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Podiatrist - Washington
853 Jefferson Ave
Washington, PA 15301
(724) 225-7410
(724) 225-9469 - fax

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Posts for: November, 2016

By Philip S. Pinsker, DPM PC
November 22, 2016
Category: Foot Pain

When it comes to nerve issues in your feet it can be difficult to determine the cause and source of the problem. That’s partly because the symptoms can range from mild numbness or a burning sensation to sharp, stabbing pain. Also, the symptoms may be confined to one particular spot or affect several different areas of the foot. This is particularly true of a condition we see at Philip S. Pinsker, DPM called tarsal tunnel syndrome.

What is it?

The tarsal tunnel is a narrow space on the inside of your ankle that is covered with a thick which forms a “tunnel” that houses veins, arteries, nerves and tendons. Among these is the posterior tibial nerve which branches out to carry messages to and from several other nerves in the foot. When the tarsal tunnel gets irritated, or structures inside the tunnel become abnormally enlarged, the posterior tibial nerve can get squeezed or compressed and cause nerve symptoms in one or more places in the foot.

Diagnosis and Treatment

If you are bothered by pain, numbness or other discomfort in your foot that is not related to an injury, make an appointment to see our board certified podiatrist, Dr. Philip S. Pinsker. The foot doctor will examine your foot and may order advance imaging tests to look for masses or growths that may be compressing the tarsal tunnel. Testing your foot’s ability to perceive sensation will also most likely be part of the exam, along with a complete medical history. Once a diagnosis of tarsal tunnel syndrome is confirmed, the foot doctor will prescribe the best treatment for you which may include:

  • Icing the painful areas of the foot and nonsteroidal anti-inflammatory medications
  • Immobilization of the foot
  • Corticosteroid injections
  • Bracing
  • Physical therapy
  • Orthotic devices
  • Custom shoes

In some cases, surgery may be required.

If you have concerns about unexplained pains and sensations in the ankle, ball or arch of your foot, contact our Washington office at (724) 225- 7410.


By Philip S. Pinsker, DPM PC
November 16, 2016

The temperatures are dropping and winter is quickly approaching. At Philip S. Pinsker, DPM we know that means we can expect to see an increase in several common foot problems. We’d like to help our patients learn how to prevent these issues with a few simple steps.

1. Fungal Infections—colder weather means warmer socks and shoes and hotter and stores. This combination can lead to increased perspiration for your feet and longer periods of time in damp socks and closed shoes—the perfect conditions for bacterial and fungal infections to breed, resulting in athlete’s foot and/or fungal toenails. Be prepared to change your socks more than once a day if necessary to keep feet dry. Consider a talcum or anti-fungal foot powder as well. Winter weather also causes many patients to move exercise and fitness activities indoors. Gyms, locker rooms, health club showers are all prime areas for picking up a fungal infection. Be sure to wear flip flops or shower shoes at all times in public places.

2. Blisters—sweaty skin also means more friction between skin and socks and an increased risk of blisters. If you feel your skin beginning to get irritated, cover with a bandage or a piece of moleskin and try to switch to a different pair of shoes for a few days. If  a blister does form, do not pop it as this can lead to an infection. Cover with a bandage until it goes away.

3. Xerosis—this is just a fancy word for very dry skin—another winter woe that results from increased heating and dehydration of the skin. Moisturize your feet a few times a day with an extra-emollient cream and avoid overly hot showers.

Although all of these are seemingly minor foot annoyances they can turn into serious problems if left untreated. If despite all your precautions and care a foot condition does not appear to improve or is worsening contact our Washington office for an appointment. Our board certified podiatrist, Dr. Philip S. Pinsker will examine your foot and prescribe the correct treatment to get you back on you track as soon as possible.


By Philip S. Pinsker, DPM PC
November 09, 2016
Category: Diabetes
Tags: diabetes awareness  

One in eleven Americans has diabetes but another 86 million are at risk for developing it. At Philip S. Pinsker, DPM we want to help our southwestern PA patients prevent diabetes, a disease which can have devastating consequences for your feet and the rest of your body.

Risk Factors

There are several factors that increase your risk of becoming diabetic. Some of them you cannot control:

Race—African, Mexican and Asian Americans, American Indians, Native Hawaiians and Pacific Islanders all have an increased risk of developing type 2 diabetes.

Age—as you age, your risk for diabetes increases.

Gender—men have a higher incidence of diabetes than women.

Family History—your risk for diabetes is higher if you have a mother, father, sister or brother who has had the disease.

However, there are several risks that you can reduce and sometimes all takes is minor changes to your current lifestyle. These include:

Being overweight—even losing 10-15 pounds can help reduce your risk. Start small by substituting healthy snacks for high fat and calorie ones, cutting size and keeping a record of what you eat daily.

Physical inactivity—being active helps increase circulation, burn calories and your heart stronger, as well as reducing the risk of diabetes. All types of exercise are helpful: aerobic, strength training, flexibility and just generally being more active throughout your day.

Smoking—increases your risk of diabetes and decreases your circulation, a problem already associated with the disease that can impact your body’s ability to heal wounds, a serious problem for diabetics.

High blood pressure—nearly one in three people have high blood pressure. Known as the “silent killer,” high blood pressure often has no symptoms. Have your blood pressure checked regularly by your doctor. If it’s high, your doctor may recommend medication or other means of reducing it.

If you have more questions about your risk of diabetes, contact our podiatrist, Dr. Philip S. Pinsker in our Washington office by calling: (724) 225-7410.


By Philip S. Pinsker, DPM PC
November 01, 2016
Category: Foot Conditions

The simple answer to the question is, maybe. A bone spur is a small outgrowth of bone that forms along the edge of a bone. Although they can form anywhere, bone spurs most often grow in joints or where muscles, ligaments or tendons attach to the bone. Bone spurs are usually caused by repetitive rubbing or stress on a bone for a period of time. The bone spurs develop in response to the irritation as a kind of protection.

Heel Spurs

At Philip S. Pinsker, DPM, we commonly see bone spurs on the heel, often in patients who have plantar fasciitis. In those cases, the bone spurs are sometimes referred to as heel spurs. The pulling of the plantar fascia at the place where it attaches to the heel bone causes inflammation and a calcification or spur to form.

Spurs are basically harmless. Problems occur, however, if there location causes pain or friction from other bones in the foot when you walk or if footwear presses against them. If you are experiencing pain in your heel or other part of your foot, the first step is to have our board certified foot and ankle surgeon, Dr. Philip S. Pinsker examine your feet. If the foot doctor does determine that you have a bone spur, there are several treatment options available:

  • Oral anti-inflammatory medications

  • Cortisone injections

  • Orthotics

  • Corrective shoes

  • Stretching exercises

In cases where none of these options bring relief or if the bone spur will interfere with other structures in the foot and cause damage or deformity, the podiatrist may recommend surgery.

Pain is a sign of a problem. Don’t delay in making an appointment at our Washington office by calling: (724) 225-7410, if you are currently experiencing new or additional pain in your heel or other part of your foot. Our goal is a prompt diagnosis and personalized treatment plan that will get you back on your feet and enjoying the active lifestyle to which you are accustomed.