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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

 

March 2022

Fatigue fractures, which are known as stress fractures, occur when there is stress that is exerted on the bone. The foot is a common place for this to happen, and it can occur from increasing mileage and speed too quickly while running. The area may be tender to touch, and there can be severe pain and discomfort. A stress fracture can be confirmed when a proper diagnosis is performed. This can include having an X-ray or MRI taken, and then proper treatment can begin. It is beneficial to temporarily stop practicing the activity that led to the stress fracture. Patients have found mild relief when the affected foot is elevated. Many patients can perform non-impact exercises that can include swimming and cycling. This can help to maintain exercise goals while the injured foot is healing. Gradually, the normal routine of exercise and activities can be resumed, when the stress fracture has healed. If you feel you may have endured a stress fracture in your foot, it is strongly advised that you consult a podiatrist who can properly treat this condition.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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 and ankle needs.

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Extracorporeal Shockwave Therapy (ESWT) is an FDA-approved treatment for plantar fasciitis, the most common form of heel pain. ESWT delivers targeted high-energy sound waves to the injured and inflamed plantar fascia tissue. This process breaks up scar tissue and encourages the body to create new tissue cells which, in turn, stimulates healing and reduces pain. Acoustic wave therapy has been used for decades in shockwave lithotripsy—a treatment that breaks up kidney stones. ESWT is safe, non-invasive, and treatments generally take less than half an hour on each foot, with typically 3-5 sessions needed for many patients to begin to feel relief. If you have plantar fasciitis, contact a podiatrist to discuss whether you may be a good candidate for ESWT.

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with 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.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

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 and ankle needs.

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Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

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The proper length of toenails is a personal decision, but the longer they are, the greater the risk of possible problems arising. Common issues can include scratching the skin open, breaking, and/or snagging them on clothing. Toenails should be clipped carefully and filed. Seniors may have a hard time taking care of their own toenails due to a variety of physical restraints. Also, elderly toenails are more likely to get thick and hard because nails grow slower and nail cells can build up. Nails should be trimmed every four to eight weeks depending on growth. Regular visits to a podiatrist can provide an assessment of overall foot health and proper grooming of toenails.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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 and ankle needs.

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Tuesday, 08 March 2022 00:00

Strong Bones and Falling

Falling is known to be a common cause of injury in elderly people. This may be a result of weakened bones as the aging process evolves and can cause discomfort and stress. Many patients have developed a habit of walking daily, and bones may be strengthened by performing leg exercises. Additionally, it can help to get regular physical and eye examinations, and this can aid in preventing falling. There are preventative methods that can be implemented in the household that can lessen the number of falls. These include removing worn rugs, improving lighting, and using a shower mat in the bathroom. It is suggested that shoes with non-slip soles are worn, in addition to using a cane or walker, if needed. The feet may be affected by falling, and a fractured foot is not uncommon. If you would like to learn about how to prevent falling, please speak with a podiatrist who can answer any questions you may have.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

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Tuesday, 01 March 2022 00:00

ORIF for an Ankle Fracture

Open reduction and internal fixation (ORIF) is a type of surgical operation that can be used to repair a broken ankle. This procedure is usually recommended when the fracture is large, the bones are displaced or broken into many pieces, or when the fracture involves damage to the surrounding nerves or blood vessels. During an ORIF procedure, the surgeon may use wires, screws, plates, or pins to realign the broken bones so that they can heal properly. After surgery, you will need to wear a cast or splint to immobilize the ankle and promote a full recovery. If you have fractured your ankle, it is strongly suggested that you seek the care of a podiatrist.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

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