Custom-made foot and ankle orthotics play a vital role in diabetic foot care by addressing the unique challenges posed by this condition. Diabetes can lead to peripheral neuropathy and impaired circulation, leaving the feet vulnerable to injuries and ulcers. Left untreated, these complications can escalate, potentially resulting in severe infections, tissue damage, and possibly amputation. Orthotics designed specifically for diabetic patients offer several benefits. They help redistribute pressure away from areas prone to ulceration, thereby reducing the risk of wounds. Additionally, orthotics can improve stability and alignment, which is helpful for preventing falls and injuries. By providing cushioning and support, they also alleviate discomfort and pain associated with diabetic neuropathy. If you have diabetic foot issues, it is suggested that you schedule an appointment with a podiatrist to discuss whether orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Associates in Podiatry. Our doctors 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-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot pain can severely impact the quality of life and increase the risk of falls, affecting activities and mobility. Achy heels, bunions, calluses, and burning sensations can cause discomfort and lead to complications if left untreated. Additionally, numbness and tingling may indicate nerve issues that require prompt attention. Proper toenail care is essential to prevent ingrown nails and infections. Consulting a podiatrist can help with the effective management of foot pain. Podiatrists offer a range of solutions, from custom orthotics to specialized treatments tailored to specific conditions. By addressing the root cause of foot pain, podiatrists can alleviate discomfort, improve mobility, and reduce the risk of complications, ultimately enhancing the overall quality of life. If you are suffering from foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Associates in Podiatry. Our doctors 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-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ledderhose's disease, more commonly known as plantar fibromatosis, was named after George Ledderhose who first described it in 1894. It is a rare condition characterized by the growth of fibrous tissue in the plantar fascia, the ligament connecting the heel to the toes. This leads to the formation of nodules or lumps on the bottom of the foot, causing pain and stiffness. While the exact cause is unknown, factors such as genetics, trauma, or certain medical conditions may contribute to its development. Ledderhose's disease predominantly affects middle-aged and older adults, with men being more commonly affected than women. Treatment options for Ledderhose's disease range from conservative measures like custom-made orthotics to more invasive interventions, such as steroid injections or surgery to remove the nodules. Outcomes vary, and recurrence is possible. If you have lumps on the soles of your feet, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and personalized treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Associates in Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Sesamoiditis is characterized by inflammation or injury to the sesamoid bones, small bones located beneath the big toe joint in the foot. It commonly affects individuals involved in activities that put repetitive pressure on the ball of the foot, such as dancers, runners, or those who wear high heels. The condition can cause pain, swelling, and difficulty walking, particularly when bearing weight on the affected foot. Diagnosis typically involves a physical examination, imaging studies like X-rays or MRI scans, and evaluation of symptoms. Treatment options may include rest, taping of the foot, orthotic devices, or corticosteroid injections. In severe cases, surgery to remove or repair the sesamoid bone may be necessary. If you have big toe pain, it is suggested that you schedule an appointment with a podiatrist for a tailored treatment plan for your specific needs.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Associates in Podiatry. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Rheumatoid arthritis, or RA, is a chronic autoimmune disorder that primarily affects the joints and causes inflammation, pain, and eventual joint damage. When RA affects the feet and ankles, it can lead to debilitating symptoms and complications. Common manifestations include pain, swelling, stiffness, and difficulty walking due to joint inflammation and damage. RA can also cause the formation of nodules, particularly in pressure areas like the soles of the feet. It may also result in foot deformities, such as bunions or hammertoes. If you have RA that is affecting your feet and ankles, it is strongly suggested that you schedule an appointment with a podiatrist. This medically trained foot doctor can provide comprehensive treatment, including interventions, such as custom-made orthotics, corticosteroid injections, and guidance on foot care techniques to manage RA symptoms and prevent complications.

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 one of our podiatrists of Associates in Podiatry. Our doctors 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-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Peripheral neuropathy refers to damage to the peripheral nerves, resulting in symptoms such as numbness, tingling, and weakness, often starting in the feet and hands. This condition can be caused by various factors, including diabetes, infections, injuries, and certain medications. Individuals with diabetes are particularly susceptible to neuropathy due to prolonged high blood sugar levels damaging nerves over time. Neuropathy affects people of all ages, though it is more common in older adults. Treatment aims to manage symptoms and address underlying causes. This may include medications to relieve pain and discomfort, and lifestyle changes, such as maintaining healthy blood sugar levels. If you suffer from peripheral neuropathy, it is suggested that you schedule an appointment with a podiatrist who can help you by providing guidance and foot care tailored to your individual needs.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Associates in Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Corns on the feet, medically termed keratotic lesions, are areas of thickened skin caused by repeated friction or pressure. They commonly occur on weight-bearing areas like the toes and soles of the feet. Symptoms can include localized pain or tenderness, a hardened or raised bump, and sometimes inflammation or redness. Older individuals are more prone to developing corns due to factors like reduced skin elasticity and altered foot mechanics. There are three main types of corns. Hard corns are small, dense, and are usually found on bony areas. Soft corns are moist and typically form between toes where the skin is moist. Seed corns are tiny and appear on non-weight-bearing areas. Diagnosis is typically made based on clinical examination. Management involves relieving pressure on the affected area, wearing properly fitting footwear, using protective pads or cushions, and sometimes, having the corn removed. If you have persistent or painful corns, it is suggested that you schedule an appointment with a podiatrist for treatment.

If you have any concerns regarding your feet and ankles, contact one of our podiatrists of Associates in Podiatry. Our doctors will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctors to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Freiberg's disease is characterized by cartilage degeneration in the lesser metatarsal heads of the feet, notably affecting adolescent females, though it can occur in both genders later in life. The condition primarily involves the second and third metatarsals. While the exact cause remains unclear, vascular problems, genetic predisposition, and altered biomechanics are common causes. Diagnosis by a podiatrist includes clinical evaluation and imaging confirmation. In many cases X-rays show normal bone formation in early stages and flattened, fragmented metatarsal heads as the disease progresses. Treatment focuses on relieving foot pressure and may involve nonoperative measures such as activity modification and custom orthotic support. Surgical interventions are considered for advanced cases. Outcomes for Freiberg’s disease from both nonoperative and operative management are generally favorable, allowing most patients to resume previous activities. To find out what may be causing metatarsal foot pain, it is suggested that you make an appointment with a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Associates in Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.