Items filtered by date: December 2025

When the foot lies completely on the floor while standing barefoot, it may indicate a condition known as pes planus, or flat feet. The gap that is normally found between the arch and floor is nonexistent, which may affect the natural gait. Flat feet can occur from genetic reasons or possibly from an injury. In addition, certain medical conditions may cause flat feet to develop. These include cerebral palsy, diabetes, or obesity, which may affect the nerves. Symptoms typically associated with flat feet include pain in the heel and arch area, foot fatigue, and difficulty stand for long periods. A podiatrist can prescribe custom orthotics for arch support, along with stretches that can help to strengthen the feet. If you have flat feet that are causing problems, it is suggested that you make an appointment with a podiatrist for a exam and treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

A dislocated ankle occurs when the talus, the main ankle bone, is pushed out of place from under the tibia and fibula, which are the bones of the lower leg. This sudden shift causes sharp pain, swelling, and a foot that looks out of alignment. The injury also affects the ligaments that hold the ankle steady, as well as nearby joints where the talus meets the calcaneus, or heel bone. A podiatrist can check the position of the foot, make sure blood flow and feeling in the toes are normal, and use imaging to see if any nearby bones have been damaged. Treatment focuses on gently guiding the talus back into place and keeping the ankle immobile so healing can start. Surgery may be considered when there are fractures or if the ankle remains unstable. If you believe you have dislocated your ankle, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.

Morning foot pain can make getting out of bed uncomfortable and may signal an underlying issue in the feet or ankles. One frequent reason involves the plantar fascia, a thick band of tissue along the sole that tightens during rest. When stretched suddenly upon standing, it can cause sharp heel or arch pain. Arthritis is another cause, leading to stiff, inflamed joints that feel worse after inactivity. Reduced blood flow at night can also slow the removal of waste products like uric acid, causing aching or throbbing feet. Swelling and fluid buildup during rest may add to discomfort, especially in people who stand for long periods during the day. Wearing high heels, flip-flops, or tight shoes can place extra stress on tendons and joints, worsening morning stiffness. A podiatrist can identify the cause through an exam and imaging if needed. If you experience morning foot pain, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Rheumatoid arthritis can cause inflammation that damages the joints in the feet, leading to visible disfigurements and pain. Over time, the immune system attacks the lining of the joints, weakening soft tissues and causing bones to shift out of place. This may result in toes drifting toward one side, collapsed arches, bunion formation, or claw-like deformities. These changes often make walking difficult and finding comfortable shoes challenging. Early treatment helps slow joint damage and reduce discomfort. Supportive footwear, custom orthotics, and anti-inflammatory medications can relieve pressure and improve stability. In advanced cases, surgical correction may be needed to restore function and alignment. If you suffer from painful rheumatoid arthritis in your feet, it is suggested that you see a podiatrist for effective relief options.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.