heel pain issaquah

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Many foot surgical procedures such as bunion surgery, involve fusions or cutting the bone and then realigning the bone. An example could also include a lapiplasty bunionectomy. The bones are then held in place with plate screws or pins. One of the most important things for proper healing is to make sure that you don’t put weight on that part of the bone until there’s adequate bridging of the bone.

Your doctor will take x-rays to help determine the timing for this. Also you will have either a boot or a fiberglass cast and you may also have other forms of protection such as a scooter crutches or even a wheelchair. Make sure to plan ahead on this also. For example if you’ve got a short distance then you can put weight on your heel but not the front of your foot that may be fine. If you have to go a longer distance, you may want to plan ahead and bring crutches or use your scooter for that longer distance and only do the short distances with a walking heel part of your cast boot.

If you have questions about bunion surgery, and would like a consultation please let us know. Give us a call today at 425-391-8666 or make an appointment online. 


Recent literature has proven that about 10%-20 of American adults will experience heel pain. Heel pain whether it is causes by plantar fasciitis, bursitis or a stress fracture can be challenging to treat. With constant use the foot and ankle rarely have time to recover from the constant pressures of walking. This can make heel pain and plantar fasciitis very difficult for many people.

If you are experiencing pain in the bottom of your foot, especially in the morning it could be plantar fasciitis. Often times patients will describe a bruised type feeling or tightness that loosens up with walking but returns at the end of the day. Some people will feel a numbness or tingling in the foot or even a burning. It is important to have a foot and ankle physician evaluate your foot before initiating treatment.

Treatment for heel pain focuses on finding the underlying causes. The majority of people with heel pain have a tight calf muscle. One of the best long term strategies is to begin a calf stretching program. I like to have my patients stretch 3 times a day and spend a couple minutes on the muscles of the calf. Another great option at home is to ice and rest.

Our clinic Issaquah Foot & Ankle Specialists has one of the most advanced protocols that is based on current research to fix heel pain permanently. The majority of patients we see have a greater than 50% reduction in symptoms in less than 1 week and a long term success rate of almost 98%. We focus on the underlying process that is creating the inflammation and help the body to recover and repair the heel pain. Our methods do not require and period of non-weight bearing and have treated thousands of patients. If you are suffering from heel pain call us at 425-391-8666 or make an appointment online today.

Tuesday, 17 November 2020 18:40

Dr. Brandon Nelson Discusses Heel Pain in Children

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I currently have two children and actually have had one that was experiencing some heel pain. It was pretty classical symptoms of apophysitis or what we call Sever’s disease which is and inflammation of the growth plate. Kids often present with this type of pain after activities or after going barefoot. Most commonly we see this in young girls between the ages of 8 and 14 and young boys between the ages of 12 and 16. This is when kids often experience a growth spurt and the growth plates can become quite inflamed.

This inflammation of the growth plate can often be seen on x-ray and I highly recommend kids with heel pain get an x-ray. There are many great modalities that work well. I recommended starting with ice and stretching in the calf. However, I would discourage parents from doing home therapies until an accurate diagnosis is made. If your child is experiencing some heel pain we would like to help.

Give us a call at 425-391-8666 or make an appointment online today.
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Plantar fasciitis, heel pain or bone spurs of the foot can be extremely painful. Quite a few patients suffer from this and have been for years. We see patients that have had to change activities and even give up exercising. I personally suffered from plantar fasciitis and can empathize with patients when they are in extreme amounts of pain. Typically plantar fasciitis will exhibit pain in the morning or pain after prolonged periods of rest. However there can be many other presenting symptoms of plantar fasciitis. It is important to have heel pain evaluated as there are multiple causes and they all respond to different modalities.

I feel an x-ray is often warranted especially on the initial visit to rule out other causes. The x-ray can often reveal a bone spur or inflammation around the fascial band or even a stress fracture. Initial therapies for fasciitis usually include resting and stretching. There are many other initial treatment options and I can tell you the success rate is about 95% for our patients. There are a small number of patients who go on to have more of a chronic type issue and further diagnostic work workup is warranted. Often times an MRI or nerve conduction studies can be valuable for patients. Depending on the cause of the fasciitis there are many extremely successful long-term fixes for fasciitis. Often times or degenerative medicine or shockwave therapy can provide permanent fixes. If you suffer from heel pain and would like it fixed permanently come see Issaquah Foot and Ankle Specialists.

Give us a call at 425-391-8666 or make an appointment online. 

Heel pain can be one of the most challenging conditions to deal with as a patient. Heel pain can really impact everyday activities including just walking and working. Some of the most common causes of heel pain include plantar fasciitis, plantar bursitis, nerve entrapments and tarsal coalitions. The #1 cause by far is plantar fasciitis, which is usually amenable by conservative measures.

Heel pain usually responds to stretching and icing. However, if you have constant heel pain that is debilitating or painful in the morning I recommend seeing a foot and ankle physician. An x-ray is vital to identifying the pathology that is causing the pain. Often times on the x-ray you can see arthritis or a heel spur. A heel spur can take condition a little more challenging for both the physician and the patient. Issaquah Foot and Ankle Specialists is the #1 referral center for heel pain. We see patients from Seattle, Bellevue, Issaquah, Kirkland, Redmond and Snoqualmie. If you have heel pain we can help. The majority of our patients are 60-70% better in less than a week. carpet cleaning Seattle

Give us a call today at 425-391-8666 or make an appointment online.
Surgical bunion correction is a common procedure at our clinic and our Surgical Center. During bunion surgery after the skin incision, subcutaneous layer is also dissected and then the joint capsule. The joint capsule serves multiple functions. One is to help stabilize the joint–much like the ankle joint has ligaments that stabilize your ankle. The inner layer of the joint capsule produces synovial fluid to lubricate the joint.  

