General Practitioners

• Warts
• Arthritis
  Rheumatoid arthritis is a major crippling disorder and the most serious form of arthritis. It is a complex, chronic inflammatory group of diseases, often affecting more than a dozen smaller joints during its course. In the foot, it frequently affects both ankles and toes.
• Plantar Fasciitis
  Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.
• Foot Odor
  The feet and hands contain more sweat glands than any other part of the body, with roughly 3,000 glands per square inch. Smelly feet are not only embarrassing, but can be physically uncomfortable as well.

Endocrinologist

• Diabetes Care
• Thyroid

Radiologist

• Ultrasound
• Iontophoresis
  A form of electrolysis, called iontophoresis, has been shown to reduce excessive sweating of the feet. However, it is more difficult to administer. In the worst cases of hyperhidrosis, a surgeon can cut the nerve that controls sweating. Recent advances in technology have made this surgery much safer, but may increase sweating in other areas of the body.

Surgeons

• Arthroscopy
  Dr. Kyle Piner was born in Raleigh, NC and raised in Pensacola, FL. He attended Mississippi State University, where he majored in Chemistry. After graduating in 2013, he attended the New York College of Podiatric Medicine, where he obtained his doctor of podiatric medicine degree in 2018. He then went on to complete a three year residency in Podiatric Medicine and Surgery with Reconstructive Rearfoot and Ankle certification at Rochester General Hospital in Rochester, NY. Dr. Piner is Board Qualified with the American Board of Foot and Ankle Surgery and is trained in Foot and Ankle Arthroscopy.
• Ankle Surgery
• Bunions
  Perform surgeries to correct or remedy such problems as bunions, clawtoes, fractures, hammertoes, infections, ruptured Achilles, and other ligaments and tendons.
• Gangrene
  Gangrene is caused by lost blood supply to the foot or bacterial infections that result from open sores or ulcers. Diabetics are most prone to foot gangrene because they typically have poor circulation or nerve damage, which can lead to loss of blood supply.
• Arthroscopy
• Ingrown Toenails
  Trim toenails straight across, but not too short. Be careful not to cut nails in corners or on the sides; this can lead to ingrown toenails. Persons with diabetes, poor circulation, or heart problems should not treat their own feet, because they are more prone to infection.

Dermatologists

• Skin Cancer
  Malignant melanoma is a skin cancer that is curable if caught early. Although it makes up only one percent of skin cancers, malignant melanoma accounts for over 60 percent of skin cancer deaths. It is estimated that approximately 30 percent of melanomas occur in the lower extremities, and that 3 percent occur in the feet.
• Acne Treatment
• Corns
  Corns and calluses are protective layers of compacted, dead skin cells. They are caused by repeated friction from skin rubbing against bony areas or against an irregularity in a shoe. Corns ordinarily form on the toes and calluses on the soles of the feet. Read More…
• Cyst
• Frostbite
  Extreme exposure of your feet to cold for a prolonged period can lead to a serious condition called frostbite. Frostbite starts by producing pain and a burning sensation in the exposed areas. This is followed by numbness in toes or feet and changes in skin color, from pale or red to bluish-gray or black. People with a history of frostbite often get it again in the same place.
• Ulcer
  Ulcers are skin wounds that are slow to heal. In the foot, as prominent metatarsal heads on the plstar (bottom of the foot)are subjected to increased pressure, the skin begins to become callused. When subjected to shearing forces, there is a separation between the layers on this callused skin, which fills with fluid and becomes contaminated and infected. The result is a foot ulcer.
• Calluses
  Heel calluses, also called plantar calluses, develop when one metatarsal bone is longer or lower than the others and it hits the ground with more force than it is equipped to handle. As a result, the skin under this bone thickens. The resulting callus causes irritation and pain.
• Eczema
  Heel fissures is the term for cracking of the skin of the heels. This can be a painful condition that can cause bleeding. Open-backed sandals or shoes that allow more slippage around the heel while walking are often culprits that cause heel fissures. Skin conditions, such as eczema and psoriasis, can also lead to heel fissures. The skin thickens as a result of the friction. Wearing proper shoes and the use of deep skin moisturizers and lotions can reduce the dryness associated with the condition and allow the foot to heal.
• Fungus
  Inspect your feet regularly. Pay attention to changes in color and temperature. Look for thick or discolored nails (a sign of developing fungus), and check for cracks or cuts in the skin. Peeling or scaling on the soles of feet may indicate Athlete’s Foot. Any growth on the foot is not considered normal.
• Lesions
  There are many kinds of cancers of the foot. Some take the form of cysts and lesions, while others are more widespread.
• Rashes
• Psoriasis
  Psoriasis can cause a characteristic pitting appearance on the nails. Pustular psoriasis is a form of the disease characterized by small pustules or blisters filled with clear or cloudy fluid.
• Burns

