A bunion develops when the big toe gradually shifts out of normal alignment, creating a noticeable bump near its base. Several factors can increase the likelihood of this condition. Family history plays a major role, as inherited foot structure may make some people more prone to joint instability. Footwear that crowds the toes or places repeated pressure on the front of the foot can worsen mechanical stress, over time. Flat feet or abnormal walking patterns may also change how weight is distributed across the joint. Inflammatory joint conditions can weaken support around the area and contribute to progression. Women are affected more often, partly due to both foot structure and footwear habits. A podiatrist can assess alignment, movement, and pressure patterns to guide treatment decisions. If you notice big toe shifting or joint pain, it is suggested that you visit a podiatrist for a proper diagnosis and appropriate treatment.

If you are suffering from bunions, contact Richard DiBacco, DPM of Podiatry Associates of Erie, Inc.. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pitting edema is a type of swelling in the ankles or feet where pressing on the skin leaves a temporary indentation. This happens when extra fluid collects in the tissues. It may be linked to circulation problems, vein conditions, heart or kidney concerns, certain medications, or other medical issues. Some people notice tight shoes or swelling that worsens as the day goes on. Diagnosis starts with a physical examination, where a provider checks the amount of swelling and how long the indentation remains after pressure is applied. A podiatrist may also review medical history, symptoms, circulation, and skin changes, and may recommend additional testing when needed to help identify the cause. Because swelling can signal an underlying health concern, proper evaluation matters. If you have ongoing swelling in your feet or ankles, especially with discomfort or skin changes, it is strongly suggested that you visit a podiatrist for appropriate treatment solutions.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Richard DiBacco, DPM of Podiatry Associates of Erie, Inc.. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a form of inflammatory arthritis caused by a buildup of uric acid that forms crystals in the joints. It often affects the big toe, because this joint experiences pressure and tends to be cooler, which encourages crystal formation. Symptoms include sudden severe pain, swelling, redness, and tenderness that can limit movement. Risk factors include diet, dehydration, certain medical conditions, and genetics. Foods high in purines such as red meat and seafood may trigger flare-ups, while a balanced diet with fruits, vegetables, and adequate hydration can help reduce risk. A podiatrist can evaluate symptoms, provide treatment, and offer guidance on prevention. Gout can be uncomfortable and may affect completing daily activities. If you have symptoms of gout, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Richard DiBacco, DPM from Podiatry Associates of Erie, Inc.. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Total contact casting is a specialized treatment used to manage diabetic foot ulcers by distributing pressure evenly across the foot and reducing stress on the wound area. It works by enclosing the foot and lower leg in a carefully molded cast that limits movement and promotes healing through constant contact and offloading pressure. This method is highly effective in encouraging ulcer closure while protecting the affected tissue. Risk factors for poor healing include uncontrolled blood sugar, poor circulation, and prolonged pressure on the foot. A podiatrist plays a key role by applying the cast, monitoring healing progress, and adjusting treatment, as needed. If you have diabetes and have developed a foot ulcer, it is suggested that you are under the care of a podiatrist who can discuss the benefits of this treatment method with you.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Richard DiBacco, DPM from Podiatry Associates of Erie, Inc.. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.