We serve individuals and families living in the West Seattle neighborhoods of Admiral, Alki, Fauntleroy, the Junction, and down to Burien.  It is easy to come Downtown for advanced care.

We provide comprehensive, double Board-Certified podiatric foot and ankle medical and surgical care, including wound care and limb preservation, orthopedic foot surgery including bunion correction, sports medicine and physical therapy, custom orthotics.

Please click here for directions to our Seattle office.

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We serve individuals and families living in the North End, including Shoreline, Edmonds, Mountlake Terrace, Lynnwood, Brier, Lake Forest Park.  Getting to our Downtown Seattle office is now easy with the Link Light Rail.

We provide comprehensive, double Board-Certified podiatric foot and ankle medical and surgical care, including wound care and limb preservation, orthopedic foot surgery including bunion correction, sports medicine and physical therapy for foot and ankle injuries, custom orthotics.

Please click here for directions to our Seattle office.

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We serve individuals and families living in the Eastside, including Mercer Island, Bellevue, Newcastle, Renton, Issaquah, Kirkland, Redmond, Kenmore, Bothell, Sammamish.  Many from throughout the State of Washington travel to Seattle for advanced care.

We provide comprehensive, double Board-Certified podiatric foot and ankle medical and surgical care, including wound care and limb preservation, orthopedic foot surgery including bunion correction, sports medicine and physical therapy, custom orthotics.

To serve our Chinese-speaking families, Dr. Hoy speaks Taishanese, Cantonese, and some Mandarin.

Please click here for directions to our Seattle office.

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Yet, for them, every step might carry the invisible burden of discomfort. When the spotlight fades and the music stops, a dancer often finds solace in the world of anatomy to address lingering physical challenges. A bunionette, also known as a tailor’s bunion, may not immediately catch the eye, but it impacts countless individuals who dread the thought of exchanging their favorite footwear for relief. With knowledge, we can demystify this condition, transform uncertainty into understanding, and inspire proactive solutions for a pain-free future.

What Is a Bunionette?

A bunionette, or tailor’s bunion, is a bony protrusion on the outside of the foot. This minor deformity occurs at the head of the fifth metatarsal, adjacent to the little toe.

While it shares similarities with the more familiar bunion, a bunionette occurs on the opposite side of the foot. Often, this condition results from prolonged pressure and friction from ill-fitting shoes.

Genetic factors may also contribute, resulting in a predisposition to developing this little-known condition. Those with a family history of bunionettes may find themselves susceptible.

Symptoms often include a noticeable bump, redness, and tenderness, particularly after wearing narrow footwear. As the condition progresses, discomfort can escalate, impacting daily activity.

Acknowledging the discomfort, yet often overshadowed, bunionettes merit attention for effective management. Learning about this condition empowers sufferers to make wise decisions, fostering both comfort and confidence.

Ultimately, the aim is not just to provide relief, but to enhance one’s quality of life. Understanding bunionettes paves the way for informed choices, ensuring a future of unimpeded strides.

Anatomy of the Foot

The foot, a marvel of engineering.

This complex structure serves to bear our full weight. It comprises 26 bones that work in harmony alongside a myriad of tendons, ligaments, and muscles. Collectively, these components enable an extraordinary range of motion and provide the stability and strength required for ambulation.

Its primary sections include forefoot, midfoot, and hindfoot.

The forefoot contains the toes and the metatarsals. These bones form the core framework and contribute to the foot’s balance – an invaluable asset. Meanwhile, the midfoot assembles bone arches, safeguarding weight distribution.

Lastly, understanding the interconnectedness of these parts elevates our appreciation of their roles. Recognizing this can inspire individuals to invest in proper foot health. Education leads to prevention and agility by empowering us to conquer discomforts like bunionettes, setting a strong foundation for continued vitality and movement.

Common Causes

Bunionettes typically result from external pressure, a blend of anatomical predisposition, and footwear factors. Wearing shoes that are too tight or have narrow toe boxes can exacerbate these conditions, ultimately creating or worsening a bunionette on the foot, leading to significant discomfort.

In some cases, the development of a bunionette can be genetic, known as “tailor’s bunion.” This occurs due to an inherent alignment issue, wherein certain bones of the foot may naturally protrude. As one stands, the imbalance of the foot’s weight can, over time, contribute to the development of this condition, making awareness and corrective measures essential.

Footwear Choices

Selecting footwear that is comfortable—yet stylish—can significantly influence both the progression and prevention of bunionettes.

Beautifully designed shoes that feature wide toe boxes, not only enhance comfort but also minimize the likelihood of developing or exacerbating bunionettes.

When prioritizing function and form, well-chosen shoes contribute to optimal foot health, reducing irritation. Look for shoes with cushioning, robust arch support, and a flexible sole to provide comfort and adaptability.

Fashion doesn’t have to mean compromise—embracing a balance between current trends and ergonomic benefits can significantly reduce pressure and ensure a healthier alignment of your feet.

Genetic Predispositions

A predisposition to bunionette formation can be influenced by one’s genetic makeup.

Research indicates that genetic factors play a pivotal role in the structural build of feet, where certain inherited traits can predispose individuals to develop this condition. Characteristics like joint flexibility, foot shape, and the natural alignment of bones can be inherent, potentially accelerating the onset of bunionettes.

Furthermore, those with a family history of bunionettes or similar foot conditions may find themselves more susceptible. By understanding these hereditary links, individuals can make informed lifestyle choices to delay potential developments and adopt proactive health strategies.

Ultimately, recognizing the genetic connection can empower individuals towards preventative measures and timely interventions. By fostering awareness of familial foot health, individuals can embrace modern solutions that cater to their unique genetic predispositions fostering healthier, more supportive environments that can mitigate hereditary challenges effectively.

Identifying Symptoms

Recognizing the symptoms of a bunionette, a variation of bunions affecting the fifth metatarsal, yields significant advantages. Primarily, individuals may notice swelling or redness at the base of the little toe, signaling potential irritation from shoes or prolonged activity.

As discomfort may progress to a more severe state, symptoms such as a “tailor’s bunion” become more apparent. This is due to a bony bump on the outer side, causing friction or discomfort. In some cases, the alteration of the toe’s alignment leads to pressure that can further affect overall foot health if not managed promptly. By identifying these symptoms early, individuals can explore targeted treatments and footwear adjustments to alleviate stress and foster swift recovery.

