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Ingrown toenails can be painful and persistent, but treatment options continue to evolve. Conservative care remains a first step for many. This includes warm salt soaks, gentle lifting of the nail edge, or protective padding to reduce pressure. Proper trimming techniques and footwear changes can also help prevent recurrence. When conservative measures do not bring relief, more advanced options may be considered. Newer treatments include partial nail removal combined with techniques to prevent regrowth along the problematic edge. This offers a long-term solution with minimal discomfort. In some cases, laser or chemical procedures are used to address the nail root directly. With both time-tested and modern approaches available, treatment can be tailored to fit each person’s needs and lifestyle. If you have recurring or painful ingrown toenails, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment deemed best for you.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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 and ankle needs.

Sever's disease is a common cause of heel pain in adolescent children, especially those who are active in sports. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress and pressure. This condition typically affects the back of the heel and may cause pain, swelling, and difficulty walking or running. Risk factors include rapid growth, participation in high-impact activities, and improper footwear. A podiatrist can diagnose the condition, recommending rest, supportive shoes, heel cushions, and specific stretches to relieve discomfort. If your child is experiencing heel pain during activity, it is suggested that you consult a podiatrist for effective treatment and guidance to ensure healthy development and a safe return to play.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Vincent, Vess from Fourth River Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

Heel pad syndrome, also known as fat pad atrophy, occurs when the thick layer of fatty tissue beneath the heel thins out, reducing its ability to absorb shock. This can lead to deep, aching heel pain that worsens with prolonged standing or walking. Common causes of heel pad syndrome include age-related degeneration, obesity, repetitive impact activities, wearing improper footwear, and prior heel injuries. People who walk barefoot on hard surfaces may place additional stress on the heel, increasing the risk of pain. A podiatrist can evaluate  heel pad function and recommend appropriate treatment to relieve pressure on the heel. Supportive orthotics and well-cushioned footwear can help reduce discomfort during daily activities. In addition, specific exercises, such as calf stretches, heel raises, and ankle range-of-motion movements, are often used to improve foot control and reduce stress on the heel.  If you are suffering from heel pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and proper treatment.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please 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.

Ingrown toenails develop when the edge of the nail grows into the surrounding skin, leading to pain, redness, swelling, and sometimes infection. Causes include improper nail trimming, tight shoes, toe injuries, or naturally curved nails. The area may feel sore, swollen, and, in more severe cases, may produce drainage or pus. When conservative treatments like warm soaks, antibiotics, or lifting the nail fail, a podiatrist may recommend a minor surgical procedure. One common option is partial nail avulsion, where only the ingrown portion is removed. Another method is a wedge resection, where the side of the nail and a portion of the nail bed are removed to stop the problematic section from growing back. These in-office procedures are quick, performed under local anesthesia, and typically offer long-term relief. If you have a painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist who can determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

An infected foot blister can become a serious issue if not treated promptly. Common symptoms include increased redness, swelling, warmth, and pain around the blister site. The area may also produce pus or a yellowish fluid, and a foul odor might be present. In some cases, the skin surrounding the blister becomes hard or discolored, and the person may develop a fever or feel generally unwell. These signs indicate the body is reacting to an infection. Blisters can become infected due to friction, poor hygiene, or puncturing the blister with unclean objects. Wearing tight shoes, walking for long periods, or having underlying health conditions like diabetes can also contribute to infection. If you have developed a foot blister that looks like it is infected, it is suggested that you promptly contact a podiatrist who can offer appropriate treatment solutions.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. 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 are often the result of friction. This happens due to the constant rubbing from shoes, which can 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.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.

Cracked heels can be more than just a cosmetic concern. They may signal an underlying nutritional issue, particularly a vitamin deficiency. Vitamins play an essential role in maintaining skin health and elasticity. When the body lacks essential nutrients, such as vitamin E, vitamin C, and certain B vitamins, the skin may become dry, rough, and prone to cracking. These deficiencies affect the skin's ability to repair itself and retain moisture, which leads to fissures around the heels. People with poor diets or malabsorption issues are at greater risk. In addition to moisturizing and wearing supportive footwear, addressing any nutritional shortfalls through diet or supplements may help improve the condition of the heels. Cracked heels can be uncomfortable and unsightly. If you have developed this condition, it is suggested that you contact a podiatrist who can offer effective treatment solutions, which may include prescribed medication.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.

Diabetes can lead to a range of serious foot problems due to its impact on circulation and nerve function. One of the most common complications is neuropathy, which causes tingling, numbness, or pain and reduces the ability to feel injuries. Peripheral artery disease can further restrict blood flow, slowing healing, and increasing the risk of infection. Foot ulcers may develop from unnoticed cuts or pressure points and can become severe without prompt care. Diabetic blisters, although painless, can appear suddenly and may become infected if not treated properly. Additionally, edema, or swelling in the feet and ankles, is another frequent issue and may indicate worsening circulation. If you have diabetes, it is strongly suggested that you consult a podiatrist who can provide proper foot care and regular checkups, which are essential for managing diabetes and preventing long-term complications.

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 hammertoe develops when the middle joint of one of the smaller toes bends downward, often due to muscle and tendon imbalances in the foot. It is commonly linked to wearing high-heeled or narrow shoes. People with long toes, flat feet, bunions, or a family history of foot deformities may also be more likely to have a hammertoe. Early symptoms include discomfort, swelling, and the formation of corns where the toe rubs against footwear. A podiatrist can examine the foot and use imaging tests to determine if the toe is still flexible or has become rigid. For flexible hammertoes, medical treatment may include switching to shoes with a wide toe box or using custom orthotic devices to support the foot and relieve pressure. When the deformity becomes fixed or painful, surgery may be recommended. Procedures to restore alignment include tendon lengthening, tendon transfer, or arthrodesis, which involves removing part of the joint to fuse the bones and straighten the toe. If you experience pain from a hammertoe deformity, it is suggested that you schedule an appointment with a podiatrist for regular treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please 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.