May 2025
Understanding Achilles Tendinopathy
Achilles tendinopathy is a condition that affects the tendon at the back of the ankle, which connects the calf muscles to the heel bone. It usually develops over time from repeated stress, such as running, jumping, or even walking long distances. The tendon may become thick, swollen, and painful, especially during or after activity. The discomfort often starts gradually and can worsen, if left untreated. Contributing factors include tight calf muscles, poor foot mechanics, or unsupportive footwear. Treatment may include rest, stretching exercises, and wearing supportive shoes or orthotics. In some cases, targeted exercise is recommended to help strengthen the tendon and improve flexibility. Continuing to use the tendon without allowing it to heal may lead to more serious injury. If you have pain or stiffness in the back of your heel that is not improving, it is suggested that you visit a podiatrist for a full evaluation and personalized care plan.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
The Causes, Types, and Treatments of Achilles Tendon Injuries
Tendons are fibrous tissues that connect muscles with bone. The Achilles tendon is the largest tendon in the body. It connects the calf muscles at the back of the leg with the heel, and facilitates movements such as jumping, running, and walking.
Because the Achilles tendon is engaged so frequently and bears a great deal of pressure and stress throughout the day, it can become injured. Achilles tendon injuries cause the tissue to become irritated, inflamed, and swollen. Pain can come on gradually or be immediate, and will vary from mild to severe depending upon the injury. Where the pain occurs will vary as well, from just above the heel up through the back of the leg. There may also be stiffness in the tendon.
Achilles tendon injuries can often be caused by repetitive stress. They may also occur while running, playing tennis, gymnastics, football, basketball, dancing, soccer, baseball or other sports that require speeding up, slowing down, or pivoting quickly. Wearing high heels, falling from an elevation, stepping in a hole, having flat feet, bone spurs, tight leg muscles or tendons, wearing improper athletic shoes, exercising on uneven surfaces, or starting a new type of exercise can also cause Achilles tendon injuries.
The two most common Achilles tendon injuries are tendonitis and ruptures. Tendonitis causes painful inflammation and can occur in different parts of the tendon. Non-insertional Achilles tendonitis occurs when the fibers in middle of the tendon begin to break down, thicken, and swell. This condition typically affects younger, more active adults. Insertional Achilles tendonitis occurs where the tendon inserts into the heel bone. It is common for bone spurs to form with this type of injury. This condition can affect people of any age and level of activity.
Achilles tendon ruptures are a tear in the tendon. These breaks may be partial or complete. There may be an audible popping noise at the moment of injury and the pain will be sudden and severe.
An Achilles tendon injury can be diagnosed by your podiatrist after they examine you, check your range of motion, and possibly perform a calf squeeze test or review an X-ray or MRI. Depending on the type and severity of your injury, your podiatrist may treat your condition with rest/ice/compression/elevation (RICE), nonsteroidal anti-inflammatory medications, heel lifts, and stretching and strengthening exercises. If you have torn your Achilles tendon, treatment may include physical therapy, ultrasound, shockwave therapy, or possibly even surgery.
Managing Painful Gout
Gout is a form of inflammatory arthritis that often affects the feet, particularly the big toe joint. It is caused by a buildup of uric acid in the bloodstream, which forms sharp crystals in the joints. This buildup can result from genetics, eating foods high in purines like red meat and seafood, alcohol consumption, or underlying medical conditions such as kidney disease. Symptoms of gout include sudden, intense pain, redness, swelling, and warmth in the affected joint. The pain may come on overnight and feel like a burning or stabbing sensation, making it difficult to walk or even wear shoes. A podiatrist can help manage gout by diagnosing the condition, reviewing your medical history, and possibly ordering blood tests or joint fluid analysis. Treatment includes anti-inflammatory medications, dietary guidance, custom orthotics to relieve joint pressure, and long-term management strategies to prevent future flare-ups. If you are experiencing painful gout, it is suggested that you promptly schedule an appointment with a podiatrist for appropriate treatment.
Gout is a painful condition that can be treated. If you are seeking treatment, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.
Gout
Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men.
Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.
People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.
Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.
Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.
To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks.
Custom Orthotics For Seniors
Age gracefully and move freely with Custom Orthotics. For seniors seeking to maintain their independence, Custom Orthotics offer the stability and comfort essential for daily activities. Custom-tailored to your feet, they provide support, reduce pain, and enhance mobility, ensuring you're always on sure footing. Don't let age-related foot concerns hold you back. With Custom Orthotics, embrace every golden moment with confidence. Call today to schedule an appointment.
Living With Midfoot Arthritis
Midfoot arthritis affects the joints in the arch of the foot, where several small bones meet. It can cause pain, stiffness and swelling, especially during walking or standing. This condition often develops from wear and tear over time, past injuries or inflammatory diseases like rheumatoid arthritis. The pain may feel worse in the morning or after activity, and shoes may start to feel uncomfortable. Treatment focuses on reducing stress on the joints. Wearing supportive shoes, custom orthotics, and anti-inflammatory medications may help manage symptoms. In some cases, targeted exercises or steroid injections provide relief. When pain does not improve, surgery may be considered to fuse the affected joints and restore stability. If you feel pain or stiffness in the middle of your foot that affects daily movement, it is suggested you see a podiatrist for an accurate diagnosis and appropriate treatment.
Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.
Arthritic Foot Care
Arthritis is a term that is commonly used to describe joint pain. The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it. Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.
Symptoms
- Swelling
- Pain
- Stiffness
- Decreased Range of Motion
Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.