Recognizing Pain Patterns

Understanding pain patterns in bunionettes is crucial for timely intervention and effective management, leading to healthier and more resilient feet.

• Localized tenderness typically over the outer side of the affected foot.
• Sharp or burning pain after prolonged standing or walking sessions.
• Persistent discomfort especially when wearing tight or narrow shoes.
• Swelling and redness that may increase after physical activity.

Recognizing these pain signals early helps guide appropriate treatment choices.

Swift identification of these patterns empowers individuals to seek medical advice sooner, optimizing recovery and minimizing complications.

Visible Signs

Spotting the bunionette is often straightforward.

One of the most telling indicators is a noticeable bump on the outside of the foot, near the base of the little toe. This protrusion is often tender to the touch and might become more prominent over time, particularly if aggravated by ill-fitting footwear. Additionally, the skin covering the bunionette may appear red or become irritated, highlighting the inflammation underneath.

This visible bump often initiates the patient’s journey.

The shift of the little toe inward can create friction – an everyday reminder when wearing shoes that do not accommodate the expanded foot shape – resulting in noticeable calluses or blisters adjacent to the affected area.

Observing these visible signs of a bunionette becomes a proactive health measure, encouraging individuals to pursue evaluation at the earliest stages. This vigilance, paralleled with emerging medical insights and evolving solutions, empowers patients to embrace their foot health, mitigating long-term issues and enriching their overall well-being.

Risk Factors

Bunionettes primarily affect individuals with a history of wearing narrow, constricting footwear, particularly high heels. Genetic factors also play a substantial role, making those with a family history of bunions more susceptible, as do specific foot shapes such as flat feet or high arches, which can predispose individuals to this condition. By understanding these risks, we can make intentional lifestyle choices that support foot health and anticipate potential challenges with proactive strategies.

Lifestyle Influences

Incorporating mindful lifestyle practices, individuals can significantly influence the development and management of a bunionette, unlocking paths to healthier feet and improved quality of life.

Prioritizing footwear that supports comfort can mitigate undue pressure on the fifth metatarsal.

Opting for shoes that offer adequate width, coupled with adjustable fastenings, fosters the foot’s natural structure and movement. These choices are increasingly vital in environments emphasizing fashion over function, as they help maintain foot integrity, balance, and alignment.

Engaging in regular, foot-strengthening exercises and adopting ergonomic practices encourages optimal foot mechanics, serving as a bedrock for sustaining foot health. It is essential to stay proactive in pivoting toward a lifestyle that honors joint health, as this can serve as a linchpin in avoiding or alleviating bunionette-related discomfort. As lifestyle adoption trends towards “wellness” without compromising style, these small shifts in daily habits hold extraordinary potential for lifelong benefits.

Age and Gender

In the journey of understanding bunionette, age and gender are pivotal factors that influence its development.

Interestingly, bunionettes are more prevalent in a specific demographic, favoring adults over children, highlighting how maturity and lifestyle choices powerfully interplay with foot health. Women, in particular, experience bunionettes more frequently than men due to footwear choices that, while stylish, may not always offer optimal support for the fifth metatarsal.

Research indicates this condition often emerges among individuals in their 40s to 60s. As individuals enter this stage, changes in their feet’s bone structure and soft tissues may predispose them to bunionette formation, underscoring the importance of attentive foot care as one ages.

Ultimately, this information encourages tailoring preventative measures and treatments with these demographic characteristics in mind. Addressing age-specific and gender-specific needs allows healthcare professionals and individuals alike to make choices that safeguard foot health, confirming the profound impact of personalized strategies on the path to wellness. Such awareness empowers individuals to proactively embrace practices that bolster their long-term quality of life.

Diagnosis Methods

Consideration of a bunionette’s diagnosis involves a process of meticulous examination, where both clinical observations and patient history play a pivotal role. Healthcare providers like Dr. Hoy assess the pain location, swelling, and callus pattern to determine the most effective approach for treatment.

To further affirm the presence of a bunionette, doctors may employ a “weight-bearing X-ray.” This test is key in revealing the foot’s structure, offering insights into any misalignment. In this way, the identification of the underlying issues informs the design of a tailored treatment plan, allowing patients to stride confidently toward relief and improved foot health.

Physical Examination

A precise clinical assessment is essential.

During a physical examination for a bunionette, a clinician will carefully inspect the foot’s structure. The healthcare provider looks for signs such as swelling, callus formation, or enlargement around the base of the little toe. Observations during this examination provide valuable insights, highlighting the extent of physical alterations.

Visual inspection is critical for identifying bunionette.

The examiner may palpate the area to assess tenderness, which can vary in intensity. Understanding the patient’s unique presentation is vital, as it informs the ensuing course of action tailored toward alleviating discomfort linked to the bunionette.

Through a combination of thorough observation and assessment, clinicians gain comprehensive insights into the progression of a bunionette. These observations enable the formulation of an individualized treatment plan oriented toward fostering foot health, guided by the latest clinical perspectives and innovative strategies. With expert evaluation, the pathway to reduced symptoms and improved mobility becomes more navigable, empowering patients on their journey to wellness.

Imaging Tests

In cases where visual inspection and palpation are insufficient, imaging tests play a crucial role in diagnosing a bunionette.

For instance, X-rays provide a clear depiction of the bone structure, revealing any misalignment, fractures, or joint deformities. They are indispensable in identifying the root cause of the bunionette, such as bony prominences or defects. By examining these insights, clinicians can determine the severity of the condition and tailor the most effective treatment plan, thereby enhancing the patient’s quality of life with precision and clarity.

Moreover, imaging tests can also be a proactive measure in early detection. By capturing detailed images, these tests allow healthcare professionals to distinguish between soft tissue issues and bony anomalies that may exacerbate a bunionette. Ultimately, early identification through imaging can streamline intervention strategies, optimizing outcomes for patients.

