Tuesday, 10 February 2026 00:00

An ankle sprain occurs when the ligaments that support the ankle are stretched or torn due to sudden twisting or impact. The most common type is an inversion sprain, where the foot rolls inward and damages the outer ankle ligaments. An eversion sprain happens when the foot rolls outward, affecting the inner ligaments and often causing more severe injury. Ankle sprains are also classified by grades. A mild grade involves ligament stretching with slight pain and swelling. A moderate grade includes partial tearing, increased swelling, bruising, and difficulty walking. A severe grade involves complete ligament rupture with significant pain, instability, and loss of function. A podiatrist can help by accurately diagnosing the type and severity of the sprain, providing immobilization, if needed, guiding rehabilitation, and recommending supportive footwear or orthotics. If you have ankle pain, swelling, or difficulty bearing weight, it is suggested that you consult a podiatrist who can provide effective relief and treatment techniques.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

Read more about Three Grades of Ankle Sprains
Wednesday, 04 February 2026 00:00

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.

Tuesday, 03 February 2026 00:00

Running shoes gradually lose their ability to protect the feet, and mileage is one of the most reliable ways to judge when replacement is needed. For many runners, shoes begin to break down between 300 and 500 miles, depending on body weight, running style, and surface. Even before visible damage appears, cushioning and stability can weaken, placing more stress on the feet and ankles. Other warning signs include uneven sole wear, reduced traction, heel breakdown, or new soreness during or after runs. Keeping a simple log of mileage can help runners avoid using shoes beyond their effective lifespan. A podiatrist can examine foot structure, walking and running mechanics, and shoe wear patterns to determine whether worn footwear is contributing to discomfort. They can also provide guidance on shoe selection and support needs based on activity level. If you experience foot pain after running, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries? 
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

If you have any questions, please feel free to contact our office located in Gig Harbor, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Preventing Running Injuries
Tuesday, 27 January 2026 00:00

A toe infection occurs when bacteria, fungi, or other microorganisms enter the skin or nail, leading to inflammation and discomfort. Common causes include an injury that breaks the skin, natural nail growth that becomes trapped in the surrounding tissue, or an underlying medical condition that weakens the skin or immune system. Symptoms may include redness, swelling, throbbing pain, warmth, drainage, or difficulty wearing shoes comfortably. A podiatrist can evaluate the infection, clean the affected area, prescribe medication, and provide guidance to prevent future problems. Prompt treatment reduces the risk of spreading or more serious complications. If you notice signs of a toe infection, it is suggested that you promptly schedule an appointment with a podiatrist who can offer effective relief and treatment solutions. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Read more about Toe Pain
Tuesday, 20 January 2026 00:00

Skating is a beloved activity for many, but foot and ankle injuries can hinder both enjoyment and performance. Improperly fitted skates often lead to corns, calluses, bunions, and bunionettes, causing discomfort and negatively affecting skating ability. Additionally, ankle pain and weakness are prevalent among skaters, making them susceptible to sprains and overuse injuries like Achilles tendonitis. Skaters with biomechanical imbalances, such as flat feet or high arches, are at further risk of developing plantar fasciitis and heel pain. One way to avoid these issues involves wearing properly fitting footwear and attentive foot care. Investing in well-fitted skates and footwear tailored to individual foot needs is essential. Plus, seeking prompt treatment for persistent foot pain from a podiatrist ensures optimal skating performance and long-term foot health. By taking proactive measures to prevent injury, skaters can continue enjoying their favorite activity without discomfort or limitations. If you have skating-related foot or ankle pain, it is suggested that you schedule an appointment with a podiatrist.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

Read more about Sports Related Foot And Ankle Injuries
Tuesday, 13 January 2026 00:00

Usually, toes point forward. When one of your toes (usually the 2nd or 3rd toe) bends downward, hammertoe is present. There are many reasons you may develop a hammertoe, such as having bunions, certain injuries, high arches, or you may have a genetic proclivity that makes you more likely to develop them. However, the most common reason hammertoe develops is from wearing shoes that are too tight and pointy, which cause your toes to squeeze together if you wear them for a prolonged period of time. You can help avoid developing a hammertoe by choosing shoes that fit properly, have a wider toe box, soft uppers, and plenty of arch support. Contact a podiatrist who can treat your hammertoe and may suggest certain footwear that will help prevent hammertoes from occurring.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions, please feel free to contact our office located in Gig Harbor, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Hammertoe
Tuesday, 06 January 2026 00:00

Football places intense strain on the feet and ankles, and the push-off forces used for sprinting or sudden direction changes can damage the thick tendon behind the heel. The Achilles tendon, which links the calf muscles to the heel bone, allows a player to jump, run, and accelerate. Quick bursts of speed, tackling, and uneven fields increase tension in this tendon, making a tear more likely, especially when a player lands awkwardly or the ankle twists. A rupture causes sharp pain, swelling, and difficulty standing on the toes. A podiatrist can assess the tendon, order imaging, discuss footwear that provides support, and recommend treatment such as bracing, therapy guided exercises, or surgery when needed to restore strength and mobility. If you have Achilles tendon pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and safe, sterile treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries
Sunday, 04 January 2026 00:00

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

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