If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
Our offices are open and following the recommended guidelines of the CDC

Bremerton | Port Orchard (360) 377-2233

April 2023

Tuesday, 25 April 2023 00:00

Plantar Fasciitis and Soccer

Plantar fasciitis is an extremely common affliction of the foot. It affects the plantar fascia, which is the band of tissue that is found along the sole of the foot. Plantar fasciitis may develop when the plantar fascia becomes irritated and inflamed. This painful foot condition can be caused by many sports and strenuous physical activities, such as soccer. Since soccer requires an athlete to engage in frequent sideways and diagonal cuts while running, extra pressure is exerted on the feet. In particular, the medial heel and arch are subject to a significant amount of force in American soccer players. The risk of plantar fasciitis may be even more pronounced in substitute soccer players who, after initially warming up their bodies, wait on the sidelines for long periods of time. This may cause their muscles to tighten up before playing again and can make an individual more susceptible to plantar fasciitis. If you are a soccer player, it is suggested that you contact a podiatrist who will be able to provide you with the treatment for plantar fasciitis.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our doctors  from Kitsap Foot & Ankle Clinic. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Tuesday, 18 April 2023 00:00

Ledderhose Disease

Ledderhose disease, also known as plantar fibromatosis, is rare and impacts the bottom of the feet. This disease presents as a buildup of connective tissue in the feet, which forms into lumps or nodules on the fascia located on the sole of the foot. The fascia is a connective tissue that runs from the heel bone to the toes, and when it thickens, it can form nodules, which may be painless at first and, over time, may cause discomfort and pain. The skin may tighten, there might be itching and stinging in the surrounding area, and pain in the foot and ankle joints can develop. The cause of this ailment is not known. However, some believe that it is caused by genetics or environmental factors. Risk factors include regular alcohol consumption, liver disease, and diabetes. It most often strikes those in middle or older age and is more common in men than women. Treatment of Ledderhose disease depends on its severity. It is suggested that if you develop such nodules in your feet, you contact a podiatrist for an examination, diagnosis and healing options that are right for you.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our doctors of Kitsap Foot & Ankle Clinic. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Rare Foot Conditions

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 11 April 2023 00:00

Painful Gout

Having high levels of uric acid in the blood may lead to developing a condition that is known as gout. It is a form of arthritis, and it can cause debilitating pain and discomfort. The affected toe can be swollen and red, and may consistently ache. Excess uric acid can happen from foods that are eaten that contain purines. These types of foods can include shellfish, red meat, and drinks that are made with large amounts of sugar. Gout generally affects the big toe, where the uric acid converts to crystals that lodge in the joints of the big toe. Effective prevention methods can consist of eating healthy foods and beginning a gentle exercise program. People who are overweight, have diabetes, or chronic kidney disease may be prone to experiencing gout attacks. Additionally, having high blood pressure or thyroid disease may also lead to developing gout. Many people can have one or multiple gout attacks. If this applies to you, it is suggested that you consult with a podiatrist who can guide you toward effective prevention methods and relief options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our doctors from Kitsap Foot & Ankle Clinic. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.


  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout
Tuesday, 04 April 2023 00:00

Various Shoes for Specific Jobs

Many professions require standing during the work day, and there are specific types of shoes that can help to protect the feet. It is beneficial to choose shoes that are specific for the job that is done, and these may range from having steel toes to being chemical resistant. Shoes referred to as safety-toe shoes have protection that can protect the feet during a crushing episode, possibly avoiding severe pain and discomfort. Some shoes are designed to protect the toes and may be categorized as special protective footwear. Various jobs require different types of shoes to be worn. People who perform lab work may benefit from wearing chemical-resistant boots. Electrical workers may wear waterproof shoes, and people who work with large animals may opt to wear shoes with extra toe protection. If you would like additional information about what type of work shoes to purchase, it is suggested that you confer with a podiatrist who can address any concerns you may have.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our doctors from Kitsap Foot & Ankle Clinic. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Handle a Long Work Day on Your Feet
Connect With Us