In some circumstances, advanced imaging modalities are employed to further refine the diagnosis with unparalleled precision. This can include MRI scans, which highlight intricate details of the soft tissues surrounding the bunionette, offering a comprehensive view that combines both structural and anatomical information. These sophisticated technologies significantly aid in crafting a detailed map of the foot’s condition, ushering forth a holistic treatment approach designed to restore functionality and comfort, thereby reinforcing confidence in the healing process.

Differentiating from Bunions

Understanding the distinction between bunions and a bunionette is crucial for targeted treatment and effective management, ultimately enhancing patient outcomes and well-being.

Bunions develop on the inner side of the big toe, whereas bunionettes form on the outer side of the little toe.

A key difference lies in the location; bunionettes manifest as a bony prominence at the head of the fifth metatarsal, often causing discomfort, inflammation, and irritation of the surrounding skin.

The treatment approach for bunionette differs as it requires careful evaluation of the fifth metatarsal’s alignment and may involve specific interventions to alleviate pressure from footwear and targeted physical therapy. In severe cases, various surgical procedures under the umbrella of “Tailor’s Bunionectomy” might be considered to correct the deformity and provide relief, promoting a healthier, more active lifestyle.

Preventive Measures

To stave off the development of a bunionette, a regimen of proactive measures, such as wearing well-fitted footwear, should be embraced. Selecting shoes that offer ample room for the little toe, avoiding narrow or high-heeled options, can significantly bolster foot health.

In addition to the conscientious choice of a shoe style, incorporating a “foot-friendly routine” into daily life is a proactive shield against a bunionette’s manifestation. This can be as simple as a series of stretching exercises designed to maintain flexibility. By these actions, the likelihood of stress on the fifth metatarsal decreases, paving the path for an active, pain-free life.

Choosing Proper Footwear

Opting for the right footwear is essential in preventing and managing a bunionette. Ensuring your shoe choice aligns with comfort and functionality can lead to tremendous benefits.

1. Choose Wide-Toed Shoes: Select shoes that provide ample space for the toes to avoid unnecessary pressure.
2. Opt for Low Heels: High heels significantly increase pressure on the forefoot, exacerbating bunionette symptoms.
3. Consider Arch Support: Good arch support can alleviate discomfort and improve the overall structural health of your foot.
4. Prioritize Soft Materials: Shoes made of flexible, soft materials reduce friction and enhance comfort.
5. Look for Adjustable Straps: They offer the flexibility to adjust the shoe as needed, adapting to your foot’s natural shape.

Remember, investing in quality footwear will have a lasting positive impact on your foot health. By making smart choices, you enhance comfort and reduce the risk of complications.

Ultimately, well-chosen shoes foster an active lifestyle, minimizing discomfort and empowering you to move with confidence and ease.

Daily Foot Care

Embarking on a transformative journey toward foot health begins with establishing a daily foot care routine.

Firstly, it’s vital to incorporate stretching exercises as a cornerstone of this regimen, easing any undue tension, reducing the risk of strain, and promoting flexibility. Regularly massaging your feet can further enhance circulatory health, warding off stiffness and improving overall comfort. For cleansing, steer clear of harsh chemicals, opting instead for gentle, hydrating soaps that protect your skin’s natural barrier.

Importantly, dedicate time for a daily inspection of your feet. By spotting potential issues early, such as calluses or signs of bone misalignment, you empower yourself to seek timely advice and appropriate interventions, safeguarding your foot health.

Lastly, never underestimate the power of moisturizing your feet using nourishing creams specially formulated for foot care, as this simple step fortifies your skin against cracks and dryness. Such proactive measures elevate your foot health to new heights, ensuring not only resilience but also a steadfast confidence in every step you take.

When to Seek Medical Advice

If you experience persistent pain in the area of a bunionette and notice significant discomfort, you may need to consult a professional like Dr. Hoy.  Our Seattle office is experienced in treating this condition.

Swelling and redness that persist despite home care efforts should not be ignored.

There can be underlying issues that require further evaluation, such as the development of a cyst or a more severe misalignment manifesting alongside a bunionette. It is important to seek the expertise of a healthcare professional when these symptoms persist.

Professional guidance becomes imperative to regain your optimal well-being. Remember, addressing concerns promptly not only enhances your daily comfort but can also prevent complications. By consulting with a foot specialist, you can explore personalized treatment plans tailored to restore function, alleviate symptoms, and enhance your overall foot health. There is no “too soon” when it comes to preserving your quality of life.

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What is a Bunion?

A bunion is a bony bump that forms on the joint at the base of your big toe.

This commonly occurs when the bones of the front part of the foot shift out of alignment. As the big toe pushes against the adjacent toe and 1st metatarsal in a wrong angle, the abnormal positioning enlarges the joint.

Over time, this misalignment results in a bulge or protruding bump of bone, accompanied by irritation, swelling, and pain, which projects outward from the foot’s natural contour. This condition can be exacerbated by footwear that improperly constrains the foot.  Bunions can vary in size and severity, with some causing mild discomfort and others leading to significant mobility issues.

Bunions can be hereditary, indicating a predisposition in foot structure.

Knowing what a bunion is marks the beginning of a journey to wellness and informed foot care.

Common Causes of Bunions

One popular myth suggests only elderly people suffer, which isn’t accurate.  In reality, bunions can develop in anyone, regardless of age, although they are more prevalent in adults. They are often perceived as a result of wearing high heels, but heredity, pronation, and structure of the foot play substantial roles.  While the exact cause of bunions is not fully understood, several factors contribute to their development. Some of the most common causes of bunions include:

1. Genetics.  Genetics often play a significant role, making some individuals more susceptible to developing bunions over time.  Bunions tend to run in families, suggesting a genetic predisposition. If one or both of your parents have bunions, you may be more likely to develop them yourself.  In many instances, an inherited structural foot defect responsible for bunions can trigger undesirable changes such as pronation, or walking on the inside of the foot. Unfortunately, this results in the formation of these painful protrusions, particularly in individuals whose families have a history of foot-related ailments.

2. Footwear.  Additionally, wearing shoes that are too tight, narrow or with high heels may exacerbate the condition. Shoes that squeeze the toes, especially those with pointed fronts, can continue to push the big toe toward the smaller toes, thereby accelerating the misalignment.

3. Foot Structure.  People with certain foot types, such as flat feet or hypermobile joints, are more prone to developing bunions. These structural issues can increase the likelihood of the big toe drifting out of alignment.

