“Arthritis” means inflammation of the joint and includes the cartilage and lining of the joint. Arthritis can affect any age group but especially those over 50. Since our feet have so many joints, and avoiding all weight bearing on our feet is so difficult, it is not uncommon for people to experience arthritic pain in their feet. Symptoms may include pain or tenderness, stiffness or limited motion, swelling, and redness or heat in a joint. Early diagnosis and proper medical care are essential to limiting the damage of arthritis. Physical therapy, exercise, anti-inflammatories or injections, orthotics and even laser therapy are all options that our doctors may use to help you. Call us for help with any arthritic pain you may be experiencing.
Corns and calluses are your body’s way of protecting itself from friction or pressure, causing the skin to thicken or form a hard bump. Corns can form on the sides, tips, or tops of the toes when they press or rub against your shoes. Corns are often associated with problems like hammer toes. Calluses form on the bottom of the feet and can indicate a misaligned bone or joint or other structural issue. In many cases a corn or callus may look bad, but will improve by eliminating the source of the friction or pressure. Certain conditions, such as diabetes, can lead to a higher risk of complications from corns and calluses. Attempting to remove a corn or callus at home can damage healthy skin or cause an infection. Contact our offices if you are having ongoing issues with corns or calluses, or if they are painful or inflamed. Many times the doctor can provide relief with padding or orthotics. Orthotics can support your feet properly and direct pressure away from problem areas. At times excess skin can be removed, or injections can help relieve pain. In some rare cases surgery can correct the bone or joint issues that lead to severe corns and calluses.
Cracks and fissures are breaks in your skin that most often appear in the heel or between toes. Feet that are too dry, usually from walking barefoot or in open shoes, can cause the skin to split. These cracks may widen and be unable to heal on their own, opening it up to infection. Feet that are too moist, usually caused by wearing shoes without socks or footwear that doesn’t properly ventilate, can lead to bacteria or fungus growing. This can weaken the skin and cause it to crack, normally between the toes. The doctor can treat the bacteria , fungus or dry skin with medications or lotions. Contact us if you are suffering from any cracks or fissures.
Flat feet are the result of not having a normal arch in the feet. Young children often have flat feet when standing until the tendons in their feet strengthen. As they grow, normal arches develop in the foot. Flat feet in adults can happen for a number of reasons. Some never develop normal arches. Wear and tear can weaken the tendon that supports the arch. Certain conditions like rheumatoid arthritis, diabetes, or obesity can also contribute to having flat feet. Many people with flat feet have no pain or other problems and require no treatment. If, however, your flat feet cause you pain, your feet tire easily, or you have swelling on the inside of your feet or ankles, it is time to visit the doctor. The doctor can ease the symptoms with medication and orthotics can help give proper support. In some cases surgery may be necessary to repair damaged tendons or correct the alignment of the bones. Contact us to find out more.
Fungal problems are most commonly associated with athlete’s foot or fungal nails. Fungi is a common mold that grows best in warm, wet places. On the feet it can grow on or between the toes, soles and toenails. Fungal problems can be a result of environment, like the type of footwear, heat and humidity, or from a weakened immune system. Left untreated, fungal infections can develop into more serious bacterial infections which may require antibiotics to treat. Athlete’s foot can spread in areas where people usually go barefoot, like in locker rooms or public pools. The condition can range from scaly, itchy feet to inflammation and blisters. Fungal nails can result from the spread of fungal infections like athlete’s foot, from using nail polish or artificial nails, or from injury to the nail. The nails may become thick and discolored, painful or inflamed. There are many forms of treatment for fungal problems. Schedule an appointment with one of our doctors to see how they can help.
Ganglion cysts are fluid-filled lumps that form along the tendons or joints of the feet and ankles. They can very in size from that of a pea to an inch in diameter. Repeated irritation can cause the lining of a joint or tendon to weaken leading to ganglions. Ganglions can form with no symptoms, but if the ganglion puts pressure on nearby nerves they can be painful. They can also interfere with joint movement. It is not uncommon for a ganglion to change in size. Your doctor can drain the ganglion but there is a chance it could recur. There are other options to ease the symptoms of a ganglion, but if it is causing ongoing or severe pain, surgery may be recommended.