Physical Therapists

• Physical Therapy
  Anti-inflammatory medication and/or steroid injections into the affected joint. Note: Please consult your physician before taking any medications.
• Flatfoot Correction
• Heel Pain
• Orthotics and Prosthetic Therapy

Podiatrists

• General Podiatry
  People call a doctor of podiatry for help diagnosing and treating a wide array of foot and ankle problems. Please contact our office if you experience one of the following...
• Achilles Tendonitis
  Sever’s Disease, also known as calcaneal apophysitis, is a disease of the growth plate of the bone and is characterized by pain in the heel of a child’s foot, typically brought on by some form of injury or trauma. This condition is most common in children ages 10 to 15 and is frequently seen in active soccer, football, or baseball players. Sport shoes with cleats are also known to aggravate the condition. The disease mimics Achilles tendonitis, an inflammation of the tendon attached to the back of the heel. A tight Achilles tendon contributes to Sever’s Disease by pulling excessively on the growth plate of the heel bone (calcaneus).
• Ankle Instability
• Ankle Sprain
  Dr. Heath began practicing with Pacific Podiatry in 1998. He was born and raised in eastern Washington. He received his undergraduate degree in Biology from Washington State University. Following that, he completed his medical degree in Podiatry from the University of Osteopathic Medicine and Surgery in Des Moines, Iowa. After graduation, he returned to the Pacific Northwest to pursue a residency in reconstructive foot and ankle surgery at Puget Sound Hospital in Tacoma, WA. Dr. Heath has a special interest in difficult ankle injuries and reconstructive procedures. He is board certified by the American Board of Podiatric Surgery and is a Fellow of the American College of Foot and Ankle Surgeons.  Dr. Heath is also a huge sports fan, with his favorite team being his beloved WSU Cougars. He enjoys many outdoor activities, including boating and golfing, in addition to spending time and traveling with his wife and three children.
• Arthritic Foot Care
• Bunions Problems
  Bunions are misaligned big toe joints that can become swollen and tender, causing the first joint of the big toe to slant outward, and the second joint to angle toward the other toes. Read More…
• Calluses
• Diabetic Foot Care
• Flat Feet
• Fungus Toenails
• Geriatric Foot Care
• Hammertoes
  Hammertoe is a deformity of the second, third or fourth toes. In this condition, the toe is bent at the middle joint, resembling a hammer. Left untreated, hammertoes can become inflexible and require surgery. Read More…
• Heel Spurs
  Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.
• Heel Pain
• Foot Pain
• Foot Infections
  Allergic contact dermatitis is the result of exposure to substances that sensitize the skin. Each time the foot is exposed to the substance, an inflammatory reaction occurs. Some people are allergic to the substances in sock dyes or certain shoe materials. Adhesive tapes can cause an allergic reaction with blisters or a rash developing beneath the tape. Because of the heat and the accumulation of moisture beneath the tape, an acute Athlete’s Foot infection can also be caused by an allergic reaction to the adhesive. Treatments include the use of cool compresses, topical steroid compounds (like hydrocortisone creams), and antifungal creams.
• Ingrown Toenails
  Osteochondromas are benign bone tumors under the toenail. Osteochrondromas account for about half of all benign bone tumors in the foot, occurring mostly in children and young adults. Unless they cause irritation to the surrounding tissue, they are generally not very painful. Sometimes, they can deform the toenail and cause an ingrown toenail. In rare cases, they are removed surgically.
• Foot Orthotics
• Plantar Fasciitis
  Plantar fasciitis (or heel pain) is commonly traced to an inflammation on the bottom of the foot. Our practice can evaluate arch pain, and may prescribe customized shoe inserts called orthoses to help alleviate the pain. Read More…
• Podiatric Surgery
  Dr. Knutson started practicing at Pacific Podiatry in 1993. He was born and raised in Bellingham, WA. He received his undergraduate degree in Cellular and Molecular Biology from the University of Washington in Seattle. He attended podiatry school at the California College of Podiatric Medicine in San Francisco, CA. He then completed a podiatric surgical residency at the VA hospital in Palo Alto, CA and Stanford University. He is board certified by the American Board of Podiatric Surgery and is a Fellow of the American College of Foot and Ankle Surgeons. Dr. Knutson is an avid sports fan and closely follows all the local sports teams, especially the UW Huskies. He enjoys running, hiking and golfing. He loves spending time with his wife and two children, particularly when it involves travel.

Allergists

• Allergies