The tarsal tunnel is a channel that exists in between part of your ankle bone and a bevy of ligaments that span across your foot. This tunnel carries the nerves, tendons, and arteries that allow you to use your foot. One of the main nerves inside the tarsal tunnel is the tibial nerve, which is necessary for providing feeling to the bottom of your foot. This nerve can become inflamed and irritated due to excessive pressure causing the condition known as tarsal tunnel syndrome (TTS).
Diseases or injuries that may produce the pressure that initiates this disease include:
● A varicose vein or bone spur
● Swelling due to an ankle injury
● Arthritis and diabetes
● Flat feet or fallen arches
Some of the symptoms of TTS include the following:
● Foot numbness
● Tingling or burning sensation
● Shooting pain
A diagnosis of tarsal tunnel syndrome is often a difficult matter due to the fact that other conditions can cause similar symptoms, so it is very important to consult with your podiatrist to devise the most efficacious treatment plan. Your foot doctor will perform a complete clinical exam followed by imaging studies (X-ray, CT or MRI), and electrical testing such as EMG or nerve conduction studies may be required to confirm this diagnosis.
Non-surgical treatment options include:
● Steroid injections
● NSAIDS for pain and inflammation
● Braces, splints and orthotic inserts to reduce the pressure on the nerve
In difficult cases where conservative treatments do not relieve pain and discomfort, you may require the intervention of a skilled foot doctor to surgically release the pressure on the nerve.
If you suspect that you may have tarsal tunnel inflammation, consult with our board certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
Corns and calluses are thick layers of skin that most commonly form on your hands, feet, fingers and toes. When they appear on your feet, it is usually the result of excess friction and pressure created by badly fitting footwear. Calluses, which tend to be bigger than corns, are commonly located on the bottoms of the feet, in the sole or ball area. They feel very rough and hardened, whereas corns are usually much smaller and usually contain a hard center surrounded by tender and swollen skin.
In either case, the treatment options are similar and may consist of the following:
- Padding and protective insoles can provide relief.
- Try pumice stones or emery boards to help safely remove dead skin.
- As much as possible, try to decrease the repetitive action that may have caused them.
- Avoid tight footwear that creates excess pressure, or loose fitting shoes that may cause rubbing and irritation.
- Wear socks with your shoes and sandals as much as possible to decrease excess friction.
- Application of salicylic acid liquid or patches may be used to help dissolve the hardened skin.
- Soaking the skin prior to acid application makes these removal methods more effective.
Individuals with diabetes, foot deformities, or other health problems that can cause decreased blood flow or numbness, need to be very careful when attempting to remove corns and calluses. It is always best to consult with a podiatrist before attempting any treatment on your own to help avoid any complications that may be caused by excessive bleeding or infection. Even a small cut can quickly turn into a serious issue that could even lead to amputation.
If you need assistance caring for your corns and calluses, consult with our board certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
If you are experiencing pain in your foot without an obvious cause, you may have suffered a stress fracture. The pain can tend to come and go, and often is increased during specific foot movements. Stress fractures are very small cracks in the bone that are caused by the repeated stress and pressure to the foot that comes with exercise and sporting activities. Bone deterioration from osteoporosis can also increase the likelihood of a stress fracture.
Other factors that can increase the possibility of stress fractures to the feet include:
- Calcium and vitamin D deficiency—Your bones need adequate vitamin D and calcium for proper growth. Bone weakening from lack of these nutrients can increase the chances of a stress fracture.
- Arch abnormalities—Individuals with rigid arches or flat feet are more susceptible to stress fractures in the feet, so be sure to have any arch problems corrected with the help of your foot doctor.
- Starting an exercise program too rapidly—Sometimes the sudden jolt to your bones of starting a new exercise program can be enough to cause a stress fracture. Always start off slowly, and gradually increase your strength and endurance to ward off stress fractures and a host of other foot problems.
Stress fracture pain will often gradually increase during activity and subside when the stress and weight is taken off the foot. There may also be bruising and swelling in the area of the pain. Stress fractures can be difficult to diagnose and treat properly, and proper treatment is essential to ensure that the bone heals correctly and does not adversely affect your foot mechanics.
If you suspect that you may have suffered a stress fracture to your foot, consult with our board certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
Injuries from falls in the elderly population are unfortunately extremely common and often result in debilitating and life changing injuries. Nearly three million senior citizens are treated in emergency rooms for falls every year, with over 300,000 of those being for hip fractures. But injuries to the feet and ankles are also very common. These can range from minor ankle sprains and strains and muscle pulls, to more severe injuries including fractures, a torn Achilles tendon, and ligament damage.
Why do older folks fall so much?
A variety of factors including balance issues, poor vision, and lower body weakness can contribute to the risk of falls. Older individuals also are more prone to developing systemic diseases like diabetes that can cause nerve damage in the extremities resulting in numbness and loss of feeling which can make it more difficult to walk without risking a fall. Balance problems are also often a side effect of many of the medications taken by elderly patients. Consuming too much alcohol can also increase the risk of falling.
How to reduce falling risk
Some steps you can take to reduce falling risk include staying in good shape through exercising to help increase your strength and balance. Getting regular eye exams, new glasses, and wearing supportive shoes with extra ankle support are essential to mitigating the risk. Small, slippery throw rugs should be donated or tossed. Installing grab bars in bathrooms and showers can greatly decrease bathroom fall accidents. Make sure you have good lighting in hallways and stairwells, where many falls occur. Keep wires and extension cords tied up and out of the way of walking areas.
If you have experienced a foot or ankle injury from falling, consult with our board certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
One of the most common problems to affect children as they are growing up is a condition called in-toeing, where the toes point inwards when walking. This is also referred to as being “pigeon-toed”. While this abnormal walking style may be of concern to parents, in most instances the child will outgrow the condition by age 8 without the need for any special intervention. Another condition called out-toeing, where the toes point away from each other, is much less common. Both of these abnormalities can be caused by genetics, and also by the position the baby takes in the womb before birth.
The three types of in-toeing are:
- Twisted shin (tibial torsion)—This twisting of the shin bone actually begins in the womb, and often by the time children reach school age, the tibia will correct itself and appear more normal. If the twisting remains after age 8-10, surgery may be necessary.
- Curved foot (metatarsus adductus)—This is a bend that occurs in the middle of the foot. The foot is often flexible with this condition, but if rigidity becomes prevalent in 6-9 month olds, it may be necessary to wear special shoes or a cast for correction.
- Twisted thigh bone (femoral anteversion)—In this version, the thigh bone turns inward causing both the knees and the feet to point inwards. This will usually correct itself, but if by age 10 there are still problems with walking, surgery may be necessary to straighten out the femur.
While both in-toeing and out-toeing will often correct by age 10 or earlier, having your child’s feet checked by your foot doctor can help alleviate your concerns.
For more expert advice on pediatric foot treatment, consult with our board certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
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