Tarsal Tunnel Syndrome

The tarsal tunnel is a narrow space on the inside of the ankle, located next to the ankle bones. Within the tarsal tunnel are a variety of tendons, arteries, veins, and nerves, including the posterior tibial nerve. Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve is squeezed or compressed. This can happen due to injuries that produce inflammation or swelling near the nerve, systemic diseases like arthritis, an abnormal structure such as a cyst putting pressure on the nerve, or flat feet straining the nerve as you walk. 

Symptoms of tarsal tunnel syndrome include tingling, burning, or electrical shock sensations in the inside of the ankle or bottom of the foot, as well as numbness and shooting pains. In some cases, the symptoms are isolated to one small area, like the inner ankle. In other cases, the symptoms may affect the entire foot and ankle. Symptoms typically occur during or are aggravated by physical activities like walking, running, jumping, or prolonged standing. 

Tarsal tunnel syndrome can be diagnosed by a chiropodist through physical examination of the affected foot and ankle. Imaging studies may be used if the chiropodist suspects that the underlying cause may be a structural abnormality, like a cyst. Treatment options for this condition include resting and icing the affected area, taking oral medications to reduce pain, immobilizing or bracing the affected foot, wearing supportive shoes or orthotic inserts, and physical therapy. Left untreated, tarsal tunnel syndrome can lead to permanent nerve damage. 

If you are experiencing the symptoms of tarsal tunnel syndrome, please consult with a chiropodist. 

What is Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome (TTS) occurs when the posterior tibial nerve, which runs along the inside of the foot and ankle, becomes compressed or damaged. Inflammation, pain, and numbness on the inside of the ankle or bottom of the foot may result from this condition. TTS usually occurs from an injury or another foot problem like bone spurs or flat feet. It can also arise due to a health condition, such as diabetes or arthritis. Symptoms are often brought on by overuse of the foot, prolonged standing, walking, or beginning a new exercise program. It is a rare condition that can become severe and cause nerve damage. If such pain is felt, it is important to see a chiropodist for proper evaluation and recommendations for immediate treatment.

Tarsal tunnel syndrome can cause pain and progress over time. If you are experiencing any symptoms of tarsal tunnel syndrome, please consult with one of the chiropodists from The Footcare Centre. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

What Is Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome is a condition in which the posterior tibial nerve, which is located within a structure called the tarsal tunnel on the inside of the ankle, is squeezed. Compression of the posterior tibial nerve can be caused by injuries, such as ankle sprains, systemic diseases like diabetes or arthritis, strain on the tarsal tunnel due to flat feet, or an enlarged structure like a cyst squeezing the nerve. 

Symptoms

Symptoms of tarsal tunnel syndrome can appear suddenly and are generally worsened by physical activity. 

Common symptoms include: 

  • Tingling, burning, or electrical shock sensation on the inside of the ankle or bottom of the foot

  • Numbness

  • Shooting pain 

Diagnosis

Tarsal tunnel syndrome is diagnosed through physical examination. If initial treatment is ineffective, imaging or nerve studies may also be necessary. 

Treatment

Nonsurgical treatments for tarsal tunnel syndrome include resting and icing the foot, bracing or immobilizing the foot, wearing an orthotic device, modifying your footwear, and taking medications to relieve pain. Surgery may be needed if nonsurgical treatments are ineffective.  

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

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Working on Your Feet

Standing for prolonged periods of time can cause damage to your feet. Unfortunately, this is a necessary part of the job for many working people. Common foot conditions that may occur as a result of being on your feet all day include foot pain, blisters, calluses, corns, arthritis, toe deformities, sprains, bunions, athlete’s foot, and fallen arches. 

There are certain steps that you can take to prevent work-related foot problems. If you are on your feet all day, it is recommended that you avoid shoes that have high heels, pointed toes, a fit that is too loose or too tight, and a lack of arch support. If you work in a place where foot injuries are a common occupational hazard, such as a construction zone, wearing the right shoes becomes increasingly important. Wearing comfortable, properly fitted, supportive shoes made of breathable materials can mitigate the risk of developing a variety of foot problems.

