Dr. Berg's Foot Facts

Posts for: October, 2013

By Dr. Rion Berg
October 30, 2013
Category: foot conditions

Victoria Beckham is a total slave to fashion. She is still sporting very high heels even though she has large bunions that are absolutely killing her. The former Spice Girl and wife of the world famous David Beckham both are putting themselves at risk for bad feet each day as they pursue their way of life; as a fashion designer she can’t imagine life without heels and of course he can’t imagine life without soccer.

Her bunions are so bad her friends have noted that she is forced to put her feet on ice and do daily exercise to avoid having a bunionectomy which has been strongly advised by her doctors. She refuses to toss out the heels for something more appropriate and so lives with agonizing pain as a result. She’s been told by her podiatrists that if she doesn’t do something soon she’ll never be able to don her heels again.

If you have bunions, you can empathize with poor Victoria but you don’t need to suffer needlessly. You may also wonder, “What caused my bunion anyway”? Well if you have a bunion you know that visually it’s that large lump growing along the inside of your foot beneath your big toe. The big toe moves toward the second toe throwing the bones out of alignment. Although bunions can grow slowly some people develop them at a young age.

Luckily you are likely not a fashion model or designer but if you have bunions you may be wondering, “At what point do I have surgery”?

As a Seattle podiatrist I ask patients to ask themselves a few questions.

-how painful is my bunion?
-how much is it impacting my quality of life? (If you have activities you love and can no longer do them, than that might tilt the scales to yes, rather than wait.)
-can I still wear my shoes?
-do I have pain under the ball of my foot?

Not all bunions require surgery and I’ll try every conservative treatment beforehand at my Seattle podiatry office. But if you’re in agony like Victoria Beckham, the one way to find out is by making an appointment today by calling us at 206-368-7000 or requesting an appointment online.

Other Articles on this Topic
-Are Bunions Cramping Your Running Style
-Bunion Surgery Maybe, Cinderella Surgery No

I know, I know. We’ve had a terrific summer here in Seattle and although we’ve had a few heavy rains, we’re still getting a dose of great sunshine after the fog burns off. As Thanksgiving approaches and our thoughts turn to turkey, stuffing, and pumpkin pie the last thing on our mind may be our toenails. But the truth is that after the dinner plates are cleared and we’ve eaten the last of our dessert, we will likely start to wonder how we’re going to face another long, rainy winter.  

As a podiatrist in Seattle my thoughts and very likely yours are turning to vacationing in Palm Springs, Hawaii, Mexico or other favorite hot spot. After taking off your boots and pulling off your socks the truth is right there starring you in the face; you still need to do something your ugly fungus toenails. You refuse to go on another vacation if you have to cover up your feet.

Luckily here at the Foot and Ankle Center of Lake City we can help. We’ve been treating fungal toenails with the Pinpoint laserTM since January of this year and we’ve been having great results. Our patients are experiencing clearing of the nail and have been very pleased that a problem that has been plaguing them for many years may finally disappear.

So if you’ve finally decided that you aren’t going to put up with those ugly toenails anymore, request an appointment with Drs. Rion Berg or Robyn Paloian in Seattle today. You can also call us at 206-368-7000 and we’ll get you in to see one of our doctors as soon as possible.


Are you the proud mother of a young athlete who wants to follow in the footsteps of Seahawk Richard Sherman? If your kids feet are as active as Richard’s they are likely to get pretty banged up especially if they’re playing a sport like soccer, rugby, or football. What can you do to help your kid with some of the problems that are likely to occur? Although I’ve written about what soccer moms can do to help their kids in a previous blog, today we’re going to learn specifically about a particular heel pain condition that affects young athletes called Sever’s Disease.

Calcaneal Apophysitis or Sever’s Disease is painful condition that manifests as an inflammation of the heel’s growth plate and typically occurs in kids between the ages of 8-14 years of age. Sports can aggravate this condition, particularly if there is a lot of running, jumping, and banging into other athletes. So if your kids in involved in soccer, rugby, or football you need to be on the alert for this type of pain so that you know what to do.

At this time of year when many of these sports have just started parents and coaches are more likely to see a lot of this common condition.

What To Look For?

  • Your child complaints of heel pain
  • You see your child limping
  • You observe them walking on their toes
  • They are having a difficult time participating in their sport
  • It’s painful when you squeeze the sides of their heel

What Can Be Done?

  • Reduce Your Child’s Activity - in particular any activity that causes pain
  • Heel Support – heel lifts, shoe inserts and/or custom orthotics can make a big difference
  • Proper shoes for the Activity – be sure your child is wearing the appropriate shoes for the activity they engage in. eg. Cleats for soccer

If reducing your child’s activity and heel lifts or shoe inserts don’t work, contact our office at 206-368-7000 to make an appointment. We’ll get your child properly diagnosed and on the way to healing and getting back to doing what they love.

By Dr. Rion Berg
October 09, 2013
Tags: foot pain   heel pain   fungus toenails  

As millions of people start signing up for health insurance in Seattle and Washington State, it’s time to also start thinking about ways to ensure that your feet are in tip top shape. You likely already have insurance but if you have pain in your feet and you aren’t coming in to visit your podiatrist than all the insurance in the world won’t help you.

Many of us have excuses for not coming in for care.

-“I don’t have the time”
-“I think it will disappear on its own”
-“It’s going to cost too much”

If this sounds familiar, you have lots of company. Unfortunately if you have painful feet the chance that it will go away on its own is very small.

Every day patients come in to see us who are really suffering. Somehow they’ve made it past their fears and time constraints and have prioritized their health. They realized that having painful feet will keep them from living a full life.  

Runners come in when their heel pain gets so bad they can no longer do what they love to do. Sometimes stretching, using anti-inflammatory medication, and icing will calm things down and they can get back to running. Other times orthotics are needed to help support the foot more fully and prevent heel painfrom reoccurring.

Nordstrom sales people, Starbucks baristas, factory workers, and others who stand on their feet all day finally realize that if their feet continue to hurt they won’t be able to continue working.

Women who are so tired of covering up their ugly toenailsfinally overcome their concerns about cost and come in to get their toenails treated with laser.

Don’t spend one minute more with pain. Set up your appointment today by calling us at 206-368-7000 or sending us an appointment request.

By Dr. Rion Berg
October 03, 2013
Category: foot conditions

While the federal government is in the midst of partial shutdown, your feet can’t wait for congress to act when they suddenly develop intense pain. 

Yesterday, one of my patients came in the door and simply said, “Dr. Berg, I’m in pain, my feet are killing me, and I need your help.”  This man spends all day on his feet building Boeing planes, and no matter what goes on in Washington DC, he needs to be on the job. It was such a joy to have the time with a new patient to thoroughly evaluate his feet and his walking to discover the key factors contributing to his misery.

While his problems were fairly common, including flat feet and tight Achilles tendon, no two patients are completely alike, and the differences are important when It comes to giving a patient the best treatment.

When we were done with the evaluation, he gave me the highest compliment telling me that I took the time to explain things to him in language he could understand and my recommended treatment made sense. The treatment applied is often the same, but the richness of practice will never go bankrupt when I establish this kind of relationship with a patient.