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Endoscopic plantar fasciotomy, or EPF, is a surgical procedure used to treat plantar fasciitis. This painful foot condition is caused by inflammation of the thick band of tissue that runs along the bottom of the foot, known as the plantar fascia. During an EPF procedure, a small incision is made in the foot, and a thin, tube-like instrument called an endoscope is inserted to visualize the plantar fascia. Using specialized instruments, the podiatrist then cuts or releases the tight or damaged portion of the plantar fascia, relieving tension and reducing pain. Unlike traditional open surgery, EPF is minimally invasive and typically results in less postoperative pain, faster recovery times, and smaller scars. This procedure is often recommended for patients who have not responded to conservative treatments, such as rest, orthotic devices, or steroid injections. If you have plantar fasciitis, it is suggested that you are under the care of a podiatrist who can determine if this type of surgery is right 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 and ankle needs.

Ensuring the health of your feet is paramount for overall well-being, yet it is a facet of the body that is often disregarded until discomfort arises. With the intricate structure of 28 bones, more than 30 joints, numerous ligaments, tendons and muscles, your feet demand regular maintenance. Starting out the day with gentle calf stretches has been pivotal in alleviating strain, and is especially beneficial for individuals susceptible to overuse conditions like plantar fasciitis. Incorporating simple foot massages with a roller or water bottle aids in releasing tension and fosters relaxation. This simple exercise also offers respite after enduring hours of standing or activity. Foot exercises concentrating on the arch area serve to fortify foot muscles, thereby enhancing stability and bolstering support. By integrating these exercises into your daily routine, you can help to ward off foot pain and fatigue, enabling you to remain on your feet for extended periods of time with reduced strain. If you are experiencing persistent foot pain or discomfort, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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.

Tinea pedis, commonly known as athlete's foot, extends its reach far beyond the realm of athletes. This fungal infection thrives in warm, moist environments, making anyone susceptible, regardless of their athletic pursuits. Individuals who frequent communal spaces like gyms, swimming pools, or shared showers are at highest risk. Preventive measures play an important role in warding off this uncomfortable infection. Keeping feet clean and dry, especially between toes, helps create an unsatisfactory environment for fungi to flourish. Wearing breathable footwear made of natural materials and changing socks regularly can minimize moisture buildup. Avoiding walking barefoot in public areas and using antifungal powders or sprays as a preventive measure can further reduce the risk of infection. Athlete’s foot can be treated by a podiatrist. If you notice signs of this uncomfortable foot condition, it is strongly suggested that you visit this type of doctor who can prescribe medication for effective treatment.

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.

Foot ulcers are open wounds that occur on the bottom of the foot or around the toes. They can range in size from small sores to larger, more severe wounds. These ulcers develop from a combination of medical factors, such as poor circulation, nerve damage, and high blood sugar levels, particularly in individuals with diabetes. Additionally, non-medical reasons like improper footwear, foot deformities, and injuries can contribute to their formation. Diagnosis involves a thorough examination by a podiatrist, often including tests to assess blood flow and nerve function. Foot ulcers differ from other skin conditions by their depth and potential to worsen if left untreated, leading to serious complications like infection or even amputation. If you have a foot ulcer, it is strongly suggested that you schedule an appointment with a podiatrist for prompt treatment, which may involve wound care, infection management, pressure relief, and addressing related underlying medical conditions.

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.

As we age, the risk of experiencing a fall increases, posing a significant threat to independence and mobility among individuals aged 65 and older. Falls can lead to severe consequences, often affecting the feet, including fractures, reduced quality of life, and loss of independence. Therefore, prioritizing falls prevention is paramount. Several risk factors contribute to falls in older adults, including muscle weakness, balance issues, medication side effects, and environmental hazards. Implementing preventive measures, such as regular exercise to improve strength and balance, removing tripping hazards at home, ensuring proper lighting, and reviewing medications with a healthcare provider, can significantly reduce the risk of falls. A podiatrist can assess foot health and address issues, such as wearing improper footwear and having foot pain, which can contribute to instability. Additionally, they can provide guidance on proper foot care and recommend custom orthotic devices to improve balance and mobility. If you are a senior and want to learn more about falls prevention and what you can do to protect yourself, it is suggested that you schedule an appointment with a podiatrist who can help you safeguard your independence and well-being.

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.

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 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.

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 and ankle needs.