Maintaining an immobile, upright stance for prolonged periods of time is bad for your foot health. If possible, take breaks throughout the day to sit down, stretch, and walk around. At home, take care of your feet with a daily foot care routine. Wash the feet daily with soap and water and dry them thoroughly. Apply a moisturizer to prevent cracked heels. When trimming the toenails, trim straight across to avoid ingrown toenails. Wear clean socks daily. If you notice any problems developing in your feet or ankles, consult with a chiropodist, who can diagnose and treat your condition and help you maintain the health of your feet. 

Working on Your Feet

The feet are central to supporting the body and getting from place to place. If one stands for long hours, a strain is put on the feet and legs and can lead to health problems and foot pain. Foot ligaments and tendons can get irritated causing conditions like plantar fasciitis, Achilles tendonitis, bunions, hammertoes, corns, and calluses. Wearing properly fitting, supportive shoes, shoe inserts, compression stockings, and standing on mats versus concrete floors can help. Changing positions, moving about, and stretching frequently can also reduce problems created by prolonged standing. If you have ongoing foot pain created from working on your feet, speak to a chiropodist who can treat foot problems you have or otherwise advise you on how to minimize foot discomfort.

If you stand all day, you may be at an increased risk of developing various foot conditions. If you are experiencing foot pain of any kind, please consult with one of the chiropodists from The Footcare Centre. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

What Foot Problems Are Caused by Standing?

Standing all day at work may increase your risk of developing foot or ankle problems.

Some common foot conditions that may arise from spending all day on your feet include: 

  • Foot pain

  • Blisters

  • Corns and calluses

  • Arthritis

  • Flat feet

  • Bunions

  • Sprains 

  • Athlete’s foot

Prevention

If you stand for prolonged periods of time for work, taking preventative measures to preserve the health of your feet is strongly recommended. 

Measures you can implement to help prevent foot problems include: 

  • Wearing shoes that are comfortable and fit well - these shoes should be made of breathable materials and provide you with arch support and cushioning. It is best to avoid shoes that have heels or narrow toe boxes.

  • Taking breaks to rest, walk, and stretch your feet throughout the day

  • Maintaining good foot hygiene - wash and dry your feet thoroughly every day

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

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Preventing Running Injuries

Running injuries are a serious cause for concern. Not only are they painful, but they can also become chronic or take a while to fully heal. This makes running even more difficult in the future. To maintain your mobility and keep on running, it’s important to take measures to avoid injury. 

Some of the most common running injuries, such as plantar fasciitis and Achilles tendonitis, occur due to repetitive overuse or overtraining. When running, you should train slowly and gradually. Do not increase the mileage, intensity, or duration of your runs too quickly. Allow yourself time to rest and recover following each run. Avoid running on concrete or other hard surfaces if possible and choose dirt trails or grassy terrains instead. Hard surfaces don’t absorb shock well, putting more strain on your lower limbs. 

It’s also important to wear the right shoes. Choose shoes that fit your feet properly and provide adequate cushioning and support. If you have any biomechanical differences or a dysfunctional gait, consult with a chiropodist to help you find the right running shoes. 

In addition, having strong, flexible feet and ankles helps prevent injury. Do stretching and strengthening exercises daily for maximum benefits and warm-up prior to each run. To learn more about preventing running injuries, or if you have sustained a foot or ankle injury while running, please consult with a chiropodist near you. 

How to Prevent Running Injuries

While most runners will likely endure an injury at some point, preventative methods can be employed to help stave them off. One of the most frustrating aspects of a running injury is having to curtail running until it heals. Shin splints, hamstring and groin strains, plantar fasciitis, and Achilles tendonitis are among the most common runner injuries. Increasing intensity, distance, training regimens slowly, and varying workouts may be the most important factors in helping to prevent a running injury. Also, a runner who sustains recurring injuries often does so because of improper treatment and not allowing enough time before reengaging in running. Wearing comfortable, well-fitting, and supportive running shoes, alternating running shoes between workouts, doing warm-up and strengthening exercises beforehand can reduce risk of injury. In addition, being aware of how the body feels and tending to physical and mental health will also help prevent injury. If you are a runner and want to make sure you are in the best shape to head off injury, as well as treat an injury properly once it happens, developing a relationship with a chiropodist is suggested.

