The most common foot problems we encounter are:

Bunions - A bulging deformity on the side of the big toe caused by the big toe turning inward toward the second toe, causing the bones that connect the toe to the foot to become misaligned. The bulging tends to increase over time, resulting in pain, redness over the area and numbness or tingling. Some people have a tendency to develop bunions because of their inherited foot type, but it can be aggravated by shoes that are too narrow in the forefoot and toe and tight shoes may increase risk and speed the progression of the bunion. Surgery is frequently performed to correct the problem.

Hammertoe - condition, usually arising from muscle imbalance, in which the toe is bent in a claw-like position. The second toe (the longest) is most commonly involved although any of the other three smaller toes can be affected. It occurs often when a bunion slants the big toe toward and under the second toe, but may also result from improperly fitted, tight shoes, such as high heels, or direct trauma to the toe joints. Selecting shoes and socks that do not cramp the toes will alleviate aggravation. If conservative treatment does not improve symptoms, surgery may be considered

Heel spurs - growths of bone on the underside of the heel bone. Heel spurs occur when the plantar tendon pulls at its attachment to the heel bone. Heel spurs are common after middle age and may cause no symptoms at all unless they irritate the plantar fascia

Ingrown nails - toenails whose corners or sides dig painfully into the skin. Ingrown toenails are frequently caused by improper nail trimming, but also by shoe pressure, trauma ,injury, fungus infection, heredity and poor foot structure. Ingrown nails can be prevented by trimming toenails straight across, selecting proper shoe style and size - not too tapered or shallow - and paying special attention to foot pain. Ingrown toenails often become infected or painful and can usually be effectively treated within an office visit to a podiatrist.

Neuromas - enlarged benign growths of nerves, most commonly between the third and fourth toes. They are caused by tissue and bones rubbing against and irritating the nerves. The nerve reacts by enlarging the sheath surrounding it and the problem worsens as the nerve enlarges. Pressure from ill-fitting shoes or abnormal bone structure can also lead to this condition. Treatments include orthoses (shoe inserts) and/or cortisone injections, but surgical removal of the growth is sometimes necessary.

Plantar fasciitis (heel pain) - Plantar fasciitis is inflammation of the plantar fascia, which is a structure that expands along the bottom of the foot and most commonly becomes inflamed and painful in the bottom of the heel or arch area. Pain in the heel is usually most noticeable in the morning when initially standing or immediately after standing following a period of sitting. Plantar fasciitis is usually caused by chronic irritation rather than an acute injury and most often presents as heel pain,. Causes include irritation from a heel spur, repetitive injury, such as from running, or sudden increase in weight that in turn increases pressure on the foot. Poorly fitting shoes may also put abnormal pressure on the fascia and cause irritation. Following an evaluation may prescribe customized shoe inserts called orthoses to help alleviate the pain. Other treatments include, physical therapy, splints, cortisone injections or in some cases extracorporeal shockwave therapy (ESWT).

Sesamoiditis - inflammation or rupture of the two small bones (sesamoids) under the first metatarsal bones. Proper shoe selection and orthoses can help.

Shin splints - pain to either side of the leg bone, caused by muscle or tendon inflammation. It is commonly related to excessive foot pronation (collapsing arch), but may be related to a muscle imbalance between opposing muscle groups in the leg. Proper stretching and corrective orthoses (shoe inserts) can help prevent shin splints by controlling over-pronation.

Stress fractures -Stress fractures are cracks in the bone caused by repetitive injury or overuse. They may occur anywhere within the foot, although the second and third metatarsals (bones connecting to the toes) are the most common sites, With repeated stress, these cracks may become complete fractures of the bone.. With complete rest, stress fractures heal usually quickly. Extra padding in shoes helps prevent the condition. Stress fractures left untreated may become complete fractures, which require casting and immobilization.



We participate with most insurance companies. If you have any questions we will be glad to answer them at the time of your visit. We ask that you bring your insurance card or cards with you at the time of your visit. Please check with your insurance company to find out if your plan requires you to obtain prior authorization before coming to the clinic. Co-pays are due at the time of service.



Liberty Bay Foot & Ankle ~ 20730 Bond Rd. NE, Suite 201, Poulsbo, WA, 98370 ~ (360) 434-0539

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