Podiatric Foot Care Services

At-risk foot and ankle care is part of a continuum of limb preservation services, both in the office and in long-term care facilities such as skilled nursing, assisting living, memory care, adult family home, independent living.

The role of the podiatrist is to perform a complete physical examination of the feet and ankles, and treat conditions medically and surgically to avoid morbidity and mortality.  All foot care services rendered by this office will also include an evaluation and management of all foot and ankle conditions, performed at each visit for each patient.

Limb preservation prevents the worsening of the feet and ankles in patients with pain in the nails or calluses, history of non-traumatic amputation in the foot, or systemic conditions such as peripheral neuropathy or peripheral vascular disease.  The following are some examples of conditions treated:

  1. Nail care.  Long nails can lacerate the skin of adjacent toes.  Thick nails can ulcerate the underlying nail bed and cause bacterial infections and abscesses.  Nails can be ingrown and lacerate the nail borders causing infections.  Fungal infections may also occur causing an athlete’s foot and bacterial superinfection.  Painful nails can cause mobility issues and falls.
  2. Corn and callus care.  These skin lesions can be very painful and cause mobility issues and falls.  They may also cause blisters which can lead to ulceration and gangrene.
  3. Wounds and ulcers.  Wounds may be injuries to the skin such as lacerations.  Ulcers are often caused by calluses that go untreated, which develop into blisters.  The base of the blister is the ulcerated tissue.  Bedsores or decubitus ulcers are another type of ulcer.  Ulcers can extend to the level of bone and cause bone infections.
  4. Bone infections or osteomyelitis.  Infections of wounds and ulcers can extend deep to tendons, muscles, ligaments and bones.  Local infections of the feet can lead to systemic infections throughout the body, known as sepsis.
  5. Skin conditions.  Podiatrists treat fungal and other skin conditions, including suspicious lesions.
  6. Musculoskeletal conditions.  Podiatrists treat injuries and other painful deformities such as hammertoes, bunions and plantar fasciitis.
  7. Neurological conditions.  Podiatrists treat burning and tingling in the feet, including neuritis and neuromas.
  8. Circulation conditions.  Podiatrists treat swelling, gangrene and other circulatory conditions.

Podiatrists are physicians and surgeons that treat the above conditions by medical, orthopedic and surgical means.  A medical treatment would be a prescription such as an antifungal, antibiotic, keratolytic or steroid cream.  A surgical treatment would be a surgical debridement of the nails, calluses, ulcers, abscesses, foreign bodies or ingrown toenails. An orthopedic treatment would be orthotic therapy or an immobilization device. Examples include:

  1. Nail debridement It is for patient safety to have the nails at a proper length and thickness, preventing and treating ingrown nails and infections, both bacterial and fungal.
  2. Paring of calluses.  This is also a surgical procedure which reduces pain and reduces risk of ulceration.
  3. Wound debridement and care.  This involves removal of non-viable, infected tissue and applying proper wound dressings such as local antibiotics.
  4. Antibiotics.  Podiatrists can prescribe oral antibiotics, and arrange adjunct care, such as vascular and infectious disease specialists and hospitalization.
  5. Other board-certified medical and surgical services.  Podiatrist work with at least four body systems: vascular or circulation, neurological, dermatological or skin, and musculoskeletal.

“I found Dr Hoy to be an extremely competent doctor. He addressed some foot pain I had been having, provided callus care and useful education.” -Douglas N.

We do not offer medical pedicure services or routine foot care for those without at-risk conditions.  Foot care nurses locally provide medical pedicures and routine foot care in the absence of medical conditions such as history of non-traumatic amputation in the foot, peripheral vascular disease, peripheral neuropathy, and pain in the nails and calluses.  We have no affiliation with these providers and make no specific recommendations.  The nurses at senior centers charge between $25 and $45 per visit.  Foot care nurses are usually registered nurses who have been trained by a podiatrist to provide medical pedicure services.  Please contact the individual centers listed below for an appointment.  Other senior centers also provide this service.  Contact them to see if medical pedicures are provided.  You may also want to confirm that your care is performed by a nurse who has been trained by a podiatrist.

Ballard Senior Center, Central Area Senior Center, Greenwood Senior Center, Lake City Senior Program, Southeast Seattle Senior Center, Wallingford Senior Center, West Seattle Senior Center, North Bellevue Community Center, Edmonds Senior Center, Issaquah Valley Senior Center, Mercer Island Parks and Recreation Department, Peter Kirk Senior Center (Kirkland), Lynnwood Senior Center, Northshore Senior Center, Redmond Senior Center, Shoreline Senior Center, Sno-Valley Senior Center