue growth on top of your bunion and would like to discuss this, please contact myself Dr. Timothy Young or my partner Dr. Brandon Nelson. We both work at Foot Surgical Center of Issaquah. This serves the Greater Seattle Area, including Bellevue Issaquah and Redmond.

Give us a call at 425-391-8666 or make an appointment online today. Our Issaquah Podiatrists would be happy to see you!
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We often ignore the Tailor’s bunion. This is the painful bump that develops on the outside of the foot or lateral aspect of the foot just behind the small toe. Sometimes the surgery is very simple and basic and just involves shaving down the extra bone in the area and smoothing it down and then suturing things back together.
 
Other times patients have what we would call a splay foot and especially splaying of the fourth and fifth metatarsal. This is where the fifth metatarsal bows out. In this case, we have to reset the fifth metatarsal and surgically realign it back in its normal position. When this is done typically we will use at least one screw to help maintain the alignment of the bone in its new position. if you have a question about Tailor’s bunion correction or treatment options please contact our office at 425-391-8666 or make an appointment online. 
 
You can speak to myself Dr. Timothy Young or my partner Dr. Brandon Nelson. We both work at Foot Surgical Center of Issaquah. This serves the Greater Seattle Area, including Bellevue Issaquah and Redmond.
Monday, 13 April 2020 00:00

Where Are the Sesamoid Bones Located?

The pain and discomfort that is often experienced with the medical condition sesamoiditis is generally felt under the big toe. Two sesamoid bones are found inside the tendons of the big toe, and can become injured if shoes that are worn do not fit correctly. These types of shoes can include high heels, which typically have inadequate room for the toes to move freely in. A common symptom that many patients experience with this condition can consist of a dull pain that can become stronger as walking and running activities are pursued. It is beneficial to perform exercises that can strengthen the feet, as this may help the foot to generally feel better. If you have pain on the bottom of your foot near the big toe, it is advised that you seek the counsel of a podiatrist who can properly treat this condition.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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.

Read more about Sesamoiditis
Monday, 13 April 2020 00:00

Sesamoiditis

Sesamoiditis is a condition that affects the joint that is just behind the big toe in the area known as the ball of the foot. It is most common in younger people and people who have just begun an exercise program. Since the sesamoid bones are like a pulley controlling the big toe, they can rub against each other and cause a gradual onset of pain. Pain may also be caused by the inflammation of tendons surrounding the bones. If ignored, sesamoiditis can lead to other, more serious problems such as severe irritation and fractures of the bones.

The cause of sesamoiditis is sudden increase in activity. The ball of your foot acts as a springboard to help you lift off when you are jogging or running. Sudden increase in the use of these bones or the tendon that controls them can cause irritation. The tendon then begins to develop inflammation and the joint begins to swell. People with smaller, bonier feet or those with a high arch are typically more susceptible to this condition.

Sesamoiditis is fairly simple to diagnose since the symptoms have a gradual onset rather than a sudden impact. The symptoms begin with slight irritation around the joint shortly after the increase in activity. The discomfort eventually turns to pain with light swelling and possibly redness. Although redness or bruising are rare, this may be a symptom. After each session of exercising, the aggravated joint becomes more irritated and increases into a very intense throbbing.

Treatment for sesamoiditis can vary depending on the severity of the situation. However, treatment is almost always approached in a noninvasive way. For a case that is just beginning the doctor may recommend a very strict rest period that will limit the activity allowed on the joint. If you must be active, a recommendation for as modified shoe or insole, along with bandaging and immobilizing the big toe will be made to ensure that pressure is not placed on the joint. For severe cases, it is typically recommended that the joint and the big toe be completely immobilized to allow adequate time to heal. Ice and an over the counter anti-inflammatory may can help with the pain and discomfort while you are at rest.

When you return to your regular exercise activities, it is recommended that you use an insole that will allow even distribution of impact to your entire foot, rather than just the balls of your foot. This will prevent further aggravation of the injury.

 



Dr. Timothy Young Talks About Anesthesia and Bunion Surgery

The vast majority of bunion surgery is done with the combination of local anesthetic and IV sedation. IV sedation is also sometimes referred to as twilight sleep. Very similar to when you have a colonoscopy.

We have the Anesthesia team come to our certified surgical suite and start the IV, make you comfortable and then you are asleep. While you are asleep we administer the local anesthetic. You don’t feel the Injection because you are sleeping and when you wake up after the procedure, your foot is numb and you have no pain. The local anesthetic can last for 24 hours or longer. This is excellent for the initial post procedure pain control.
 
If you have questions about Anesthesia and bunion surgery or bunion surgery itself. Please feel free to contact myself, Dr. Timothy Young or my partner, Dr. Brandon Nelson. Give us a call at 425-391-8666 or make an appointment online today. 
silhouette of person standing near trees

At Issaquah Foot and Ankle Specialists, we provide exceptional care as sports medicine physicians. We’re the #1 foot and ankle source for Achilles tendon pain, heel bursitis, bone spurs, and retrocalcaneal bursitis. One of our primary areas of focus is sports medicine and sports injuries. Achilles tendon injuries can be extremely challenging.

We utilize the latest treatment options including shockwave therapy and other cutting edge sports medicine techniques to treat all types of Achilles tendon pain. We can provide urgent care in same-day appointments sports medicine related injuries as we're the #1 foot and ankle clinic. If you live in Bellevue, Seattle, Issaquah, Maple Valley or Sammamish we are here to help. Give us a call at 425-391-8666 or make an appointment online today.
Thursday, 09 April 2020 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Monday, 06 April 2020 00:00

Is MLS Effective?

Patients who have chronic pain from specific foot conditions may be interested in learning about a treatment that is known as MLS laser therapy. It is defined as using wavelengths of light to possibly treat joint conditions, and injuries that have occurred to the tendons and ligaments. Additionally, it may help to reduce inflammation. After several treatments of approximately eight minutes each, swelling and pain may be diminished. Research has indicated the benefits of using MLS therapy may include faster healing of sprains, wounds, foot ulcers, and blood circulation may be improved. If you have chronic foot pain and are interested in learning more about MLS therapy, it is suggested that you consult with a podiatrist.

MLS Laser Therapy is a successful alternative for treating any pain you may be experiencing related to certain podiatric conditions.  If you are interested in MLS Laser Therapy, consult with the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

MLS Laser Therapy

Multiwave Locked System (MLS) Laser Therapy is a patented, FDA-cleared technology that helps relieve pain and inflammation from a number of podiatric conditions, including:

  • Heel Pain
  • Plantar Fasciitis
  • Sports Injuries
  • Wounds
  • Achilles Tendonitis
  • Arthritis
  • Neuropathy
  • Neuromas

MLS Laser Therapy is an ideal alternative to surgery and prescription medication, as it has no negative side effects and encourages accelerated healing. Among its many clinical benefits, MLS Laser Therapy also:

  • Reduces swelling due to bruising or inflammation
  • Blocks pain
  • Reduces formation of scar tissue
  • Improves nerve function

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.

Read more about MLS Laser Therapy
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