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Pregnancy, with its myriad changes, often brings about discomfort, and foot pain is a common concern for many expectant mothers. Fortunately, several strategies can help alleviate this discomfort. Opting for comfortable, supportive footwear is vital, as the body undergoes weight changes that can impact foot structure. Regularly elevating the feet, especially after extended periods of standing, can help to reduce swelling and promote better circulation. Gentle stretching exercises, such as ankle circles and toe flexes, can offer relief and maintain flexibility. Adequate hydration is essential to prevent water retention, a common contributor to foot swelling. Cold compresses or foot massages may provide soothing relief while maintaining a healthy weight. Engaging in low-impact exercises, like swimming, can alleviate pressure on the feet. Regular prenatal checkups ensure any underlying conditions that contribute to foot pain are addressed promptly. If you are experiencing foot pain during your pregnancy, it is suggested that you confer with a podiatrist who can offer you effective relief techniques.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to 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.

Gout, a form of inflammatory arthritis, can lead to several complications if not properly managed. Chronic gout can cause persistent pain and swelling in the joints, significantly affecting mobility and quality of life. Over time, the buildup of uric acid crystals in the joints can lead to tophi, which are lumpy deposits that can be felt under the skin. These tophi can become inflamed or infected, causing further discomfort and complications. Repeated gout attacks can also lead to joint damage and deformity, particularly in the big toe, feet, ankles, and knees. This damage can be debilitating, leading to reduced joint function and chronic pain. Moreover, gout is often associated with other serious health conditions, including kidney stones as a result of excess uric acid. It can also increase the risk of cardiovascular diseases and chronic kidney disease. These complications underscore the importance of making an appointment with a podiatrist. If you have developed gout, it is strongly suggested that you are under the care of this type of doctor who can offer you relief and preventive options. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Fungal nail infections, medically known as onychomycosis, can be stubborn and challenging to treat. Traditional methods consisting of topical antifungal creams or oral medications may not always provide the desired results. In such cases, laser treatment for fungal nails has emerged as an alternative solution. Laser treatment, often referred to as laser therapy or laser fungal nail treatment, is a non-invasive procedure designed to target and eradicate the fungal infection in toenails or fingernails. During the procedure, a specialized laser emits a focused beam of light, which generates heat that penetrates the infected nail and the underlying fungal structures. This controlled heat effectively kills the fungus without causing damage to surrounding tissues. Laser treatment for fungal nails is considered a safe and efficient option, particularly for individuals who are reluctant to use or cannot tolerate traditional medications. If you have developed toenail fungus, it is suggested that you schedule an appointment with a podiatrist who can determine if laser treatment is right for you.  

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

• Nail thickening
• Brittleness of the nail
• Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

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.

Turf toe is an injury to the big toe's ligaments, commonly afflicting athletes like those who play football or soccer as they often play on artificial surfaces. It arises when there is excessive force exerted on the toe's metatarsophalangeal, or MTP, joints, through actions such as sprinting or jumping. This injury can also happen to dancers and gymnasts, given their frequent hard surface toe flexes. Turf toe can result from overextending the big toe upwards, which can happen due to various activities that stress the toe, such as certain sports movements, wearing heels, or improper walking. The risk may increase by choosing to wear footwear that is too tight.  The toe's joint and the sesamoid bones within the tendons bear the body's weight and aid movement. If these are forced backward beyond their limit, or if the toe stays flat instead of lifting during motion, the ligaments can strain or tear. Turf toe may occur in an instant from a sharp movement, or it may happen gradually from repetitive strain. This is generally a minor ailment, sidestepping the need for surgery. Symptoms range from pain and swelling to a snapping sensation during the incident. Initial mild symptoms can worsen with continuous stress, potentially leading to severe and immediate manifestations upon injury. If you suffer from toe pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

Sever's disease, also known as calcaneal apophysitis, is a common condition affecting children and adolescents. It occurs due to the inflammation of the growth plate in the heel bone, typically during the growth spurts of puberty. One of the primary causes of Sever's disease is the imbalance between the growth of the heel bone and the Achilles tendon. This imbalance can result from intense physical activities, such as running or jumping, which put excessive stress on the heel area. The common symptoms of Sever's disease include heel pain, especially when walking or participating in sports. Pain is often worse during or after activities, and may be accompanied by limping. Swelling and tenderness in the affected heel are also common. It is essential to recognize these signs early, as a timely intervention may help to manage the condition and prevent long-term complications. If your child experiences persistent heel pain, it is suggested that you consult a podiatrist who can determine the appropriate course of treatment and ensure a healthy, pain-free adolescence.

