I wrote this book because too
many people suffer from foot and ankle pain unnecessarily.

~ Dr. Phil Pinsker


OR  Call today!  (724) 225- 7410 

853 Jefferson Ave-suite 2
Washington, PA, 15301

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

Of the conditions that can affect feet, vascular and nerve problems are often the most damaging. The term “vascular” refers to everything pertaining to the network of blood vessels, veins and arteries – in essence, your circulation. Neuropathy is typically the condition that we associate with nerve damage in the feet. Without the ability to feel pain, heat and cold, your risk of injury greatly increases, and without proper circulation, healing to injured areas is highly compromised.

Dr. Philip Pinsker specializes in diagnosing and treating all disorders of the foot. When it comes to vascular problems, he is often the first health specialist to diagnose conditions that have otherwise gone unnoticed. Aging alone can impact the circulation and nerve health in your feet but other common contributing factors include smoking, poor diet, lack of exercise and diseases such as diabetes. Understanding your symptoms is the first step in the treatment process. Below are some conditions involving vascular or nerve problems that we treat at our Washington, PA podiatric office:


With this condition, the small arteries that carry oxygen and nutrients to the skin of your feet experience spasms. These spasms, which can be persistent and last for minutes to hours, turn the skin a characteristic blue or purple color due to the lack of oxygen. Aside from the discoloration, symptoms on your feet could include sweating and swelling.

Alcoholic Neuropathy

There is an ingredient in alcoholic beverages called ethanol that is actually toxic to nerve tissue. Prolonged use of alcohol can result in damage to the nerves in your feet. It is the same type of nerve damage that can happen with someone who has diabetes, and once it occurs it is permanent. Any tingling, burning or loss of sensation in your feet should be looked at immediately.

Chilblains (cold feet)

Circulation is a determining factor on how healthy your feet will look and feel. Chilblains develop when your skin abnormally reacts to colder temperatures. The symptoms of this condition are small, red, itchy spots on the skin of your feet. They typically occur on the smaller toes but are sometimes found on areas that are exposed to pressure such as on a bunion. They can become quite painful and cause cracks in the skin and possible ulcers.


Your body automatically adjusts blood flow in order to maintain a constant body temperature. Erythromelalgia is a fairly rare disorder that involves an enlargement of the blood vessels in the feet. This enlargement causes feet to turn red and feel hot all of the time due to the heat of the blood that is discharged into surrounding tissues. It can become quite painful so please don’t hesitate to seek treatment if you are experiencing these symptoms.

Ischemic Foot

Ischemic foot results from a lack of proper blood flow to the foot. There are a variety reasons this could happen and symptoms vary depending on the severity of the blockage. You may experience cold feet, a red or purplish discoloration to the skin on your toes, shiny skin on the feet and loss of hair, muscle cramps after walking, sores that won’t heal and pain while resting at night.


A neuroma is caused by trauma or some type of compression and involves the swelling of a nerve. The ball of the foot is the most common area for this condition to occur. Nerves between the metatarsal bones, which are the long bones behind the toe, often become pinched and swell. 


A spasm involves the tight contraction of muscle. When this happens in the foot it is called a carpopedal spasm.  Tired feet, muscle weakness, cramping, tingling and numbness are all symptoms of spasms and they can be barely noticeable to extremely painful. There are several reasons for why spasms occur. Causes include vitamin deficiency, kidney disease, poor circulation, dehydration, thyroid conditions and pregnancy.

Venous Stasis

There is a network of veins that work together to bring blood from your feet back to your heart. When blood is unable to be circulated properly from the foot back to the heart, fluid tends to collect in the foot and ankle simply due to gravity. This usually results in swelling, called edema. When this swelling persists over time or becomes a chronic problem, the skin on the foot can become inflamed which is called venous stasis. It is important to address this problem quickly because if left untreated, the affected skin can weaken and become prone to developing weeping sores.   

If you notice any of the symptoms listed above, take the time to call Dr. Pinsker today and prevent further complications and pain. Our office can easily be contacted by calling (724) 225- 7410.