Pediatrics and Geriatrics

Children's Feet ProblemsPediatrics.  Our kids are precious to us and it breaks our hearts if they are hurting. Dr. Hoy has had special training to care for kids’ feet.  He worked under the renowned Dr. Eliana Delgado, Pediatric Orthopedic Surgeon at the University of California, San Francisco, during his residency.  He then joined the practice of Dr. Richard Goad, the premier Pediatric Podiatrist in San Antonio, Texas.

Some of the most common ailments seen in children Dr. Hoy often treats include:

  • Ingrown Toenails
  • Foreign Bodies
  • Flat Feet/Plantar Fasciitis
  • Calcaneal Apophysitis
  • Warts
  • Bone Tumors
  • Intoeing
  • Accessory Bones

Geriatrics.  Our elders cared for us while we were growing up, and we want to make sure they have the best care possible.  Dr. Hoy’s inpatient geriatric practice spans from Mill Creek to Auburn, Seattle to Bellevue, where he sees patients in various care settings in addition to the office. These include inpatients in nursing homes, assisted living, memory care and adult family homes.

To better care for those with dementia, Dr. Hoy has been certified by the Alzheimer’s Association in their essentiALZ Dementia Care and essentiALZ Plus Dementia Advanced Care certifications.  He also brightens the lives of some of our community’s elders by speaking to them in their native Taishanese, Cantonese, Mandarin or Spanish during their treatments.

While proper foot care is important for everybody, senior citizens have the tendency to be more susceptible to certain conditions. The elderly should therefore be well-informed about podiatric problems that may arise and what they can do to properly avoid or treat them.

Some of the most common problems are foot ulcers, ingrown toenails, fallen arches, and fungal infections. A foot ulcer is an open sore on the foot and can be a result of decreased sensation in the feet due to diabetes. An ingrown toenail is defined as when the nail grows into the side of the toe. Fallen arches are indicated by the instep of the foot collapsing. A fungal infection is a condition that results in deformed and discolored toenails.

In order to avoid these conditions, it is recommended that the feet be inspected by the patient on a regular basis. If these inspections are carried out routinely, there is a good likelihood that problems can be identified before they become severe, or can even be avoided altogether. If any abnormality is discovered, it is important that the individual consults his or her podiatrist for a diagnosis and information on treatment options.

Proper foot hygiene is also important. Making sure that you always have clean, dry socks on can be a major deterrent to many different problems, including bacterial infections, foot odor, and certain types of fungus. Wet feet are a major cause of many of these problems.  If your socks get wet, it is important to change them. Walking around in wet socks may not only lead to various infections, but can irritate the skin and result in a number of various complications. Clean, dry feet are less likely to be affected by fungal and other infections.

As people age, the fat present on the feet begins to deteriorate. The protective nature of this fat keeps the feet healthy by providing a barrier between your bones and the ground as well as giving the skin on the foot a certain amount of elasticity. This is one factor that causes elderly people to develop foot issues. Foot moisturizers can be helpful to avoid certain problems associated with this.

Proper footwear is another way to keep feet healthy. Shoes that fit well and provide proper support help prevent ingrown toenails and fallen arches.

Certain medical conditions, such as diabetes or poor blood circulation, increase the risk for foot issues. For individuals with any of these conditions, it is extremely important to conduct regular foot inspections to make sure that there are no sores or infections present.

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“Good attention was given to my foot problems and I will continue to use this service.” -Jack F.