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~ Dr. Phil Pinsker



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853 Jefferson Ave-suite 2
Washington, PA, 15301

Podiatrist - Washington
853 Jefferson Ave-suite 2
Washington, PA 15301
(724) 225-7410
(724) 225-9469 - fax

We believe that having the right information will equip you in making the best decisions regarding your foot and ankle health. If you have an injury, your quality of life can depend on the type of care you get and how fast you get it. The more informed you are, the quicker you will recover. Dr. Pinkser is extremely dedicated to providing the most up-to-date and accurate information so you can learn more about your injury or condition, the activities that lead to them and treatment information.

Our podiatric office treats all aspects of foot and ankle injuries and conditions. Common foot and ankle injuries include:

Some of the common deformities and conditions treated at our office include:

For your use, we have provided an extensive patient library covering an array of topics on foot and ankle health. If you have a specific concern or topic of interest, please use the search box below on the left or browse through our resource library.

While you can find valuable and helpful information on our site, it should not be used as a replacement for a proper consultation and examination by Dr. Pinsker. If you have sustained an injury, are experiencing any pain or are concerned about a foot or ankle problem, please contact our office and schedule an appointment today

Ulcers are skin wounds that are slow to heal. In the foot, as prominent metatarsal heads on the plantar (bottom of the foot)are subjected to increased pressure, the skin begins to become callused. When subjected to shearing forces, there is a separation between the layers on this callused skin, which fills with fluid and becomes contaminated and infected. The result is a foot ulcer.

Ulcers are classified in four stages, according to how deeply they penetrate the layers of skin they have broken through.

The four stages of ulcers are:

  • Stage 1—Characterized by reddening wounds over bony areas. The redness on the skin does not go away when pressure is relieved.
  • Stage 2—Characterized by blisters, peeling, or cracked skin. There is a partial thickness skin loss involving the top two layers of the skin.
  • Stage 3—Characterized by broken skin and sometimes bloody drainage. There is a full thickness skin loss involving subcutaneous tissue (the tissue between the skin and the muscle.)
  • Stage 4—Characterized by breaks in the skin involving skin, muscle, tendon, and bone and are often associated with a bone infection (osteomyelitis).

The are also four major cause of foot ulcers:

  • Neuropathic—Related to the nerves and characterized by a loss of sensation in the feet.
  • Arterial—Related to poor blood circulation to the lower extremity. This type of ulcer can be very painful and is usually found on the tips of toes, lower legs, ankle, heel, and top of the foot. It can very easily become infected.
  • Venous—Related to compromised veins. These ulcers are often seen around the inside of the ankle and are slow to heal.
  • Decubitus—Derived from excessive and prolonged pressure on one area of the foot. The most common type of decubitus ulcer of the feet is bed sores on the backs of the heels of people confined to bed for long periods of time.

Foot ulcers are a common problem for diabetics. Contact casts are sometimes applied to the diabetic foot to relieve the bony prominent areas of pressure, allowing ulcers to heal.