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Gout is a form of arthritis that occurs when uric acid builds up in the bloodstream, forming crystals in the joints. It often affects the big toe but can also impact the ankles and other joints. Gout is more common in men, especially those over 40, and people with conditions like obesity, high blood pressure, or diabetes are at a higher risk. Symptoms of gout include sudden, intense pain, swelling, redness, and warmth in the affected joint, often occurring at night. The pain can be excruciating, and even the lightest touch can feel unbearable. Gout attacks typically last for a few days but can recur if untreated. Treatment involves medications to reduce inflammation and lower uric acid levels. Lifestyle changes, such as avoiding alcohol and foods high in purines, are also recommended. A podiatrist can help manage gout symptoms, offer pain relief strategies, and provide advice on footwear. If you are experiencing this condition, it is suggested that you make an appointment with a this type of doctor.

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Peripheral arterial disease, or PAD, occurs when the arteries in your legs become narrowed or blocked due to a buildup of fatty deposits, known as atherosclerosis. This reduces blood flow to the lower limbs, which can cause pain, cramping, or fatigue during activities like walking. PAD not only affects mobility, but can also worsen atherosclerosis over time. As blood flow decreases, tissues in the legs and feet receive less oxygen and nutrients, leading to slower healing, higher risks of infections, and even tissue damage, in severe cases. If you have diabetes or smoke, your risk of PAD and its complications increases significantly. Early detection and management of PAD can help slow the progression of atherosclerosis and protect your health. If you are experiencing leg pain, numbness, or wounds that are slow to heal, it is strongly suggested that you see a podiatrist for evaluation and care.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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 sprained ankle occurs when the ligaments that connect the bones in the ankle are stretched or torn, typically from twisting, rolling, or landing awkwardly on the foot. It differs from a strain, which involves damage to the muscles or tendons. Symptoms of a sprained ankle include pain, swelling, bruising, and difficulty moving the ankle, especially when walking or standing. The pain often intensifies when weight is placed on the injured foot. Treatment for a sprained ankle usually includes rest and elevation. In severe cases, a brace or crutches may be necessary to keep weight off the foot. Targeted exercises may also be recommended to strengthen the ankle and prevent future injuries. A podiatrist can assess the severity of the sprain, offer pain relief options, and guide you through rehabilitation exercises for proper healing. If you are experiencing ankle pain, it is suggested that you schedule an appointment with a podiatrist.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further 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.

A Jones fracture refers to a break or crack in the fifth metatarsal bone, located on the outer side of the foot near the ankle. Symptoms typically include pain, swelling, bruising, tenderness on the outer part of the foot, and difficulty walking. Diagnosis usually involves a visit to a podiatrist, who will perform a physical examination, review the symptoms, and take a detailed medical history. To confirm the fracture, imaging tests like X-rays are commonly used. Treatment options depend on the severity of the fracture. For minor cases, rest, mild pain relievers, and possibly a cast or splint may be recommended. Crutches could also be necessary to help avoid putting weight on the affected foot. In more severe cases, surgery may be required to properly heal the bone. Full recovery can take several months, so it is important to allow enough time for the bone to heal completely to prevent further injury. If you suspect you have a Jones fracture, it is suggested that you consult a podiatrist for an accurate diagnosis and personalized treatment plan.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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 Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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.

Pickleball, a paddle sport blending elements of tennis, badminton, and ping-pong is enjoyed by players of all ages. Its quirky name is said to have originated from a founder's dog or a rowing term referring to mixed teams. While the game offers excellent physical activity and sharpens mental focus, picklers must prioritize injury prevention. The fast-paced movements and quick turns in pickleball put stress on the ankles and lower legs, increasing the risk of sprains, strains, and overuse injuries. Without proper preparation, even experienced players can face setbacks. Warmup routines, such as calf stretches, ankle rolls, and light cardio, are important to loosen muscles and improve flexibility. If foot or ankle pain arises after play, it is suggested that you consult a podiatrist who can ensure you stay active and injury-free for future matches.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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.

Arthritis in the feet often starts with subtle symptoms like pain, swelling, and stiffness, which can worsen over time. Early signs include discomfort in the toes, arch, or heels, especially after prolonged activity or in the morning. Swelling may occur around the joints, and you might notice difficulty moving the toes or walking without limping. Arthritis in the feet is commonly caused by wear and tear or autoimmune conditions like rheumatoid arthritis. Risk factors include age, family history, injury, or being overweight. Over time, untreated arthritis can lead to joint damage and deformities, such as bunions or hammertoes. Treatments for foot arthritis typically include rest, medication for pain and inflammation, and custom orthotics to improve foot alignment. In some cases, targeted exercises or surgical options may be necessary. If you are noticing pain or swelling in your feet, it is suggested that you make an appointment with a podiatrist who can help manage symptoms and prevent further joint damage.

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 joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your 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 tools and technology to treat your foot and ankle needs.

A broken toe that does not heal can be a frustrating and painful experience. If you have noticed persistent pain, swelling, or difficulty moving the toe despite following basic treatment guidelines, it may be time to consult a podiatrist. A non-healing fracture could indicate a more serious issue, such as improper alignment, insufficient rest, or an underlying health condition like osteoporosis. A podiatrist may recommend additional treatments such as immobilization with a special shoe or splint, or surgery to realign the bones properly. Specific stretches may also be suggested to restore strength and flexibility. If you have a broken toe or continue to be uncomfortable, it is suggested that you consult a podiatrist who can provide appropriate treatment solutions.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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.

Good blood circulation is essential for overall foot health, as it ensures that the feet receive the necessary nutrients and oxygen to function properly. Poor circulation in the feet can lead to various symptoms, including cold or numb feet, tingling sensations, and swelling. In some cases, the skin may appear pale or have a bluish tint, and wounds may heal more slowly. Causes of poor foot circulation often include conditions such as diabetes, peripheral artery disease, and heart disease. Lifestyle factors such as smoking, sedentary behavior, and excessive alcohol consumption can also contribute. Inadequate blood flow can result in discomfort and more serious complications if left untreated. If you have symptoms of poor foot circulation, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.