Dr. Kenneth Rosenthal
Dr. Jonathan C. O’Quinn
Dr. Michael J. Price

(252) 830-1000

Greenville, North Carolina
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Peripheral Artery Disease and Blood Vessel Health

Peripheral artery disease, often called PAD, affects how blood flows to the legs and feet. It is commonly thought of as a problem in the larger arteries, where plaque buildup can limit circulation. However, smaller vessels can also be involved, further reducing blood flow at the tissue level. This combination can make it harder for the body to deliver oxygen and nutrients needed for healing and daily function. People with PAD may notice leg fatigue, cramping with walking, slower healing of cuts, or changes in skin color and temperature. Because both large and small vessels can be affected, symptoms may vary and sometimes appear gradually. Early recognition is important to help manage circulation and reduce the risk of more serious complications. Treatment may include lifestyle changes, medical care, and monitoring of foot health. If you notice signs of poor circulation, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

When a Lump on the Sole of the Foot Needs Attention

A bump on the bottom of the foot can be caused by several conditions, including plantar fibromas, calluses, or plantar warts. Plantar fibromas are firm nodules within the arch that may feel like a small knot under the skin. Calluses develop from repeated pressure or friction and appear as thickened, hardened skin that can become uncomfortable over time. Plantar warts are caused by a viral infection and may look rough with small dark dots, often feeling tender with pressure. Some bumps remain painless, while others cause discomfort when walking or standing. The area may look raised, thickened, or irregular depending on the cause, and many patients describe a sensation of stepping on something. A podiatrist can evaluate the size, texture, and location of the bump and may use imaging or gentle debridement to confirm the diagnosis. Treatment options include padding, orthotics, or in-office procedures. If you have a troublesome bump on the bottom of your foot, it is suggested that you make an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Causes of Swollen Feet and Ankles

Swollen feet and ankles can develop from several underlying causes. Cardiovascular conditions may affect circulation and lead to fluid buildup, while hormonal changes can increase fluid retention in the body. Certain medications and infections may also trigger swelling and discomfort. Symptoms include puffiness, tight skin, and reduced mobility. Risk factors include prolonged standing, limited movement, excess weight, and aging. Edema may signal a deeper issue that requires attention. A podiatrist can evaluate the cause, recommend treatment, and improve comfort. If you have swollen feet or ankles, it is suggested that you consult a podiatrist who can determine the reason why and offer effective treatment solutions.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors 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 our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Causes of Ankle Pain

Ankle pain can occur when the bones, ligaments, tendons, or joints in the ankle become injured or irritated. The ankle joint connects the leg to the foot. It forms where the shin bone, calf bone, and a bone in the foot meet and move together. This type of joint allows the foot to bend up and down when walking, running, or standing. Strong bands of tissue called ligaments help hold the bones together and keep the joint stable. Tendons, which connect muscles to bones, also help control movement. When these tissues are stretched, torn, inflamed, or damaged, ankle pain can develop. One of the most common causes is an ankle sprain, which happens when the ligaments stretch too far or tear. Other causes include broken bones, arthritis that causes joint pain and stiffness, and tendinitis, which is irritation of a tendon. A podiatrist can identify the cause of ankle pain and provide appropriate treatment. If you are experiencing ankle pain, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Greenville, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Ankle Pain
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