My Blog

By Dr. Bowlby
October 02, 2019
Category: Podiatry
Tags: Bunions  

With the ability to cause nagging discomfort throughout the day and prohibit daily movements as simple as walking, bunions can quickly turn from a barely noticeable bump on your toe, to a painful deformity that detracts from your over wellbeing. Fortunately, if caught early, you can prevent this podiatric issue from developing into a serious problem. Read on to learn if you could be suffering from this condition, and whether you should take a visit to your local podiatrist.


Signs That You May Have a Bunion

Generally forming on the side of your big toe, bunions are hard, bony lumps that are often caused by wearing poorly-fitted shoes (especially high heels), having genetic predispositions, or experiencing a foot injury. If you think that you may have a bunion, be on the lookout for these symptoms:

  • A bony protrusion at the base of your toe
  • A generally red discoloration
  • A feeling of tightness in previously comfortable shoes

The above-listed symptoms describe the beginning stages of a bunion, a point during which your podiatrist will likely recommend a conservative approach to treatment. However, you may require more extensive medical care if you begin to notice these signs:

  • Persistent pain and swelling
  • Periodic numbness of the foot
  • Restricted and slowed movement of the toe/foot



For less serious bunion cases, ones in which there isn’t pain yet and movement is still unrestricted, your podiatrist may recommend:

  • Soaking your foot in warm water
  • Taking anti-inflammatory medications such as Aspirin
  • Wearing appropriate shoe inserts
  • Avoiding tight-fitting footwear

In severe bunion cases, your podiatrist will likely recommend a more rigorous treatment approach in order to alleviate pain and increase mobility. Some of these options include:

  • Custom-made orthotics to maintain toe alignment
  • Regular physical therapy and a specialized exercise regiment
  • Bunionectomy, a surgery to remove the bunion and realign the foot (this is only necessary in the most extreme of cases)


Concerned? Contact Us

If you feel that bunions are disrupting your life, then take the pro-active approach and schedule an appointment at our office to learn how to regain your health.

By Dr Bowlby
August 13, 2019
Category: Foot Care
Tags: Segway   ADA   Charcotneuroarthropathy  

Theodore Roosevelt said, “Do what you can, with what you have, where you are.” Our inspirational patient was gracious enough to allow us to post this video on our social media.  Under the Americans with Disabilities Act (ADA), people with disabilities are able to choose whatever device best suits their needs. A Segway is categorized under other power-driven mobility device (OPDMD) and allows the health benefits of standing but greatly reduces the impact on the patient’s affected limb.

Big toe joint arthritis, also known as “hallux rigidus,” is one of the most common pathologies we see. Eliminating the joint and fusing the big toe together is a reliable and functional procedure. This patient had severe hallux rigidus for years and they are doing great after big toe joint fusion surgery. If your big toe joint is giving you trouble, please give us a call for an appointment today! (425) 339-8888, ext 0

By Dr. Bowlby
July 31, 2019
Category: Foot Care


Vitamin D, made when your skin is exposed to the sun, is important for keeping your bones strong and your immune system healthy. Due to the lack of sunlight most months, vitamin D deficiency is very common in the Pacific North West. Vitamin D deficiency can make you prone to stress fractures or delay bone healing after a fracture or surgery. Other symptoms of vitamin D deficiency include muscle pain, bone pain, fatigue, and depression.


Good dietary sources of Vitamin D include:

  • Fish, such as: salmon, tuna, mackerel, sardines
  • Egg yolks
  • Vitamin D enriched dairy products such as milk and yogurt


We recommend our adult patients in the PNW take daily supplements of 2,000 IU Vitamin D and 500mg Calcium in addition to dietary sources to keep your bones healthy and prevent stress fractures.

By Dr. Bowlby
July 30, 2019
Category: Foot Care

There are many conservative treatments which can help relieve forefoot pain including stiff soled shoes, orthotics, taping, splints, pads, and steroid injections, However when all of these treatments have been tried without success, surgical treatment may become the best option. This patient has suffered from forefoot pain for years with deformities including a bunion complicated by arthritis, ball of the foot pain, a painful 2nd toe hammertoe and a tailors bunion. After forefoot reconstructive surgery, they are doing very well and back to usual activities. If your forefoot is giving you trouble, please give us a call for an appointment today!

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