Why does my heel hurt the most when I get out of bed in the morning?

Morning heel pain is often linked to plantar fasciitis, a common condition caused by inflammation in the foot’s arch. A podiatrist can help with long-term relief.

Do I need a podiatrist or an orthopedist for foot pain?

Podiatrists are foot and ankle specialists trained to treat everything from skin and nail issues to complex injuries and surgery. NES offers both podiatry and orthopedic care, depending on your needs.

Can a podiatrist help with broken toes or foot fractures?

Yes. NES podiatrists diagnose and treat foot and ankle fractures, offering imaging, bracing, casting, or surgery — all in-house.

How long should I wait before seeing a podiatrist for foot or ankle pain?

If your pain lasts more than a few days or keeps coming back, it’s time to see a podiatrist. NES offers same- and next-day appointments.

Who is the closest podiatrist who can see me today for ankle pain?

NES has multiple Portland-area podiatry locations and often offers same-day appointments. Use our booking tool to find the nearest available provider.

Foot Surgery Portland: Impact on Your Health Decisions

Is Now the Right Time for Foot or Ankle Surgery?

If your podiatrist recommends surgery for a painful foot or ankle condition, you may hesitate to schedule the procedure. After all, you’ve managed the discomfort for some time—so what’s the harm in waiting?

However, timing plays a crucial role in your recovery and long-term outcome. Several factors, including age and existing health conditions, can affect the success of foot and ankle surgery. Understanding these considerations can help you make the best decision for your health and mobility.

Why Sooner May Be Better

For many patients, earlier surgery leads to better results. Conditions such as bunions, heel spurs, hammertoes, and neuromas often appear in your 40s or 50s. While symptoms may be manageable now, these conditions worsen over time, leading to increased pain and complications.

The Benefits of Early Surgery

Faster recovery – Younger, active individuals tend to heal more quickly.
Lower risk of complications – Delaying surgery can lead to joint deterioration, nerve damage, or foot deformities.
Easier rehabilitation – Physical therapy and post-surgical recovery are more effective when your body is stronger and more adaptable.

According to the American Orthopaedic Foot & Ankle Society (AOFAS), delaying necessary surgery may increase joint damage and limit treatment options later in life.

If you wait until the pain becomes unbearable, your overall health may decline, making surgery riskier and recovery more difficult. Many patients delay procedures due to busy schedules, but taking action now can prevent severe mobility issues later.

Health Conditions That Increase Surgical Risks

Even if you’re relatively young, certain underlying health conditions can make surgery riskier. These conditions don’t necessarily rule out surgery, but proper management is essential for a safe and successful procedure.

Conditions That Require Special Consideration

1. High Blood Pressure

Risk: Increases the chance of a heart attack or stroke during surgery.
Solution: Keep blood pressure below 120/80 through medications and lifestyle changes.

2. Diabetes or Pre-Diabetes

Risk: Poorly controlled blood sugar raises the likelihood of infection and slow wound healing.
Solution: Maintain blood sugar levels below 200 mg/dL before surgery by working with your doctor or endocrinologist.

3. Heart Disease

Risk: Coronary artery disease reduces blood flow to the heart, increasing the likelihood of surgical complications.
Solution: Consult a cardiologist to evaluate surgical risks and optimize heart health before your procedure.

4. Obesity (High BMI)

Risk: A BMI above 40 increases the risk of blood clots, infections, and anesthesia complications.
Solution: Gradual weight loss before surgery can improve surgical outcomes and reduce joint strain.

5. Smoking or Vaping

Risk: Nicotine use delays healing and increases the risk of infections, pneumonia, and blood clots.
Solution: Stop smoking at least four to six weeks before surgery to improve oxygen circulation and recovery.

6. Lung Disease

Risk: Conditions such as asthma, COPD, and pulmonary fibrosis increase the risk of post-surgical breathing issues and pneumonia.
Solution: Work with a pulmonologist to ensure lung stability before surgery.

According to the Mayo Clinic, properly managing pre-existing health conditions before surgery can reduce risks and improve recovery outcomes.

Taking Control of Your Health Before Surgery

Many of these risk factors are within your control. Improving your overall health before surgery can enhance recovery and reduce complications. If you have heart or lung disease, working with your primary care physician or specialist ensures surgery is as safe as possible.

If foot or ankle pain affects your mobility and quality of life, delaying surgery may not be the best option. However, taking time to optimize your health before the procedure can lead to a smoother recovery and better long-term results.

At Northwest Extremity Specialists, our experienced surgeons will guide you through every step, ensuring you receive the best possible care.

📞 Call 503-245-2420 today to schedule a consultation at the nearest Portland-area office. Let’s take the next step toward pain relief and improved mobility!

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