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While most people associate gout with the big toe, it can also affect the ankle joint. Gout causes intense pain, swelling, and stiffness due to the buildup of uric acid crystals in the joint. When uric acid levels in the blood rise, sharp crystals may form in the ankle, which can make walking and basic activities challenging. Risk factors for gout include consuming foods high in purines, such as red meat, organ meats, and certain seafood, as well as sugary drinks and alcohol, which can elevate uric acid levels. Ankle gout may flare up unpredictably, causing severe discomfort that can last for days or even weeks. A podiatrist can help to manage gout through specific measures. Certain medications can be prescribed that reduce inflammation and changes to diet and lifestyle choices may also be suggested. If not properly managed, gout-related inflammation can lead to lasting damage to the ankle joint. If your ankle is in severe pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

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.

Tinea unguium, also known as onychomycosis, is a fungal infection that affects the nails, particularly the toenails. This condition causes changes in the appearance of the nails, which may become thickened, discolored, and brittle. Infected nails can also separate from the nail bed, causing discomfort and potential pain. The primary cause of tinea unguium is the overgrowth of fungi, particularly dermatophytes, which thrive in warm and moist environments. Risk factors include wearing tight footwear, having a history of athlete's foot, and compromised immune systems. Poor hygiene can also contribute to the development of this infection. Recognizing the symptoms early is essential for effective treatment, as untreated cases can lead to more severe complications. If you have toenail fungus symptoms, it is suggested that you consult with a podiatrist who can offer you prescribed medication for effective treatment.

For more information about treatment, 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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

Toe, foot, and ankle problems in children often arise from acute or overuse injuries. Acute injuries happen suddenly, typically from accidents or falls during play or sports. Examples include sprained ankles, where the ligaments are overstretched or torn, and fractures, which involve broken bones in the foot or ankle. These injuries usually cause immediate pain, swelling, and difficulty walking or standing. Overuse injuries develop gradually from repetitive activities. Common examples in children include plantar fasciitis, Achilles tendonitis, and stress fractures, often resulting from sports that involve running or jumping. Wearing poor footwear, improper technique, or a sudden increase in activity can also contribute to these issues. Both types of injuries require appropriate care, from rest, and for more serious conditions, professional treatment by a podiatrist.  If your child has sustained an injury to their ankles or feet that are not healing in a timely way, it is strongly suggested that you visit a podiatrist who can provide a proper diagnosis and treatment plans to prevent further complications, and ensure healthy development.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

Corns are a common skin condition, with distinct characteristics and causes. Corns are thickened patches of skin that develop due to friction or pressure, often on the toes or soles. They are usually smaller than warts and have a hard center surrounded by inflamed skin. Symptoms of problematic corns include localized pain and tenderness. Wearing shoes with plenty of room for the toes is the best way to prevent corns. If your toes cannot wiggle and move around, the shoes are likely too tight. Persistent corns that cause significant discomfort may require medical intervention. A podiatrist may recommend cryotherapy, laser treatment, or surgical removal. If you have corns that do not improve, it is suggested you schedule an appointment with a podiatrist for a thorough evaluation and effective treatment options.

If you have any concerns regarding your feet and ankles, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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.

Same level falls occur when individuals trip, slip, or stumble on surfaces at the same height they are standing on, often leading to injuries that can affect productivity and morale. To prevent these incidents in the workplace, it is vital to implement several strategies. First, using appropriate flooring can significantly reduce the risk. Non-slip surfaces are ideal in high-traffic areas. Regularly removing obstacles such as clutter, cords, and equipment can create a safer environment. Promptly cleaning up spills and ensuring that wet floors are marked with clear signage is essential for alerting employees to potential hazards. Additionally, wearing protective gear, such as slip-resistant shoes, can further enhance safety. Falling can seriously impact the feet, which may cause a loss of work and wages. If you have had a foot injury from falling, it is suggested that you consult a podiatrist who can treat various foot injuries, and guide you on appropriate fall prevention methods in the work environment.

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.

A dislocated toe occurs when the bones in the toe become misaligned, often leading to significant discomfort and mobility issues. Common symptoms include intense pain at the site of the injury, noticeable swelling, and bruising. The affected toe may appear deformed or out of place, and there may be difficulty moving it or walking without pain. Several factors contribute to dislocated toes, with sports injuries being a leading cause. Activities involving running, jumping, or sudden changes in direction can put excessive stress on the toe joints. Also, accidents such as stubbing the toe or dropping a heavy object on it can lead to dislocation. If you have sustained an injury that may have dislocated your toe, it is suggested that you promptly contact a podiatrist who can provide an accurate diagnosis and treatment.

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 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.

Achilles tendon injuries are relatively common, particularly among athletes and active individuals. The Achilles tendon, which connects the calf muscles to the heel bone, is prone to strains and tears due to its role in walking, running, and jumping. Common causes of injury include sudden increases in physical activity, such as jumping or sprinting, and inadequate warm-up exercises. Risk factors for Achilles tendon injuries include age, as the tendon weakens with time, and conditions like obesity, which places extra stress on the tendon. Individuals with poor flexibility or muscle imbalances are also at a higher risk. Wearing inappropriate footwear or having a history of previous tendon injuries can further increase susceptibility. An Achilles tendon injury can cause extreme pain and discomfort. If you have sustained this type of injury, it is suggested that you consult a podiatrist who can effectively treat this condition.

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.

Falls in the workplace can lead to a range of foot injuries, including bruises and contusions, cuts, sprains, and strains. To prevent such accidents, it is essential to maintain a clutter-free environment and ensure that floors are clean and dry. Proper lighting in all areas can help avoid trips and falls, and non-slip mats should be used in high-risk zones. Employees should also be encouraged to use handrails on stairs and to wear appropriate shoes that provide good traction. Regular safety training and awareness programs are critical for reinforcing these practices. Falling in the workplace can impact the feet and may cause loss of wages. If you have injured your feet from falling, it is suggested that you consult a podiatrist who can treat various foot conditions and get you back to work.

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.

A heel spur, medically known as a calcaneal spur, is a bony growth that develops on the underside of the heel bone. This condition is often associated with plantar fasciitis, where the tissue connecting the heel to the toes becomes inflamed. Heel spurs form due to excessive stress and strain on the foot, causing calcium deposits to accumulate over time. Common causes include repetitive stress from high-impact activities, prolonged standing, and wearing improper footwear. Individuals with flat feet or high arches are also at higher risk due to altered foot mechanics. Symptoms typically include sharp pain at the heel, particularly with the first steps in the morning. If you have developed a heel spur, it is suggested that you are under the care of a podiatrist who can discuss effective treatment methods that may include surgery for removal.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Pittsburgh, White Oak, and McKeesport,PA . We offer the latest in diagnostic and treatment technology to meet your needs.