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




Posts for tag: Sesamoiditis

By Philip S. Pinsker, DPM PC
March 06, 2018
Category: Nutrition

What does food have to do with your feet? Plenty! March is National Nutrition Month and we at Philip S. Pinsker, DPM want to help patients understand the importance of diet and nutrition in the health of your feet.

Weighing Out the Options—your weight is directly connected to the health of your feet. Patients that are carrying excess pounds increase their risk and worsen the symptoms of many foot disorders including, plantar fasciitis and sesamoiditis. In addition to eating a well-balanced diet, the Academy of Nutrition and Dietetics offers these tips for handling cravings for those less-than-healthy snacks:

  • Be sure that you plan nutrient dense, healthy snacks to have between meals. This will help you avoid becoming overly hungry and less likely to experience cravings.
  • Keep a journal and record times when you most experience cravings so that you can develop a plan to combat them.
  • Distract yourself with a phone call, brisk walk or another activity that you find enjoyable when a craving hits.

Using Food to Fight Inflammation—another way that your diet can help or hurt the health of your feet is in dealing with inflammation, a symptom of many foot problems like arthritis and Achilles tendonitis. Certain foods can cause inflammation to flare up and others can actually reduce the inflammatory response. Foods to avoid include fried foods, processed snacks, refined flours and white sugar. Foods to eat more of are berries, leafy green vegetables, fatty fish and whole grains.

Building a Healthy Lifestyle—maintaining an appropriate weight will increase your ability to be active which in turn promotes good circulation and keeps muscles, joints and tendons functioning smoothly—all of which contributes to good foot health. Your food choices can also help reduce your risk and the symptoms of many diseases which affect your feet (and the rest of your body) such as diabetes, heart disease, kidney disease and even cancer.

Talk to our podiatrist, Dr. Philip S. Pinsker, to find out the impact your diet may have on any chronic foot conditions you may have. To schedule an appointment at our Washington office, call: (724) 225- 7410.

Did you know that one in three children in the United States is overweight or obese? Childhood obesity increases the risk of several serious health problems in children, including heart disease, high blood pressure and type 2 diabetes. It also has a negative impact on the health of your feet. Being overweight increases the risk for and severity of several health problems such as stress fractures, sesamoiditis and metatarsalgia. In addition, being overweight leads children to be less active, which in turn increases the likelihood of being overweight. At Philip S. Pinsker, DPM, we want to help break this vicious cycle. Below are tips to help combat childhood obesity:

Make Healthy Eating a Family Affair

Obtaining and maintaining a healthy weight should not be about dieting but rather about eating healthy all the time. Make small changes a little at a time. Some to try:

  • Switch to low fat  or nonfat dairy products—milk, cheese and yogurt with all the calcium but without all the calories
  • Serve appropriate sized portions—buy smaller plates to help change the perception of the right amount of food
  • Encourage everyone to drink more water and eliminate sugary sodas and fruit juices. If cutting fruit juice is difficult, try diluting with seltzer to create a “healthy” soda type beverage that is low in calories

Limit Screen Time

Today’s children and teens lead a more sedentary lifestyle partly due to the amount of time spent on computers, cell phones, gaming systems, etc. Set strict time limits on the amount of time per day or week that children can use those devices and encourage them to substitute physical activities.

Encourage Savvy Snacking

Read labels—many pre-packaged snacks are packed with sugar, trans fat and calories. Keep healthy snacks available, such as fresh fruit, baby carrots or bell peppers with hummus, or a small portion of almonds or walnuts. Try to limit a snack to 100 calories.

Turn Fitness into Fun

Getting exercise doesn’t have to be hard and boring. In fact, it can be an opportunity for families to spend enjoyable time together. Look into hiking, biking, roller or ice skating, kayaking and other activities that your children enjoy and they’ll be begging to do them rather than whining and complaining.

We want your child to have healthy feet and a healthy body. If he or she is experiencing any foot pain or discomfort, contact our Washington office at: 724-225-7410 to schedule an appointment with our podiatrist, Dr. Philip S. Pinsker.



By Philip S. Pinsker, DPM PC
January 05, 2016
Tags: Sesamoiditis  

In the ball of your foot, near the big toe are two little bones called sesamoids. Sesamoids are bones that are not connected to other bones but rather are attached to tendons. There are only a few of them in your entire body. In your foot, they are embedded in the tendon that connects your first metatarsal bone to your big toe. They are very important in the action of your foot pushing off the ground. When all works smoothly, the sesamoids act like pulleys, enabling locomotion to take place. When something happens, however, to make the sesamoids become inflamed and irritated, then a painful condition called sesamoiditis occurs.

What are the Signs of Sesamoiditis?

A pain in the ball of your foot and the big toe are the first symptoms of sesamoiditis. At Philip S. Pinsker, patients report that the pain usually comes on gradually and may be off and on for a while depending on activity level and footwear. Eventually, however, the pain becomes more constant and there is swelling and bruising around the big toe. As time goes on, it may become more difficult to bend and straighten the big toe. If you suddenly experience a sharp pain in the affected area, it could be a sign that one of the sesamoids has actually fractured.

Causes and Treatment

Overuse and repetitive stress on the ball of the foot are the causes of sesamoiditis. Activities that put excessive pressure on this part of the foot include: football, basketball, tennis, running, ballet and gymnastics. The first step in treating sesamoiditis is confirming the diagnosis. Our board certified podiatrist, Philip S. Pinsker, D.P.M. will start by taking a complete medical history, examining your toe and foot and asking questions about your symptoms and activities. There are other foot disorders with similar symptoms that the foot doctor will need to rule out. Most likely x-rays will be ordered (which can be done in our Washington office) to see if the sesamoid is fractured.

Once the diagnosis is confirmed, there are several non-invasive ways of relieving the pressure on the sesamoids, including:

  • Rest and avoiding activities that aggravate the sesamoids for a period of time to prevent further damage and allowing healing to occur
  • Anti-inflammatory medications and icing to reduce swelling and inflammation
  • Padding and custom orthotics to cushion and protect the affected area
  • Physical therapy

Sesamoiditis is easiest to treat when caught early. Walking, exercising and playing on a foot with sesamoiditis will cause the condition to worsen. If you have symptoms, don’t delay. Make an appointment as soon as possible by calling (724) 225-7410.