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Falls in seniors can affect mobility, independence, and overall quality of life. Many falls are linked to gait and balance disorders. These may be caused by underlying medical conditions, such as arthritis, neurological disorders, or vision problems. As the body ages, muscle strength and coordination can decline, making it more difficult to maintain stability during daily activities.

Symptoms related to fall risk often include unsteady walking, weakness in the legs, and difficulty maintaining balance. Seniors may feel unsure when standing or turning, and they may rely more on support from walls or furniture. Foot and ankle discomfort can also contribute to instability, especially if pain limits proper movement. Recognizing these warning signs early can help reduce the likelihood of a fall and prevent serious injury.

The causes of falls in seniors are often complex. Gait and balance disorders can result from chronic conditions that affect the muscles, joints, or nervous system. Wearing poor footwear, uneven surfaces, and inadequate lighting can further increase the risk. Falls can lead to foot and ankle injuries, such as fractures, sprains, or soft tissue damage, which may take longer to heal in older adults. These injuries can reduce mobility and contribute to a cycle of decreased activity and increased fall risk.

Risk factors for falls include advanced age, reduced muscle strength, and certain medications that affect coordination or alertness. A history of previous falls also increases the likelihood of future incidents. Maintaining proper foot health, wearing supportive shoes, and addressing balance concerns can help improve stability. If you have incurred foot and ankle injuries from falling, it is suggested that you consult a podiatrist for effective relief tips, treatment solutions, and guidance on how to prevent falling. 

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. Kirk Sherris from Liberty Bay Foot & Ankle. 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 offices located in Poulsbo and Port Townsend, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot problems caused by wearing high heels are a frequent concern, especially among people who wear them daily for work or social settings. High heels shift body weight forward, placing excessive pressure on the forefoot and toes. This unnatural position can lead to structural changes over time. Common conditions linked to high heel use include hammertoe and neuromas, both of which develop from repeated stress and compression. The altered foot position can also affect posture and disrupt natural walking patterns.

Symptoms often begin with mild discomfort, but can progress to more serious issues. Individuals may notice pain in the ball of the foot, swelling, redness, and burning sensations. Numbness may develop due to nerve irritation, especially in cases of neuroma. Hammertoe can cause visible bending of the toe joints, leading to friction and irritation in shoes. High heels also limit the power and motion of the ankle joint, reducing flexibility and increasing strain on surrounding muscles and tendons.

Risk factors include frequent use of wearing narrow or high-heeled shoes, prolonged standing, and poor foot support. Individuals with certain foot structures, such as high arches or imbalanced gait, may be more prone to developing complications. The instability created by elevated heels can increase the risk of falls and ankle injuries. Over time, these factors contribute to long term damage and discomfort if not addressed early.

Preventing foot problems begins with choosing supportive footwear and limiting the duration of high heel use. Stretching exercises and proper foot care can help maintain flexibility and reduce strain. Alternating shoe types and ensuring a proper fit can also improve comfort and alignment. If you have persistent foot or ankle pain from wearing high heels, it is suggested that you consult a podiatrist for effective relief tips and guidance on choosing more appropriate footwear.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

A child's gait, or walking pattern, changes as the body grows and develops. Learning to walk is only the beginning because balance, coordination, and muscle control continue to improve throughout childhood. As the feet, legs, and hips mature, children develop longer steps, better stability, and smoother movement. Every child reaches these milestones at a different pace, but healthy foot development plays an important role in normal gait. Some children walk with their toes turned inward or outward, while others walk on their toes or appear flat-footed. Many of these changes improve as children grow. Persistent pain, frequent tripping, uneven shoe wear, or difficulty keeping up with other children can indicate a problem that should be evaluated by a podiatrist.

A podiatrist carefully examines a child's gait to determine whether the feet and legs are developing properly. The evaluation includes checking foot structure, joint movement, and flexibility. The podiatrist also observes how the child walks, runs, and changes direction because each movement provides important information about balance and foot function. Watching a child move can reveal differences in stride length, foot position, or weight distribution that are not noticeable during a seated examination. Early diagnosis allows abnormal movement patterns to be identified before they place unnecessary stress on the feet, knees, or hips. Regular evaluations also help monitor changes as the child continues to grow.

Treatment is based on the child's symptoms, age, and stage of development. A podiatrist can recommend shoes that fit properly and provide good support for growing feet. Care also includes custom orthotics when they improve foot alignment and encourage a healthier walking pattern. Guided exercises can strengthen muscles, improve balance, and support normal gait development. Routine follow-up visits allow the podiatrist to monitor progress as the child's walking pattern continues to mature. If your child has symptoms of foot pain or concerns about gait development, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

Toenail fungus is an infection that changes the appearance and strength of the nail. It usually begins at the edge of the nail and slowly spreads deeper. The affected nail can become yellow, white, or brown. It may also become thicker, brittle, or crumbly, making it harder to trim. In some cases, the nail can lift away from the skin underneath. Although the infection is not always painful at first, discomfort can develop as the nail thickens. Toenail fungus usually affects the big toe, but it can spread to other toenails. Because the infection rarely clears on its own, early evaluation by a podiatrist helps prevent it from becoming more difficult to treat.

Warm, damp environments allow fungus to grow more easily. People are at greater risk if they have athlete’s foot, damaged nails, or certain long-term health conditions like diabetes. Spending long periods of time in shoes that keep the feet hot and sweaty can also increase the chance of infection. A podiatrist examines the nail and may take a small sample to confirm that fungus is causing the problem before recommending treatment. This step helps identify the infection correctly because other nail conditions can look similar. An accurate diagnosis also helps guide the most effective treatment plan.

A podiatrist creates a treatment plan based on the severity of the infection and the condition of the nail. Treatment includes prescription antifungal medicine, medicated nail lacquer, and professional nail care. Regular follow-up visits allow the podiatrist to monitor healthy nail growth and adjust treatment when necessary. Early treatment helps reduce the chance of the infection spreading to other nails and improves the opportunity for a healthier-looking nail to grow back. If you have symptoms of toenail fungus, it is suggested that you schedule an appointment with a podiatrist for effective treatment solutions, which may include prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our offices located in Poulsbo and Port Townsend, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.