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Dr. Darcy Silver Foral, MD

Accepting New Patients

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Specializes in: Foot & Ankle Surgery and Orthopedics/Orthopedic Surgery

University of Nebraska College of Medicine (2001)

Professional interests include: foot arthroscopy, arthritis, ankle surgery, and more.

7320 216th Street Southwest Suite 320
Edmonds, WA 98026

(425) 673-3900

Dr. Darcy Silver Foral, MD is a foot and ankle surgeon in Edmonds, WA specializing in foot & ankle surgery and orthopedics/orthopedic surgery. She graduated from University of Nebraska College of Medicine in 2001 and has 25 years of experience. Dr. Darcy Silver Foral, MD is affiliated with Swedish Medical Center, Providence, Swedish Edmonds Campus, Swedish Issaquah Campus, Swedish Cherry Hill Campus, Swedish First Hill Campus and Swedish Mill Creek Campus.

Office Locations

Swedish Mill Creek Campus

7320 216th Street Southwest Suite 320
Edmonds, WA 98026

(425) 673-3900

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Some issues Dr. Darcy Silver Foral, MD can help you with:

Joint Injections

A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.

Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.

In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.

Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.

In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2012 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

aspiration	34
doctor visit	214
injections	34
musculoskeletal imaging	76
X-rays	144

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2013 were X-rays, musculoskeletal imaging, hospital care and inpatient care.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	204
hospital care	13
inpatient care	13
musculoskeletal imaging	55
X-rays	109

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	47
Female	92

**Ethnicity**
Non-Hispanic White	127
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	56
From 75 to 84	51
85 and over	17
Less than 65	15

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2013

Hypertension	57
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	23
Depression	23
Chronic Kidney Disease	20
Asthma	9
Osteoperosis	9
Atrial Fibrilation	14
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	21
Dementia	13
Cancer	0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2014 were X-rays, musculoskeletal imaging, nerve block and pain management.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	231
injections	16
musculoskeletal imaging	65
nerve block	16
pain management	16
X-rays	132

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	49
Female	91

**Age**
From 65 to 74	70
From 75 to 84	41
85 and over	17
Less than 65	12

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2014

Hypertension	53
High Cholesterol	36
Stroke	0
Ischemic Heart Disease	24
Depression	19
Chronic Kidney Disease	20
Asthma	9
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	12
Chronic Obstructive Pulmonary Disease	0
Diabetes	29
Dementia	9
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2015 were X-rays, musculoskeletal imaging, hospital care and inpatient care.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	341
hospital care	21
inpatient care	21
musculoskeletal imaging	75
X-rays	117

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	134
Female	238

**Ethnicity**
Non-Hispanic White	340
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	110
85 and over	48
Less than 65	58

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2015

Hypertension	59
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	21
Depression	26
Chronic Kidney Disease	23
Asthma	11
Osteoperosis	8
Atrial Fibrilation	17
Heart Failure	16
Chronic Obstructive Pulmonary Disease	12
Diabetes	24
Dementia	12
Cancer	12

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2016 were X-rays, musculoskeletal imaging, hospital care and inpatient care.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	340
fracture surgery	11
hospital care	33
inpatient care	33
joint surgery	11
lower extremity surgery	11
musculoskeletal imaging	42
open surgery	11
reconstructive surgery	11
X-rays	87

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	64
Female	136

**Ethnicity**
Non-Hispanic White	185
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	84
From 75 to 84	64
85 and over	27
Less than 65	25

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2016

Hypertension	61
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	25
Depression	30
Chronic Kidney Disease	29
Asthma	16
Osteoperosis	9
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	11
Diabetes	27
Dementia	17
Cancer	16

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2017 were X-rays, aspiration, injections and hospital care.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

aspiration	20
doctor visit	328
hospital care	17
injections	20
inpatient care	17
musculoskeletal imaging	16
X-rays	29

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	53
Female	129

**Ethnicity**
Non-Hispanic White	166
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	90
From 75 to 84	43
85 and over	29
Less than 65	20

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2017

Hypertension	58
High Cholesterol	31
Stroke	0
Ischemic Heart Disease	20
Depression	24
Chronic Kidney Disease	22
Asthma	9
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	12
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Dementia	12
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2018 were X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	292
musculoskeletal imaging	13
X-rays	13

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	58
Female	111

**Ethnicity**
Non-Hispanic White	152
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	85
From 75 to 84	55
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2018

Hypertension	62
High Cholesterol	46
Stroke	0
Ischemic Heart Disease	21
Depression	30
Chronic Kidney Disease	27
Asthma	8
Osteoperosis	8
Atrial Fibrilation	15
Heart Failure	13
Chronic Obstructive Pulmonary Disease	10
Diabetes	26
Dementia	8
Cancer	12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2019 were musculoskeletal imaging, MRI (magnetic resonance imaging), hip imaging and hospital care.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	337
hip imaging	14
hospital care	13
inpatient care	13
MRI (magnetic resonance imaging)	14
musculoskeletal imaging	14

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	58
Female	138

**Ethnicity**
Non-Hispanic White	174
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	92
From 75 to 84	68
85 and over	20
Less than 65	16

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2019

Hypertension	53
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	23
Depression	26
Chronic Kidney Disease	24
Asthma	11
Osteoperosis	10
Atrial Fibrilation	12
Heart Failure	15
Chronic Obstructive Pulmonary Disease	10
Diabetes	24
Dementia	10
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	214

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	46
Female	94

**Ethnicity**
Non-Hispanic White	125
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	68
From 75 to 84	45
85 and over	16
Less than 65	11