Although running is a wonderful exercise to keep you in shape, it can wreak havoc on your feet and ankles if you don’t take preventive measures. If you have sustained a foot and ankle injury from running, please consult with one of the chiropodists from The Footcare Centre. Our chiropodists can help you maintain the health of your lower limbs and your mobility. 

Some common running injuries include:

  • Achilles tendonitis

  • Shin splints

  • Ankle sprains

  • Stress fractures

  • Plantar fasciitis

  • Bursitis 

What causes injuries? 

These injuries are usually caused by overtraining, wearing the wrong shoes, running on hard surfaces, having tight and inflexible muscles, or having biomechanical issues in the feet or ankles. 

What can I do to prevent injuries? 

  • Train slowly and gradually

  • Give yourself plenty of time to recover following a run

  • Wear shoes that fit properly and support your foot

  • Avoid running on hard surfaces, like concrete

  • Stretch and strengthen the muscles of your lower legs

  • Warm-up prior to a run

  • Have your gait analyzed and your feet examined by a chiropodist to determine if there are any biomechanical problems that need to be treated 

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

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Obesity and the Feet

Obesity can affect the feet in a variety of ways. Your feet bear the weight of your body, carrying you through life. When the feet are under immense strain from excess weight, they are more prone to both chronic and acute injuries. Over time, the pressure from excess weight can cause the feet to flatten and widen as the arches of the feet slowly collapse. This can not only increase your shoe size, but also lead to foot pain, difficulty walking, and a dysfunctional gait or walking pattern. A variety of foot and ankle injuries are common in obese individuals. These include plantar fasciitis and posterior tibial tendonitis, which can both become chronic. The reduced mobility from foot pain can also decrease your quality of life, make it more difficult to exercise, and lead to further weight gain. 

Obesity is also associated with a host of systemic health complications that can affect the feet. Obese people may be more at risk of developing gout and arthritis, which damage the joints. There is also an increased risk of diabetes and poor circulation. Together, these conditions can lead to the development of diabetic foot wounds, which heal slowly and poorly and can cause serious health complications should they become infected. 

Making healthy lifestyle changes is one way to prevent the foot problems associated with obesity. Reduce weight (and the risk of gout) by eating a healthy diet and exercising. Wear shoes that fit properly and support your feet. Your chiropodist may suggest orthotics, medications, or other treatments to address any foot pain and to improve your overall mobility and quality of life. To learn more, consult with a chiropodist near you. 

Can Obesity Lead To Flat Feet?

Being overweight can create a variety of negative effects on the body that may be proportional to your level of obesity. Obesity is often a factor in foot pain and impaired mobility. For instance, an increased body mass index (BMI) is sometimes associated with flat feet. The condition of flat feet (pes planus) can range from lower-than-normal arch height to arches that are completely collapsed. When obesity is associated with flat feet, it is believed to be proportionate to the height of the fallen arch. Arches in people who are obese need to work harder to support the weight they are enduring. In other words, the heavier a person is, the lower their arch may be. Flat feet may produce symptoms such as aching, pain, or fatigue in the arch and muscles of the feet and legs. The body may even compensate for the extra weight by changing the way you walk, which can further exacerbate flat-footedness. If you have flat feet and are experiencing any discomfort, consult with a chiropodist to explore treatment options. 

Being obese affects every part of your body, and your feet are no exception. Because they bear the full weight of your body as you go about your daily life, your feet are under a lot of pressure. Carrying excess weight can strain the feet and cause a variety of unpleasant side effects. If you are obese and concerned about your foot health, please consult with one of the chiropodists from The Footcare Centre. Our chiropodists can help you maintain the health of your lower limbs and your mobility. 

Obesity can:

  • Cause foot pain

  • Increase the risk of foot and ankle injuries

  • Reduce mobility

  • Make the feet wider 

  • Flatten the arch

  • Make gout more likely

  • Make arthritis more likely

  • Increase the risk of diabetes

Your chiropodist may suggest lifestyle changes to address foot and ankle problems that are caused by or affected by obesity. These may include changes to your diet, exercise, and footwear, as well as wearing orthotics. The treatments for specific injuries or health problems will vary depending on what they are, but weight loss is often suggested to decrease strain on the feet. If you have any questions, please feel free to contact our office located in . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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