Risk Factors
- Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
- Obesity – Excess weight can contribute to osteoarthritis development
- Infection – Microbial agents can infect the joints and trigger arthritis
- Joint Injuries – Damage to joints may lead to osteoarthritis
- Age – Risk increases with age
- Gender –Most types are more common in women
- Genetics – Arthritis can be hereditary
If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method 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 tools and technology to treat your foot and ankle needs.
How to Care for Your Arthritic Foot
Arthritis is an inflammation of the joints and it can occur at any joint in the body, especially in the foot. It generally effects those who are older, however, it can occur at any age. Although there are many different forms of arthritis, there are three main types that occur in the foot. The three types are osteoarthritis, rheumatoid arthritis, and gout.
The primary cause of osteoarthritis is aging. As you age, cartilage degenerates around the joints which causes friction and pain. Obesity can cause osteoarthritis through mechanical stress. Injuries that damage joints can increase the probability as well. Finally, a family history of osteoarthritis can also increase chances of having it.
Rheumatoid arthritis occurs when the immune system attacks the joint linings and weakens them over a long time. While there is no known cause of rheumatoid arthritis, obesity and smoking can increase your chances of getting it. Women are also more likely to get it than men.
Gout is a form of arthritis that occurs when there is too much uric acid in your blood and painful crystals form in your joints. Men are more likely to have gout than women. People who are obese or drink alcohol often are also more likely to develop gout. Furthermore, having diabetes, heart disease, high blood pressure, high cholesterol, gastric bypass surgery or a family history of gout may increase your likelihood of developing the condition.
Symptoms of arthritis include pain, stiffness, swelling in the joints. These symptoms can make it harder and more painful to walk. Physical activity can increase pain and discomfort. Furthermore, joint pain can worsen throughout the day for osteoarthritis. Gout attacks generally last several days with the first few being the worst.
Diagnosis of gout includes either a joint fluid test or a blood test. X-ray imaging can detect osteoarthritis but not gout. On the other hand, there is no blood test for osteoarthritis. Rheumatoid arthritis is difficult to diagnosis. Doctors utilize family and personal medical history, a physical examination, and antibody blood tests to determine if you have rheumatoid arthritis.
Treatment varies for the different kinds of arthritis. Anti-inflammatory medication or steroids can help reduce pain from inflammation of the joints. Changing shoe types can help with some symptoms. Wider shoes can help with discomfort from gout and osteoarthritis. High heels should be avoided. Shoes with proper arch support and that take pressure off the ball of the foot can help with rheumatoid arthritis. Drinking lots of water can also help rid uric acid from the blood. Losing weight, improving your diet, and limiting alcohol and smoking can also help prevent or lessen the symptoms of arthritis.
If you are having trouble walking or pain in your feet, see a podiatrist to check if you have arthritis.
Custom Foot Orthotics May Help Improve Stability in Older Adults
As people age, maintaining balance becomes increasingly important for reducing the risk of falls and promoting independence. Custom foot orthotics can play a valuable role in enhancing stability for older adults by improving foot alignment and providing support that promotes even weight distribution. Many balance issues stem from weakened arches, unstable gait, or improper foot mechanics, all of which can be addressed through personalized orthotic solutions. These devices help stabilize the foot and ankle, allowing for more confident and secure movement. The improved alignment also contributes to better posture and coordination. When tailored to the specific needs of the individual, custom orthotics can lead to increased comfort and greater mobility, making them a powerful tool in the pursuit of safe and active aging. If you are older and finding it difficult to maintain balance, it is suggested that you contact a podiatrist who may be able to provide a solution by prescribing custom foot orthotics.
Custom orthotics are often an effective solution for people experiencing heel pain, offering both comfort and correction for the underlying causes of discomfort. Heel pain commonly develops when the natural support of the foot becomes strained or imbalanced, leading to inflammation and irritation in the heel area. Conditions such as plantar fasciitis, heel spurs, or flat feet can all contribute to chronic heel pain that worsens with walking or standing. Custom orthotics are designed to fit the exact shape of your foot, providing the support and alignment necessary to reduce stress on the heel and surrounding tissues.
By redistributing pressure and improving overall foot mechanics, custom orthotics allow the heel to function more efficiently during movement. They cushion each step, absorb shock, and correct abnormal gait patterns that may be contributing to pain. Over time, this consistent support can ease inflammation, protect against re-injury, and enhance comfort during both daily and athletic activities.
Unlike prefabricated insoles, custom orthotics are created from a detailed evaluation that may include digital scans or molds of your feet. This ensures a precise and individualized fit that addresses your specific condition. They can be used in various types of footwear, from athletic shoes to dress styles, making them a versatile option for ongoing relief.
If heel pain is limiting your comfort or activity level, it is suggested that you call our office for more information or to schedule an appointment.
If you have any questions please contact one of our offices located in Issaquah, WA .
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.
Common Foot Problems in the Elderly
Foot problems in the elderly are often worsened by aging-related changes and chronic conditions. Poor circulation is a common issue, reducing blood flow to the feet and causing symptoms like coldness, swelling, and slow-healing wounds. Arthritis, especially osteoarthritis, can lead to painful joint stiffness and deformities in the feet, making it difficult to walk or stand for long periods. Decreased pain sensation, often due to nerve damage, means that injuries or infections may go unnoticed, increasing the risk of complications. Diabetes is another significant risk factor, as it can lead to neuropathy, poor circulation, and an increased likelihood of developing ulcers or infections. If you are elderly and have noticed any changes to your feet, it is suggested that you confer with a podiatrist who can find effective relief and treatment solutions.
If you need your feet checked, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.
Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.
It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.
Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities.
Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.
Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.
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.
