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By Berkshire Podiatry Center
December 31, 2020
Category: Foot Care
Tags: Bunion  

A bunion is a bony protrusion on the side of the foot near the big toe. Bunions can become painfully inflamed as the interior of the shoes rubs against them throughout the day. Without treatment, bunions can get worse and lead to additional problems. At-home treatments can reduce inflammation and pain, as well as prevent bunions from getting worse. More serious cases might require professional treatment. The skilled podiatrists at Berkshire Podiatry Center in Wyomissing can help provide bunion relief through at-home or professional treatments.

Bunions Development of Bunions

Bunions can develop when the metatarsophalangeal toe joint slips out of place or is dislocated. This can happen due to an injury, a faulty foot structure, or a medical condition such as arthritis. The metatarsophalangeal joint connects the big toe to the foot. When it shifts out of place the big toe tends to lean toward the smaller toes, which causes the other end of the dislocated joint to stick out the side of the foot and form a bunion.

Wearing shoes that are too tight or extremely narrow can further aggravate a bunion. The friction produced when the shoes rub against the side of the foot can cause redness, inflammation, soreness, pain, and a burning sensation. Continuing to wear shoes that crowd the toes can even contribute to the bunion getting worse. Wearing roomier footwear can help.

Treating Bunions at Home

Bunions will not get better on their own. Some type of treatment is needed. There are many ways to treat bunions at home that can deliver relief from pain and discomfort and prevent the condition from becoming more serious. At-home methods for treating bunions include:

  • Ice — Applying ice to the bunion several times a day helps reduce inflammation and minimize pain.
  • Padding — Placing pads over the bunion helps reduce friction from footwear, which can reduce pain and discomfort.
  • Activity Modifications — Temporarily reducing or avoiding activities that cause bunion pain, such as standing for extended periods, can prevent inflammation and pain.
  • Medications — Over-the-counter pain relievers can reduce inflammation and alleviate pain.
  • Changing Shoes — Wearing shoes with sufficient room for the toes while avoiding tight footwear can prevent inflammation, redness, and pain by reducing friction.

At-home bunion treatments can be extremely effective for reducing inflammation, redness, soreness, and other symptoms. However, professional treatment might be needed to correct a dislocated metatarsophalangeal joint. Some of the methods we use for treating bunions at our podiatry office in Wyomissing include night splints to realign the toe joint and custom orthotics to stabilize it. Our knowledgeable podiatrists can develop an individualized treatment approach for you.

Bunions can be treated at home through several methods, but professional treatment is often needed to realign the toe joint if it has become dislocated. Schedule a consultation with one of our experienced podiatrists to discuss the options for treating your bunions by calling Berkshire Podiatry Center in Wyomissing at (610) 373-4154. You can also contact our office in Twin Valley/Morgantown at (610) 286-6340.

By Berkshire Podiatry Center
December 10, 2020
Category: Foot Condition
Tags: heel pain  

Heel pain can be persistent, even disabling at times. If you're suffering, contact Berkshire Podiatry Center to understand the reasons why and get the help you deserve. Drs. Schifalacqua, Weisberg, Casey, and Stache are the Wyomissing and Morgantown, PA, podiatrists who treat heel pain accurately and effectively. Why not let them help you?

Why do your heels hurt?

The American College of Foot and Ankle Surgeons (ACFAS) states that heel pain stems from arthritis, warts, cysts, or most often, an inflammatory condition called plantar fasciitis. Irritation of the connective tissue spanning the arch of the foot, plantar fasciitis is frequently called heel spur syndrome because of the small bony growths which may accompany the inflammation.

Your podiatrists at Berkshire Podiatry Center in Wyomissing, PA, use visual inspection, X-rays, and other kinds of imaging to diagnose your condition. The doctors wish to rule out other serious problems, such as Achilles tendinitis, before focusing on plantar fasciitis.

Symptoms of plantar fasciitis

Also, your foot doctor will review your symptoms. With plantar fasciitis, symptoms may include:

  • Heel and arch pain which is worse in the morning and gets better as the day goes on
  • Swelling of the heel
  • Inability to put weight on the affected foot comfortably
  • Extreme soreness when flexing the foot toward the shin
  • A pronounced burning sensation

Unfortunately, most anyone can develop plantar fasciitis if they are very active, run, or stand on their feet all day for their jobs. Other risk factors include:

  • Age (over 40)
  • Being a woman
  • Excess body weight
  • Naturally high arches

Treating heel pain

Your foot doctor may recommend resting from your usual athletic or work activities, icing your heel, and taking over the counter ibuprofen. Also, a consistent routine of morning stretching, focusing on the arch of the foot and/or calf should help.

For some people, custom-crafted shoe orthotics balance gait issues, such as overpronation. These functional inserts correct neuromuscular imbalances, relieving the strain on the plantar fascia.

Finally, some people require other treatments such as:

  • Injections of corticosteroids to reduce inflammation

If these interventions do not provide substantial relief, your podiatrist may advise surgical intervention.

Contact our office

At Berkshire Podiatry Center, our three podiatrists, Dr. I. E. Schifalacqua, Dr. Alan Weisberg, Dr. Kerry Casey, and Dr. Cassandra Stache help many patients overcome their heel pain. Phone one of our two offices for treatment of yours. In Wyomissing, PA, phone (610) 373-4154, or for the Morgantown, PA, location, call (610) 286-6340.

By Berkshire Podiatry Center
July 21, 2020
Category: Foot Care
Tags: foot pain  

How your podiatrists in Wyomissing, and Morgantown, PA, can help you and your ankles feel better

Ankle pain is a common problem, and when it affects you, your ability to get around and enjoy your life may be affected too. Your podiatrist is a foot and ankle specialist who can treat your ankle pain and get you back on your feet fast.

