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Sever's disease, also known as calcaneal apophysitis, is a prevalent heel condition that mainly affects children and adolescents during their growth spurts. Contrary to its name, it's not an actual disease, but rather an overuse injury characterized by inflammation of the growth plate in the heel bone, or calcaneus. Sever's disease generally strikes during the pre-teen and teenage years when the heel bone is still developing. The rapid growth of bones and muscles can lead to tension and stress on the heel's growth plate, resulting in pain and discomfort. This pain is typically experienced in the back of the heel, especially during activities such as running, jumping, or walking. Sever's disease is more common in active youngsters, particularly those involved in sports with repetitive impact on the heel. While it can be painful and frustrating, it is generally a self-limiting condition that tends to resolve once the growth plate fully matures. If your child has heel pain, it is suggested that you contact a podiatrist who can accurately diagnose and treat Sever’s disease. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Vincent, Vess from Fourth River Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

Flip flops are a summertime staple loved for their easy, breezy style. However, those flat, flimsy soles can spell trouble for your feet. Wearing flip-flops excessively can lead to issues such as arch pain, plantar fasciitis, and even knee problems due to the lack of support. To counter these drawbacks, incorporating foot exercises into your routine can be a game changer. This can begin with towel scrunches, which are done by gripping a towel with your toes and pulling it toward you. Toe stretches can be performed by picking up marbles with your toes, improving flexibility. Calf raises strengthen the lower leg muscles. Additionally, performing the ankle alphabet is a simple way to enhance mobility. Practicing these exercises regularly may mitigate the pitfalls of wearing flip-flops and help maintain happy, healthy feet the year round. If you have questions about what foot stretches are best for you, it is suggested that you make an appointment with a podiatrist.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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.

Swollen feet, while often benign, can be discomforting and may point to an underlying issue. Various factors can contribute to this condition. Prolonged standing or sitting, especially in one position, can impede proper blood circulation, leading to fluid accumulation and swelling. Wearing inadequate footwear, whether too tight or unsupportive, can restrict blood flow and aggravate the problem. Medical conditions such as hypertension or kidney disease can cause fluid retention in the lower extremities. Pregnancy also plays a role due to increased pressure on blood vessels and hormonal shifts. Injuries like sprains or fractures can trigger inflammation and swelling as part of the body's healing response. Recognizing the cause of swollen feet is important for effective management. Elevating your feet, staying hydrated, and engaging in a consistent exercise routine can be helpful. However, persistent or severe swelling demands medical attention to address the root cause. If you have swollen feet, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.

Proper wound care for the feet is a crucial aspect of maintaining overall health and mobility. Whether managing minor cuts, blisters, or more substantial injuries, tending to foot wounds can help to prevent complications and expedite healing. Wound care can begin by cleaning the affected area gently with mild soap and lukewarm water, and patting it dry without rubbing. This can be followed by applying an appropriate antiseptic, which can help to prevent infections. Covering the wound with a sterile bandage or dressing can safeguard it from dirt and friction. It is beneficial to regularly change the dressing and monitor the wound's progress, keeping an eye out for signs of infection, such as increased redness, swelling, or pus. If the wound does not show signs of improvement or healing, seeking medical attention is essential to ensure a seamless recovery process for your feet. If you have a foot wound, it is strongly suggested that you confer with a podiatrist who can effectively treat wounds on the feet.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Plantar warts are uncomfortable growths on the soles of the feet and can create quite a nuisance. Caused by the human papillomavirus, which is abbreviated HPV, the virus enters the skin through tiny cuts or abrasions. The ideal environment for this to occur is warm and damp, such as swimming pools or communal showers. The pressure from walking or standing can push these warts inward, making them appear flat. While plantar warts can sometimes resolve on their own, treatment is often sought to alleviate pain and prevent their spread. Over-the-counter topical treatments containing salicylic acid may help to gradually dissolve the wart. Medical interventions such as freezing the wart, which is referred to as cryotherapy, or minor surgical removal may be recommended by a podiatrist. If you have developed a plantar wart, it is strongly suggested that you consult with this type of doctor who can guide you toward the treatment method that is right for you.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Rheumatoid arthritis, abbreviated RA, is a relentless autoimmune disorder that does not spare the feet from pain. The immune system's misguided attacks on the synovium, which is the protective lining of joints, lead to chronic inflammation in various parts of the body, including the feet. The small joints in the toes, the arch, and the ankle are frequent targets, causing swelling, stiffness, and pain. Over time, RA can lead to deformities, such as bunions, hammertoes, and collapsed arches, resulting in altered foot structure and gait. The chronic pain can impair mobility, leading to a reduced quality of life. Early diagnosis and prompt intervention are crucial to managing symptoms and slowing down the progression. A treatment approach involving medication, wearing orthotics, and incorporating lifestyle adjustments may help to alleviate the burden on the feet and enhance overall foot health for individuals with RA. If you have this condition, it is strongly suggested that you are under the care of a podiatrist who can offer you additional relief options.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Vincent, Vess of Fourth River Foot & Ankle. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

For older adults or those with medical issues, the risk of falling is a concern, as it can lead to severe injuries. Regular exercise can help prevent falls by strengthening foot and leg muscles, improving balance, and increasing endurance. One can perform balance exercises during everyday activities, such as standing on one foot while waiting in line or sitting down and standing up without using the hands. For stronger calves and ankle muscles, the toe stand exercise can be done where one holds onto a solid support, like a chair, for balance, with the back straight and both knees slightly bent. Then push up onto the tiptoes as high as possible and lower both heels to the floor. Walking, especially on uneven surfaces, and Tai Chi are beneficial for improving strength and balance. Swimming pool exercises can also help. Start slowly and breathe easily during exercise. If pain or dizziness occurs, stop immediately. If you are concerned about falling and seek additional fall prevention tips, it is suggested that you make an appointment with a podiatrist.

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.

Heel pain is a common condition that affects people worldwide. There are various foot conditions that can cause heel pain, including plantar fasciitis, heel spurs, and Achilles tendonitis. It can be difficult to walk, and medical attention is often sought for relief. There are certain stretches that can be performed that may reduce heel pain. The standing calf stretch is done by standing on a step and lowering one heel at a time until a gentle stretch is felt. This can be repeated several times per day to gradually strengthen the heel. Another effective stretch is done by sitting on the floor while stretching the feet out in front of you. After rolling up a towel lengthwise, it can be put around the ball of the feet, while pulling it towards you. After holding for several seconds, this stretch can be repeated during the day. If you have heel pain, it is strongly suggested that you confer with a podiatrist who can determine the cause and provide effective treatment solutions.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Tarsal tunnel syndrome is an infrequent condition characterized by damage to the tibial nerve, one of the major nerves in the body. It is typically caused by compression within the tarsal tunnel, which is a narrow passage located inside the ankle. This compression, known as entrapment neuropathy, occurs due to the restricted space formed by bones and soft tissues in the area. The tibial nerve, along with certain blood vessels and tendons, passes through the tarsal tunnel. It is responsible for moving and feeling things in the lower leg and foot. However, the term tarsal tunnel syndrome is commonly used to describe any discomfort or pain along the tibial nerve. This syndrome can stem from various underlying causes, including injury to the foot or ankle, flat feet or fallen arches, and medical conditions, such as diabetes or arthritis. Individuals affected by tarsal tunnel syndrome may experience pain, a burning sensation, or tingling along the path of the tibial nerve. If you have foot or ankle pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

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 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.