Foot Pain Treatment Videos | Issaquah Podiatry Services | Issaquah Foot & Ankle Specialists

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  • Plantar Fasciitis Taping
    Timothy W. H. Young, DPM
    by Timothy W. H. Young, DPM This email address is being protected from spambots. You need JavaScript enabled to view it.
    Taping for plantar fasciitis. Dr. Timothy Young of the Issaquah Foot and Ankle Specialists demonstrates how to tape a foot for plantar fasciitis.
  • Plantar Fasciitis: Arch Pain

    Arch pain typically is the term used to describe pain under the arch of the foot.  Arch pain indicates inflammation of the tissues within the midfoot and is most commonly caused by plantar fasciitis.  Plantar fasciitis is inflammation of the fibrous band of tissue that connects the heel to the toes.  Arch pain is most commonly found early in the morning due to the plantar fascia becoming contracted and tight during sleep.  Walking or standing for long periods of time can also aggravate the plantar fascia, causing it to become inflamed and irritated.  Treatment options include orthotics, anti-inflammatory medications and stretching exercises. 

    We have developed unique protocols for treating plantar fasciitis. We have created a unique resource for heel pain sufferers, visit the Seattle Heel Pain Center today.

  • Plantar Warts Care
    The common wart is known as verruca vulgaris. They are caused by a viral infection of the skin. This occurs as a result of direct contact with the virus. They do not spread through the blood stream. They occur more commonly in children than adults. When they occur on the bottom of the foot, they are called plantar warts. This name is derived from the location of the foot on which they are found; the bottom of the foot is called the plantar aspect of the foot. A common misconception is that plantar warts have seeds or roots that grow through the skin and can attach to the bone. The wart may appear to have a root or seeds, but these are in fact small clusters of the wart just beneath the top layer of the skin. The wart cannot live in any tissue except the skin. Moist, sweaty feet can predispose to infection by the wart virus. They can be picked up in showers and around swimming pools. They are not highly contagious, but being exposed in just the right situation will lead to the development of the wart. Avoiding contact in the general environment is nearly impossible. If a member of the family has the infection, care should be taken to keep shower and tile floor clean. Children who have plantar warts should not share their shoes with other people. Young girls often share shoes with their friends and this should be discouraged.

    Diagnosis

    The warts have the appearance of thick, scaly skin. They can occur as small, single warts or can cluster into large areas. These clustered warts are called mosaic warts. They often resemble plantar calluses. A simple way to tell the difference between a wart and a callus is to squeeze the lesion between your fingers in a pinching fashion. If this is painful, it is likely that the lesion is a wart. A callus is generally not painful with this maneuver but is tender with direct pressure by pressing directly on the lesion. Other lesions on the bottom of the foot that are often confused with plantars warts are porokeratoses and inclusion cysts.

    Treatment

    There are a variety of ways to treat warts. The over-the-counter medications have a difficult time penetrating the thick skin on the bottom of the foot, so they do not work well in this area. Professional treatment consists of burning the wart with topical acids, freezing with liquid nitrogen, laser surgery or cutting them out. All methods have the possibility of the wart coming back. Surgical excision of the wart has the highest success rate with a relatively low rate of recurrence. There is some mild discomfort with this procedure and it takes several weeks for the area to completely heal. Normal activity can generally be resumed in a few days depending on the size and number of warts that have been removed. The risks associated with surgical removal of warts are the possibility of infection, or the formation of a scar, which can be painful when weight is applied while walking.

    Laser removal of the wart works by burning the wart with a laser beam. The area must be numbed with an anesthetic prior to the procedure. There is little advantage to removing warts with a laser unless the warts are very large (mosaic warts) or there are a large number to be removed. The risks associated with the use of the laser are the same as for cutting the warts out. These risks include infection and the development of a scar after healing. A new type of laser has been developed to treat several different types of skin lesions called the Pulsed Dye Laser. This new laser has promise in the effective treatment of warts.

    Freezing the wart with liquid nitrogen is another form of treatment. This form of treatment when the warts are on the bottom of the foot can be very painful and take several days or weeks to heal.

    Topical acids can also be a useful means of treating warts. The advantage to this form of treatment is the fact that they are nearly painless and there is no restriction of activity. The down side to this form of treatment is that it frequently requires several treatments and the failure rate is higher than surgical excision of the wart.

  • Bunion Care
    When bunions become an issue, learn about both surgical and non-surgical bunion treatments. The Washington Bunion Center has more information about Bunions and Tailor's Buions. Find information about Buinon Treaments.
  • Ingrown Toenails
    A video with information about ingrown toenails, what is it, the causes, the treatments, and prevention of them. Dr. Timothy Young and Dr. Brandon Nelson are Board-certified in foot surgery. They have helped thousands of people since the start.
  • Plantar Fasciitis
    Timothy W. H. Young, DPM
    by Timothy W. H. Young, DPM This email address is being protected from spambots. You need JavaScript enabled to view it.
    Plantar Fasciitis is one of the most common causes of heel pain and it involves pain and inflammation of the plantar fascia, which is a thick band of tissue, that runs along the bottom of the foot.  The plantar fascia connects the heel bone to the toes.  Plantar fasciitis causes stabbing pain in the foot and is normally most prominent after prolonged periods of inactivity such as the initial steps in the morning after sleeping.  Anyone is susceptible to plantar fasciitis, but it is most commonly found in those that are overweight, pregnant women, runners or people that wear improperly fitted shoes.  The symptoms of plantar fasciitis are as follows: pain that develops gradually, affects just one foot, is worse with the first few steps after inactivity and/or feels like sharp pain in the heel of the foot.  There are many treatment options available for plantar fasciitis, which include: anti-inflammatory medications, corticosteroids, physical therapy, night splints, orthotics, extracorporeal shock wave therapy or surgery.
  • Toenail Fungus Treatment Options