Gout is caused by having too much uric acid in the blood. Uric acid is normal in the blood, but if the levels get too high, the uric acid can form hard crystals that collect in joints. A gout attack most often comes on suddenly, at night, causing a hot, painful feeling usually in the joint of a big toe. Gout attacks can last any where from a few hours to a few weeks. It is important to see a doctor even if symptoms subside. Left untreated, gout attacks can return, and the lingering high levels of uric acid can harm your joints. Fortunately, gout is treatable. Medications and dietary changes can relieve pain and prevent future problems.
Hammer toes refer to a buckling, or curling of any of the toe joints. Usually, they occur in the middle joint of the second, third, or fourth toes. They happen when there is a muscle imbalance or overly tight tendons. Hammer toes can be a result of genetics, arthritis, and improperly fitting footwear. The toes can become painful or rigid, and corns can develop from rubbing on the tops of your shoes. A hammer toe can be either flexible or rigid and treatments usually vary accordingly. Contact our offices to see how we can help relieve the pain and discomfort associated with hammer toes.
Neuromas are painful growths of nerve tissue that most commonly occurs between the third and fourth toe bones. Neuromas form when the nerve is rubbed or pressed against and becomes irritated. Pressure from tightly fitting shoes, abnormal foot structure, or repeated stress can bring about a neuroma. Neuromas can cause pain, burning, numbness or tingling, and a sensation of tightness. The doctor may help relieve the symptoms of a neuroma with orthotics, roomier shoes, or injections to reduce inflammation. In some cases neuromas can be surgically removed or injected with an alcohol solution to permanently numb the nerve.
Peripheral Artery Disease (PAD) is a condition normally caused by atherosclerosis, or arteries that narrow and harden, leading to restricted blood flow in the legs and feet. Smoking, high blood pressure, high cholesterol, and lower activity level can all lead to having PAD. Diabetics are especially at risk. Individuals with PAD may have intermittent pain, usually in the calves, brought on with exercise. They may also notice skin that is shiny on the legs and feet, loss of hair on the legs and feet, wounds that are slow to heal, legs that are cooler than arms, and a fainter pulse in the feet. Testing for PAD can be simple and painless and the treatment can vary depending on the severity of the PAD. Contact us to see if you might be at risk for PAD.
Peripheral Neuropathy results from damage to nerves that can prevent them from working properly. It is most common in diabetes, affecting the feet and legs, but can be caused by a number of other factors. Peripheral Neuropathy is associated with numbness, burning or pain, a tingling or feeling of “pins and needles”, or the feeling of wearing invisible socks. Symptoms will usually start in the toes and progress towards the ankles and even up the legs. Loss of feeling in the feet can increase the chance of injury without being aware of it. Diabetics are especially at risk as even small injuries can lead to serious infection. For those with Peripheral Neuropathy, regular foot inspections are a must. Having regular foot care performed can also help identify problems before they get out of hand. Treatment for neuropathy can range from nutritional supplements and exercise to physical therapy. MLS laser can also help ease the symptoms of Peripheral Neuropathy.
The Plantar Fascia is a ligament that runs from your heel to the ball of your foot. Normally the connective tissue is stretched and helps maintain the arch of the foot. However, if they plantar fascia is overly stretched, it can start to become inflamed and begin to fray. Poor foot mechanics is often to blame. Rolling the foot inward while walking, having high arches or flat feet , or being on your feet for prolonged periods of time can all contribute to plantar fasciitis. Heel spurs or bursitis can also be associated with plantar fasciitis. With plantar fasciitis the bottom of the foot may hurt when standing, especially after long periods of rest, like mornings, or after prolonged movement, and may ease after a few steps. Custom orthotics can help correct the poor foot mechanics that lead to plantar fasciitis. Medications can also help alleviate symptoms. Sometimes surgery can help correct the issue by lengthening the plantar fascia. Contact our offices if you have persistent heel pain.
Tendonitis is when tendons become inflamed. Tendons attach muscle to bone, and overusing muscles can strain a tendon. As the tendons are strained, they can become inflamed and the fibers of a tendon can begin pulling apart. Different areas of the foot may hurt depending on which tendon is inflamed. At first, tendonitis may cause pain only during or after exercise. As the tendon becomes more damaged, the pain may occur while walking or even just standing. Icing and resting may be enough for less serious issues. If tendonitis persists, medications and eventually physical therapy may be necessary. The doctor may need to inject near the site of pain. Laser therapy may also help reduce inflammation. Proper footwear and avoiding overuse can help prevent tendonitis. If you are suffering from tendonitis, contact us for help.