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.

Tailor's bunion, also known as a bunionette, is a painful condition that develops on the outer side of the foot, specifically over the fifth metatarsophalangeal joint, or the 5th MPJ. This condition causes pressure pain, the formation of painful calluses, and difficulty when wearing shoes. One cause of tailor's bunion is a biomechanical abnormality where changes in your foot’s structure gradually cause the metatarsal bones to separate and a bunion to form. Conservative treatment options include padding, footwear modification, and custom-made orthotics. This condition is progressive and generally does not improve on its own. Surgical options include ostectomy, which removes the painful bump from the head of the fifth metatarsal. This type of surgery involves cutting the fifth metatarsal bone and realigning it. Surgical intervention may also include the removal of a painful bursa, if present. If tailor's bunion significantly hinders daily activities, causes discomfort while wearing shoes,  or leads to excessive pain, it is suggested that you make an appointment with a podiatrist who can determine what the most appropriate course of action is.

If you are suffering from bunions, 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 a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• 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 care needs.

Plantar warts, painful growths that appear on the soles of the feet, can be an unwelcome annoyance. However, there are effective ways to treat and prevent this viral infection. To tackle existing plantar warts, salicylic acid prescribed by a podiatrist may gradually help to dissolve the wart tissue. For stubborn or painful warts, a podiatrist can recommend cryotherapy, laser therapy, or surgical removal. To prevent plantar warts, maintaining proper foot hygiene is essential. Keep your feet clean and dry, and avoid walking barefoot in public places to minimize exposure to infection. Wear shoes that fit well, and change your socks daily. If you have a cut or scrape on your foot, cover it with a bandage to prevent the virus from entering. Finally, boost your immune system through a healthy diet, exercise, and stress management, as a strong immune system can help ward off the human papilloma virus, or HPV, responsible for these warts. If you have developed a plantar wart, it is strongly suggested that you are under the care of a podiatrist who can provide appropriate relief treatments.

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.

Your profession, while providing livelihood and fulfillment, can significantly affect the health of your feet. For those in physically demanding roles, such as healthcare workers, construction laborers, or retail employees, prolonged periods of standing or walking can lead to fatigue, strain, and an increased risk of conditions like plantar fasciitis or bunions. Conversely, sedentary jobs that require long hours of sitting can contribute to problems like weakened calf muscles, poor circulation, and the development of blood clots in the legs, known as deep vein thrombosis  Additionally, professions that involve wearing inappropriate footwear, like high heels or steel-toed boots, can lead to issues ranging from foot pain to chronic conditions such as ingrown toenails or neuromas. Regular foot care, including proper footwear selection, exercising, and taking periodic breaks to stretch and rest your feet, can mitigate the impact of your job on your feet. It is suggested that you consult a podiatrist for guidance tailored to your profession for advice on specific types of shoes to buy for the overall health of your feet. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Vincent, Vess from Fourth River Foot & Ankle. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

Orthotics refer to custom or prefabricated devices inserted into your shoes to provide support and alleviate various foot and lower limb issues. These inserts are designed to correct abnormal foot function, improve balance, and reduce pain associated with conditions such as flat feet, plantar fasciitis, and bunions. There are several compelling reasons to wear orthotics. They can help redistribute pressure and provide cushioning, which can alleviate discomfort and pain. Orthotics also aid in correcting gait abnormalities, potentially reducing the risk of injuries. For athletes or those on their feet for extended periods, orthotics can enhance performance and endurance. Additionally,  they can contribute to overall body alignment, which can alleviate pain in the knees, hips, and lower back.. Wearing orthotics can significantly improve your quality of life by promoting comfort, stability, and better foot health. If you are interested in learning more about orthotics, it is suggested that you contact a podiatrist who can determine which type is right for you.

If you are having discomfort in your feet and would like to try orthotics, 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.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.