February 2024

Tarsal tunnel syndrome is a painful condition caused by compression of the tibial nerve as it passes through the tarsal tunnel, a narrow passageway on the inner side of the ankle. This compression leads to symptoms such as numbness, tingling, burning sensations, and sharp pain along the inner ankle and the sole of the foot. The exact cause of tarsal tunnel syndrome can vary, but often includes factors such as injury, trauma, overuse, flat feet, swelling, or the presence of benign growths within the tunnel. Additionally, conditions like arthritis, diabetes, or nerve-related disorders can increase the risk of developing this syndrome. In severe cases, corticosteroid injections or surgical intervention to release the tibial nerve may be necessary to relieve pressure and restore normal nerve function. If you are experiencing ankle pain, it is suggested that you visit a podiatrist who can accurately diagnose tarsal tunnel syndrome, and guide you toward effective treatment methods.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Preferred Footcare, LLC. 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 feel free to contact our office located in Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

To manage poor circulation in the feet, various approaches can be considered. Symptoms may include numbness, tingling, or coldness in the feet. Underlying causes can range from peripheral artery disease to diabetes. Risk factors can include smoking, high blood pressure, and elevated cholesterol levels. Diagnosis often involves undergoing physical exams and ankle-brachial index tests. Improving circulation involves lifestyle changes, such as quitting smoking, regular exercise, and maintaining a healthy weight. Additionally, elevating the feet, wearing compression socks, and managing underlying conditions can help. If symptoms persist or worsen, it is suggested that you schedule an appointment with a podiatrist for further evaluation and 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 of our podiatrists of Preferred Footcare, LLC. 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 office located in Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The feet, intricate structures that are comprised of numerous bones and muscles, play a vital role in mobility and stability. Among the key bones are the tarsals, metatarsals, and phalanges, forming the arches and providing support for the body's weight. Ligaments connect these bones, offering stability and flexibility during movement. The muscles of the feet, categorized into intrinsic and extrinsic groups, facilitate intricate movements necessary for walking, running, and balancing. Intrinsic muscles, found within the foot, control fine movements of the toes and arches, while extrinsic muscles, originating in the lower leg, aid in broader movements such as dorsiflexion and plantarflexion. Together, these muscles and bones work harmoniously to absorb shock, distribute pressure, and maintain proper alignment during various activities. Understanding the anatomy and function of the feet is essential for preventing injuries and optimizing performance in everyday tasks and physical activities. By nurturing foot health through wearing proper footwear, stretching, and strengthening exercises, individuals can ensure the longevity and functionality of their feet for years to come. If you would like additional information about how the bones and muscles in the feet work in harmony, it is suggested that you consult a podiatrist who can provide you with the knowledge you are seeking.

If you have any concerns about your feet, contact one of our podiatrists from Preferred Footcare, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Orthotics play a vital role in addressing the unique requirements of special needs patients, offering tailored solutions for various musculoskeletal issues. These individuals often require specialized orthotic devices to enhance their mobility and overall quality of life. Custom orthotics are designed to accommodate or correct irregular walking patterns, providing crucial support and stability. For special needs patients, orthotics can help manage conditions such as flat feet, high arches, and gait abnormalities. These devices are customized to fit the individual's unique foot shape and condition, ensuring optimal comfort and functionality. Whether it is children with developmental challenges or adults with neurological disorders, orthotics can significantly improve their mobility and reduce discomfort. Orthotic devices for special needs patients are prescribed by podiatrists after a thorough evaluation and diagnosis, ensuring that they cater to the specific challenges of each patient. If you have special needs or you are taking care of someone with special needs and want more information on how custom orthotics might improve comfort, it is suggested that you make an appointment with a podiatrist to discuss your unique situation.

If you are experiencing discomfort in your feet and would like to try custom orthotics, contact one of our podiatrists from Preferred Footcare, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Custom Orthotics?

Custom orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain. 

Over-the-Counter Inserts

Shoe inserts come in a wide variety and are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality, custom inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you're experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibility of using custom orthotics or shoe inserts. A podiatrist can determine which type of custom orthotic or shoe insert is right for you and help you take the first steps toward being pain-free.

If you have any questions please contact our office located in Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Bunions are bony protrusions at the base of the big toe, and manifest gradually due to a combination of genetic predisposition and external factors. Inherited structural foot issues, such as flat feet or low arches, contribute to the vulnerability of developing bunions. The gradual shifting of the metatarsophalangeal joint creates misalignment, causing the big toe to lean towards the other toes. Wearing ill-fitting footwear, particularly shoes with narrow toe boxes, exacerbates this condition by squeezing the toes together. High heels further elevate the risk, tilting the body weight forward and putting added pressure on the joint. Over time, these repeated stresses lead to the development of bony growths. Additionally, inflammatory conditions such as arthritis can accelerate bunion formation. Many bunions are unsightly and uncomfortable. If you have developed a bunion, it is suggested that you consult a podiatrist who can determine what the best treatment method is for you, which may include surgery for permanent removal.

If you are suffering from bunions, contact one of our podiatrists of Preferred Footcare, LLC. Our doctors 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?

Doctors 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 doctor.

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 our office located in Stamford, CT . We offer the newest diagnostic and treatment technologies for all your foot care needs.