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A medial malleolus fracture is a specific type of broken ankle. The medial malleolus is the bony prominence on the inner side of your ankle, part of the tibia, or shinbone. When this bone becomes fractured it often occurs due to a twist, fall, or direct impact to the ankle. Symptoms typically include sharp pain on the inside of the ankle, swelling, bruising, and difficulty bearing weight on the affected foot. Treatment for this type of fracture depends on the severity of the break. For minor fractures where the bone is still aligned, a podiatrist might immobilize the ankle in a cast or boot to allow it to heal. However, if the fracture is displaced, surgery might be necessary to realign and stabilize the bone with screws or plates. If you have broken any part of your ankle, it is strongly suggested that you visit a podiatrist for a proper diagnosis and treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot blisters are small, fluid-filled pockets that form on the skin due to friction, pressure, or irritation. They commonly occur while wearing ill-fitting shoes, during extended periods of walking or running, or when feet are exposed to moisture, which softens the skin and increases the risk of blistering. Symptoms include a raised, fluid-filled bump that can be painful when pressed or irritated. The skin surrounding the blister may appear red and inflamed. To prevent blisters, wear properly fitting shoes, and moisture-wicking socks, and consider applying blister prevention tape to high-friction areas. Keep your feet dry and change socks regularly if they become wet. If a blister forms, avoid popping it to reduce the risk of infection. Instead, cover it with a clean bandage and allow it to heal naturally. If you have a blister that is particularly painful or large, it is suggested that you consult a podiatrist for treatment.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

If you have any questions, please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis is a common cause of heel pain, primarily resulting from inflammation of the plantar fascia, the thick band of tissue running along the bottom of the foot. Common causes can include excessive stress from high-impact activities, prolonged standing, wearing unsupportive footwear, or being overweight. Symptoms typically include a sharp, stabbing pain in the heel, especially noticeable with the first steps in the morning or after prolonged periods of rest. Treatment focuses on reducing inflammation and relieving pain. Effective stretches include the calf stretch, where you press against a wall with one leg forward and the other extended back. Another is the plantar fascia stretch, where you pull your toes toward your shin while seated. Wearing supportive shoes or custom orthotics, in addition to performing these stretches, can provide significant relief. If you are experiencing symptoms of plantar fasciitis, it is suggested you schedule an appointment with a podiatrist for expert care to effectively manage your condition and improve your foot health.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The foot’s structure is a marvel of anatomical design, consisting of 26 bones, numerous ligaments, and several joints that work harmoniously to support movement and balance. The major bones include the calcaneus, talus, and metatarsals, which form the framework of the foot. Ligaments, such as the plantar fascia and the deltoid ligament, provide stability and help maintain the arch. The ankle joint, where the tibia and fibula meet the talus, allows for flexibility and movement, which is essential for walking and running. Together, these components facilitate a range of movements while absorbing impact and distributing weight evenly. If you have injured your foot, it is suggested that you consult a podiatrist who can treat any foot condition, and can answer any questions you may have about the foot’s structure.

If you have any concerns about your feet, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A stubbed toe occurs when the toe forcefully contacts a hard surface, often causing sudden pain and discomfort. This common injury typically happens when the toe collides with furniture, a door frame, or any other solid object. The impact can lead to immediate swelling, bruising, and sometimes a visible injury such as a cut or scrape. While a stubbed toe is usually not severe, it can cause significant pain and difficulty walking. In some cases, the trauma might lead to a fracture or dislocation, which requires medical attention. To manage a stubbed toe, keeping the foot elevated assists in minimizing inflammation. Proper rest and avoiding pressure on the affected toe are essential for a swift recovery. If you have stubbed your toe and it is causing extreme or persistent pain, it is suggested that you promptly consult a podiatrist who can perform an accurate diagnosis to rule out a toe fracture. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic foot is a term used to describe complications that affect the feet of individuals with diabetes. These complications arise from poor blood circulation and nerve damage, or neuropathy, caused by high blood sugar levels. As a result, minor injuries or sores can go unnoticed and become infected, leading to severe issues, such as ulcers or even amputation, if left untreated. Individuals at risk for diabetic foot include those with poorly controlled diabetes, a history of foot ulcers, or existing peripheral neuropathy. People with diabetes who smoke, have high blood pressure, or high cholesterol are also at increased risk due to impaired blood flow to the extremities. Treatment involves a comprehensive approach, including regular foot inspections, proper wound care, blood sugar management, and wearing appropriate footwear to prevent injury. In severe cases, medical interventions like debridement, antibiotics, or surgery may be required. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can counsel you on preventive care, provide routine check-ups, and treat any foot problems that may arise.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A bunion is a bony bump that forms at the base of the big toe, causing it to lean inward toward the other toes. This condition, also known as hallux valgus, develops gradually and is often aggravated by wearing tight shoes or genetic predisposition. Bunions can lead to pain, swelling, and difficulty fitting into shoes comfortably. Relief methods focus on managing symptoms and preventing further progression. Wearing shoes with a wide toe box and low heels reduces pressure on the bunion. Padded shoe inserts or orthotics can provide additional support and alignment for the foot. If you have developed a painful bunion, it is suggested that you contact this type of doctor who can target specific treatment methods that are right for you, which may include surgery for permanent removal. 

If you are suffering from bunions, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Müller-Weiss disease, a rare foot condition, involves the collapse and degeneration of the navicular bone, which is the bone located on the top of the midfoot. This condition primarily affects adults, typically women in their 40s to 60s. Characterized by chronic midfoot pain, swelling, and deformity, Müller-Weiss disease often progresses slowly and asymmetrically, with one foot more affected than the other. The exact cause of this condition remains unclear, but factors such as trauma, abnormal foot mechanics, and genetic predisposition are considered contributors. Diagnosis involves a comprehensive evaluation of symptoms, medical history, and imaging studies like X-rays or MRI scans to assess bone structure and integrity. Relief options vary based on the severity and may include rest, orthotic devices, and in severe cases, surgery to alleviate pain and restore foot function. If you have pain in the top of your foot, it is strongly suggested that you consult a podiatrist for a diagnosis and guidance toward treatment options that are right for you.

Some foot conditions may require additional professional care. If you have any concerns, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.