The tarsal tunnel is a narrow tunnel in the ankle, next to the ankle bone, that serves as a pathway for nerves, veins, arteries and tendons. Tarsal tunnel syndrome occurs when the tibial nerve in this tunnel gets squeezed or pressed. Common causes of tarsal tunnel syndrome include osteoarthritis, rheumatoid arthritis, diabetes, overpronation (rolling) of the foot, or a cyst or ganglion that can form near the tunnel. Symptoms of tarsal tunnel syndrome include a burning pain that radiates to the arch of the foot, numbness in the sole of the foot and worsening of symptoms after running or standing for a long time. If you believe that you might be suffering from tarsal tunnel syndrome, it is important to visit a podiatrist for a proper diagnosis and treatment. Treatment options that may be considered include cold therapy, medication, injections, specific exercises, corticosteroid injections or surgery.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Richard Silverstein of Union Foot Care. Our doctor 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 Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fasciitis is the result of the plantar fascia, the fibrous band of tissue on the bottom of the foot that connects the toes to the heel, becoming inflamed. A sharp pain inside the heel and at the back of the arch is a key signal of plantar fasciitis. Most of the pain that is experienced from plantar fasciitis gradually worsens over time, and it is usually the worst after prolonged periods of rest. For example, after waking up in the morning the pain is at its worst because the plantar fascia shortens when the foot is at rest. Those who have plantar fasciitis may also experience tenderness in the heel, a tingling or burning sensation in the foot, pain while flexing the foot, and limping. If you are experiencing any of the symptoms that indicate plantar fasciitis, consulting with a podiatrist for a proper diagnosis and treatment plan is highly recommended.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Richard Silverstein  from Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

A small growth in the heel bone is often referred to as a heel spur. These are bony protrusions that may cause severe pain and discomfort, and can be associated with foot conditions such as plantar fasciitis and Achilles tendon injuries. Some patients find it beneficial to perform specific stretches and exercises that may diminish a portion of the discomfort. An effective stretch consists of raising up on the toes while placing a tennis ball between the ankles, and gently squeezing. Additionally, it may help to roll a tennis ball on the sole of the foot while seated. Mild relief may be found when correct shoes are worn, and it is suggested to refrain from wearing high heels or flip flops. If you have heel pain, it is suggested that you consult with a podiatrist who can properly diagnose and treat heel spurs.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Richard Silverstein from Union Foot Care. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Havre de Grace, MD . We offer the latest in diagnostic and treatment technology to meet your needs.

Hammertoes are a type of toe deformity that cause the ends of the affected toes to bend downward at the middle joint. At first, the affected toes may be flexible, but over time, the joints can become stiff, leaving the toes stuck in a claw-like position. The most common cause of hammertoes is wearing shoes that are too narrow and tight, which cause the toes to bend upward. Muscles and tendons within the affected toes become tighter and shorter, causing the toe to remain in a bent position long after you have taken off the shoes. Risk factors that increase your risk of developing hammertoes also include having longer toes, bunions, or rheumatoid arthritis. Hammertoes can cause pain and discomfort, make it difficult to wear shoes, and increase your chances of getting corns, calluses, and blisters on your toes. If you have hammertoes, it is suggested that you seek the care of a podiatrist.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Richard Silverstein from Union Foot Care. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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