4. Injury.  In some cases, a foot injury can contribute to the formation of a bunion. Trauma to the joint may lead to inflammation and eventually cause the joint to become misaligned.

5. Arthritis.  Furthermore, certain medical conditions, such as rheumatoid arthritis, can significantly influence bunion development, creating systemic changes that weaken the foot’s bone structure, ligaments and joints. This deterioration may exacerbate misalignments, leading to bunion formation. Understanding these causes empowers individuals to make well-informed preventative choices.

Symptoms of Bunions

Bunions manifest distinctively, often starting with a visible bump on the outer edge of the base of the big toe.

Initially, you might experience tenderness, redness, or swelling near the joint, accompanied by intermittent pain that can intensify with prolonged walking or standing. Some individuals also report restricted movement in the big toe, making it increasingly difficult to flex and move comfortably. These sensations might often be underestimated, emphasizing why attentiveness to any new or increased discomfort is crucial.

Consequently, wearing tight or narrow shoes can exacerbate these symptoms, contributing to more persistent pain. As the condition advances, the big toe may lean toward the other toes, causing further misalignment and potential friction against footwear, leading to corns and calluses.

Other symptoms include limited range of motion in the big toe, and changes in walking pattern, leading to difficulty walking or standing for extended periods.

Some experience a dull ache or sensation of burning in the surrounding areas, potentially extending to the ball of the foot. This discomfort is due to the abnormal distribution of weight across the foot, often resulting from the pressure the bunion places on adjacent structures.

Staying attuned to these signs will enable timely intervention, reinforcing proactive care and paving the way for effective management strategies.

Risk Factors for Developing Bunions

Genetics play a significant role in the predisposition to develop bunions, as family history is often an indicator of risk. Additionally, certain inherited foot types, such as flat feet, can increase vulnerability.

Wearing high heels or shoes with a narrow toe box frequently exacerbates this condition, as can activities such as ballet. These can impose unnatural stress on the toe joints, fostering misalignment over time.

Furthermore, rheumatoid arthritis and other inflammatory conditions have emerged as notable factors that can increase the risk of bunion formation. An understanding, therefore, of one’s arthritic condition and its impact on foot health cannot be overstated.

It’s essential to be mindful of these risk factors to promote foot health proactively. If you recognize any tendencies toward bunion development, consider discussing preventive strategies with a healthcare professional. Early intervention and thoughtful lifestyle choices, such as selecting supportive footwear and orthotics, can profoundly influence long-term foot wellness and mobility.

How Bunions Affect Your Feet

Bunions significantly alter foot structure and alignment.

As a bony bump at the base of the big toe, a bunion can cause the toe to deviate inward, often leading to pain and swelling. This misalignment further disrupts the natural mechanics of walking, causing additional strain on muscles and joints. Over time, this can cascade into a range of functional impairments, emphasizing the importance of addressing bunions promptly.

These adjustments can impact overall balance.

Restricted movement due to a bunion often leads to – in the absence of direct intervention – a domino effect, where one joint’s compromise induces others to compensate. This can exacerbate enduring discomfort and misalignment issues.

Yet, understanding this pathway of degeneration empowers individuals to take decisive, positive action. Engaging in proactive measures such as consulting with healthcare providers and wearing supportive shoes and orthotics, offers the potential to transform challenges into manageable conditions, reinforcing the belief that optimal foot health can be achieved through mindful choices.

Diagnosing Bunions

Diagnosing bunions is a straightforward process that combines clinical evaluation, patient history, and imaging. This multifaceted approach is vital for determining the most appropriate treatment strategy.

Initially, healthcare providers rely on the patient’s account of symptoms and physical examination.

During the examination, doctors assess the foot’s appearance and alignment, identifying hallmarks like the bony bump (medial eminence) and misalignment.

Visual inspection helps in gauging bunion progression by analyzing the protrusion and surrounding tissue health.

Often, X-rays are instrumental in confirming diagnosis through detailed images, revealing the joint’s condition and severity of the bunion’s development.

Ultimately, the aim of diagnosis is to not only confirm the bunion’s presence but also to establish a tailored treatment plan. Timely intervention can significantly enhance quality of life, underscoring the importance of prompt medical attention.

Treatment Options for Bunions

Fortunately, there are various treatment options available for bunions, ranging from conservative, non-surgical methods to surgical interventions. The best treatment plan will depend on the severity of the bunion, your symptoms, and your overall health.

Non-Surgical Treatment Options

For mild to moderate cases of bunions, the following treatments may help alleviate pain and slow the progression of the condition. Patients often turn to well-fitted footwear, orthotic devices or padding, allowing pressure distribution for comfort, and exercises to fortify foot muscles, ward off advancement.

Proper Footwear Choices

Selecting the right footwear is an essential aspect of bunion management. Prioritizing shoes that offer a wide toe box ensures that toes have ample room to move.

Inappropriate footwear can exacerbate bunion discomfort, often labeled as “bunion agony.” Shoes should feature a low heel and good arch support, promoting natural foot alignment.

Wearing shoes with a wide toe box can reduce bunion pain and progression significantly.

Consider these factors: opt for materials that mold to the foot while avoiding narrow styles that constrict (notably high heels), ensuring that each step is a step towards better health. This approach will not only alleviate current discomfort but also prevent future complications.

Orthotic Devices

Orthotic devices play a significant role in mitigating bunion discomfort and promoting optimal foot alignment.  Custom-made or over-the-counter insoles can help redistribute pressure away from the bunion, providing relief and improving foot alignment.

• Custom-Made Orthotics: Tailored to the unique dimensions and angles of the foot, these provide targeted support.
• Over-the-Counter Inserts: Ready-made options, available at many pharmacies, offer accessible relief.

Padding and Cushions

Special bunion pads and cushions can reduce friction and protect the affected area from further irritation.

• Silicone Gel Pads: Acts as a cushion, preventing further irritation and easing pressure.
• Toe Spacers: These help maintain proper toe alignment and reduce friction between toes.

Integrating these devices into daily routines can enhance foot mechanics, alleviate pain, and prevent further bunion progression.

