Blog Archive


January 3rd, 2017 by

As of January 3rd, 2017, we have moved into our new office located at 2825 Stockyard Road, Suite J-1.  Located right off of Stockyard road in the North Reserve Business Center, this brand-new facility will give us the space and modern clinic amenities that we have been craving as the practice has grown.  As you […]

BAD Circulation

March 30th, 2015 by

Many people who come into my office report that they have poor circulation in their feet (and often hands.)  Often there is a long family history of circulatory problems.  Usually, this is mentioned as an aside from the primary reason for the appointment, but sometimes, circulation is really the cause of the pain/symptoms that person […]

Complications of Diabetes: Peripheral Neuropathy

July 29th, 2014 by

As many as 50% of people with diabetes at some point develop a sensation of “numb toes” or “a burning sensation” or “fuzzy feet.”  These are all symptoms of one of the more common foot-related complications of diabetes: Neuropathy. Neuropathy is, very simply, nerve damage.  The exact mechanism is unknown, except that the risk of […]

The Importance of the Diabetic Foot Exam

March 11th, 2014 by

Diabetes type II has become one of the most common chronic diseases in America, with over 1.5 million people diagnosed in 2011 alone1.  Now, 21 million1 Americans live daily with the effects of Diabetes, and our healthcare system struggles to minimize the hardship of medical complications related to diabetes.  Feet are important enough that the […]

Cold Injuries

December 8th, 2013 by

‘Tis the season for frostbite, and other cold injuries.  When discussing cold injuries, the feet are usually part of the conversation because the feet and toes are the most common areas affected by frostbite.  Frostbite is the freezing of body tissue from external cold exposure.  The effects may be temporary or permanent, depending on the […]

Orthotics - clearing up misconceptions

August 20th, 2013 by

As a podiatrist, one of the more valuable options for treatment of mechanical abnormalities of the foot and ankle are orthotic devices.  Commonly just called orthotics, these are molded insoles that alter the mechanics of gait and the function of the foot.  Yet in talking with patients I hear a lot of misinformation about orthotics.  […]

New Topical Treatment for Nail Fungus

April 29th, 2013 by

Rarely do I post blog entries on things like nail fungus, but then rarely are there breakthroughs in the treatment of nail fungus.  The most effective treatments we have require taking oral pills for 3 months or longer, with the most effective being Lamisil.  Unfortunately, antifungals are amongst drugs with the highest number of side-effects, […]

You NEVER have to live with heel pain

March 3rd, 2013 by

The bottom of the heel.  Everyone has hurt their heel at some time in their life, usually from minor trauma like stepping on a rock or jumping down from a height.  For a few unlucky people, however, the bottom of the heel hurts constantly.  The heel is one of the few parts of the body […]

The "extra" bones of the foot

November 5th, 2012 by

Each human foot contains 28 bones; 14 phalanges, 5 metatarsals, 7 tarsals, and 2 sesamoids. Like other aspects of human anatomy, however, a small percentage of the population may be out there operating with a few more or a few less. Fewer ones usually means a failure of the joints to develop between what would […]

Health Supplements

August 21st, 2012 by

Take supplements?  Some supplements are proven to work, while others have little to no research to support their effectiveness.  So how do you know what’s real medicine and what is snake oil?  This new infographic, compiled from PubMed, shows the supplements with the greatest number of supporting documents at the top, those with few or […]

Pediatric Orthopedics: Pigeon Toes

July 27th, 2012 by

Pigeon toes (also called “in-toeing” or “metatarsus adductus” in the medical community) are a common feature of development of the foot and lower leg in toddlers and young children. To a certain degree, in-toeing is normal in the first few years of age, since development of the fetus requires the feet to be twisted inwards […]

Pediatric Orthopedics: Children's Heel Pain

June 6th, 2012 by

It’s the time of year that we see a spike in the number of kids (particularly adolescents) complaining of pain in the heels.  In the early 20th century, there was a relatively common condition called “spring heel” which was a type of bone infection that happened in the cold wet of spring as a result […]


April 15th, 2012 by

Clubfoot, or Talipes Equinovarus, (as it is known in the medical community) is a deformity effecting newborn babies that, if left untreated, leads to difficulty walking or complete disability in childhood and adulthood.  Incidence varies worldwide, but in the US it occurs in about 1 per 1,000 babies born.  Half the time only one foot […]

Pediatric Orthopedics

February 16th, 2012 by

In the medical community, there is little crossover between orthopedics and other specialties, which often results in a knowledge gap between primary care physicians and specialists who treat orthopedic diseases.  When you add to this the specificity of pediatrics and the general rarity of childhood diseases in the developed world, the result is that relatively […]

Big, Bad, Bunions

December 10th, 2011 by

Bunions are one of the most common, and commonly misunderstood, foot problems.  A bunion is a painful nodule that forms on the inside portion of the ball of the foot, often swelling and becoming more painful with shoegear.  It is associated with the great toe moving to the side and often overlapping the 2nd toe.  […]

A word about: Gout

October 7th, 2011 by

Here in Missoula, it turned rainy and cold suddenly three days ago, signaling that the Autumn 2011 is here to stay. The change in weather signals the trees to change their leaves’ color, animals to begin preparing for winter, and in Missoula the students are back in school, fishermen are making their last casts, and […]

Running Injuries - When your body talks, stop and listen

August 1st, 2011 by

Well, the Missoula Marathon concluded just a few weeks ago with record-breaking times and record turnouts.  For many of us locally, it was our first marathon/half-marathon and possibly the beginning of an easy, inexpensive, and fun form of recreation that can last a lifetime.  It is well-known that distance running has healthy cardiovascular benefits, but […]

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