September 2023
Swelling of the Feet
There are many reasons why patients experience swelling of the feet. It is rather common and may be a side effect of pregnancy or from sitting and standing for most of the day. Gravity could also play a role in the development of swollen feet. It is known that the weight of blood volume in our bodies is exerted on the veins in the legs and feet. The veins may not work as efficiently during the aging process, and this could make the blood flow backward causing swollen feet. Relief may be found when obese patients lose weight, and it may help to engage in compression therapy by wearing compression socks, stockings, or athletic sleeves. This method can release pressure on the feet and ankles which may help to reduce existing swelling. There are patients who have controlled their swollen feet by implementing healthy lifestyle changes. These can consist of reducing salt intake, incorporating a gentle exercise regime into the daily routine, and drinking plenty of fresh water. Swollen feet may be a temporary condition that affects people who travel via airplane or automobile, so it is beneficial to walk as frequently as possible even though it can be difficult. Swelling of the feet can also be indicative of other health issues so it is important to pay attention to any type of chest pain, mental confusion, dizziness, or fever. If you consistently have swollen feet, it is strongly suggested that you consult with a podiatrist who can help determine the cause and how to effectively treat it.
Causes and Relief Strategies for Swollen Feet

Swollen feet, a common issue that affects people of all ages, can be uncomfortable and concerning. To find relief, it is essential first to understand the underlying causes. One of the leading causes of swollen feet is fluid retention, often attributed to a sedentary lifestyle, excessive salt intake, or hormonal changes. Prolonged sitting or standing can also impede proper blood circulation, leading to swelling. Certain medical conditions, such as heart, kidney, or liver problems, can contribute to fluid buildup in the lower extremities. Another common factor is inflammation, which can result from injuries, infections, or chronic conditions such as arthritis. In some cases, medications or pregnancy may lead to incurring swollen feet. To relieve swollen feet, elevate your legs whenever possible, ideally above heart level, to encourage fluid drainage. Regular exercise, such as walking or ankle rotations, can help improve circulation. Reducing salt intake, wearing compression stockings, and staying hydrated are valuable preventive measures. If swelling persists or worsens, it is suggested that you consult a podiatrist to rule out any underlying medical conditions and explore additional treatment options.
Swollen feet can be a sign of an underlying condition. If you have any concerns, 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.
Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:
- Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
- Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
- Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
- Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
- Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.
Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet.
Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.
If you have any questions please feel free to contact our office located in Poulsbo, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Foot and Ankle Surgery
When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.
Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.
Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.
Benefits of In-Office Foot Surgery

In the field of podiatry, a significant shift has occurred over the past four decades. Initially, due to the challenges of obtaining hospital privileges, most podiatry surgeries were performed in-office. In-office surgery may seem unconventional to younger podiatrists, but it is an opportunity with benefits for both patients and doctors. With advancements in technology and cost-effective tools, in-office surgery offers practical solutions for common podiatric conditions. In addition to reducing costs, in-office surgery saves time, enhances patient convenience, and aligns with the changing landscape of healthcare. It is cost-effective and good for minimally invasive procedures. With local anesthesia and modern techniques, complications are minimal, and recovery is faster. While hospital-based surgery remains essential for certain cases, in-office surgery presents a valuable option for many podiatric procedures. Patients can have more immediate healing and cost savings, and podiatrists have an opportunity to diversify their practice and improve patient outcomes. If you need foot surgery, it is suggested that you make an appointment with a podiatrist to discuss whether they provide in-office procedures.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Kirk Sherris of Liberty Bay Foot & Ankle. 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 Poulsbo, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis
The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.
Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.
Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.
For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.
No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.
Chronic Plantar Fasciitis

Plantar fasciitis is a common and painful foot condition affecting millions of people annually, with approximately 20% of cases becoming chronic. Traditional treatments, such as stretching and medication, work in many but not all situations. The root cause of chronic plantar fasciitis is not inflammation, but tissue degeneration, which challenges the efficacy of anti inflammatory treatments. Surgery is an option but carries risks. Emerging minimally invasive therapies aim to stimulate tissue healing by enhancing local circulation. These include extracorporeal shockwave therapy, radiofrequency microtenotomy, platelet-rich plasma injections, and micromobile compression. Each of these treatments offers an alternative to traditional treatment or surgery for plantar fasciitis, and may help in chronic cases. Targeting the root cause of the ongoing nature of the condition is key. If you suffer from this disruptive affliction, it is suggested that you make an appointment with a podiatrist to discuss whether a minimally invasive therapy may be an option worthy of your consideration.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.
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 our office located in Poulsbo, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Gout Pain Can Be Managed
MLS Laser Therapy
MLS Laser Therapy is an FDA-approved technology designed to treat various painful conditions. It is often sought out as a successful alternative to surgical treatment and prescription medication that may otherwise bring about negative side effects. During MLS Laser Therapy, light energy enters the damaged cells to stimulate intercellular activity, reducing pain in the affected area and accelerating the recovery process.
MLS Laser Therapy is used in podiatry to treat various conditions. These include heel pain, plantar fasciitis, sports injuries, wounds, Achilles tendonitis, arthritis, neuromas, neurological pain, musculoskeletal disorders, and sore muscles. Aside from the specific conditions MLS Laser Therapy treats, patients can also gain from the treatment’s general benefits. These benefits include a rapid relief of pain, the reduction of swelling caused by inflammation or bruising, faster healing, improved blood circulation, the reduction of scar tissue, and improved nerve function.
MLS Laser Therapy is a non-surgical treatment with no side effects. The treatment process is painless and typically takes a short amount of time to complete. Several treatments may be required depending on the specific condition.
Harnessing MLS Therapy for Peroneal Pain Relief

Peroneal pain is a common challenge arising from injuries or strain to the lower leg and foot peroneal muscles, often disrupting mobility and well-being. Multiwave Locked System, abbreviated MLS therapy is a groundbreaking technique that offers relief from this discomfort. MLS therapy addresses peroneal pain thoroughly by utilizing synchronized wavelengths of laser light. The continuous wavelength triggers the release of natural pain relievers, swiftly alleviating discomfort, while the pulsed wavelength encourages cellular repair and diminishes inflammation. This dual-pronged approach not only provides relief but also accelerates healing, enabling individuals to regain their stride sooner. The non-invasive nature of MLS therapy ensures minimal disruption to daily life, making it an attractive relief option for peroneal pain. If you have this type of pain, it is suggested that you confer with a podiatrist who can determine if this treatment is right for you.
MLS Laser Therapy is a successful alternative for treating any pain you may be experiencing related to certain podiatric conditions. If you are interested in MLS Laser Therapy, consult with Dr. Kirk Sherris from Liberty Bay Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
MLS Laser Therapy
Multiwave Locked System (MLS) Laser Therapy is a patented, FDA-cleared technology that helps relieve pain and inflammation from a number of podiatric conditions, including:
- Heel Pain
- Plantar Fasciitis
- Sports Injuries
- Wounds
- Achilles Tendonitis
- Arthritis
- Neuropathy
- Neuromas
MLS Laser Therapy is an ideal alternative to surgery and prescription medication, as it has no negative side effects and encourages accelerated healing. Among its many clinical benefits, MLS Laser Therapy also:
- Reduces swelling due to bruising or inflammation
- Blocks pain
- Reduces formation of scar tissue
- Improves nerve function
If you have any questions, please feel free to contact our office located in Poulsbo, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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