Ulcers can appear on the feet due to pressure and friction. Those forces can cause a blister, which can become infected, or a corn or callus. If a corn or callus grows, it can begin pressing into the foot and kill healthy tissue. Cracks and sores can form, allowing for bacteria to enter the body and cause infection. Infection cause more healthy tissue to die and an infected ulcer can begin to drain and have a bad odor. Poor circulation can also lead to ulcers. Diabetics are at a higher risk due to difficulty in healing and fighting off infection. Diabetic neuropathy, or a loss of feeling, can make it difficult for a diabetic to notice pressure spots or small sores and cracks that can quickly become infected and turn into ulcers. Checking your feet daily can help prevent ulcers. Your doctor can help resolve smaller issues before they become ulcers. If you have an ulcer, the doctor may need to clean it by removing dead tissue. Orthotics or custom shoes can help divert pressure from sore spots allowing them to heal. Medication to fight infection may also need to be prescribed. Surgery may be necessary if the infection has become serious. Contact us for more information.
Warts are infections caused by a virus. They can often be confused with corns or calluses. Warts can grow on their own or in clusters. As a wart grows, it can become painful, like walking on a pebble. Left unchecked, they can grow to a inch in size and can spread to other parts of the body. Warts can persist for years and can recur in the same spot after going away. There are several forms of treatment for warts depending on their size and location. Medications can be used as well as surgical removal. Contact our offices for help in removing warts.
Bryan graduated from Stetson University, a small private university located north of Orlando, with a Bachelors degree in Accounting. He worked at One Stop Cooling & Heating in Orlando as their Chief Financial Officer for nearly 7 years until moving to Olympia in early 2019. He moved to Olympia so that he can enjoy the beautiful environment and all of the rainy days.
With just under a decade of experience in the HR field. Marta Bushay serves as the HR Coordinator, Co-leading the HR team for FASA Family Wellness.
Marta offers a unique blend of leadership, vision and Knowledge of the HR world. She has helped increase productivity through implementing policies and procedures and employee growth and satisfaction.
Marta has a diverse HR background and is a subject matter expert in the areas of HR administrative, HR compliance, handbook development, policy and procedures, reviews and updates, employee relations issues and training and development.
Prior to taking on her current role with FASA. Marta spent the first 7 years of her career serving as an Hr Manager for the Olympia Toys,r,us in Washington State. There she provided strategic HR support and acting as a team mentor.
Marta earned her HR Business Professional Certification in November 2019. She is currently working on receiving her SHRM Certification as well as completing her Global Professional HR Certification.
She resides in Tumwater, WA, with her three children Zander, Romen and Scarlett
Destini is born and raised in Washington state. She is currently pursuing her bachelors degree in elementary education to follow her dream of becoming an elementary school teacher. Helping and bonding with children is one of her passions. She began working at Foot and Ankle Surgical Associates as a receptionist, but found herself helping in the marketing department more and more and eventually fell for the work related to the department. You may see her driving around in the FASA foot car, popping into local offices regularly or maybe at a local event. She rarely sits still! She just welcomed a beautiful baby girl to the world and has been enjoying spending time as a family with her husband, daughter and golden retriever, Diamond.
I’m from Olympia born and raised, I graduated from Olympia High School and did my PTA program up in Bellingham at Whatcom Community College. I decided to get into physical therapy after injuring myself and becoming interested in healing people as a career. When I’m not nerding out on Marvel Comic books, my hobbies include skateboarding, snowboarding, hiking, camping, really anything being outdoors and active; injuries are nothing new to my friends and I! Physical therapy has and continues to be a fun and fascinating world that I continue to learn and grow from every day. I love our FASA team here and am excited to be part of our family.
Kali Beaird graduated from the Massage Studies program at Clover Park Technical College in 2008. She worked at Chiropractic offices for 8 years before joining FASA in 2016.
Kali incorporates a relaxing environment and touch with deep tissue treatment to areas of concern while treating other muscles that could be contributing to the problem. She specializes in injury treatment with years of experience treating patients with chronic back pain, migraines, surgeries and more.