Pain Relief Methods

Addressing bunion discomfort effectively involves a multi-faceted approach that targets symptoms and fosters long-term health.

Initially, non-invasive treatments like applying ice to the bunion and elevating the foot can provide immediate relief, reducing inflammation and numbing pain. Adopting a consistent icing routine, especially after prolonged periods of activity, can help maintain comfort and minimize swelling, thus allowing for an uninterrupted and vibrant lifestyle.

Additionally, you might consider the advantages of certain anti-inflammatory medications, such as ibuprofen. These medications mitigate both pain and inflammation, providing an effective complementary measure alongside other therapeutic interventions geared toward bunion relief.

For those seeking natural alternatives, physical therapy may be helpful. Professionally-guided therapy focuses on strengthening and balancing the muscles around the foot, enhancing functionality while alleviating pain. Empowering individuals through tailored exercises and techniques, physical therapy may not only soothe discomfort but also lays the groundwork for a resilient recovery.

Surgical Treatment Options

If conservative treatments fail to provide relief, or if the bunion causes significant pain and mobility issues, surgery may be necessary. The goal of bunion surgery is to realign the bones of the foot, correct any deformities, and alleviate pain.  With varied techniques like osteotomy, exostectomy, and arthrodesis, it is possible to address the structural deformity effectively and alleviate persistent discomfort while restoring functional alignment.

These advanced surgical procedures are continually refined, ensuring optimal patient outcomes and minimizing recovery time while maximizing mobility improvements.

Types of Bunion Surgery

Understanding the diverse types of bunion surgery is crucial, as each technique offers a unique approach to correcting the structural anomaly of a bunion, thereby ensuring a patient-centric solution.

There are several types of surgical procedures used to treat bunions.  Jointly, these surgeries focus on realigning the affected joint to restore balance and alleviate chronic discomfort.

Bunionectomy: The surgeon removes the bony bump and realigns the big toe joint.

Osteotomy, which entails precision cutting of the metatarsal bone to reposition the big toe and correct misalignment, promises significant correction, especially in severe cases.

Arthrodesis stands out as it involves fusing the joint to prevent further movement and relieve pain, particularly advantageous for patients with arthritis accompanying their bunion condition.

Ultimately, the choice of surgery hinges on a patient’s specific needs, with meticulous preoperative discussions ensuring a personalized pathway toward lasting healing and enhanced quality of life.

Recovery and Aftercare

After undergoing bunion surgery, recovery time can vary, but most patients can return to normal activities within a few months.

• Pain Management: Utilize prescribed medications to manage discomfort effectively.
• Wound Care: Follow instructions for dressing changes to prevent infection.
• Rest and Elevation: Keep the foot elevated to reduce swelling, and immobilized to allow healing.
• Physical Therapy: Engage in recommended exercises to restore mobility.
• Follow-Up Appointments: Attend all scheduled visits to monitor progress.

Recovery times can vary, typically ranging from several weeks to a few months. Adhering to aftercare guidelines significantly influences your overall healing journey. Maintain proactive communication with your healthcare provider to address any concerns or adjustments needed in your recovery plan.

Preventing Bunions

While not all bunions can be prevented, there are steps you can take to reduce your risk of developing them.  Prevention begins with understanding what causes bunions.  Genetics may influence bunion formation; lifestyle choices can counteract them.

Wear Comfortable Shoes: Wearing the right footwear plays a crucial role. Shoes that fit properly and provide ample room for your toes to move freely, as well as functional foot orthotics, can alleviate pressure on the foot and prevent progression. Look for shoes with a wide toe box to avoid squeezing the toes.

Avoid High Heels: High heels can place excessive pressure on the toes, increasing the risk of bunion formation.

Stretch and Strengthen Your Feet: Regular foot exercises, such as toe stretches and strengthening exercises such as towel curls, can help improve foot alignment and prevent bunion formation. By incorporating activities that promote balanced movement, circulation improves, and muscle tension is relieved, helping maintain a healthy foot structure.

Maintain a Healthy Weight: Excess weight can put additional pressure on the feet, increasing the likelihood of bunions developing.

Moving forward, investing in ergonomically-designed footwear and focusing on posture can greatly diminish the risk of bunions, empowering you to take proactive steps in foot health. As research progresses, new insights will emerge, continually enhancing our strategies for maintaining vibrant, pain-free life experiences. Armed with knowledge and diligent care, bunion prevention transforms into an empowering journey of self-care and future well-being.

When to Consult a Doctor

Persistent discomfort may indicate something more serious.  Our Seattle office is experienced in treating bunions.

Although bunions can often be managed at home, there are instances where professional intervention becomes crucial. When you notice that the pain persists or begins interfering with your daily activities, it is a sign that you might need a doctor’s expertise. Moreover, if you see any signs of swelling, redness, or pronounced changes in foot alignment, consulting an expert sooner than later can prevent complications.

Chronic pain or discomfort may require professional evaluation.

Ignoring these early indicators may lead to – or worsen – more serious issues that could require surgical intervention if left untreated, so timely consultation is essential to curb progressive damage.

A healthcare professional specializing in orthopedics or foot conditions like Dr. Hoy can offer specialized treatment plans that extend beyond basic home remedies. If advancements in medical techniques and foot care have sparked your curiosity, this consultation is an opportunity to explore the latest effective interventions to maintain an active, pain-free lifestyle.

Living with Bunions

Bunions are a common but manageable foot condition. Whether caused by genetics, ill-fitting shoes, or other factors, bunions can lead to pain and discomfort if not treated appropriately. Fortunately, with early intervention and proper foot care, many individuals can manage their bunions effectively without resorting to surgery. Firstly, by adopting specific bunion-friendly footwear and using orthotics and protective padding, you can significantly alleviate discomfort, allowing for greater participation in daily activities.  If you’re experiencing symptoms of bunions, it’s important to consult with Dr. Hoy to determine the best course of action for your individual needs.

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Arthritis, in general terms, is inflammation and swelling of the cartilage and lining of the joints, generally accompanied by an increase in the fluid in the joints. Arthritis has multiple causes; just as a sore throat may have its origin in a variety of diseases, so joint inflammation and arthritis are associated with many different illnesses.

