Maybe you've heard of carpal tunnel syndrome, a condition in the wrist that occurs when swelling or a change in position of the tissue within the carpal tunnel squeezes and irritates the median nerve. Similar to carpal tunnel syndrome is tarsal tunnel syndrome, an ankle condition that occurs from the compression of a nerve in a confined space.
What is Tarsal Tunnel Syndrome?
The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve - the main focus of tarsal tunnel syndrome.
Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:
- Injury to the ankle, which may produce swelling near the nerve.
- Abnormal blood vessels or cysts that occupy space within the tunnel.
- Scar tissue that press against the nerve.
- Foot deformities, such as flat feet, which increase strain on the nerve.
- Systematic diseases, such as diabetes or arthritis.
When patients visit us at our office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:
- Burning or tingling sensation
We Can Help
If you experience pain, burning and tingling in your feet or toes, make an appointment with our office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended.
Also known as onychomycosis, toenail fungus can be painful, irritating and embarrassing. When you experience trauma to your nail, the nail bed is lifted, allowing fungus to invade. Without treatment, this fungus can grow and spread, particularly in dark, warm, moist environments, such as socks and shoes.
Common signs and symptoms of toenail fungus include:
Discoloring or yellowing of the nail
Thickening or crumbling of the nail
Swelling around the nail
Streaks or spots down the side of the nail
Foul-smelling debris under the nail
Pain and discomfort
Complete nail loss
Prevention is Key
Fungal infections can affect the fingernails as well as the toenails, but toenail fungus is more difficult to treat because toenails grow more slowly. Because removal of the fungus is challenging, prevention plays an important role in treatment.
Keep nails neatly trimmed.
Practice good foot hygiene, including daily washing with soap and water, drying feet and toes, carefully, and changing shoes regularly.
Always wear shoes in public areas, such as showers, locker rooms and pools.
Wear comfortable shoes that aren't too tight.
Avoid wearing nail polish for long periods, as it prevents the nail from breathing and can seal in fungus.
Treatment of Toenail Fungus
If you do develop toenail fungus, especially if the infection has become painful, visit our office. People with a chronic illness like diabetes should always see a podiatrist if they notice any changes in their nails, as it may be an indication of a more serious issue.
To eliminate the fungus, a podiatrist may remove as much of the infected nail as possible by trimming, filing or dissolving it. Oral or topical antifungal medications may also be prescribed to treat the infection. Laser treatment options are also sometimes available.
It’s only for severe, chronic infections that surgical removal of the nail might be recommended. Our office can help diagnose the cause of your toenail troubles, and make the best recommendation for treatment.
While high-heeled shoes may look stylish or complement your favorite outfit, they are rarely the best option for a woman's feet. According to a study by the American Podiatric Medical Association, 39 percent of women wear high heels every day; of the women who wear heels daily, three out of four reported foot problems. Despite these numbers, many women continue to underestimate the health risks associated with high heels.
High-heeled shoes disrupt the body's alignment, crowd the toes and force the body's weight onto the ball of the foot. Wearing heels can contribute to a variety of foot and ankle problems, including:
Achilles tendonitis: The Achilles tendon and calf muscles tighten and shorten as the front of the foot moves down in relation to the heel. This causes stress and painful inflammation of the Achilles tendon.
Bunion:. Narrow-toed shoes can cause a bony growth on the joint at the base of the big toe. The bunion forces the big toe to slant in toward the other toes, resulting in discomfort, blisters, corns and calluses.
Hammertoes: A narrow toe box crowds the smaller toes into a bent, claw-like position at the middle joint.
Metatarsalgia: Continued high heel wear can lead to joint pain in the ball of the foot as a result of heels forcing the body's weight to be redistributed.
Ankle injuries: Because heels impair balance and increase the risk of falling, ankle sprains and fractures are common.
Pump Bump: The rigid back of a pump-style shoe can cause pressure that irritates the heel bone, creating a bony enlargement known as Haglund's deformity.
Neuromas: A narrow toe box and high heel can compress and create a thickening of tissue around a nerve between the third and fourth toes, leading to pain and numbness in the toes.