In Kali’s spare time she enjoys gardening, cooking and home renovation projects. She also teaches continuing education to massage therapists. Kali lives in Tumwater with her son and daughter.
As the CEO of FASA Family Wellness, Joelene is responsible for the strategic growth and innovation of the company. Joelene came on board in 2014 to create the foundation for Foot & Ankle Surgical Associates to grow and help more patients, not only in expanding podiatry but also in areas that serve the wellness of the entire patient like physical therapy, family practice, nutrition and massage and in 2015 FASA Family Wellness was born.
Since joining FASA Family Wellness she has succeeded in growing the company by 103%. Her strategic plans for the company moving forward is providing a world class patient experience by achieving operational efficiencies and continually investing in the staff and the community.
Joelene believes that investing in the lives of others ultimately positively affects the bottom line of business.
Joelene has a proven executive management track record and over 20 years of experience in the leadership field. Prior to joining FASA Family Wellness, Joelene worked in the health and wellness field with a history in Human Resources and regulatory compliance.
Joelene is a Washington native with three amazing grown children. In her spare time, she has a passion for mentoring incarcerated youth and youth at risk. For fun she loves the lake life of wake surfing, paddle boarding and enjoying the sunsets, when there is no sun to be found you can find her on the slopes, hiking or traveling to the sun.
Doctor Saleh is a highly energetic and motivated foot and ankle surgeon with over three years of practice under his belt. With his captivating personality and motivation to succeed, he has a remarkably promising future in medicine. He finished his three-year Podiatric Medicine and Surgical residency in Harrisburg, Pennsylvania, and is coming up on his 1 year anniversary at Foot & Ankle Surgical Associates.
Not only is he board eligible in foot and ankle surgery, he is also impressively certified in Hyperbaric Oxygen treatment. In addition, Doctor Saleh carries prestige certifications in microvascular surgery from the Cleveland Clinic, and advanced lower extremity orthopedics from the Rubin Institute.
With Foot & Ankle Surgical associates recent PIE partnership with the North Thurston school district Dr. Saleh has also been avidly working with students as a coach and mentor for those interested in entering into the medical field.
When Doctor Saleh is not working towards his career in medicine, he embraces his love for traveling and experiencing what the world has to offer. He is also avid in his physical health, proudly entering in competitive weightlifting competitions.
He is an extremely determined, caring, and patient-driven person. Foot & Ankle Surgical Associates is lucky to have such an ambitious and talented team member like Doctor Saleh.
Born and raised in Colorado, Doctor Lundborg has had a lifelong passion for medicine. Over the course of the last four years, he has successfully performed well over 1,300 surgeries in areas such as diabetic wound care, forefoot and bunion procedures, and trauma and reconstruction. He is adamant in giving every one of his patients the best solutions to ensure their confidence that they are in the best care.
After earning his Integrative Physiology Degree from the University of Colorado at Boulder, he shadowed a wide variety of experienced physicians, where he ultimately gravitated towards foot and ankle specialization as his desired career path.
Doctor Lundborg received his Doctor of Podiatric Medicine Degree at the Temple University School of Podiatric Medicine, where he proudly graduated at the top of his class. In order to complete his residency training, he traveled to Boston, where he spent three years focusing on trauma and reconstructive surgery at Beth Israel Deaconess Medical Center, a teaching hospital of Harvard Medical School.
Doctor Lundborg is an extremely hard-working individual and always looking to better himself. However, to make sure he is able to thrive every day with recharged batteries, he invests time into his other interests. In this spare time, he happily spends it with his wife and dog as well as enjoying diverse outdoor activities such as golfing, hiking and skiing.
It is no secret that Doctor Lundborg is an excellent care provider, with a wide array of experience adding to his diversity as a foot and ankle surgeon. Though he is fully capable of handling any challenge, his favorite cases are flatfoot and cavus reconstructive surgery, trauma, sports medicine, biomechanics, and diabetic foot ulcers. When you come to Foot & Ankle Surgical Associates, you can be confident that your needs and expectations will be exceeded with a patient-focused person like Doctor Lundborg.
Originally from Chicago, Illinois, Doctor Dang is a podiatric physician that has been proudly practicing medicine in the Northwest for over 13 years. He has a variety of specialties that patients can benefit from, which include wound care, pediatrics, and foot and ankle reconstruction. With his skill and experience he ensures each and every patient’s needs are met completely.