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2020

Hypertension	57
High Cholesterol	49
Stroke	8
Ischemic Heart Disease	21
Depression	29
Chronic Kidney Disease	26
Asthma	0
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	14
Chronic Obstructive Pulmonary Disease	9
Diabetes	27
Dementia	14
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2021 were musculoskeletal imaging, MRI (magnetic resonance imaging) and hip imaging.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	287
hip imaging	14
MRI (magnetic resonance imaging)	28
musculoskeletal imaging	28

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	61
Female	110

**Ethnicity**
Non-Hispanic White	155
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	84
From 75 to 84	52
85 and over	19
Less than 65	16

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2021

Hypertension	55
High Cholesterol	46
Stroke	0
Ischemic Heart Disease	27
Depression	36
Chronic Kidney Disease	26
Asthma	0
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	13
Chronic Obstructive Pulmonary Disease	8
Diabetes	20
Dementia	8
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA during 2022 were musculoskeletal imaging, MRI (magnetic resonance imaging) and hip imaging.

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

doctor visit	325
hip imaging	16
MRI (magnetic resonance imaging)	29
musculoskeletal imaging	29

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	68
Female	117

**Ethnicity**
Non-Hispanic White	172
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	93
From 75 to 84	63
85 and over	16
Less than 65	13

Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD in 2022

Hypertension	61
High Cholesterol	63
Stroke	6
Ischemic Heart Disease	20
Depression	26
Chronic Kidney Disease	11
Asthma	9
Osteoperosis	15
Atrial Fibrilation	11
Heart Failure	10
Chronic Obstructive Pulmonary Disease	6
Diabetes	17
Dementia	0
Cancer	11

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Darcy Silver Foral, MD for Medicare patients.

The highest averages for the top procedures that Dr. Darcy Silver Foral, MD treated as a foot and ankle surgeon in Edmonds, WA were X-rays, musculoskeletal imaging, aspiration and MRI (magnetic resonance imaging).

aspiration	27
doctor visit	283
fracture surgery	11
hip imaging	14
hospital care	19
injections	23
inpatient care	19
joint surgery	11
lower extremity surgery	11
MRI (magnetic resonance imaging)	23
musculoskeletal imaging	41
nerve block	16
open surgery	11
pain management	16
reconstructive surgery	11
X-rays	90

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Darcy Silver Foral, MD.

**Gender**
Male	58
Female	114

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	145
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	53
85 and over	19
Less than 65	16
65 to 74	79

Average of Total of Conditions of Medicare patients treated by Dr. Darcy Silver Foral, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Darcy Silver Foral, MD treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	52
High Cholesterol	40
Stroke	1
Ischemic Heart Disease	20
Depression	24
Chronic Kidney Disease	20
Asthma	7
Osteoporosis	8
Heart Failure	12
Chronic Obstructive Pulmonary Disease	8
Diabetes	21
Atrial Fibrillation	11
Dementia	9
Cancer	9

Education & Training

Dr. Darcy Silver Foral, MD graduated from University of Nebraska College of Medicine in 2001. She completed residency at University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals. She is certified by the American Board of Orthopaedic Surgery, Orthopaedic Surgery and has a state license in Washington.

Medical School: University of Nebraska College of Medicine (2001)

Residency: University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals (2006)

Board Certification: American Board of Orthopaedic Surgery, Orthopaedic Surgery

Licensed In: Washington

Affiliations & Hospitals

Dr. Darcy Silver Foral, MD is associated with these hospitals and organizations:

Swedish Medical Center

Providence

Swedish Edmonds Campus

Swedish Issaquah Campus

Swedish Cherry Hill Campus

Swedish First Hill Campus

Swedish Mill Creek Campus

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Darcy Silver Foral, MD appears to accept the following insurance providers: Aetna PPO, Aetna HMO, AARP, Medicare Advantage, Amerigroup, Humana Medicare Advantage, Medicare, Aetna Medicare PPO, Kaiser Permanente, Medicaid and Health Net Federal Services Champus.

Insurance Accepted by Provider includes:

According to our sources, Dr. Darcy Silver Foral, MD accepts the following insurance providers:

Aetna PPO

Aetna HMO

AARP

Medicare Advantage

Amerigroup

Humana Medicare Advantage

Medicare

Aetna Medicare PPO

Kaiser Permanente

Medicaid

Health Net Federal Services Champus

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Darcy Silver Foral, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Ferring Pharmaceuticals Inc.	$265 EUFLEXXA $265
Pacific Medical, Inc	$264 ALL ARTHREX PRODUCT LINES $264
Arthrex, Inc.	$186 $186
Zimmer Biomet Holdings, Inc.	$71 Sports Medicine $71
BIOVENTUS LLC	$69 Exogen $42	Exogen Ultrasound Bone Healing System $16	Ultrasound Bone Healing $11
Other	$331 Total Foot System $45	Zilretta $43	Infinity $41	EVOS MINI $37	Physio-Stim $33	Other $132

**Types of Payments**
Food and Beverage	$923
Education	$264

Biography

Dr. Darcy Foral's medical specialty is foot & ankle surgery and orthopedics/orthopedic surgery. These areas are among her clinical interests: forearm fracture, frozen shoulder, and ankle fusion. Dr. Foral is in-network for several insurance carriers, including Amerigroup, AARP, and Aetna. She studied medicine at the University of Nebraska College of Medicine. She completed her residency training at a hospital affiliated with the University of Texas Southwestern Medical Center at Dallas. Dr. Foral's professional affiliations include Swedish Edmonds Campus, Providence, and Swedish Cherry Hill Campus. Her practice in Edmonds, WA is open to new patients as reported by Swedish Medical Center.