During surgery this joint fluid comes out during the procedure. It can be helpful to replenish this joint fluid to help get the joint functioning properly again and moving like it should. There are different ways to accomplish this. We often inject sympathetic joint lubricant into the joint during the early postoperative time frame. The brand that we utilize is called Supartz. This was originally FDA cleared to help protect the knee joint and treat knee joint  symptoms. We use Supartz in many different applications within the foot and ankle. But after bunion surgery to get the joint moving again, is certainly one of them. This can also be very helpful if the patient has arthritis of the great toe joint and has to have a joint cleanup procedure to remove some of the bone spurs and repair cartilage.
If you have questions about bunions or bunion surgery, please come to our office for a consultation to see myself Dr. Timothy Young or my partner Dr. Brandon Nelson.
Monday, 21 September 2020 23:49

Dr Brandon Nelson Discusses Heel Pain after Walking

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There are many sources of heel pain. Heel pain can be caused from a bone spur, stress fracture or the most common reason plantar fasciitis. Plantar fasciitis is caused by inflammation within your plantar fascia which is a big thick ligament like structure that supports the bottom of your foot. The fascia begins in your heel and runs to your toes.

This is why the most common spot for heel pain is right where the fascia attaches to your calcaneus or heel bone. With an increase in exercise or walking we see more stress on the fascia. This in turn can begin to create and inflammatory cycle and the beginning of plantar fasciitis. One of the best things we can do in the beginning is to stretch your calf muscles. I recommend stretching at least 3 times a day for about 2-3 minutes each session. One must make sure to stretch both the gastroc and soleous muscles. 

If you are suffering from heel pain or plantar fasciits we can help. Give us a call today at 425-391-8666 or make an appointment online.

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Getting up in the morning is hard enough without adding foot pain. Many patients present to our clinic with morning pain or first step pain that has been present for months. I believe this has to be a very challenging way to start your day and I empathize with anybody that suffers from this. The most common cause of morning pain or first step pain is plantar fasciitis, heel pain or bone spurs. Typically once calf muscle and plantar fascia have a chance to relax with sleeping a contracture occurs. This contracture makes for a tight fascia and heel cord so that when patients steps down after sleeping or after resting that tightness creates pain.

This morning or first step pain can create a cycle of chronic pain making plantar fasciitis hard to treat. I really encourage my patients to do a significant amount of calf and plantar fascia stretching. It is very important for patients to work on overall tightness of your calf and facia, utilizing tools like a foam rolling, calf stretching techniques or a theraband can help. I also encourage early intervention by a foot and ankle physician to avoid chronic fasciitis. Once patients reach a chronic fasciitis state can be extremely challenging and frustrating for both the patient and physician alike. At Issaquah Foot and Ankle Specialists, we pride ourselves on utilizing the most advanced treatments available to cure plantar fasciitis once and for all. If you’re suffering from morning pain or plantar fasciitis, give us a call at 425-391-8666 or make an appointment online today.
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Heel pain, plantar fasciitis or heel spurs can be extremely painful and uncomfortable for patients. A large percentage of the patient population we see at our clinic is for heel pain. Plantar fasciitis is extremely common as the literature reports as high as 60% of American adults will experience it at some point. The most common symptoms associated with heel pain are pain in the morning or a bruise throbbing type sensation in the heel. Often times patients come and wonder what caused the plantar fasciitis. Plantar fasciitis often originates with increased activity levels or increased stress on the foot structure.

Your plantar fascia is the main supporting network of the foot and people that have flatfoot for tight calf muscles are often predisposed to developing heel pain. Heel pain often starts slowly and begins to progress with time. The most important thing to understand in treating heel pain is to have it treated early. We find it much easier to get rid of it permanently if patients present earlier in the inflammatory process. The ultimate goal is to prevent it from becoming a chronic injury that can take months to get better. If you’re suffering from heel pain or pain when you get out of bed in the morning or after prolonged periods of walking, please give us a call at 425-391-8666 or make an appointment online and we will help you.
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I’m still constantly surprised on a daily basis how many people live with chronic heel pain. Plantar fasciitis or heel pain can be so challenging for patients and really be detrimental to their life. I see a lot of patients that have suffered for years and years from heel pain and have seen multiple physicians and are still having pain. I empathize with these patients and understand their frustration as this can really impact their life and the things they want to do. Having suffered from plantar fasciitis and heel pain myself and knowing how it impacted my life, I really enjoyed treating heel pain patients.

I now important it is for me to maintain an active and healthy lifestyle and I really want to provide this for my patients as well. Often times the majority of heel pain gets treated as plantar fasciitis when there are quite a few other pathologies that can cause heel pain. I can’t stress enough compounded is to find the underlying causes of heel pain which allows proper treatment plan to occur. If you suffer from heel pain for plantar fasciitis and are continuing to suffer please make an appointment or give us a call today at 425-391-8666 today and we will help you stop it once and for all.
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