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During the Washington state stay at home order, as an allowed medical service, we are open Monday through Friday from 9 A.M. - 3 P.M. for virtual (telehealth) appointments, and for urgent or emergent in office appointments. All entering the clinic are required to wear a mask or bandana or scarf; and to wear gloves. All persons entering the office will be screened at the door for COVID symptoms. We appreciate your cooperation during this difficult time, and look forward to serving you all soon once the restrictions are lifted.

Gig Harbor (253) 858-8100
Same Day Emergency Appointment Available

 

December 2019

Research has shown walking shoes have less flexibility than running shoes. People who enjoy running or jogging are aware of the necessity of buying the correct shoes for their chosen sport. There are different styles of running. Long distance runners typically benefit from wearing shoes that have additional cushioning. Additionally, many running shoes have different stabilizing features, which may help to correct overpronation. People who like to walk may opt to wear shoes that are designed for comfort. These types of shoes can include those that are made of a lighter material, and have adequate support to ensure the feet will feel comfortable after a long walk. If you would like additional information about what type of shoe to purchase for running or walking, please speak to a podiatrist.

For more information about walking shoes versus running shoes, consult with Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

If you have any questions, please feel free to contact our office located in Gig Harbor, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Walking Shoes vs. Running Shoes
Published in Blog
Monday, 30 December 2019 00:00

Walking Shoes vs. Running Shoes

Although walking shoes and running shoes look similar, they have characteristics that make them different from each other. Runners should avoid running in walking shoes and vice versa. It is very important that you wear the proper footwear for the activity you are going to partake in, for you to avoid injury.

If you are looking to buy a new pair of running shoes, there are certain things you should look out for. One of the main components that makes up a good running shoe is flexibility. You should be able to bend and flex the forefoot of the shoe that you are purchasing. If you can bend the entire shoe in half with ease, this is a sign that the shoe does not have enough structure for your feet. Another feature you should look for is a low heel. Certain running shoes have a low heel to support runners who land on the ball of their feet. Lastly, you should look for the fit of the running shoe. You should visit the best running shoe store in your area to have your feet properly sized for the shoes in the store. Usually, the staff will be able to help recommend the best type of running shoe for your needs.

When you are walking, the body’s weight is evenly distributed on the foot. This influences the design of shoes made for walking. If you are looking to buy a pair of walking shoes, there are different features you should look for to determine which pair of shoes is best for you. Walking shoes should be flexible through the ball of the foot to allow for a greater range of motion through the roll of the forefoot. These shoes also should have greater arch support for the foot. If you plan on walking long distances or on hard surfaces, it is best that you wear shoes that have cushioning.

When trying on a new pair of shoes, the heel should fit snugly without slip. You should shop for shoes after a long walk, since your feet tend to swell throughout the day. Many people have one foot that is a different size than the other, so it is best that you have both feet measured when looking for your true size. You should also beware that sizes vary depending on the shoe brand. A certain size in one brand may be a different size in a different brand. Lastly, you should always walk around in shoes that you plan on buying. This will help you determine whether the shoes are comfortable and if they fit well on your feet.

Always look for good shoe construction when shopping for new sneakers. The upper part of the shoe should allow for adjustment through laces or straps. If you need help with shoe sizing or if you need custom orthotics for your feet, you should make an appointment with your podiatrist for assistance. He or she will be more than happy to help you with your shoe sizing needs.  

Published in Featured
Sunday, 29 December 2019 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Published in Blog
Monday, 23 December 2019 00:00

Why Does Plantar Fasciitis Occur?

