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We have talked previously about timing for bunion surgery and how bunions progress over time.  The challenge is that it is never the right time for bunion correction surgery.  So what are your alternatives, how can you buy some time.  There are some different options.

What to do while you are waiting for bunion surgery:

-If it is joint pain, then we can put sympathetic joint lubricant into the joint to protect the joint and reduce pain.  This can last for many months with no down side as far as the cartilage and joint status goes.
-Prescription orthotics.  Especially if it's not yet a severe bunion, orthotics can shift pressure off the joint and improve gait.  They will not reverse a bunion but they can slow the progression down in some cases.
-Very roomy shoes that have a stiff forefoot.  These can also help protect the joint and at the same time keep pressure off the joint.
-Various bunion splints and great toe spacers made of silicone gel.
-Topical pain relieving gels and anti-inflammatories such as Voltaren gel.

What not to do while you are waiting for bunion surgery:

-Avoid cortisone injections as they can damage the joint.
-Avoid tight fitting shoes and unsupportive flip-flops or sandals.
 
If you have a bunion and would like to discuss treatment options.  We recommend that you come into our clinic for consultation. Give us a call at 425-391-8666 or make an appointment online today. 
Thursday, 28 May 2020 15:35

Dr. Timothy Young Talks About Crossover Toe

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This typically involves the second toe. This is where the second toe deviates toward the great toe and can even ride over the top of the great toe. When this happens, the structure back at the knuckle behind the toe itself (second MTP joint) becomes out of alignment and can be subluxed. In severe cases the joint can also dislocate. This causes a tremendous amount of stress on the 2nd MTP joint capsule. It's not uncommon for the capsule to become attenuated or stretched and thinned out. It can have partial tearing. This can lead to pain in the joint and inflammation with local swelling.
 
When this happens, it is important to address the underlying cause of this. It's very common for this to be aggravated by other associated condition such as a bunion. It is important to address all of the associated problems so for example in this case when should address both the crossover toe and the associated bunion. It is important to get the joint back into alignment and no longer subluxed. In most pronounced cases surgery is the only way to reestablish the correct alignment to the joint.
 
If you have concerns about your feet or crossover toe or bunion please come see us. Make an appointment online or give us a call at 425-391-8666. Both myself Dr. Timothy Young, and my partner Dr. Brandon Nelson
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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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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!
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