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Running requires minimal gear, with a good-fitting pair of shoes as the essential requirement. Additional running accessories like well-constructed and breathable socks, gear, and watches are optional. However, your choice of running shoe can vary depending on your running conditions and preferences. To determine how many running shoes you need, start with at least one pair that suits you. Having two pairs and rotating them is beneficial for those running on the same terrain frequently, especially if it is several times a week. If you diversify your running terrain, you may consider purchasing additional pairs, as specific shoes cater to trails, tracks, speed workouts, and everyday runs. Trail shoes are suitable for rugged or slippery trails, providing waterproofing and extra traction. Track shoes, lightweight with minimal cushioning, benefit those preparing for track races or track workouts. Treadmill shoes should be cushioned, while speed work and race day shoes are designed to boost confidence and speed. Depending on your running goals and variety of terrain, you may need multiple shoes to optimize your training and performance. If you run or plan to run on different terrains, it is suggested that you schedule an appointment with a podiatrist to discuss how many pairs of running shoes may be suitable for your running goals.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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.

Understanding pes cavus, commonly known as a high-arched foot, is essential for managing its impact on foot health, especially as you age and the risk of falls increases. Pes cavus can develop due to various reasons. Included are nerve conditions like Charcot-Marie-Tooth disease, spine issues, or past polio infections, leading to muscle imbalances and weakness in the feet and ankles. The three main types of pes cavus are when the heel is turned inward, pushed up, and when the arch is just very high. Each type has its own signs and can be seen on special X-rays. Symptoms of pes cavus can include foot pain, feeling unstable when walking, and having trouble finding comfortable shoes, which usually get worse as the arch gets higher. Treatment usually starts with non-surgical options like custom orthotics and exercises to improve balance. In more severe cases, surgery might be needed to fix the foot's shape and reduce pain. If you are experiencing foot pain or balance issues that may be related to high arches, it is suggested that you schedule an appointment with a podiatrist for an exam and diagnosis.

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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Plantar warts, small growths caused by the human papillomavirus, or HPV, often appear on the soles of the feet. Unlike common warts, which typically grow on the hands, plantar warts can be painful due to the pressure exerted on the soles when walking or standing. These warts may have a rough, grainy appearance with tiny black dots, which are actually clotted blood vessels. Several risk factors increase the likelihood of developing plantar warts. Close contact with the virus, such as walking barefoot in damp and communal areas like locker rooms, swimming pools, or public showers, can put your feet at risk. Additionally, those with a weakened immune system, such as individuals with diabetes or HIV, are more susceptible to plantar warts. Constantly moist or sweaty feet can provide an ideal environment for the virus to thrive. If you have developed a plantar wart, it is strongly suggested that you consult a podiatrist who can provide relief with appropriate treatment methods.

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.

Edema is defined as the body having too much fluid in certain areas, causing noticeable swelling and symptoms. Rapid swelling all over your body, especially coupled with other health problems, needs quick diagnosis and care. But if you have long-term swelling in your legs and feet, it may be due to poor blood flow, especially when they feel heavy and are swollen and discolored. Taking care of your skin is important to avoid skin problems and sores. If your skin is red, itchy, and swollen, you can use creams and lotions. People who have had blood clots in their legs should wear tight stockings to prevent leg and foot problems later. Sometimes, breathing problems at night can make your legs swell even if you do not have lung issues. If your skin is thick, swollen, and does not leave an impression when pressed, it may be a sign of lymphedema. This can happen if you had surgery, cancer, or radiation therapy. If you have persistent swelling in your feet or legs, it is strongly suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment options.

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.

Podiatrists are specialized healthcare professionals who focus on the diagnosis, treatment, and prevention of foot and ankle disorders. There are various compelling reasons to schedule a visit to a podiatrist. First, persistent foot or ankle pain should not be ignored, as it can be an indicator of an underlying issue. Podiatrists are experts in identifying and addressing the source of your discomfort. They can diagnose conditions such as plantar fasciitis, bunions, or heel spurs, and develop personalized treatment plans. If you are experiencing mobility issues, a podiatrist can help. They can provide custom orthotics or recommend appropriate footwear to improve your gait and balance. Diabetes can take a toll on the feet, leading to complications like neuropathy and ulcers. Regular check-ups with a podiatrist are essential for early detection and preventative care. In short, consulting a podiatrist is beneficial for anyone seeking to maintain their overall foot health, in addition to alleviating foot pain. It is suggested that you visit a podiatrist if you are interested in learning more about the field of podiatry. 

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to 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 Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

• Diagnose foot ailments such as ulcers, tumors, fractures, etc.
• Use innovative methods to treat conditions
• Use corrective orthotics, casts, and strappings to correct deformities
• Correct walking patterns and balance
• Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

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.

Sever's disease, clinically known as calcaneal apophysitis, is a common heel condition affecting children and adolescents during periods of rapid growth. This condition specifically targets the growth plate in the heel bone, known as the calcaneal apophysis. It occurs when the Achilles tendon exerts excessive tension on the growth plate, leading to inflammation and discomfort. Sever's disease is prevalent among active youngsters involved in sports that entail running and jumping. The bones and tendons in the feet are still developing during this stage, making them more susceptible to stress and irritation. Other contributing factors include inadequate footwear, overuse, and biomechanical issues such as flat feet. Recognizing the signs, which may include heel pain and limping, is essential for early intervention. If your active child has heel pain, it is suggested that you consult 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.

Pain on the top of the foot is a common issue that can often improve within a few weeks. Common causes of top of foot pain include intense or repetitive exercise, wearing tight shoes, and conditions like gout or tendonitis. To alleviate top of foot pain, a podiatrist may recommend rest and elevating the affected foot whenever possible. Wearing shoes that provide ample room for your feet, have a low heel, and a soft sole is recommended for comfort and support. Consider using soft insoles or shoe pads to cushion the affected area. If you are overweight, losing weight may reduce the stress on your feet. Engage in gentle stretching exercises for your feet and ankles to promote flexibility. Avoid engaging in sports or activities that exacerbate the pain, and refrain from prolonged walking or standing. Wearing high heels or tight shoes should also be avoided. If you have this type of pain and it persists, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Vincent, Vess from Fourth River Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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 emergence of purple-hued feet in the elderly can be a mystifying occurrence, signaling an array of potential underlying factors. Reduced blood circulation, often a consequence of aging, can contribute to this discoloration as blood struggles to reach the extremities. Chronic venous insufficiency, where veins struggle to pump blood back to the heart, may intensify the purple color. Additionally, peripheral artery disease, a condition involving narrowed arteries, can impede blood flow, casting a violet shadow over the feet. Diabetes, a common companion of aging, may also play a role, influencing blood vessel integrity. Medications, inadequate hydration, or prolonged periods of immobility are other facets of the intricate tapestry that could contribute to this phenomenon. If this condition applies to you, or if you are caring for someone who has this ailment, it is suggested that a podiatrist be consulted who can accurately determine what the cause is, and offer correct treatment options.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.