The podiatrists at Berkshire Podiatry Center offer complete foot and ankle care, including treatment of ankle pain. They have two convenient office locations in Wyomissing, and Morgantown, PA, to help you and your ankles feel better.

Ankle pain can cause some uncomfortable symptoms, including:

Feeling unstable while walking or standing, especially on uneven surfaces

Continuous stabbing or aching pain on the outside of your ankle

Swelling, stiffness, and tenderness around your ankle


Ankle pain symptoms can be a sign of an underlying medical condition. Some common issues that can lead to ankle pain include:

Arthritis in your ankle

Tendonitis or a torn tendon in your ankle

A fractured or broken bone in your ankle

A nerve injury in your ankle

If you are experiencing any of the signs and symptoms listed above, you should seek out professional treatment to get you back on your feet. Your podiatrist may recommend:

Oral steroid medications to reduce swelling

Prescription-strength anti-inflammatory medication to reduce inflammation

Physical therapy and stretches to maintain ankle flexibility and mobility

Devices including walking casts or braces to provide support and stability


To read more detailed information about ankle pain and ankle pain treatment, please visit the Ankle Pain section on the website at

To find out more about ankle pain treatment and other podiatry services, call the podiatrists at Berkshire Podiatry Center. You can reach them in Wyomissing, PA, at (610) 373-4154, or at their office in Morgantown, PA, at (610) 286-6340, so call today!

By Berkshire Podiatry Center
July 09, 2020
Category: Foot Care
Tags: plantar fasciitis  

How your podiatrists in Wyomissing and Morgantown PA can help if you have plantar fasciitis

Do your heels hurt, especially when you wake up and try to put weight on them? If so, you might have plantar fasciitis. It’s a painful foot condition that affects runners but others can get it too. The good news is that your Wyomissing podiatrist can help. The podiatrists at Berkshire Podiatry Center in Wyomissing and Morgantown PA offer a comprehensive selection of foot care services, including effective plantar fasciitis treatment.

Do I Have Plantar Fasciitis?

Plantar fasciitis is caused by inflammation of the thick band of tissue, called the plantar fascia, which runs across your heel. It causes sharp, stabbing pain in your heel and along the side of your foot. The pain often becomes worse when you first wake up in the morning and try to stand.

Plantar fasciitis is common among athletes who stress out their feet with running, jogging, tennis, and other high-impact sports. You can also get plantar fasciitis from overpronating, or rolling your feet when you walk, and from standing or walking on hard surfaces for extended periods. You may also be at higher risk of developing plantar fasciitis if you have flat feet, or you are overweight. Talk to your Wyomissing podiatrist about these risk factors and how they affect you.

For mild symptoms, you can try a few simple remedies at home like these:

  • Placing ice on your heel for 15 minutes, several times each day
  • Taking over-the-counter anti-inflammatory and pain medication
  • Stretching your arches several times each day
  • Changing to more supportive shoes

For more severe, persistent symptoms, it’s best to seek out the skills of your Wyomissing podiatrist. At Berkshire Podiatry Center, your podiatrist may recommend:

  • Physical therapy and stretching exercises to increase flexibility and mobility
  • Wearing custom-made orthotics and footwear to provide better support and cushioning
  • Prescription anti-inflammatory medication to decrease swelling and pain

You don’t have to struggle with painful plantar fasciitis. You can get some relief quickly, but you need to call the podiatrists of Berkshire Podiatry Center in Wyomissing PA at (610) 373-4154. For our Morgantown PA office, call (610) 286-6340. Call now and help your feet feel better!

By Berkshire Podiatry Center
April 23, 2020
Category: Foot Condition
Tags: Ingrown Toenails  

Here are some simple but effective ways to reduce your risk for an ingrown toenail.

An ingrown toenail occurs when the edge of the toenail grows into the skin, causing pain, redness, and swelling. Although ingrown toenails will often go away on their own, if there is an infection or if the ingrown toenail is severe enough, it may require our podiatrists in Wyomissing and Morgantown, PA, Dr. Schifalacqua, Dr. Alan Weisberg, and Dr. Cassandra Stache, to remove part or all of the nail. Wondering why you keep dealing with ingrown toenails and how to prevent them? Read on to learn more.

Know the Ideal Nail Length

One of the biggest culprits for an ingrown toenail is trimming nails too short. We know that you want to avoid having to trim your nails again so soon but trimming your nails too short can put added pressure on the nails (particularly when wearing shoes).

The nails should be even with the tips of the toes. Make sure that whenever you trim your nails that you are using sterilized nail trimmers. If you have particularly thick nails, you may choose to soften them in a bath for a few minutes before trimming.

Trim Straight Across

While the idea of trimming nails at a curve may look attractive, the problem is that curving the edges of the nails increases the risk for ingrown toenails. That’s why it’s important to trim your nails straight across. If a nail is ragged or uneven, use a nail file to buff out the area and help shape and even out the nail.

Wear Shoes that Fit Properly

Shoes that are too tight and scrunch up your toes are also going to put too much pressure on your toenails. This pressure can increase your risk for ingrown toenails. If you’re looking for new shoes, it’s best to shop at the end of the day when your feet are at their largest (yes, feet swell throughout the day). This will ensure a better fit. You should be able to wiggle your toes around in the shoes you are wearing. If you can’t, they are too tight.

Our podiatrists are here to help

The podiatrists at Berkshire Podiatry Center in Wyomissing and Morgantown, PA, want you to stay healthy and safe during these times. By practicing these simple tips above you can reduce your risk for ingrown toenails. Of course, we also understand the emergency foot and ankle problems can arise at any time. If you are dealing with an urgent situation that requires immediate care, please call our Wyomissing office at (610) 373-4154 or our Morgantown location at (610) 286-6340.

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