Doctor Dang always knew he wanted to become a surgeon someday. To make this passion come to life, he started his journey by graduating from Dr. Scholl Podiatric Medical School at Finch University/Chicago Medical School in 2004. Upon earning his degree, he decided to relocate to the Northwest, where he successfully completed a three-year foot and ankle reconstructive surgical residency. During this time, he also impressively served as a chief resident for two out of those three years.
When not in the office or focusing on his work, Doctor Dang immerses himself in the outdoors, participating in sports and other activities that involve fresh air. His love for being outdoors and rigorous sports also sparked his special interest in sports medicine and becoming proactively involved in community services. It brings him great joy to be able to serve the community with his podiatric services and humanitarian efforts. Doctor Dang has a monumental aspiration to start his own non-profit canine sanctuary and rehabilitation center in the future.
Doctor Dang is excited and looking forward to becoming an integral part of the Foot & Ankle Surgical Associates involvement in the community. He is always learning and avidly improving himself professionally and personally to enhance his skills in order to give his patients the best experience they can possibly have.
Doctor Duncan brings his physical therapy expertise to enhance every patient’s experience at Foot & Ankle Surgical Associates. He has worked with innumerable physical therapy situations and firmly believes that every patient deserves to reach the highest level of clinical outcomes.
In 2001, Doctor Duncan graduated from Creighton University, where he successfully earned his Doctorate Degree in Physical Therapy. Afterwards, he decided to relocate to Washington State to begin his career as a physical therapist at Riverside Nursing Home in Centralia. This is when Doctor Duncan first met Doctor Hess and started to form their working relationship, bounded by mutual respect for patient care.
While in Centralia, Doctor Duncan started to work for Foster Farms in Kelso, treating all work-related injuries for those who were employed there. Later, he started working for Costco in Tumwater, providing similar services.
In 2003, Doctor Duncan took on a new journey and opened a clinic called Physiotherapy Associates, where he was proudly the clinic director who provided orthopedic outpatient physical therapy for his patients. What makes this so ironic is that his clinic was directly across the parking lot from Doctor Hess’s prior clinic, which only sharpened their patient-focused relationship.
In 2010, Doctor Duncan decided that he wanted to be a part of the Foot & Ankle Surgical Associates team, expanding his practice at what he believes is the best association for communication between physical therapists and doctors in the area. In addition, on the weekends, Doctor Duncan started working at Shelton’s Mason General Hospital, where he provides care to the patients there.
Doctor Duncan is incredibly diverse and willing to take on any challenge he faces with confidence and determination. His philosophy is to provide every patient with individual care while obtaining the highest level of manual therapy and therapeutic exercises so they can return to their healthy lifestyles.
Born and raised in Lacey/Olympia, WA, Doctor Bowles is extremely patient-driven and actively demonstrates his passion for foot and ankle surgery. With his extensive background he gives every patient a positive experience when they come to Foot & Ankle Surgical Associates.
After graduating from North Thurston High School with honors, Doctor Bowles attended Brigham Young University, successfully obtaining his Bachelor’s Degree in Biology with a minor in Chemistry. During this time, he also actively served at his church in Buenos Aires, Argentina. For two years, he was able to help the community there and become fluent in Spanish.
Doctor Bowles has always shown a particular interest in Biomechanics and Pathology and knew he would choose a career in medicine. Initially, he had his eye on becoming a Dentist and almost attended dental school instead.
While studying for his Dental Admission Test, Doctor Bowles had the opportunity to work at Foot & Ankle Surgical Associates as a back-office assistant. During this position, he had the fantastic opportunity to travel to Nicaragua for a medical mission. This gave him the ability to observe surgical practices and methods, which drove him down a new inspirational path to become a surgeon himself. With his new career mission in sight, he quickly started his education at the Temple University School of Podiatric Medicine, where he proudly achieved his Doctor of Podiatric Medicine Degree.
It is not all work and no play for Doctor Bowles. During his downtime, he enjoys attending musicals and symphonies quite frequently. He is also an avid hiker, embracing the outdoors and challenging himself to a variety of different terrains.
Doctor Bowles has a significant background that helped shape him to become the incredible foot and ankle surgeon he is today. He is extremely compassionate and is always provides excellent service to each and every one of his patients.