A common foot condition that affects numerous patients is referred to as plantar fasciitis. This occurs when the tissue that is located on the bottom of the foot becomes inflamed. This condition focuses on the plantar fascia, which connects the toes to the heels. The arch is supported by this band of tissue, and can be affected as this condition progresses. There are common reasons why plantar fasciitis may gradually develop. These can consist of standing for the majority of the day, existing foot conditions that may include having a rigid Achilles tendon, and wearing shoes that do not fit correctly. Patients may find moderate relief when the affected foot is elevated. It may also be beneficial to perform exercises that can strengthen the overall foot. Additionally, it may help to tape the foot which can provide support. If you feel you have this ailment, it is suggested that you schedule a consultation with a podiatrist who can help you to manage this condition.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our office located in Gig Harbor, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Plantar Fasciitis
Published in Blog
Monday, 23 December 2019 00:00

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Published in Featured
Tuesday, 17 December 2019 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Published in Featured
Tuesday, 17 December 2019 00:00

Foot Ulcers and Proper Treatment

Many diabetic patients are aware of the importance of properly taking care of wounds on their feet. Foot ulcers can be common in these types of patients, and can become worse as a result of damaged nerve endings that may accompany diabetes. This may cause the patient to lose feeling in the feet, making it possible that wounds on the feet are left undetected. If an existing wound becomes infected, it may develop into a foot ulcer. One of the first steps in treating a foot ulcer is to remove the affected wound tissue. This can be beneficial in helping the wound to drain, in addition to effectively examining the tissue that lies beneath it. Patients who have foot ulcers may be guided to wear a specific type of boot, or offloading device. This is a necessary step for successful healing. There are measures that can be taken which may help to prevent wounds on the feet. These can include examining the feet daily, washing and drying the feet thoroughly, and making sure blood glucose levels are within a normal range. If you have wounds on your feet, it is strongly suggested that you are under the care of a podiatrist who can help you to properly manage this condition

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Gig Harbor, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Published in Blog
Monday, 09 December 2019 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

Published in Featured
Monday, 09 December 2019 00:00

Can Orthotics Help Bunions?

A bunion is the name that is given for the large bony protrusion that develops on the side and bottom of the big toe. It can develop for a variety of reasons, some of which can include genetic factors, foot injuries, and ill-fitting footwear. The bump that forms may appear red from friction that is caused by shoes, and calluses and corns may also develop on the affected area. Patients who have severe bunions may experience pain and discomfort, and have difficulty walking. People who realize they have a bunion may find mild relief in wearing shoes that have ample room for the toes to move freely in. If you are afflicted with a bunion, it is strongly advised that you speak with a podiatrist who can prescribe orthotics which may help you to find comfort.

If you are suffering from bunions, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our office located in Gig Harbor, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions
Published in Blog
Monday, 02 December 2019 00:00

Athlete’s Foot

Athlete’s foot, or tinea pedis, is a skin disease caused by a fungal infection.  The infection typically occurs between the toes, and the feet are most subject to this disease because shoes best create the warm, dark, and moist environment in which fungus thrives.  Other areas that create a similar environment, such as swimming pools, public showers, and locker rooms; can also promote fungi growth. 

Symptoms of athlete’s foot include dry skin, itching, scaling, inflammation, and blistering.  Sometimes, blisters can evolve into the cracks or breaks in the skin.  The exposed tissue can then create pain, swelling, and discharge.  The spread of infection can cause itching and burning as well.

While athlete’s foot commonly occurs between the toes, it may also spread to the toenails or soles of the feet.  Other parts of the body, such as the groin or underarms, can also become infected if they are touched after the original area of infection is scratched.  Aside from physical contact, athlete’s foot can also spread through the contamination of footwear, clothing or bedsheets.

Proper foot hygiene is essential in preventing athlete’s foot.  You can prevent the fungus from spreading by frequently washing your feet using soap and water, thoroughly drying the feet between the toes, changing shoes and socks every day to reduce moisture, and ensuring that bathroom and shower floors are disinfected.  Other tips include using shower shoes, avoiding walking barefoot in public environments, wearing light and airy shoes, and wearing socks that keep the feet dry.

While treatment for athlete’s foot can involve topical or oral antifungal drugs, mild cases of the infection can be treated by dusting foot powder in shoes and socks.  Any treatment used can be supplemented by frequently bathing the feet and drying the toes.  If proper foot hygiene and self-care do not ease your case of athlete’s foot, contact your podiatrist.  He will determine if the underlying cause of your condition is truly a fungus.  If that is the case, a comprehensive treatment plan may be suggested with the inclusion of prescription antifungal medications.

Published in Featured
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