Still not willing to ditch the heels? There are ways to relieve some of the damaging effects of high heels.
Avoid heels taller than 2 inches
Choose thicker, more stable heels. Thicker heels are still stylish, plus they lessen the stress on your feet and provide better shock absorption.
If you must wear heels, wear your gym shoes or flats for commuting and change into your heels once you arrive to your destination.
Stretch and massage your calf, heel, and foot muscles. This helps relax the muscles and tendons and prevents them from tightening and shortening.
Avoid shoes with pointed toes
High heel shoes can cause pain and foot deformities that can last a lifetime. So the next time you go to slip on your heels for a long day at work or a night out, consider the consequences and rethink your options. If foot pain persists, visit us for treatment.
Looking for a safe, easy and inexpensive way to stay healthy, increase your energy level and improve your figure? Start walking! Walking is one of the easiest and most popular forms of exercise, and, when done properly, it can significantly improve your health.
The most basic kind of walking for exercise, often called healthwalking, can be done almost anywhere and at any time, year around. And for individuals with a long history of inactivity or problems with obesity, walking is an excellent way to begin an exercise program.
If the Shoe Fits - Get Walking!
Footwear plays a vital role in the duration of your walking routine, and shoes that don't fit properly or that lack support can lead to foot pain or injuries, such as blisters, corns, calluses, nail fungus and plantar fasciitis. These problems can, in turn, discourage you from exercising, thus achieving the opposite of what you wanted!
Not sure which shoe will offer you the most support? Come into our office for an examination. We can help determine the best shoe for your feet based on your arch, walking experience and foot mechanics. Your shoes should be well-cushioned and stable, offering you comfort and fit that enables you to walk smoothly and without discomfort.
Keep Your Feet Healthy
To gain the most health benefit from walking, it's important to pay close attention to your feet. Trim your nails regularly, keep your feet clean and dry, and inspect your feet for signs of sores, blisters, corns, calluses or other infections. Serious foot ailments, such as bunions or hammertoes, should be checked by our office before you begin your exercise regimen.
Once you're ready to hit the road, set appropriate goals based on your overall health and walking experience. Start slow and build up your distance gradually. And don't forget to stretch in order to prevent injury and keep muscles loose.
Walking is meant to be safe, easy, and fun, but in order to do so, you must have healthy feet. Experiencing foot pain and discomfort isn't normal. Talk with a podiatrist if you encounter any problems while walking.
Every step you take is one step closer to a healthier lifestyle. So what are you waiting for? Take a stroll in the mall, walk your dog in the park, or grab a friend and go for a leisurely walk around your neighborhood. It's easy and fun, and, when done regularly, can lead to a healthier you!
With age, many people experience changes in their feet. This may include a change in their shape, a loss of the fatty pads that cushion the bottom of the feet, thinner, drier skin, and brittle nails. You may even develop arthritis.
As the feet change, they naturally develop more problems. But aching feet are not a natural part of growing old, or something to be tolerated. You can do many things now to help relieve pain, improve comfort and keep the spring in your step.
Taking good care of your feet has many benefits, including increasing your comfort, limiting the possibility of additional health issues, and keeping you active and mobile. The following tips can help keep feet feeling and looking their best into the golden years:
- Choose proper-fitting shoes with adequate support, a firm sole and a soft upper for your everyday activities.
- Walk—it’s the best exercise for your feet.
- Avoid going barefoot.
- Never cut corns or calluses on your own.
- Bathe your feet daily in lukewarm water with a mild soap.
- Moisturize daily.
- Trim and file toenails straight across.
- Inspect your feet daily. If you notice redness, cracks in the skin or strange sores, consult our office.
- Have your feet examined at least once a year.
There are literally hundreds of different foot ailments. Some are inherited, but for older people most foot conditions stem from the impact of years of wear and tear. The good news is that even among people in their retirement years, many foot problems can be treated successfully.
Never ignore the natural changes that aging brings. Since feet are referred to as the “mirror of health,” podiatrists are often the first to identify signs of systemic diseases, such as diabetes and arthritis. Regular visits can help prevent foot problems and alleviate pain to keep you active for life.
This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.