If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
Dr. Horlebein will be joining Advanced Regional Ankle & Foot Care LLC as a full time physician in Altoona PA, as of June 1st 2023. Feel free to call our office with any scheduling inquires/questions!
Friday, 02 May 2025 00:00

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

Tuesday, 29 April 2025 00:00

A bunion is a bony bump that forms at the base of the big toe as the top of toe to angles inward toward the other smaller toes. This deformity often results from inherited foot structure, wearing improper footwear, or medical conditions like arthritis. Over time, bunions can lead to pain, swelling, and difficulty walking. When conservative treatments fail to relieve symptoms, bunion surgery may be recommended to correct the alignment and relieve discomfort. Recovery from bunion surgery involves rest, elevation, and wearing a special shoe to protect the foot during healing. Swelling may last for several weeks, and, with proper care, most individuals can return to normal activities. If you have a bunion that is causing you pain, it is suggested that you confer with a podiatrist who can determine if this type of foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Read more about Foot Surgery
Tuesday, 22 April 2025 00:00

Foot pain is a common complaint as people age, often resulting from years of wear and tear on the feet, toes, and ankles. Age-related foot issues include bunions, stress fractures, osteoarthritis, plantar fasciitis, and collapsed arches. These conditions can arise as the soft tissues lose elasticity, bones weaken, and joint cartilage wears down. Women are especially prone to developing foot problems due to factors such as hormonal changes and a higher likelihood of bone density loss later in life. In addition, high heels, often worn for many years, can increase pressure on the front of the foot and contribute to deformities and pain. A podiatrist can diagnose the source of your foot pain and recommend medical treatment, including custom orthotic devices, bracing, or injections to reduce inflammation and relieve pressure. In some cases, surgery may be necessary to correct deformities or repair damaged tissues. If you have foot problems related to aging, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

If you need your feet checked, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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

Read more about Geriatrics and Podiatry
Tuesday, 15 April 2025 00:00

Flat feet in children occur when the arches do not develop properly, leading to the entire sole making contact with the ground. Causes vary and may include hereditary factors, muscle imbalances, or joint flexibility issues. Low muscle tone can prevent proper arch formation, while high muscle tone may cause stiffness and discomfort. Hypermobile joints allow excessive movement, making it difficult for the arch to maintain structure. Obesity places added pressure on the feet, contributing to flattening over time. Symptoms include foot pain, fatigue, difficulty walking long distances, and inward rolling of the ankles. Some children may also experience balance issues or discomfort when standing for extended periods. If your child has symptoms of flat feet, it is suggested that you contact a podiatrist who can offer treatment and relief management tips.

Flatfoot is a condition many people suffer from. If you have flat feet, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Read more about Flat Feet
Connect with us