General Practitioners

• Warts
• Arthritis
  Metatarsal Surgery: Surgery on the long bones of the feet behind the second, third, fourth, and fifth toes is performed for a variety of reasons but is commonly performed to redistribute the weight bearing on the ball of the foot.  In some severe cases, such as rheumatoid arthritis, surgery may involve removing the metatarsal heads (the bones in the ball of the foot area).
• Fibromyalgia
• Plantar Fasciitis
  • “Just a two person office with Ava and Dr. Hoy but they do a great job. Since most podiatrists are booked for weeks to months I was happy when Ava put me on the waiting list and then got me in within a week. Dr. Hoy diagnosed my plantar fasciitis and got me on a path back to running.” -Mark P., 8/11/2022
• Pediatric Care
  Our practice treats the simplest to the most complicated foot and ankle conditions, for all ages from pediatrics to geriatrics.  The sheer complexity of the human foot makes it a frequent cause of pain and injury for many people.  Deformities, infections, injuries and arthritis of the foot and ankle can severely and unnecessarily limit a patient’s quality of life.  Any time you experience foot or ankle pain or injury or a change to the condition of your feet or ankles, it’s appropriate to see us for specialized care.
• Primary Care
  Full knowledge of your condition and options allows you to make an informed treatment decision.  A new patient visit to identify the condition and discuss all treatment options.  We will discuss goals and expectations, especially with severe deformities or end stage disease.  If surgery is needed, Dr. Hoy will explain fully what is involved, risks and benefits as well as recovery.  If hospital surgery is indicated, an overview of the surgery is discussed and x-rays taken if necessary.  A formal surgery consult with signing of consent forms will be performed on the next visit.  Dr. Hoy will then work with your primary care physician to make sure you are healthy enough for surgery.  He will also prepare you for surgery perioperatively, guiding you through all your questions throughout the healing process to ensure the best outcome possible, to increase mobility and activities.
• Family Practice
  The specialists in the foot and ankle, podiatrists complete four years of podiatric medical school, followed by a multi-year, compulsory, hospital-based residency.  Dr. Hoy’s training was based at the University of California San Francisco/Stanford University Medical Center.  Committed to excellence and education, Dr. Hoy is a Clinical Associate of the University of Washington School of Medicine.  He has been instructing residents of the Swedish Cherry Hill Family Medicine Residency Program since 2005.  His practice involves care is a variety of settings.
• Emergency Care
  2. A podiatrist can treat urgent foot conditions. Urgent care is great for a minor ailment or injury, but it’s not right for every condition. For chronic foot or ankle pain, fractures, or other traumatic injuries, see a podiatrist, your foot and ankle specialist, for the right diagnosis and a proper treatment plan to get you on the mend, and feel better faster!  Oftentimes, in the emergency department, a podiatrist is called for a foot and ankle problem.  For urgent conditions involving the foot and ankle during business hours when a podiatrist is available in their office, it may be more efficient to be seen by a specialist right away.
• Diabetic Foot Care
  Limb preservation means preventing loss of foot and amputation by performing various preventive and surgical treatment modalities in the at-risk foot, including taking care of thick nails, calluses, corns, ulcers, wounds, infections and gangrene.  With urgent appointments available, Dr. Hoy provides diabetic foot care, wound care and limb preservation services in Seattle.  Dr. Hoy has worked extensively with at-risk patients (e.g. geriatric patients, patients with diabetes, poor circulation and nerve sensation, Hansen’s Disease, Buerger’s disease).  We start with providing foot care who are at-risk with peripheral vascular disease, peripheral neuropathy or pain.  The scope of services would be a complete evaluation and management of the feet for all foot and ankle issues on a regular basis.
• Electrocardiogram
  As with any type of surgical procedure, those undergoing foot or ankle surgery require specific tests or examinations before surgery to improve a successful surgical outcome.  Prior to surgery, Dr. Hoy will review your medical history and medical conditions.  Specific diseases, illnesses, allergies, and current medications need to be evaluated.  Other tests that help evaluate your health status may be ordered, such as blood studies, urinalysis, EKG, X-rays, a blood flow study (to better evaluate the circulation of the foot and legs), and an examination of the structures of your feet while walking.  A consultation with another medical specialist may be advised, depending on your test results or a specific medical condition.