Arthritis is a frequent component of complex diseases that may involve more than 100 identifiable disorders. If the feet seem more susceptible to arthritis than other parts of the body, it is because each foot has 33 joints that can be afflicted and there is no way to avoid the pain of the tremendous weight-bearing load on the feet.

Arthritis is a disabling and occasionally crippling disease; it afflicts almost 40 million Americans. In some forms, it appears to have hereditary tendencies. While the prevalence of arthritis increases with age, all people from infancy to middle age are potential victims. People over 50 are most prone to arthritis.

Arthritic feet can result in loss of mobility and independence, but early diagnosis and proper medical care can help significantly.

Causes

Besides heredity, arthritic symptoms may arise in a number of ways:

• Through injuries, notably in athletes and industrial workers, especially if the injuries have been ignored (which injuries of the feet tend to be).
• Through bacterial and viral infections that strike the joints. The same organisms that are present in pneumonia, gonorrhea, staph infections, and Lyme disease cause the inflammations.
• In conjunction with bowel disorders such as colitis and ileitis, frequently resulting in arthritic conditions in the joints of the ankles and toes. Such inflammatory bowel diseases seem distant from arthritis, but treating them can relieve arthritic pain.
• Using drugs, both prescription drugs and illegal street drugs, can induce arthritis.
• As part of a congenital autoimmune disease syndrome of undetermined origin. Recent research has suggested, for instance, that a defective gene may play a role in osteoarthritis.

Types and Symptoms

Osteoarthritis: Osteoarthritis is the most common form of arthritis. It is frequently called degenerative joint disease or “wear and tear” arthritis. Although it can be brought on suddenly by an injury, its onset is generally gradual; aging brings on a breakdown in cartilage, and pain gets progressively more severe, although it can be relieved with rest. Dull, throbbing nighttime pain is characteristic, and it may be accompanied by muscle weakness or deterioration. Walking may become erratic. It is a particular problem for the feet when people are overweight, simply because there are so many joints in each foot. The additional weight contributes to the deterioration of cartilage and the development of bone spurs.

Rheumatoid arthritis (RA): RA is a major crippling disorder and perhaps the most serious form of arthritis. It is a complex, chronic inflammatory system of diseases, often affecting more than a dozen smaller joints during the course of the disease, frequently in a symmetrical pattern—both ankles, or the index fingers of both hands, for example. It is often accompanied by signs and symptoms—lengthy morning stiffness, fatigue, and weight loss—and it may affect various systems of the body, such as the eyes, lungs, heart, and nervous system. Women are three or four times more likely than men to suffer RA.

RA has a much more acute onset than osteoarthritis. It is characterized by alternating periods of remission, during which symptoms disappear, and exacerbation, marked by the return of inflammation, stiffness, and pain. Serious joint deformity and loss of motion frequently result from acute RA. However, the disease system has been known to be active for months, or years, then abate, sometimes permanently.

Gout (gouty arthritis): Gout is a condition caused by a buildup of uric acid—a normal byproduct of the diet—in the joints. A single big toe joint is commonly the affected area, since it is farthest from the heart, and therefore the coldest; attacks of gouty arthritis are extremely painful, perhaps more so than any other form of arthritis. Men are much more likely to be afflicted than women, an indication that heredity may play a role in the disease. While a rich diet that contains lots of red meat, rich sauces, shellfish, red wine, and brandy is popularly associated with gout, there are other protein compounds in foods such as lentils and beans that may play a role.

Psoriatic arthritis: Psoriasis is often thought of as a skin disorder, but it can affect the joints as well. On the skin, psoriasis appears as dry, scaly patches. Not all people with psoriasis of the skin will develop joint symptoms—about one in twenty people with psoriasis will develop associated arthritis. The arthritis may be mild and involve only a few joints, particularly those at the ends of the fingers or toes. People who also have arthritis usually have the skin and nail changes of psoriasis. Often, the skin gets worse at the same time as the arthritis.

Traumatic arthritis: Traumatic arthritis is a form of arthritis that is caused by blunt, penetrating, or repeated trauma or from forced inappropriate motion of a joint or ligament. Injury to a joint, such as a bad sprain or fracture, can cause damage to the articular cartilage. This damage to the cartilage eventually leads to arthritic changes in the joint.

When to Visit a Podiatrist

Because arthritis can affect the structure and function of the feet, it is important to see a doctor of podiatric medicine if any of the following symptoms occur in the feet:

• Swelling in one or more joints
• Recurring pain or tenderness in any joint
• Redness or heat in a joint
• Limitation in motion of joint
• Early morning stiffness
• Skin changes, including rashes and growths

Diagnosis and Treatment

Different forms of arthritis affect the body in different ways; many have distinct systemic effects that are not common to other forms. Early diagnosis is important to effective treatment of any form. Destruction of cartilage is not reversible, and if the inflammation of arthritic disease isn’t treated, both cartilage and bone can be damaged, which makes the joints increasingly difficult to move. Most forms of arthritis cannot be cured but can be controlled or brought into remission; perhaps only five percent of the most serious cases, usually of rheumatoid arthritis, result in such severe disability that walking aids or wheelchairs are required.

The objectives in the treatment of arthritis are controlling inflammation, preserving joint function (or restoring it if it has been lost), and curing the disease if possible. Because the foot is such a frequent target, the doctor of podiatric medicine is often the first physician to encounter some of the complaints—inflammation, pain, stiffness, excessive warmth, injuries. Even bunions can be manifestations of arthritis.

Arthritis may be treated in many ways. Patient education is important. Physical therapy and exercise may be indicated, accompanied by medication. In such a complex disease system, it is no wonder that a wide variety of drugs have been used effectively to treat it; likewise, a given treatment may be very effective in one patient and almost no help at all to another. Aspirin is still the first-line drug of choice for most forms of arthritis and the benchmark against which other therapies are measured.

The control of foot functions with shoe inserts called orthotics, or with braces or specially prescribed shoes, may be recommended. Surgical intervention is a last resort in arthritis, as it is with most disease conditions. Damaged joints can be replaced surgically with artificial joints.

Prevention

Not all types of arthritis are preventable. Osteoarthritis may be helped by correcting any faulty mechanics that lead to the joint not moving properly. Custom orthotics from your podiatrist will make sure that the foot and ankle joints are properly aligned. Controlling the uric acid level in people prone to gout helps to prevent gouty attacks and thereby reduces the chance of the associated arthritis.