    Fungal toenail infections are difficult to treat and an unsightly condition roughly affects 30 million Americans.  Known medically as onychomycosis, a nail fungal infection is typically treated through the use of various topical and oral therapies, but such treatment options have demonstrated limited success or caused adverse side effects.

    Onychomycosis can cause the toenails to become discolored, thickened and separated from the nail bed.  If left untreated, the infection causes spreads and can causes nails to become painful. Oral medications are available but often require monitoring of liver enzymes to ensure safety.  New technology has become available to eradicate this fungus with diode laser technology.  Success rates are reported as high as 80-90%. This new procedure is safe and with no side effects.  What is the right treatment for your fungal toenail(s)?

    If you suffer from toenail fungus, there are many available treatments. However, if you have experienced toenail fungus before or are dealing with a long-term toenail fungus infection you already know this can be difficult to solve. The reason why toenail fungus can be difficult to treat is because properly diagnosing the potential causes and complications are necessary to determine the best possible treatment protocol.

    There are over the counter topical medicines, fungal toenail laser treatments and even oral medications that can be used to treat this condition. If you have previously tried over the counter treatments for fungal toenail infections you already know that they can be less effective than you may have hoped.

    It is not that the medication is ineffective, however to effectively treat this condition more than one treatment may be necessary. The doctors of Issaquah Foot & Ankle Specialists have developed highly effective treatment protocols for patients to effectively treat fungal toenail infections.

    The fungal toenail infection specialists Dr. Timothy Young and Dr. Brandon Nelson of Issaquah Foot & Ankle Specialists will tailor a treatment plan specific to your fungal toenail infection and desired treatment plan. They prescribe the latest breakthroughs for fungal toenail treatment. If you are ready to address your fungal toenail infection request an appointment online now.

     

    Fungal Toenail Treatment Options

    Learn about several of the most common treatments used and the treatment protocol of Dr. Young and Dr. Nelson to effectively treat fungal nail infections:

    Oral Medications:

    While oral medications have exhibited some success, such treatments are often associated with common adverse side effects, including gastrointestinal and skin disorders, headaches and abnormal liver function.

    Topical Medications:

    Over the counter medications alone are generally unable to clear the nail because of insufficient nail plate penetration. However, we have identified and can prescribe the most effective topical medications for fungal toenail as part of your specific treatment protocol.

    Laser Treatments:

    Issaquah Foot & Ankle can provide our patients with the leading therapy to improve the appearance of nails affected by onychomycosis through the use of a new noninvasive laser therapy system.  The system applies laser energy to the nail plated and surrounding tissue.  The laser light gradually heats the fungus and promotes healthy, clear nails. Our laser fungus treatment procedure is FDA approved, quick, virtually painless with only minimal discomfort ever reported by a patient, and highly effective.

    The HyperBlue 1530 multiuse diode laser is FDA-cleared in podiatry to remove warts, perform matrixectomies, and to temporarily increase the growth of clear nail in patients with onychomycosis. Onychomycosis is nail fungus, and various treatments have been used to treat this condition. To learn more about the treatments people have used before highly-effective laser treatments you can read about the causes, treatment and prevention of toenail fungus.

    Fungal toenail treatment that is fast, powerful and effective. You will not have to hide your toes any longer! Many people hide their “ugly toenails” because they have either figured there is nothing that can be done, or have given up hope after trying ineffective treatments. With our fungal toenail laser treatment using the HyperBlue 1530’s laser allows us to treat all 10 toes in just three ten-minute treatments. You will not have to hide your “ugly toenails” anymore!

    The treatment is safe, FDA approved and virtually painless. The laser delivers results with minimal patient pain or discomfort. 

    In an effort to ensure you receive the most effective treatment for fungal toenail infections we may also prescribe Cidacin. Many instances of fungal toenail infections are persistent and because of this our treatment plan includes the latest technology and medication.

    Cidacin

    Cidacin has been acknowledged as one of the top ten innovations for 2013 in Podiatry.  This new antifungal cream combines tolnaftate with dimethyl sulfoxide and penetrates into deeper levels of the nail bed.  In a clinical study, Cidacin antifungal eradicated 85% of the pathogens by week 12 in patients with severe fungal toenail infections. When this medication is used in conjunction with our laser treatment patients receive a treatment plan that delivers reasonably fast results with exceptionally high success rates.

    Other Treatment Options:

    The doctors of Issaquah Foot & Ankle Specialists are dedicated to the effective treatment of this condition and continually evaluate new treatment protocols. As a result, new treatment options may be available for you. Contact us today and request an appointment.

    Our fungal toenail laser treatment is one of the most effective treatments available for fungal toenails. Watch a short video of an actual treatment session for fungal toenails. See for yourself how quick and painless your treatment can be and stop hiding your toes!