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Peroneal tendonitis is inflammation of the peroneal tendons along the outside of the ankle, often due to overuse or sudden increases in activity. Athletes, particularly runners and dancers, are prone to this condition. Symptoms include pain, swelling, and tenderness along the outside of the ankle, especially during physical activity. Diagnosis involves a physical exam, imaging tests, and assessment of medical history. Treatment includes rest, anti-inflammatory medications, and exercises to strengthen muscles and improve flexibility. In severe cases, immobilization or corticosteroid injections may be necessary. A podiatrist can provide expert diagnosis and treatment, offering personalized rehabilitation strategies to alleviate symptoms and prevent the recurrence of peroneal tendonitis. If you have pain on the outside of your ankle, it is suggested that you contact a podiatrist for care.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, 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.

Rheumatoid arthritis, or RA, can cause significant discomfort and mobility issues in the toes. The inflammation damages the toe joints and surrounding tissues, leading to deformities like hammer toe, claw toe, bunions, and corns, making simple activities like walking painful. Seeking a diagnosis from a podiatrist as early as possible allows for effective management. Treatment typically involves lifestyle adjustments, medication, and sometimes surgery, which a podiatrist can provide. Podiatrists also offer specialized care to alleviate RA symptoms and improve mobility, such as custom orthotics, suitable footwear recommendations, and joint fusion or toe reshaping if necessary. Regular checkups with a podiatrist help to monitor the effects of RA and adjust treatment as needed. By taking proactive steps and seeking professional help from a podiatrist, you can minimize the impact of arthritis on your toes and get the relief you need. If you're experiencing persistent toe pain from rheumatoid arthritis or noticing deformities on the toes, it is suggested that you make an appointment with a podiatrist for personalized care and support.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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 elevates the risk of foot complications due to nerve and blood vessel damage, underscoring the importance of regular foot exams conducted by a podiatrist. These assessments are crucial for early detection and prevention of issues that could lead to serious infections or amputations. Even minor wounds like blisters or cuts can escalate into ulcers and infections if not promptly addressed. Moreover, diabetes related vascular damage impairs blood flow to the feet, hindering the healing process and increasing the risk of tissue death, or gangrene. A comprehensive foot exam evaluates nerve function, circulation, skin condition, and musculoskeletal structure. Tests such as the monofilament and tuning fork assessments, along with vascular checks, help identify abnormalities indicative of neuropathy or reduced sensation. In addition to a yearly foot exam by a podiatrist, more frequent assessments are suggested for those with a history of foot complications. Consistent foot care and blood sugar management are also necessary for preventing diabetic foot problems. If you have diabetes and encounter foot problems, it is suggested that you schedule an appointment with a podiatrist for a complete foot exam. 

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.

Tarsal tunnel syndrome is a condition that occurs when the tibial nerve, which runs through the inside of the ankle, becomes compressed. This compression can lead to a range of symptoms, commonly including a tingling sensation, numbness, or a burning pain in the foot, especially in the sole or arch. Some people may also experience these sensations extending to the heel, toes, or up into the calf. The discomfort often worsens with activity and can become more pronounced at night. Tarsal tunnel syndrome can be caused by anything that increases pressure in the tarsal tunnel, such as swelling from an injury, flat feet that strain the nerve, or growths like cysts. If you suspect tarsal tunnel syndrome, it is suggested that you seek prompt evaluation from a podiatrist.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.