More information is available from the Arthritis Foundation.

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Patients who have corns on their feet are often aware of the pain and discomfort they may cause. A corn is a hardened area of skin that forms on the bottom of the feet, or between the toes. It can form as a result of wearing shoes that do not fit correctly, or from medical conditions that can include arthritis. The corn may feel better when the foot is soaked in warm water, followed by gently filing the affected area with a pumice stone. Some patients find it beneficial to apply a small pad over the corn, which may be helpful in reducing any friction as the toe rubs against the shoe. If you have corns on your feet, it is suggested that you speak with a podiatrist who can help you to find relief.

If you have any concerns regarding your feet and ankles, contact Dr. John Hoy of Seattle Foot and Ankle Center. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

Well-fitting socks
Comfortable shoes that are not tight around your foot
Shoes that offer support
Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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

Understanding Corns and Calluses

Corns and Calluses are both hardened layers of thickened skin that develop because of friction. Both ailments are typically found on the feet and may be unsightly. Although they have similarities, corns and calluses are different from each other.

Some causes of corns and calluses may be wearing ill-fitting shoes and not wearing socks. If you wear tight shoes, your feet will constantly be forced to rub against the shoes, causing friction. If you fail to wear socks, you are also causing your feet to endure excess friction.

There are some signs that may help you determine whether you have one of these two conditions. The first symptom is a thick, rough area of skin. Another common symptom is a hardened, raised bump on the foot. You may also experience tenderness or pain under the skin in addition to flaky, dry, or waxy skin.

There are also risk factors that may make someone more prone to developing corns and calluses. If you are already dealing with bunions or hammertoe, you may be more vulnerable to having corns and calluses as well. Other risk factors are foot deformities such as bone spurs, which can cause constant rubbing inside the shoe.

Corns tend to be smaller than calluses and they usually have a hard center surrounded by inflamed skin. They also tend to develop on the parts of the body that don’t bear as much weight such as the tops and sides of toes. Corns may also be painful for those who have them. On the other hand, calluses are rarely painful. These tend to develop on the bottom of the feet and may vary in size and shape.

Fortunately, most people only need treatment for corns and calluses if they are experiencing discomfort. At home treatments for corns and calluses should be avoided, because they will likely lead to infection. If you have either of these ailments it is advised that you consult with your podiatrist to determine the best treatment option for you.

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Diabetic patients often develop foot conditions as a result of elevated glucose levels in the bloodstream. It can be common for neuropathy to develop, which may cause difficulty in feeling existing cuts or bruises that may be on the feet. Research has indicated that calluses can develop quicker in people who have diabetes, and it may be beneficial to have your podiatrist properly cut out the calluses. If a foot ulcer develops, it typically requires immediate treatment. They are generally found at the base of the big toe, or on the ball of the foot. If it is neglected, an infection may develop, and this may lead to amputation. A proper diagnosis can include having an X-ray taken, which will be helpful in determining if the bone is infected. If you have diabetes, it is strongly recommended that you seek the care of a podiatrist who can help you to maintain this condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. John Hoy from Seattle Foot and Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

Routinely inspect your feet for bruises or sores.
Wear socks that fit your feet comfortably.
Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Diabetic Foot Care

Diabetes can cause two problems that can potentially affect the feet: Diabetic neuropathy and Peripheral Vascular Disease. Diabetic neuropathy occurs when nerves in your legs and feet become damaged, which prevents you from feeling heat, cold, or pain. The problem with diabetic neuropathy is that a cut or sore on the foot may go unnoticed and the cut may eventually become infected. This condition is also a main cause of foot ulcers. Additionally, Peripheral vascular disease also affects blood flow in the body. Poor blood flow will cause sores and cuts to take longer to heal. Infections that don’t heal do to poor blood flow can potentially cause ulcers or gangrene.

There are certain foot problems that are more commonly found in people with diabetes such as Athlete’s foot, calluses, corns, blisters, bunions, foot ulcers, ingrown toenails, and plantar warts. These conditions can lead to infection and serious complications such as amputation. Fortunately, proper foot care can help prevent these foot problems before they progress into more serious complications.

Each day you should wash your feet in warm water with a mild soap. When you finish washing your feet, dry them carefully especially between your toes. You should also perform daily foot inspections to ensure you don’t have any redness, blisters, or calluses. Furthermore, if you are diabetic, you should always wear closed-toed shoes or slippers to protect your feet. Practicing these tips will help ensure that your feet are kept healthy and away from infection.

If you have diabetes, contact your podiatrist if you have any of the following symptoms on your feet: changes in skin color, corns or calluses, open sores that are slow to heal, unusual and persistent odor, or changes in skin temperature. Your podiatrist will do a thorough examination of your feet to help treat these problematic conditions.

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The medical condition that is known as arthritis often causes pain and swelling in the joints of the toes. The toes may have difficulty in bending upwards or may permanently become bent in a downward position. Walking may be challenging, in addition to standing flat on the floor. The most common form of arthritis is referred to as rheumatoid arthritis. This ailment can affect several joints in the toes simultaneously and can be quite painful. Additional types of arthritis include gout, which develops as a result of excess uric acid in the bloodstream. Medical conditions such as psoriasis can cause psoriatic arthritis, and joint pain can occur after the skin is affected. If you are experiencing arthritis in the feet, it is advised that you consult with a podiatrist who can guide you toward proper treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. John Hoy from Seattle Foot and Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

Exercises that stretch the foot can prevent further pain and injury and increase mobility
Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
Massages can help temporarily alleviate pain.
It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions, please feel free to contact our office located in Seattle, WA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Arthritic Foot Care

During your lifetime, you will probably walk about 75,000 miles, which is quite a lot of stress to put on your feet. As you get older, the 26 bones and 30 joints in each of your feet will lose flexibility and elasticity. Your foot’s natural shock absorbers will wear down as well. Having arthritis added to this mix only makes matters worse. Your joints will become distorted and inflamed, which is why arthritic foot care needs to be something to think about every day.

