Tarsal Tunnel Syndrome and Nerve Pain

Tarsal tunnel syndrome is a nerve condition that develops when the tibial nerve becomes compressed as it passes through a narrow space along the inside of the ankle. Symptoms can include burning pain, tingling, or an electric-like feeling that may extend into the sole. Some people also notice weakness or discomfort after standing or walking for extended periods.

Several factors can contribute to tarsal tunnel syndrome. An ankle injury may cause swelling that places pressure on the nerve. Flat feet can change foot alignment and increase tension around the tarsal tunnel. Arthritis, bone spurs, or cysts may also narrow the space surrounding the nerve. Diabetes and other conditions affecting nerves can increase risk. Repetitive standing, walking, or activities that place stress on the ankle may further aggravate symptoms.

 

A podiatrist begins treatment by reviewing symptoms, examining the foot and ankle, and checking sensation and nerve function. Imaging may be recommended. Treatment depends on the underlying cause and may include wearing supportive footwear, custom orthotics, or medication when appropriate. The podiatrist may also recommend strategies to reduce swelling and pressure around the nerve. If symptoms remain severe or a clear structural cause is identified, surgical nerve decompression may be considered.

 

Early evaluation can help identify the source of nerve irritation and prevent ongoing discomfort. During healing, a podiatrist monitors symptoms and adjusts treatment. Following recommendations for footwear, activity, and follow-up visits can support recovery. Tarsal tunnel syndrome can sometimes resemble other causes of foot numbness, making an accurate diagnosis important. If you have persistent burning, tingling, or pain around your ankle or foot, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one our of podiatrists of The Foot and Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our offices located in Houston and Deer Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Common Foot Injuries and Workplace Protection

Working in construction can place constant stress on your feet. Hours spent standing, walking across uneven surfaces, and lifting materials can increase the chance of foot injuries. Construction foot injuries may range from minor skin irritation to serious wounds or fractures. Nail punctures can occur when sharp debris enters a shoe. Even without one major accident, repeated pressure can gradually create foot problems that affect comfort and movement.

Some construction workers experience pain from conditions that develop over time. Bunions can cause soreness around the big toe and may become irritated when work boots are too narrow. Corns form when repeated pressure creates thickened skin in areas that rub against footwear. Blisters are another common concern, particularly when damp shoes cause repeated friction. Risk factors include wearing poorly fitting boots, long work shifts, and inadequate foot support. A previous foot injury can also make the feet more vulnerable during demanding work.

The right work boot can make a meaningful difference. Look for footwear with impact and compression resistance to help protect the feet from heavy materials. Puncture-resistant midsoles provide another layer of defense against nails and other sharp objects. Breathable materials can help reduce moisture inside the boot and may lower friction that contributes to blisters. Additionally, a wide enough toe box gives the toes room to move without unnecessary pressure. Workers should also inspect boots regularly and replace them when the sole or protective features become worn.

If pain or an injury develops, a podiatrist can evaluate the foot and identify the underlying problem. Treatment may involve cleaning and protecting wounds, reducing pressure, or recommending appropriate footwear. Imaging tests may be used when a fracture is suspected. A podiatrist can also discuss workplace strategies that help protect the feet during recovery. If construction work is a source of ongoing foot pain, it is suggested that you see a podiatrist for an accurate diagnosis and appropriate treatment.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one our of podiatrists from The Foot and Ankle Specialists. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please contact our offices located in Houston and Deer Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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How Poor Circulation Can Affect Your Feet

Poor circulation happens when blood does not flow effectively to parts of the body. The feet are vulnerable because they are far from the heart. Reduced blood flow can limit the oxygen and nutrients reaching the tissues. Signs can include numbness, tingling, and swelling. The feet can also feel unusually cold or develop changes in skin color. Poor circulation can contribute to aching or cramping in the legs and feet. Wounds can also heal more slowly when the tissues do not receive enough blood.

Several health problems can interfere with circulation. Atherosclerosis occurs when plaque builds up inside arteries, causing them to narrow and harden. When this problem affects the limbs, it is called peripheral artery disease, or PAD. Diabetes can also damage blood vessels and contribute to circulation problems. Blood clots can restrict or completely block blood flow. Smoking can narrow blood vessels and increase plaque buildup. Limited physical activity can also raise the risk of conditions linked to poor circulation. These causes make persistent changes in the feet important to evaluate.

A podiatrist can examine the feet for signs that blood flow is reduced. The evaluation can include checking skin color, temperature, and pulses in the feet. A podiatrist can also look for sores that are healing slowly and changes in the toenails or skin. Tests can help determine whether circulation problems are affecting the lower limbs. Treatment depends on the cause and severity of reduced blood flow. Early evaluation is important because poor circulation can interfere with wound healing and increase the risk of serious foot complications. Regular podiatric care can help protect vulnerable feet and identify concerning changes before they become more severe. If you have symptoms of poor circulation, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one our of podiatrists of The Foot and Ankle Specialists. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness 
  • Numbness or cramping in the legs
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions, please feel free to contact our offices located in Houston and Deer Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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How Tight Shoes May Cause Foot and Toe Pain

Wearing shoes that are too tight can place pressure on the toes, nails, and sides of the feet. A narrow toe box may squeeze the toes together, while a short shoe can force them against the front. This pressure can cause soreness, blisters, and areas of thickened skin. Corns can form where the skin repeatedly rubs against a shoe. Tight shoes can irritate bunions and hammertoes, making standing or walking painful. An ingrown toenail may become worse when the shoe presses the nail edge into skin.

Poorly fitting shoes can affect more than the skin. Crowded toes may shift position, which can contribute to deformities or make existing ones more painful. Pressure on a nerve can cause burning, tingling, or numbness. Shoes that pinch the heel may lead to irritation at the back of the foot. Patients with diabetes need caution because nerve damage can reduce their ability to feel pressure or injury. A small blister or sore may go unnoticed and develop into an infection. Foot pain that continues after the shoes are removed deserves an evaluation.

A podiatrist can identify the source of pain and determine whether tight shoes have caused a skin problem, nail injury, or toe deformity. The examination includes checking tender areas, joint movement, and skin condition. The podiatrist can measure both feet and explain which shoe length, width, and toe-box shape provide a better fit. Treatment includes safely reducing corns or calluses and caring for an ingrown toenail. Padding, custom orthotics, or another device can reduce pressure and improve foot position. For a severe deformity that does not respond to other treatment, the podiatrist can discuss whether surgery is appropriate. Getting care early can relieve discomfort and help prevent a minor pressure spot from becoming a larger problem. If you have foot pain related to footwear choices, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact one our of podiatrists from The Foot and Ankle Specialists. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

If you have any questions please contact our offices located in Houston and Deer Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Get a Proper Shoe Fit
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