Bellevue Podiatrist

Many times it can be difficult to determine if your injury requires a visit to a podiatrist.  There are common misconceptions about which can be successfully treated on your own with remedies such as ice, rest, and immobilization, and which need to be professionally evaluated.  Please visit a great article by the American Podiatric Medical Association regarding this topic.  Preventing long-term problems resulting from acute injuries is the goal, so remember…when in doubt, get it checked out!

Toenail fungus, aka onychomycosis, is a common problem.  I personally have many patients who have this condition, and generally it is more of a cosmetic concern, but for others, such as diabetics or those with impaired immune systems, it can lead to more serious issues.

The most effective treatment option currently available is an oral anti-fungal pill which carries with it a small risk of liver damage, making this potentially a poor option in patients with multiple medical problems or those not willing to accept this risk.

An interesting treatment option that has been making headlines is using laser therapy to eradicate the fungus.  Although there appear to be only two companies manufacturing a device for this use, neither of which is FDA-approved for use on nails, I find it promising and hope that the technology develops and becomes a cost-effective option for more individuals.

Check out an article published yesterday on nytimes.com for more information, “False Start on a Laser Remedy for Fungus“.

A common question that I get asked is, “Should I have surgery on my bunion?”  And, the short answer is always, “It depends…” followed by a more thorough exam and work-up including X-rays and a biomechanical evaluation. 

The truth is, not every bunion needs surgery.  Many patients can be completely comfortable with better shoe choices and possibly orthotic therapy to control the mechanical forces, which are primarily genetic, contributing to the formation of a bunion.  I must say that I have a few patients in their 80’s with what I would classify as a “severe” bunion, who have never had any pain.  Their shoe choices are limited, but they are not in pain.

If you feel that you have tried some of the non-surgical options such as shoegear changes, orthotics, and limiting or modifying activity, and have not had success, then I think it is reasonable to pursue a surgical solution for more definitive treatment.  Certain bunion surgical procedures permit weight-bearing shortly after surgery, and others may require 6 or more weeks of no weight on the foot, necessitating crutches or a walker.  It is also critical to evaluate the entire foot, ankle, and leg to determine if there are any other biomechanical issues which are contributing to the formation of the bunion which need to be addressed.  The key to a successful result hinges on choosing the proper procedure or procedures, as well as your ability to follow the recommended post-surgical plan.

Good luck!

I have just come home from a special event at Shoes-n-Feet Bellevue, where I was invited, along with several podiatrists from the Eastside, to a sneak preview of the latest and greatest Spring shoes from Saucony. 

After an informative presentation from the respected athletic shoe company, I was able to test-drive several pair, and even came home with some new running shoes (how can you resist??).  The model that worked best for my foot type was the ”Progrid Guide”, but I was also contemplating the “Omni”, one of their most successful and popular stability models.

By having the chance to handle, test, and run in these great shoes, I feel even more confident recommending them to patients, specifically when guidance is needed regarding the model which might work for their foot structure.  Thank you, Saucony and Shoes-n-Feet!

I am pleased to share that as of March 1, I am the new owner of Bellevue Podiatry!  After four great years as an associate in our office, I have purchased the practice and will be working as a solo practitioner.   This is a very exciting time as I jump in “feet first”, so to speak, as a small business owner, with all the rewards and challenges that this will bring.  Please look forward to updates on the new practice as well as continued coverage of all the latest in healthy foot care and podiatric issues.  Best wishes, Dr. Jennifer Saam.