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An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, redness, swelling, and sometimes infection. A podiatrist can relieve pain, treat infection, and provide guidance to prevent recurrence through proper nail trimming and footwear advice. When conservative treatments such as soaking or trimming are not effective, a minor surgical procedure may be performed to remove part or all of the affected nail. This ingrown toenail surgery is usually done under local anesthesia, and recovery typically takes one to two weeks, depending on the extent of the nail removal and aftercare. If you have a painful ingrown toenail, it is suggested that you consult a podiatrist who can discuss whether surgery is a right treatment option for you. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Flat foot in children occurs when the arches of the feet do not develop properly, causing the entire sole to touch the ground. While many children outgrow this condition, some experience pain due to underlying issues such as tarsal coalition, which is an abnormal connection between foot bones, or stress fractures from repetitive activity. In severe cases, surgery may be needed to correct structural problems. A podiatrist can evaluate the cause of flat foot pain, provide custom orthotics, recommend stretching or strengthening exercises, and discuss other treatment options. If your child complains of foot pain or has difficulty walking, it is suggested that you schedule an appointment with a podiatrist who can offer effective relief and management tips.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

Athlete’s foot is a common fungal infection that thrives in warm and moist environments such as locker rooms, sweaty footwear, and damp socks. It may appear as scaly, peeling, or cracked skin between the toes or along the soles, sometimes with small blisters or redness. Symptoms often include itching, burning, and stinging sensations that can become more intense after removing shoes. The skin may feel dry, irritated, or tender to the touch, and the infection can spread if left untreated. A podiatrist can provide an accurate diagnosis by examining the affected areas and identifying the specific type of fungus involved. Treatment may include prescription-strength antifungal medications, guidance on hygiene practices, and advice on footwear or moisture control. In more persistent cases, a podiatrist may use advanced therapies to target deeper infections and prevent recurrence. Prompt professional care supports faster healing and reduces the risk of spreading the condition. If you notice ongoing itching or skin changes on your feet, it is suggested that you make an appointment with a podiatrist. 

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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 hammertoe occurs when one or more of the smaller toes bend abnormally at the middle joint, creating a curled or hammer-like appearance. This condition may start with mild stiffness, but often progresses to a rigid contraction that makes wearing shoes painful. Friction from footwear can lead to corns, calluses, and skin irritation, while the altered position of the toe can disrupt balance and gait. Causes include muscle imbalance, wearing tight footwear, genetic factors, or underlying conditions such as arthritis. Early treatment focuses on relieving pressure with choosing wider shoes, toe pads, or custom orthotics, as well as stretching exercises to improve flexibility. More advanced cases may require surgical correction to restore proper alignment. Addressing a hammertoe promptly can prevent progressive damage and chronic discomfort. If you are experiencing pain or difficulty caused by a hammertoe deformity, it is suggested that you visit a podiatrist for evaluation and appropriate treatment.

Hammertoes can be a painful condition to live with. For more information, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best 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.

The skin on the bottom of the feet can be sensitive, despite it being able to support the weight of the body. The foot condition that is known as cracked heels can be uncomfortable, and it can happen for a variety of reasons. These can include wearing shoes that have an open back and standing on hard or uneven surfaces for most of the day. Additionally, it can occur from not drinking adequate amounts of water, or from a lack of moisturizing the feet. Some patients notice they have cracked heels from taking extremely hot baths or showers, or from using harsh soaps on their feet. Severely cracked heels may lead to developing fissures, which can bleed and become infected. It is beneficial for people who are diabetic to pay extra attention to their feet, and this may help to avoid complicated foot conditions from developing. If you have cracked heels, it is suggested that you confer with a podiatrist who can offer you treatment solutions, in addition to learning about effective prevention techniques.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.