Areas We Treat

Ankle and Foot

Schedule Your In-Person ConsultationBellevue, WA Clinic Location

Schedule Your Video ConsultationTelemedicine Video

Overview: Understanding Ankle and Foot Pain

Your feet and ankles support your body with every step so when pain strikes, it can severely limit mobility, independence, and quality of life. Whether caused by overuse, injury, poor biomechanics, or degenerative joint conditions, ankle and foot pain should never be ignored. At Interventional Orthopedics of Washington (IOW), we offer a regenerative, non-surgical approach to healing these complex structures. Our focus is on resolving the root cause, not just managing symptoms so you can walk, run, and move confidently again.

Common Ankle and Foot Conditions We Treat

We diagnose and treat a wide range of ankle and foot conditions, including:

Ankle Conditions:

Arthritis of the Ankle

Ankle Instability or Sprain

Tibiotalar or Talonavicular Osteoarthritis

Bone Marrow Edema of the Ankle

Achilles Tendinopathy or Tear

Posterior Tibial Tendonitis

Kager’s Fat Pad Inflammation

Deltoid Ligament Sprain

Anterior/Posterior Tarsal Tunnel Syndrome

Accessory Navicular Pain

Ankle Effusion

Post-Surgical Pain

Foot Conditions:

Plantar Fasciitis

Bunion Pain/First MTP Osteoarthritis

Plantar Plate Tear

Morton’s Neuroma

Flat Foot (Pes Planus)

Metatarsalgia

Hammertoe

Sesamoiditis

Fat Pad Atrophy

Interdigital or Submetatarsal Bursitis

Calcaneal Spur Pain

Arthritis of the Toes

Ankle and Foot Areas We Specialize In

Our doctors treat highly specific pain generators within the ankle and foot using image-guided precision, including:

Ankle Structures

Tibiotalar, Talonavicular, and Talocalcaneal Joints
Lateral and Medial Ankle Ligaments (ATFL, CFL, PTFL, Deltoid)
Achilles Tendon and Bursa
Peroneal Longus and Brevis Tendons
Anterior and Posterior Tibialis Tendons
Kager’s Fat Pad
Tibial and Deep Peroneal Nerves
Talocalcaneal Ligament
Bone Structures with Edema or Non-union

Foot Structures

Plantar Fascia
Plantar Plate and Collateral Ligaments
Sesamoid Tendons and Joints
Metatarsophalangeal Joints
Tarsometatarsal, Calcaneocuboid, and Interosseous Foot Ligaments
Flexor and Extensor Tendons (FHL, FDL, EHL, EDL)
Plantar Digital Nerves (Neuromas)
Bursa and Capsular Ligaments
Liz franc ligament
Scar Tissue

Advanced Diagnostic Evaluation

At IOW, treatment starts with understanding the full picture of your ankle or foot pain. Our advanced diagnostic process includes:

Detailed physical examination
Biomechanical movement and gait analysis
Review of previous imaging (MRI, X-ray, ultrasound)
In-house diagnostic musculoskeletal ultrasound
Image-guided diagnostic injections for pain mapping

This approach helps confirm specific pain generators, so we can treat the exact structure(s) contributing to your symptoms.

Types of Regenerative Treatments We Offer

Our non-surgical, regenerative therapies promote tissue repair and functional recovery while minimizing downtime. Treatment options include:

Image-Guided Prolotherapy - stimulates ligament and tendon healing via targeted irritation
Platelet-Rich Plasma (PRP) Therapy - uses your own platelets to deliver concentrated healing factors
Bone Marrow Concentrate (BMC) Cellular Therapy - delivers stem-cell-rich marrow into damaged joints or tissues
Bursa Injections - reduces inflammation and restores joint comfort
Kager’s Fat Pad Aspiration and Hydrodissection - relieves pressure and promotes recovery around the Achilles
Nerve Blocks and Hydrodissection
Intraosseous Injections - targets bone marrow lesions in the talus, calcaneus, tibia, or fibula

When Is Surgery Needed?

Most patients who visit IOW come looking for an alternative to foot or ankle surgery and many find long-term relief through regenerative treatments. Our doctors only consider surgical referral in cases of:

Severe, unresponsive structural breakdown
Advanced joint degeneration
Failed prior surgical interventions with ongoing instability

If surgery is necessary, we provide expert consultation and guidance to help you make informed decisions, no pressure and no unnecessary procedures.

Why Choose IOW for Ankle and Foot Treatment?

Choosing IOW means choosing a regenerative, whole-body approach to orthopedic care. We offer:

Regenerative Medicine Expertise: Our doctors are leaders in orthobiologics, combining deep experience with the latest in stem cell and musculoskeletal research to guide your healing.
Non-Surgical Relief: Avoid the downtime, scarring, and risks associated with surgery
Image-Guided Precision: Every injection is ultrasound- or X-ray-guided
Holistic Treatment Plans: We incorporate lifestyle, nutrition, physical therapy, and biomechanics
Patient-Centered Philosophy: You get individualized care based on your body and goals

Whether you’re an athlete, weekend warrior, or recovering from chronic pain, we help you heal from the inside out.

Can’t find your condition on the list?

You might be a candidate. Schedule your free discovery call and let’s explore your options.

Schedule A Discovery Call!

Ankle and Foot Q&A

Why does my ankle or foot hurt?

Pain in the ankle or foot can come from strained ligaments, irritated nerves, inflamed tendons, or degenerative joint changes. These structures work together with every step, so even small imbalances can lead to widespread dysfunction.

What causes foot and ankle injuries or degeneration?

Overuse, poor biomechanics, sports injuries, past trauma, and aging are common contributors. Conditions like plantar fasciitis, arthritis, or tarsal tunnel syndrome can also develop gradually due to cumulative stress.

How do you determine the source of my foot or ankle pain?

We perform a full evaluation that includes your medical history, gait and movement analysis, musculoskeletal ultrasound, and image-guided diagnostic injections. This helps us pinpoint the exact structure causing your pain.

Is my ankle pain related to my foot (or vice versa)?

Yes, ankle and foot structures are interconnected. A problem in one area often leads to compensatory strain in the other, which is why we evaluate your entire gait and joint mechanics.

What regenerative treatments are available for the foot and ankle?

We offer PRP, prolotherapy, stem cell therapy (BMC), hydrodissection, and intraosseous injections for bone-related pain. Every treatment is delivered with real-time imaging for precision and safety.