Prior to joining Foot and Ankle Surgical Associates, Dr. Huebner was in Great Falls, Montana. Dr. Huebner has his undergraduate degree from the University of Illinois, with a B.S. degree in Physiology, where he had a full scholarship for football. He then attended the Scholl College of Podiatric Medicine, earning his DPM degree. After completing a residency in foot and ankle surgery at St. Anne’s Hospital West in Northlake, IL, he practiced in the suburbs of Chicago for two years. He then moved to Great Falls, MT, where he practiced for twenty three years. While in Montana, he served on the Board of Medical Examiners for eight years by appointment from the Governor. He is board certified in foot and ankle surgery by the American Board of Podiatric Surgery. He is a Fellow in the American College of Foot and Ankle Surgery, and maintains active memberships in the American Podiatric Medical Association and state affiliates.
Former president of the Washington State Podiatric Medical Association, and serving on the board of trustees for the Podiatric Association for eight years, Doctor Burghardt is an excellent board-certified physician and surgeon. He is not only extremely proficient in his field, he always ensures to put his patients first to come up with the best treatments for their needs.
Doctor Burghardt began his career by earning his Bachelor of Science Degree in Microbiology at the University of Washington. From there, he enrolled in Podiatric Medical School in San Francisco, proudly graduating with honors. To complete his training, he went to the University of Southern California Medical Center and Whittier Medical Center, where he became a specialist in foot and ankle reconstructive surgery and diabetic foot care.
Doctor Burghardt established his own private practice at Foot & Ankle Surgical Associates at the Tumwater location, providing incredible service to everyone who consults with him. Though he enjoys all of his patients, his favorite area of interest is treating and assisting athletes. This passion stems from his athletic children, who immensely inspired him to go down this specialized route.
In addition to his dedication to medical practice, Doctor Burghardt is a travel enthusiast, avidly preparing and hosting lectures to physician groups, nurses, and non-medical groups to enlighten them on diagnosis and treatments regarding foot and ankle problems. He thoroughly enjoys sharing his knowledge and opening the doors to brainstorming with other Podiatrists on seeking out perfect and customized solutions for difficult cases.
Patients describe Doctor Burghardt as a caring, enthusiastic, and extremely motivated person. His intensive background with surgical procedures and personality make him a perfect person to thrive at Foot & Ankle Surgical Associates. He is always pushing himself to improve and actively seeks out innovative ideas to make excellent treatment options for his patients.
Since 1995, Dr Hess has dedicated his time and fed his passion for Podiatric Medicine in the Northwest to improve the lives of his patients, staff and the community.
Doctor Hess started his career by obtaining his degree in Pharmacy at the University of Washington. He diligently worked in the pharmaceutical industry for three years before discovering that becoming a Podiatrist was his real desire in life. In 1992, he graduated from California College of Podiatric Medicine in San Francisco with honors. Continuing his career path, Doctor Hess flourishingly completed his residency training, specializing in foot and ankle surgery at Lakewood Regional Medical Center and Kaiser Foundation Hospital in Portland, Oregon. He then finished out strong and perfected his abilities at Harborview Medical Center, which gave him the drive to establish Foot & Ankle Surgical Associates in 2002.
As the years went by, Doctor Hess’s private practice has only grown and expanded, with now impressively containing six offices in Tumwater, Centralia, Yelm, Olympia, Tacoma, and Lacey Washington. In addition, he now has seven exceptional Podiatric Physicians working with him to ensure every patient has a positive experience.
Doctor Hess not only dedicates his time to his practice, he also is avid in helping and preparing other Podiatrists to understand the evolving and upcoming healthcare transitions. Throughout his career, he has shared his knowledge by giving numerous lectures to physicians, nursing groups, and patients to shed light on foot and ankle pathologies and treatment options. During this time, he also embraced his love for traveling, frequently heading to Central America on surgical mission trips in El Salvador and Nicaragua.
When Doctor Hess is not on duty, he enjoys engaging in water and snow sporting activities, travelling and working on his collection of cars. He also loves spending time with his children, making sure to seize every moment to create beautiful memories with them.
Doctor Hess is passionate about what he does and always puts his patients first. Between his extensive skill set and experience, you will undeniably be in excellent hands with him.