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Sunday, 17 May 2020 16:50
Dr. Brandon Nelson Discusses What to Expect With Bunion Surgery
Bunion surgery in the past was only performed in a hospital setting and patients often stayed the night at the hospital. Things have really changed and now patients do not stay the night in a hospital and most bunions are performed in a surgery center. The average bunion surgery takes less than 2 hours and patients will only require IV sedation as opposed to general sedation. This type of sedation makes for a much quicker recovery from anesthesia and often less side effects. I like to provide all my patients with a nerve block so they will get a good night's sleep the evening of surgery. The majority of patients will be pain free the first night.
The next day most patients will have pain that is well controlled with pain medication. Often patients will just take prescription pain medication for the first 24-48 hours and then switch to over the counter pain control. We utilize advanced techniques that allow all our bunion patients to walk after surgery thereby minimizing down time and speeding recovery. We have protocols to help get your ankle and toes moving right after surgery to decrease stiffness and swelling. Additionally, we will provide patients with exercise guidelines to help them stay fit and active during the recovery phase. One of the best aspects of our practice is we perform bunion surgery every single Monday and have fixed 1000’s of bunions. Another enormous advantage of our clinic is an onsite surgery suite that will save patients thousands of dollars on the surgery as we have special discounted pricing compared to other doctors that must take you to a hospital or surgery center. Do not let your bunion keep your from wearing a normal shoe or enjoying the activities you love give us a call at 425-391-8666 or make an appointment online so we can help.
Sunday, 17 May 2020 16:20
Dr. Brandon Nelson Discusses Heel Pain Caused From Running
The weather is starting to get nice and all of us are wanting to get outside. I know I have dusted off my running shoes and have began to pound the pavement. I have suffered from heel pain in the past and as I start to run again it can rear its ugly head. I will often be a little sore after my run and it reminds me I need to take care of my feet. I once again start my routine of calf stretching and make sure to ease into my mileage. I will find my pro-stretch and specifically start targeting my plantar fascia. I will search the freezer for my frozen water bottle and start rolling my heels out after my runs. Does all this sound familiar? Heel pain can really derail our exercise routines.
I have found if I stretch and wear my prescriptive orthotics my heel pain is nonexistent. My prescriptive orthotics are specifically designed for running. These are not inserts that are purchased at a shoe store or a running store. These are prescriptive medical devices that can only be made by a foot and ankle physician. I have been running for years and have spent year perfecting my orthotics. I love to pass on this knowledge to other runners that have suffered from heel pain. I even see a lot of runners that just want to prevent injury and wear and tear on their joints and these running orthotics really help your lower extremities. If you are a runner and are ready to take care of yourself give us a call today 425-391-8666 or make an appointment online.
Sunday, 10 May 2020 15:32
Dr. Brandon Nelson Discusses Plantar Warts and Warts on the Foot
Warts can be very unsightly especially when on top of the forefoot or the toes. It often times may get hard to wear sandals or flip flops during the summer. Quite a few people come in to have these removed. Often times they have seen other physicians that have been unsuccessful. Plantar warts are caused by human papilloma virus and can be a challenge to both physicians and patients alike. There are many different modalities to get rid of warts - it depends on the location and the size and the number.
We recommend having an evaluation to make sure the lesion is a wart before proceeding with treatment options. Treatment options run the gamut of topical medications to lasers and even injection therapy. Our success today with treating warts can oftentimes be close to 100% after just a few treatments. The majority of treatments for plantar verrucae is a relatively pain free and highly successful. If you suffer from warts and have tried multiple different treatment options contact our clinic today.
Give us a call today at 425-391-8666 or make an appointment online.
Sunday, 10 May 2020 01:07
Dr. Brandon Nelson Discusses Options to Consider Before Having Your Neuroma Removed
Neuromas or Morton’s neuromas can cause a lot of pain especially in people who partake in physical activities. Often times patients present with burning or tingling in the foot. The pain can subside with massage or taking off the shoe. Patients often relate numbness or tingling to the third and fourth digits and have done online research about Morton’s neuromas. The third interspace is by far the most common spot to get a Morton’s neuroma because the medial and lateral plantar nerves come together in this location.
Patients often have tried cortisone injections or other conservative modalities and then often times consider surgical removal. I always recommend an additional consultation for having a Morton’s neuroma removed because alcohol therapy can be so successful. At our clinic we use an ultrasound-guided alcohol injection therapy and often times see about a 90% resolution of symptoms. If you’re considering having your neuroma removed surgically please see us prior to doing this to see if you are a candidate for this therapy.
Give us a call today at 425-391-866 or make an appointment online today.