Internists

• Internal Medicine
  US-trained podiatrists have complete rotations through hospital departments and full exposure to all pathologies in the major areas of medicine during residency, including emergency medicine, orthopedic surgery, general surgery, anesthesia, radiology, pathology, infectious disease, endocrinology, sports medicine, physical therapy, biomechanics, geriatrics, internal medicine, critical care, cardiology, vascular surgery, psychiatric and behavioral health, neurology, pediatrics, dermatology, pain management, wound care and primary care.

Neurologists

• Neurology

Psychiatrists

• Behavioral Health
• Anxiety

Endocrinologist

• Diabetes Care
• Endocrinology

Radiologist

• Ultrasound
  Additional tests may include blood work, MRI, ultrasound, or arthrocentesis (removal of fluid from the bursae), particularly if an infection and/or gout is suspected.
• MRI
  Your podiatrist will ask you some questions about your pain and general health and perform a complete physical examination of your feet and ankles. X-rays or an MRI might be ordered to rule out any other problems, such as a fracture or torn tendon.
• Radiology
  During the third and fourth years, students concentrate on courses in the clinical sciences, gaining experience in the college clinics, community clinics, and accredited hospitals. Clinical courses include general diagnosis (history taking, physical examination, clinical laboratory procedures, gait analysis, biomechanics, and diagnostic radiology), and therapeutics (pharmacology, sports medicine, physical medicine and rehabilitation, orthotics, shoes, and prosthetics, surgery and anesthesia).  Other courses include general medicine, pediatrics, women’s health, research, ethics and jurisprudence.
• X-Rays
• Chemotherapy

Surgeons

• General Surgery
  We are not taking new facilities at this time.  To enroll a patient residing in a facility Dr. Hoy currently serves for podiatric medical and surgical services, please click on the button above for the forms.  Please fill out the forms
• Orthopedics
  During the years spent in residency Dr. Hoy received hands-on experience in many relevant specialties of medicine.  A residency is comprised of many rotations.  A rotation is a block of time, at least one month in length, spent with a team of physicians on a particular service, or specialty, of the medical center.  Some of the services through which Dr. Hoy rotated include Inpatient Medicine, Vascular Surgery, Hand and Plastic Surgery, Pathology, Anesthesiology, Pediatric Orthopedics.  Podiatric residents also ran their own Foot and Ankle service at the various hospitals.
• Wound Care
  A podiatrist can prescribe antibiotics and perform surgery. When a person has a wound on their foot, it is important to see the podiatrist.  The problem is in most areas of the foot and ankle, unlike the abdomen or the arm, the skin is very close to the bone.  For diabetics or people with poor circulation especially, it is very easy to get an infection that goes into the bone.  A podiatrist is trained to treat wounds, and delegate to a wound care center if needed.  Podiatrists have an understanding of biomechanics to determine proper weightbearing status.  Additionally, they can also treat infections with antibiotics or urgent or emergent surgery if needed.
• Ankle Surgery
  • The Swedish Cherry Hill Wound Healing Center in Seattle, where Dr. Hoy worked as an attending podiatrist, supervising Foot and Ankle Surgery Residents.
• Bunion Surgery
  Bunion Surgery: There are many different types of bunion surgery depending on the severity of the bunion and the joint involvement.  Dr. Hoy can explain the bunion procedure that is most appropriate for your bunion.  Depending on the surgical procedure, the recovery time can be very different—particularly if you need to be on crutches after the surgery or in a cast.
• Metatarsal Surgery
• Orthopedic Surgery
• Bunions
  Dr. Hoy is on staff at Swedish Medical Center, Ballard campus, one of the finest hospitals in the Seattle metropolitan area, where he performs outpatient hospital surgery and treats patients in the inpatient hospital setting.
• Gangrene
• Toe Surgery
• Heel Surgery
• Vascular Surgery
• Ingrown Toenails
  Pediatric patients often have foot and gait abnormalities that make it painful to play.  They may also have skin conditions such as warts and ingrown toenails.
• Reconstructive Surgery
  Reconstructive Surgery: Reconstructive surgery of the foot consists of complex surgical repair(s) that may be necessary to regain function or stability, reduce pain, and/or prevent further deformity or disease.  Unfortunately, there are many conditions or diseases that range from trauma to congenital defects that necessitate surgery of the foot.  Reconstructive surgery in many of these cases may require any of the following: tendon repair/transfer, fusion of bone, joint implantation, bone grafting, skin or soft tissue repair, tumor excision, amputation, and/or the osteotomy of bone (cutting of bones in a precise fashion).  Bone screws, pins, wires, staples, and other fixation devices (both internal and external), and casts may be utilized to stabilize and repair bone in reconstructive procedures.

