Blog

Tarsal tunnel syndrome is a nerve compression condition that affects the posterior tibial nerve as it passes through the tarsal tunnel, a narrow space located along the inner side of the ankle and foot. When this nerve becomes compressed or irritated, it can cause pain and nerve-related symptoms throughout the foot. Causes include injury, swelling, flat feet, varicose veins, or anything that places pressure on the nerve. Risk factors include overuse, foot deformities, inflammatory joint disease, and repetitive stress activities. Symptoms often include burning pain, tingling, numbness, and sharp discomfort that may worsen with prolonged standing or walking. A podiatrist can evaluate foot structure, recommend supportive treatment, and help relieve nerve pressure. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome. 

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.

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.