Saturday, 09 May 2020 15:42
Dr. Brandon Nelson Discusses Covid-19 and Heel Pain
First I think it’s really important to acknowledge the fact that we are all doing are part in Washington State to protect each other by staying home and staying safe. This is an unprecedented time like we’ve never experienced and it’s important for the health and well-being of our community that we continue to put our best effort forward by continuing to respond appropriately to Covid-19. That being said our office continues to get a lot of patients that are experiencing significant heel pain.
The primary source of heel pain is plantar fasciitis. Plantar fasciitis of the heel presents most commonly with pain in the morning pain after prolonged periods of rest. It is important that a proper diagnosis is made as many other pathologies can cause heel pain. I encourage patients to see an experienced foot and ankle doctor, podiatrist to evaluate your cause and present you with the best treatment options. It's also important to note that not all plantar fasciitis cases respond to similar treatments and each individual case is unique. I highly recommend having your foot evaluated by a physician that treats a lot of heel pain as sometimes the underlying causes missed and just assumed to be plantar fasciitis. At Issaquah Foot and Ankle Specialists we specialize in heel pain and have spent years perfecting our treatment protocols.
If you’re suffering from heel pain, give us a call at 425-391-8666 or make an appointment online today.
Sunday, 26 April 2020 14:36
Dr. Brandon Nelson Discusses The Best Options For Bunion Surgery
Bunion surgery can be performed in an outpatient setting. This means that for a lot of people they will not need to stay the night in a hospital or even have to have the procedure in a hospital setting. The preference being at an ambulatory surgery center or an office-based surgery center is due to the cost savings and time savings. The majority of bunion procedures can be performed in less than 2 hours.
At Issaquah Foot and Ankle Specialists we have an on-site surgery center for performing bunion surgery. Bunion surgery itself is usually performed on the first metatarsal at either the head or the very distal aspect of the metatarsal or at the base of the metatarsal cuneiform joint. Bunion surgery selection is often based on the size of the deformity in the overall foot structure the patient. It is important to be examined for the bunion itself so we can look at other deformities to make sure there not contributing to this pathology. If you have a bunion and have pain and irritation or interested in looking into having it fixed permanently give us a call at 425-391-8666 or make an appointment online.
Wednesday, 01 April 2020 22:54
Ingrown Nails, Toenail Removal and Ingrown Nail Treatment Options
Ingrown nails can be quite painful and cause difficulty wearing shoes and exercising. Ingrown nails are very common especially in kids and present with redness and swelling to the toenail. Ingrown nail treatment is fairly easy and straightforward. Ingrown toenail treatment options often time include removing of the offending nail border. For ingrown nail treatment, very rarely does the entire nail need to come off.
Patients in Bellevue, Sammamish, Maple Valley, Redmond and Seattle often come to Issaquah Foot & Ankle Specialists because we have a special technique to decrease discomfort during the procedure. We will often times treat the ingrown nail the same day in order to save patients time and discomfort. Many patients have a history of multiple ingrown nails and are looking for long-term treatment options. We have a special technique which we can perform and virtually eliminate the chance of ever having another ingrown toenail again. If you live in the surrounding area and are looking for a foot and ankle doctor or podiatrist or foot doctor to treat this, we are that clinic. Give us a call at 425-391-8666 or make an appointment online today.
Sunday, 29 March 2020 17:32
How to Stop Heel Pain the Fastest Way Possible
Heel pain, especially that causes pain in the morning or after we get up from a seated position can be very challenging. The most common cause is from plantar fasciitis and we are here to help. We are the number one heel pain center and have the most experience in treating heel pain. We have developed techniques to get fast relief, even on the first visit.
There are no other clinics like us in Washington State, we have seen others try and impersonate us even naming themselves as a heel pain center. However, Issaquah Foot & Ankle Specialists home to the original heel pain center. Do not let heel pain stop you from enjoying your time outside or get in the way of your summer. Schedule an appointment online today or give us a call at 425-391-8666 and cure your heel pain once and for all.
Sunday, 29 March 2020 16:58
Minimally Invasive Bunion Surgery
Minimally invasive bunion surgery does provide a few advantages compared to traditional bunion surgery. It often can leave smaller scars, have a faster recovery speed and have less pain. The term minimally invasive is rather vague and can be misleading. The most important part of bunion surgery is proper procedure selection. Procedure selection is based on the clinical evaluation and x-rays.
Minimally invasive techniques do have limitations and are not useful in large bunion deformities. The best way to determine whether or not you are a candidate is to schedule an appointment with us. We have an onsite surgical suite and can provide you with all the details to make a decision. We are even able to offer conservative measures for bunion pain. Don’t delay we are here to help at Issaquah Foot & Ankle Specialists. Give us a call at 425-391-8666 today.
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