Plastic Surgeons

• Plastic Surgery
• Hammertoe Surgery
  • “Dr Hoy provides concise information sheets written by the American College of Foot and Ankle Surgeons on topics of concern in his waiting rooms. I was able to educate myself and formulate my questions before our meeting. He cleared up some confusion that I had from other podiatrists who don’t listen as thoroughly and explain things as well as Dr Hoy. I appreciated being able to see models of the types of orthotics that Dr Hoy molds himself and to see the foot anatomy photo on the wall to get more of an idea as to what happens during the hammertoe surgery. The classical music that plays in the background is calming when one is in pain and uncertain as to what step to take next in handling a complex chronic foot challenge that also includes both plantar fasciitis and a neuroma. Dr Hoy isn’t pushy about any of the services that he provides. Ava does a great job with gathering all the paperwork and taking care of the business details in a friendly efficient fashion.” -Laura D., 3/7/2022

Dermatologists

• Skin Cancer
  Skin cancer can develop anywhere on the body, including in the lower extremities. Skin cancers of the feet have several features in common. Most are painless, and often there is a history of recurrent cracking, bleeding, or ulceration. Frequently, individuals discover their skin cancer after unrelated ailments near the affected site.
• Dermatology
• Corns
• Ulcer
  Wounds and ulcers that will not heal can lead to serious complications. Getting proper treatment from our experienced Seattle podiatrist is critical.  As a leading Seattle diabetic foot and wound care specialist, Dr. John Hoy can properly examine, diagnose and treat a large variety of wounds such as diabetic wounds and ulcers, infected wounds, pressure ulcers and arterial ulcers with the best possible solutions.  If you have a wound or ulcer that worsens over time or seems slow to heal, it is important to visit Dr. Hoy for a complete diagnosis.
• Calluses
  Senior adults may have underlying vascular disease or neuropathy where self-care with nails, calluses can develop into dangerous infections.
• Eczema
  Squamous Cell Carcinoma: Squamous cell carcinoma is the most common form of cancer on the skin of the feet. Most types of early squamous cell carcinoma are confined to the skin and do not spread. However, when advanced, some can become more aggressive and spread throughout the body. This form of cancer often begins as a small scaly bump or plaque, which may appear inflamed. Sometimes there is a history of recurrent cracking or bleeding. Occasionally it begins as a hard projecting callus-like lesion. Though squamous cell cancer is painless, it may be itchy. Squamous cell cancer may resemble a plantar wart, a fungal infection, eczema, an ulcer, or other common skin conditions of the foot.
• Fungus
  Proper foot hygiene is also important. Making sure that you always have clean, dry socks on can be a major deterrent to many different problems, including bacterial infections, foot odor, and certain types of fungus. Wet feet are a major cause of many of these problems.  If your socks get wet, it is important to change them. Walking around in wet socks may not only lead to various infections, but can irritate the skin and result in a number of various complications. Clean, dry feet are less likely to be affected by fungal and other infections.
• Lesions
  Skin lesions need to be identified and treated.  Many skin, nail, callus and corn conditions are treated with medications or simple surgical procedures.  This is done as part of a medical evaluation and management service.  We obtain a thorough medical history to include medical conditions and medications, perform a thorough medical examination of the feet and ankles, and discuss any findings as applicable.
• Rashes
• Skin Care

Physical Therapists

• Sports Medicine
  Professional Organizations. Dr. Hoy is a Fellow of the American College of Foot and Ankle Surgeons (member since 2002). He is a member of the American (since 2001) and Washington State (since 2004) Podiatric Medical Associations, serving on the latter’s Board of Trustees. He is also an Associate Member of the American Academy of Podiatric Sports Medicine (since 2018).
• Physical Therapy
  For rehabilitation we perform extracorporeal shockwave therapy and refer to physical therapy to work with you to achieve your specific goals. Biomechanical control may also be necessary with orthotics.
• Flatfoot Correction
• Heel Pain
• Ankle Sprain
  The feet and ankles work together to provide support and mobility to the body. A foot or ankle sprain is a soft tissue injury. Most often, a sprain occurs when an injury pulls, stretches, or tears the ligaments that connect bone to bone. A fracture is actually a break in the bone.
• Geriatrics
• Orthotics and Prosthetic Therapy
  6. A podiatrist is a physician. For shoe or inserts it is important to consult someone with a medical degree. Orthotic therapy, like eyeglasses or braces, is complicated science.  Only a podiatrist has the depth of training to prescribe the proper treatment and device for your foot condition.

