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Dr. Kennan T. Runte, DPM, FACFAS
Dr. Panah Nabili, DPM

152 Catherine Lane, Suite F
Grass Valley, CA 95945

August 2025

Sunday, 31 August 2025 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 26 August 2025 00:00

When Foot Wounds Refuse to Heal

Some foot wounds close within days, but others linger for weeks or even months, becoming a chronic problem. These slow-healing injuries often develop in people with poor circulation, nerve damage, or conditions like diabetes that impair the body’s repair process. Persistent pressure from walking, wearing tight shoes, or foot deformities can keep the skin from closing properly, while unnoticed infections may worsen the damage. Over time, a chronic wound can extend deeper into tissue, raising the risk of serious complications, including bone infection. Because sensation in the feet may be reduced, pain is not always a reliable warning sign. Regular inspection, professional wound care, and addressing the underlying cause are critical for recovery. If a foot sore does not show signs of improvement within a reasonable time, it is suggested that you see a podiatrist for prompt evaluation and treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Foothill Podiatry Clinic. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in Grass Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Wound Care

Arthritis in the feet and ankles can cause stiffness, swelling, and pain that affects daily mobility and overall quality of life. The joints most often affected include the toes, midfoot, and ankle, making walking or standing difficult. Relief begins with gentle exercises to maintain joint function and flexibility, along with weight loss to reduce pressure on the joints. Supportive footwear with cushioning and stability can also ease discomfort. A podiatrist can evaluate your specific condition and provide personalized treatment, which may include custom orthotics, medication, or advanced therapies. If arthritis is limiting your movement, it is suggested that you consult a podiatrist who can provide effective relief tips for arthritic feet and ankles.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact one of our podiatrists from Foothill Podiatry Clinic. Our doctors can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions please feel free to contact our office located in Grass Valley, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about How to Care for Your Arthritic Foot
Tuesday, 12 August 2025 00:00

Stress Fractures in Feet and Ankles

Foot or ankle stress fractures are small cracks in the bone that often develop from repetitive impact rather than a single injury. They are common in athletes, runners, and individuals who suddenly increase their activity level without proper conditioning. Wearing worn or unsupportive footwear, training on hard surfaces, or having poor bone density can also contribute to their development. Symptoms often include localized pain that worsens with activity, swelling, and tenderness to the touch. Rest and reducing weight-bearing activities are essential for healing. Wearing supportive footwear or a protective boot may be recommended to prevent further strain. Gradually returning to activity once pain has resolved can help avoid recurrence. Early attention to symptoms can reduce recovery time and prevent more severe fractures. If you suspect a stress fracture or have persistent foot or ankle pain, it is suggested that you arrange an appointment with a podiatrist for an assessment and appropriate care.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Foothill Podiatry Clinic. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact our office located in Grass Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Dealing with Stress Fractures of the Foot and Ankle

It is common to experience occasional swelling in your feet and ankles, especially after standing or walking for long periods of time. Often, this swelling results from fluid retention and resolves with rest and elevation. However, persistent or sudden swelling may signal a more serious concern. When swelling is accompanied by pain, redness, warmth, or difficulty walking, it could indicate a medical condition requiring prompt care. Blood clots, infections, heart problems, kidney issues, or venous insufficiency are possible causes that should not be ignored. Swelling that affects only one leg, worsens throughout the day, or appears without a clear reason should raise concern. People with diabetes, heart disease, or circulation problems should monitor swelling closely, as they are at a higher risk for complications. If swelling limits your daily activities or causes discomfort, it is suggested you schedule a visit with a podiatrist for a proper diagnosis and appropriate treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Foothill Podiatry Clinic. Our doctors 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 contact our office located in Grass Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Swelling of the Feet

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

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American College of Foot and Ankle Surgeons