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Achilles tendon tears are among the most frequent tendon injuries. They often occur suddenly during physical activity that involves rapid pushing off, jumping, or changing direction. Risk is higher in active middle-aged men, particularly during sports like basketball, though non-sport-related tears are more common in older people. A history of ongoing Achilles tendon pain or degeneration increases vulnerability, as does advancing age, which can reduce tendon strength and flexibility. Certain medical conditions, including diabetes, inflammatory joint disease, and metabolic disorders, may weaken the tendon over time. Some medications, such as specific antibiotics or long-term corticosteroids, have also been linked to a higher risk. Tears typically cause sudden pain, swelling, and difficulty pushing off the foot. A podiatrist can assess symptoms, perform clinical testing, confirm the diagnosis, and guide appropriate treatment to restore strength and function. If you believe you have torn your Achilles tendon, it is suggested that you make an appointment with a podiatrist for help.

Achilles tendon injuries need immediate attention to avoid future complications. 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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.

Cuboid stress fractures are uncommon but painful injuries that affect a small bone on the outer side of the midfoot. They often develop from repetitive loading rather than a single injury, making them easy to overlook early on. Runners, dancers, and people who walk long distances may notice a deep, aching discomfort that worsens with activity and improves with rest. Swelling, tenderness, and pain when pushing off the foot are common signs. Because symptoms can mimic tendon strain or arthritis, proper diagnosis is sometimes delayed. Imaging such as X rays or advanced scans may be needed to confirm the problem. Treatment usually focuses on reducing stress to the bone through activity modification, supportive footwear, and sometimes immobilization. With proper care, healing follows. It is suggested that anyone with persistent outer foot pain consider seeing a podiatrist for an accurate diagnosis and a treatment plan.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.

Heel pain in older adults often stems from age-related changes in the feet, including soft tissue degeneration, reduced bone density, and long-standing biomechanical stress. A frequent cause is plantar fasciitis, an inflammatory condition of the plantar fascia that commonly produces sharp pain with the first steps after rest. Heel spurs may develop beneath the calcaneus, or heel bone, and can contribute to additional discomfort. Achilles tendinitis may cause pain at the back of the heel due to overuse or limited flexibility, while arthritis in the rearfoot or midfoot joints can create stiffness and reduced mobility. Seniors are also at increased risk for calcaneal stress fractures, retrocalcaneal bursitis, and heel pad atrophy, which results from thinning of the natural cushioning under the heel. Nerve conditions such as tarsal tunnel syndrome or peripheral neuropathy may cause burning or tingling heel pain. If you have ongoing heel pain, it is suggested that you make an appointment with a podiatrist to determine the underlying cause and select appropriate 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 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.

Arthritic pain and stiffness in the toes often develop gradually and can make walking, standing, or wearing shoes uncomfortable. Degenerative joint changes are a common cause, especially with aging, past injuries, repetitive stress, or long-standing foot mechanics that overload small joints. Inflammatory conditions and autoimmune disease may also affect the toe joints. Common signs include aching or burning discomfort, swelling, reduced range of motion, and difficulty pushing off while walking. Some people notice joint enlargement, altered toe position, or increased pain with cold weather or activity. Care focuses on reducing stress through footwear changes, activity modification, and custom orthotics to improve alignment. Anti-inflammatory strategies, targeted exercises, and injections may help manage symptoms. In advanced cases, surgical options can restore function or relieve pain. Early evaluation often prevents progression and protects mobility. If you feel pain or stiffness in your toes, it is suggested that you see a podiatrist for a proper evaluation and treatment options.

Arthritis can be a difficult condition to live with. 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.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method 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 tools and technology to treat your foot and ankle needs.