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An ankle fracture can leave lasting effects on the way a person walks, even after the bone has healed. Limited joint movement, lingering stiffness, and changes in muscle strength may cause the body to adapt in ways that alter natural stride patterns. Some individuals shorten their steps, place less weight on the injured side, or roll the foot differently to avoid discomfort. These adjustments can strain other joints, such as the knees, hips, and lower back, over time. Restoring a balanced gait often involves targeted exercises to improve flexibility, rebuild strength, and retrain walking mechanics. Wearing supportive footwear or orthotics may also help distribute pressure more evenly across the foot. Addressing gait changes early can prevent secondary problems and improve long-term mobility. If walking feels awkward or uncomfortable after an ankle fracture, it is suggested that you see a podiatrist for evaluation and guidance.

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.

A bunion is a bony bump that forms at the base of the big toe as the tip of the toe shifts inward toward the others. Common causes include genetics, wearing tight or narrow shoes, arthritis, and foot structure abnormalities. Symptoms typically involve pain, swelling, redness, and difficulty walking, along with visible changes in foot shape. Bunions can feel sore, stiff, or even numb, and may worsen over time, if left untreated.  A podiatrist can help by evaluating the severity of the bunion and developing a personalized treatment plan. Options include footwear recommendations, custom orthotics, pain relief strategies, or, in more advanced cases, bunion surgery. Early intervention is key to preventing long-term discomfort and deformity. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist who can offer effective relief and treatment solutions.

If you are suffering from bunion pain, 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?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

Wearing flip-flops or sandals for extended periods of time during summer can harm the feet, especially when these shoes lack adequate support and protection. Thin soles with minimal cushioning place excess pressure on the heels and arches, increasing the chance of pain or inflammation in the bottom of the foot. Many styles offer little to no arch support, which may contribute to pain associated with flat feet or heel strain. Straps that rub against the skin can lead to blisters, while loose-fitting designs may cause instability that raises the risk of twisted ankles. Peep-toe sandals that squeeze the toes can worsen bunion pain or make existing joint problems more noticeable. Open designs also leave the feet vulnerable to cuts or scrapes. A podiatrist can assess foot alignment, recommend appropriate footwear, and provide treatment to relieve symptoms caused by wearing shoes that lack adequate support. If your flip flops are causing you to have foot pain, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

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.

Plantar fasciitis is a common source of heel pain that affects people of all ages. It begins when the thick band of tissue along the bottom of the foot becomes irritated or strained. This often results in sharp pain near the heel, especially in the morning or after long periods of inactivity. Contributing factors may include high arches, flat feet, tight calf muscles, or wearing unsupportive footwear. Left untreated, plantar fasciitis can become a persistent issue that limits mobility and daily comfort. Stretching, wearing supportive shoes, and rest are early steps to reduce symptoms. However, when pain continues or interferes with activity, professional care is important. A podiatrist can provide custom orthotics, therapies, and additional treatment tailored to the individual’s needs. If you are experiencing heel discomfort or changes in your step, a podiatric evaluation is suggested.

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.

Sesamoiditis is a painful condition involving two small bones located beneath the big toe joint. These sesamoid bones are embedded within a tendon that helps flex the big toe and absorb weight-bearing pressure. When repetitive stress or trauma affects this area, the surrounding tendon can become inflamed, causing pain beneath the ball of the foot. High-impact sports, foot injuries, poor foot mechanics, or shoes that lack adequate support can increase the risk of sesamoiditis. Symptoms include swelling, tenderness, and sharp pain when bearing weight or bending the big toe. This often builds gradually and may make walking or running difficult. A podiatrist can diagnose sesamoiditis by examining the foot, checking for tenderness, and ordering imaging tests to rule out fractures or other problems. In severe cases, surgery may be recommended to remove or repair the affected bone. If you have this type of pain in the big toe, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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.

Skin peeling between the toes is often caused by moisture and friction, but several foot-related issues may also be responsible. One common reason is a fungal infection, often picked up in places like locker rooms or pool areas. This can cause peeling, itching, and cracks between the toes. Blisters from rubbing or minor injuries can also peel as they heal. If the skin stays wet for too long, it may soften and break down, especially in cold or damp conditions. In people with diabetes, peeling skin between the toes may be a sign of a sore that is not healing well. In rare cases, peeling may also be linked to a skin infection that causes swelling, warmth, or pain. A podiatrist can examine your feet, identify what is causing the peeling, and provide the right treatment. If the skin between your toes is peeling and becoming problematic, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

Diabetes can lead to several foot problems due to poor circulation and nerve damage. High blood sugar may reduce blood flow to the feet, making it harder for the body to heal even small cuts or blisters. At the same time, diabetic neuropathy, which is nerve damage caused by prolonged high glucose levels, can reduce feeling in the feet. This makes it easier for injuries to go unnoticed and become infected. Some diabetic patients may develop sensory neuropathy, which affects the ability to feel pain or temperature changes, while others may develop motor neuropathy, which can change the shape of the foot and cause the toes to curl. Dry skin from reduced sweating may also lead to cracks that increase the risk of infection. Foot ulcers, deformities, and even bone fractures can occur if these issues are left untreated. A podiatrist can examine the feet for signs of damage and provide proper diabetic foot care, including wound management or surgery, if needed. If you have diabetes and are experiencing foot pain, it is suggested that you schedule regular appointments with a podiatrist who can provide expert care in managing this serious condition.

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 care needs.

Gout is a form of inflammatory arthritis caused by a condition called hyperuricemia, where excess uric acid builds up in the blood. When uric acid crystallizes, it deposits in the joints, leading to sudden and intense pain, swelling, and redness. The big toe is often affected due to its lower temperature and reduced circulation, which promote crystal formation.  Common causes of gout include genetics, poor kidney function, high-purine diets, and certain medications. Among the risk factors are obesity, age, alcohol use, and medical conditions such as hypertension. A podiatrist can diagnose gout through clinical evaluation and testing, provide pain relief, and recommend lifestyle changes. If you have pain in your big toe, it is suggested that you promptly contact this type of doctor who can accurately diagnose gout and offer effective relief and management solutions.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.

Millions of Americans aged 65 and older visit the emergency department each year after a fall, and problems with feet and ankles are often key contributors. Issues such as weakened foot muscles, stiff toes, limited ankle range, numbness, or pain reduce balance and raise the risk of stumbling. A podiatrist can evaluate foot alignment, joint mobility and nerve function, then recommend supportive footwear, custom orthotic inserts or shoe modifications to increase stability. They can also design exercise programs to improve foot strength and ankle flexibility, as well as test the soles of your shoes and fit to ensure safe traction. Early identification of issues like bunions or sensory loss allows a podiatrist to intervene before balance is compromised. Focusing on foot and ankle health, such as improving toe grip, ankle motion and proper shoe choice, helps lower the risk of falls. If you are a senior who has fallen or is at risk of doing so, it is suggested that you schedule an appointment with a podiatrist for preventative guidance or treatment.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.