When dealing with arthritis, having additional foot complications, such as bunions, hammertoes, or neuroma, can be a serious detriment. To avoid these, buy well-fitting shoes with a lower heel and good support. Arthritis causes you to lose your arch, so having shoes with good arch support is also highly recommended.

Aside from getting good arch support, the shoes need to fit comfortably and properly as well. A good place to start is by leaving a finger width between the back of the shoe and your foot to gauge proper size. It is also helpful to have a square or rounded toe box in the front to provide even more comfort. Another thing to look for is a rubber sole that can provide a cushion and absorb shock as you walk. This adds flexibility to the ball of your foot when you push off your heel to walk.

Exercise is another key aspect of arthritic foot care. Exercise not only strengthens and stretches your muscles and joints, but helps to prevent further injury and pain as well. Stretching the Achilles tendon, the tendon located in the back of your heel, will give you added mobility and reduce pain due to stress. Another thing you can do is massage your feet, kneading the ball of your foot as well as your toes from top to bottom.

Stretching the Achilles tendon is a simple exercise that you can do at home anytime. Lean against the wall with your palms flat against the surface while placing one foot forward, towards the wall, and one foot behind you. Bend your forward knee towards the wall while keeping your back knee locked straight, and make sure both your heels are completely touching the ground at all times. This will stretch your Achilles tendon and calf muscles as well. You will feel the stretch almost immediately. You can also stretch your toes in a couple ways. One involves taking a rubber band and wrapping it around both your big toes while your heels remain together. Then, pull them apart to stretch your big toe. You can also place a rubber band around all the toes of one of your feet. Then, try to separate each individual toe, stretching them all.

A final step you can take to help your arthritis is taking non-steroid, non-inflammatory drugs or topical medicines with capsaicin. Unfortunately, there is no complete way to remove all of your arthritic pain. However, following some of this advice can go a long way in staying as pain-free as possible.

The post Types of Arthritis That Can Affect the Feet: Treatments in Seattle, WA appeared first on Seattle Foot and Ankle Center.

Podiatrists are fully licensed physicians and surgeons who specialize in the diagnosis and treatment of conditions affecting the foot, ankle, and lower extremity.  Their education, clinical training, and board certification closely parallel those of their allopathic (MD) and osteopathic (DO) colleagues.  The role of the podiatric foot and ankle surgeon is to perform a complete physical examination of the feet and ankles, and treat conditions medically and surgically to avoid morbidity and mortality.  All foot care services rendered by this office will also include an examination of all foot and ankle conditions, performed at each visit for each patient.

Limb preservation prevents the worsening of the feet and ankles in patients with pain in the nails or calluses, history of non-traumatic amputation in the foot, or systemic conditions such as peripheral neuropathy or peripheral vascular disease.  The following are some examples of conditions treated:

1. Nail care.  Long nails can lacerate the skin of adjacent toes.  Thick nails can ulcerate the underlying nail bed and cause bacterial infections and abscesses.  Nails can be ingrown and lacerate the nail borders causing infections.  Fungal infections may also occur causing an athlete’s foot and bacterial superinfection.  Painful nails can cause mobility issues and falls.
2. Corn and callus care.  These skin lesions can be very painful and cause mobility issues and falls.  They may also cause blisters which can lead to ulceration and gangrene.
3. Wounds and ulcers.  Wounds may be injuries to the skin such as lacerations.  Ulcers are often caused by calluses that go untreated, which develop into blisters.  The base of the blister is the ulcerated tissue.  Bedsores or decubitus ulcers are another type of ulcer.  Ulcers can extend to the level of bone and cause bone infections.
4. Bone infections or osteomyelitis.  Infections of wounds and ulcers can extend deep to tendons, muscles, ligaments and bones.  Local infections of the feet can lead to systemic infections throughout the body, known as sepsis.
5. Skin conditions. Foot and ankle surgeons treat fungal and bacterial infections, and other skin conditions, including suspicious lesions.
6. Musculoskeletal conditions. Foot and ankle surgeons treat injuries and other painful deformities such as hammertoes, bunions and plantar fasciitis.
7. Neurological conditions. Foot and ankle surgeons treat burning and tingling in the feet, including neuritis and neuromas.
8. Circulation conditions. Foot and ankle surgeons treat swelling, gangrene and other circulatory conditions.

Podiatric physicians and surgeons treat the above conditions by medical, orthopedic and surgical means.  A medical treatment would be a prescription such as an antifungal, antibiotic, keratolytic or steroid cream.  A surgical treatment would be a surgical debridement of the nails, calluses, ulcers, abscesses, foreign bodies or ingrown toenails. An orthopedic treatment would be orthotic therapy or an immobilization device. Examples include:

1. Nail debridement.  It is for patient safety to have the nails at a proper length and thickness, preventing and treating ingrown nails and infections, both bacterial and fungal.
2. Paring of calluses.  This is also a surgical procedure which reduces pain and reduces risk of ulceration.
3. Wound debridement and care.  This involves removal of non-viable, infected tissue and applying proper wound dressings such as local antibiotics.
4. Antibiotics. Foot and ankle surgeons prescribe oral antibiotics, and arrange adjunct care, such as vascular and infectious disease specialists and hospitalization.
5. Other board-certified medical and surgical services. Foot and ankle surgeons work with at least four body systems: vascular or circulation, neurological, dermatological or skin, and musculoskeletal.

“I found Dr Hoy to be an extremely competent doctor. He addressed some foot pain I had been having, provided callus care and useful education.” -Douglas N.

Podiatry services are medical and surgical services, not allied health or pedicure services.  We do not provide nail care for those without at-risk conditions such as history of non-traumatic amputation in the foot, peripheral vascular disease, peripheral neuropathy, and pain in the nails and calluses.  Foot care nurses at senior centers locally and others provide such services in the absence of the above medical conditions.  We have no affiliation with these providers and make no specific recommendations.

Foot care nurses are usually registered nurses who have been trained by a podiatrist to provide medical pedicure services.  The nurses at senior centers charge between $25 and $45 per visit.  Please contact the individual centers in the Seattle area listed below for an appointment.  Other senior centers also provide this service.  Contact them to see if medical pedicures are provided.  You may also want to confirm that your care is performed by a nurse who has been trained by a podiatrist.

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