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Nail fungus, also known as onychomycosis, is not always caused by the same organism. The three main types of fungi that infect nails are dermatophytes, yeasts, and molds. Dermatophytes are the most common and feed on keratin, the protein that forms the nail. These infections often cause yellow or white discoloration, thickening, and a brittle texture. Yeast infections may lead to redness, swelling around the cuticle, and lifting of the nail plate. Molds are less common but can create dark brown, black, or green discoloration with irregular nail changes. The nail may appear distorted, crumbly, or separated from the nail bed. A podiatrist can evaluate the nail, take a small sample for testing, and determine the exact cause. Treatment may include topical medication, oral antifungal therapy, or careful trimming of damaged nails. If you have nail fungus, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

People with diabetes who have nerve damage in the feet may develop bone injuries without realizing it. Reduced sensation can prevent pain signals from warning that a bone is under too much stress. Small cracks in the bones of the foot may form gradually from everyday walking or minor changes in activity. Swelling, warmth, or redness may be the only visible signs, and these are sometimes mistaken for skin or circulation problems. Normal daily activity often continues because pain is absent, allowing the injury to progress unnoticed. Over time, untreated bone stress injuries can lead to collapse of the foot structure or long-term mobility problems. Regular foot checks and early evaluation of swelling or shape changes are essential for prevention. Awareness is especially important for those with long-standing diabetes. If unexplained swelling, warmth, or foot changes appear, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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 Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

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.