Podiatrists

• General Podiatry
  Podiatric medicine and surgery is a doctoral level medical profession defined by the American Podiatric Medical Association as “that profession of the health sciences concerned with the diagnosis and treatment of conditions affecting the human foot, ankle, and their governing and related structures, including local manifestations of systemic conditions, by all appropriate methods and means.” A Doctor of Podiatric Medicine (DPM) is a physician and surgeon who treats the foot, ankle, and related structures of the leg.
• Ankle Sprain
  Podiatrists provide specialized care for foot and ankle injuries, from conservative treatment to surgical intervention, for patients of all ages. With the ability to accommodate urgent appointments, we can correctly identify the cause and effectively treat the injury to minimize long term problems. Check out the types of injuries and other conditions we treat.
• Bunions Problems
  Middle age adults may develop painful deformities such as bunions, hammertoes and hallux rigidus that may limit an active lifestyle.
• Calluses
• Diabetic Foot Care
  Diabetes. You remind your patients with diabetes to see an ophthalmologist every year.  Do you encourage them to see a podiatrist, as well?  Podiatrists are the foot and ankle specialists, and studies show that patients with diabetes who see a podiatrist have significantly fewer hospitalizations and amputations.  Refer your patients for regular at-risk diabetic foot care, and refer any patient who experiences a diabetic foot ulcer to us.  We have specialized experience in lower-extremity wounds.
• Flat Feet
  Proper footwear is another way to keep feet healthy. Shoes that fit well and provide proper support help prevent ingrown toenails and fallen arches.
• Hammertoes
  Hammer Toe Surgery: Hammer toe surgery may involve removing a portion of one of the bones in the toe to realign the toe or could involve fusing the joints in the toe (see Fusions, above).  In some cases, it may involve placing a temporary wire to hold the toes straight or a permanent implant in the toe to maintain realignment.
• Heel Spurs
  Heel Spur Surgery: Based on the condition and the nature of the disease, heel surgery can provide relief of pain and restore mobility in many cases.  The type of procedure is based on examination and usually consists of plantar fascia release, with or without heel spur excision.  There have been various modifications and surgical enhancements regarding surgery of the heel.  Dr. Hoy will determine which method is best suited for you.
• Heel Pain
• Foot Pain
• Ingrown Toenails
  “A simple and complex Thank You for caring for my feet and teaching me how to take better care of them.  I’ve only seen you once about a year ago, but will spread your name far and wide. I was sure I’d have to have the painful process of getting an ingrown toenail dug out. Or even two. But you experimented with extra cleaning and trimming and Voila! I continue to give my feet extra care and have not had a problem since. Your noninvasive ways are greatly appreciated. Your knowledge that you shared I greatly appreciate too.  I thought that I’d never leave my former foot doctor, but....well.....you’ve got me.  Ava, Thank you for being so kind and easy to work with from scheduling an appointment through to the billing. You two make an excellent team.  Thank you both! Enjoy your summer!” -Susan R.
• Foot Injuries
• Foot Orthotics
  Podiatrists use orthotics to treat foot problems such as plantar fasciitis, bursitis, tendinitis, diabetic foot ulcers, and foot, ankle, and heel pain.  Clinical research studies have shown that podiatrist-prescribed foot orthotics decrease foot pain and improve function.
• Plantar Fasciitis
  • “Very efficient office staff and setup. Dr. Hoy did a thorough examination for my plantar fasciitis. He has a very pragmatic approach and had me buy some reasonably priced orthotics from Nordstrom in the building downstairs. Cost was very reasonable–$125 for 30 min new patient visit.”  -Todd S., 5/9/2019
• Foot Skin Problems
  One area of foot and ankle problems where non-surgical care is important is the skin.  The skin of your feet may be tougher than anywhere else on your body, but it’s also exposed to more hazards—from foreign bodies to sun exposure when you forget the SPF.  A podiatrist is a foot and ankle specialist who knows the skin of the feet better than any other physician.  If you’ve noticed a difference in the skin on your feet or ankles, make an appointment with us today.
• Podiatric Orthopedics
  Board Certified in the field of podiatric orthopedics, Dr. Hoy takes great pride in his experience in making custom orthotics.  This gives patients the assurance that orthotics made are accurate to pathology and backed up by education and training.
• Podiatric Surgery
  • The Veterans Affairs Hospital in San Francisco, California, which performed the most diabetic foot surgery in the San Francisco Bay Area when Dr. Hoy was a resident physician.

Allergists

• Allergies