Family Foot Care

Orchards Family Medicine is pleased to have Dr. Douglas Rutan join us.  He had previously worked in his own clinic, Family Foot Care, but found more and more of his time taken up by administrative work rather than patient care.  So he handed the administrative work off to our office and got back to taking excellent care of his patients. Call 360-567-0488 to schedule an appointment with Dr. Rutan.

Foot Care Services

Doug Rutan, DPM is a specialist in foot care and sees patients of all ages.  Dr. Rutan is an expert in treating plantar fasciitis, neuromas, diabetic foot care issues and balance issues.  He is able to provide AFO’s (ankle foot orthosis), customized orthotic shoes (sometimes referred to as diabetic shoes, but with much wider uses), and all types of custom and off-the-shelf arch and foot supports, splints, and walking boots.

Plantar Fasciitis

Plantar fasciitis is a particular interest for him.  Sometimes it is referred to as heel spurs and is felt as heel pain, foot pain, or arch pain, It is caused by a tightness in the fascia (the layer of connective tissue that is between the skin and the bones) that causes pain when inflamed.  Plantar fasciitis is often a result of a sports injury and a common occurrence in runners and walkers.  Dr. Rutan’s approach to treating plantar fasciitis is to start conservatively with bio-mechanical support (either off-the-shelf or custom arch supports), physical therapy that can be done at home and the use of a night splint in some cases.  But he also has some additional tools including Cortisone injections, (no-blades-involved) cryosurgery and extracorporeal shock wave therapy. Plantar fasciitis can be treated surgically as well, but, due to his success and expertise in the more conservative approaches, Dr. Rutan does not often find this necessary.  When necessary though, Dr. Rutan will be able to guide you through this process as well and complete necessary surgeries.


Neuromas, which are often experienced as burning in the ball of the foot or burning toes, are another of Dr. Rutan’s areas of expertise.  Neuromas can have the following symptoms:

  • Numbness, tingling, or burning in the toes or ball of the foot
  • Feels like stepping on a stone
  • Feels like there is something in the shoe by the toes
  • Feels like the socks or insoles are bunched up

Neuromas are a benign swelling or irritation of the nerve(s) in the ball of the foot. They are caused by anything as simple as a shoe that is too narrow (that’s what caused Dr. Rutan’s), repetitious small injuries from sports/walking, or a more significant injury to the foot. Conservative treatment includes arch supports and/or custom orthotics, Cortisone injections, alcohol injections, cryosurgery and, as a last resort, surgical removal of the neuroma.

Diabetic Foot Care

Diabetic foot care is often referenced, but finding a doctor willing to take the time to listen to your concerns and provide information on the necessary steps for care is difficult.  Dr. Rutan, who has diabetes himself, understands these difficulties and considers this care and education to be one of his missions.  He will provide you with education and annual foot exams (as recommended by the American Diabetes Association).  Dr. Rutan is also able to provide care for more advanced issues such as loss of balance, neuromas, and peripheral arterial disease testing as needed.

Custom Ankle Foot Orthosis

Custom Ankle Foot Orthosis (AFOs) are another of Doug Rutan’s areas of expertise.  These orthotics (just a fancy word for corrective foot gear) are warn inside the shoe and can be hinged or not based on your needs.  They are helpful in treating balance issues, ankle pain, tendon strains, foot strains, foot sprains, and ruptured tendons.