How Tarsal Tunnel Syndrome Is Treated

Tarsal tunnel syndrome, a condition in which the tibial nerve is compressed as it passes through the tarsal tunnel in the ankle, has a variety of treatment options. Conservative treatment is usually recommended at first. This may include rest and nonsteroidal anti-inflammatory drugs, or NSAIDs to reduce inflammation and alleviate pain. Shoe choice is also important. Wearing supportive footwear and using orthotic inserts can help alleviate pressure on the affected nerve. In cases where conservative measures do not resolve symptoms, corticosteroid injections may be administered to reduce inflammation and provide relief. Severe or persistent cases may require surgical intervention to release the compressed nerve. Each treatment approach is tailored to the patient's specific symptoms and needs. If you have pain and numbness along the inner side of the ankle or bottom of your foot and suspect you have developed tarsal tunnel syndrome, it is suggested you consult a podiatrist who can diagnose you and offer personalized treatment. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dean Kim, DPM of Greater Texas Foot & Ankle Specialist. 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 Frisco, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Keep Your Feet Healthy So You Can Stay Active

Have your feet inspected by a professional before starting a new sport or physical activity. Taking charge of your foot health will keep you in good physical condition and can help you avoid a potential injury, such as a fracture or sprained ankle.

Prevent injuries and see a foot specialist.

Managing Chronic Foot Pain in the Elderly

Foot pain is prevalent among older individuals, affecting at least 25 percent of them. Unfortunately, the management of foot pain is often overlooked in geriatric healthcare, leading many seniors to endure chronic foot pain unnecessarily, which impacts their overall well-being. Research indicates that foot pain is a common and debilitating issue in older adults, but conservative interventions, including regular foot care, footwear guidance, and foot orthoses, have proven effective in reducing pain. These interventions not only alleviate foot discomfort but also contribute to maintaining mobility and independence in this age group. If you are in the elderly population and have foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment to help improve your quality of life.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dean Kim, DPM from Greater Texas Foot & Ankle Specialist. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

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Symptoms and Prevalence of Toenail Fungus

Toenail fungus, clinically known as onychomycosis, is a common condition that affects a significant portion of the population. This fungal infection typically occurs when microscopic fungi invade the toenails, leading to discoloration, thickening, and crumbling. The warm and moist environment inside shoes provides an ideal breeding ground for these fungi, making toenails susceptible to infection. Symptoms include changes in nail texture and color, ranging from yellowing to darkening. As the infection progresses, nails may become brittle and emit a foul odor. Toenail fungus is more prevalent than one may think, with a considerable percentage of the population grappling with this condition. Recognizing the symptoms early on is essential for effective management, as untreated toenail fungus can lead to persistent discomfort and potential complications. If you have a toenail fungus infection, it is suggested that you visit a podiatrist who can confirm the diagnosis and offer correct treatment methods, which often includes prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dean Kim, DPM of Greater Texas Foot & Ankle Specialist. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

 

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How Wearing High Heels Affects Runners

The impact of wearing high heels may profoundly affect the feet. Recent studies explore the potential consequences of prolonged high heel use. Wearing high heels over an extended period can lead to increased energy expenditure and less efficient walking mechanics. The key issue for runners is the restriction of ankle dorsiflexion, the movement that allows your shinbone to pivot over your foot. This limitation not only shortens hip extension and stride but also interferes with the smooth activation of your calf and other muscles during walking. These findings align with the perspective of those advocating for minimalist shoes, emphasizing the influence of any heel, regardless of its size. When it comes to the frequency of high heel usage for runners, the ideal recommendation is to avoid prolonged periods of wear. Occasional use for short durations, such as a few hours at social events, is considered less concerning. However, habitual use during extended periods such as office hours or weekends may bring about lasting changes in biomechanics. Balancing style with foot health involves making informed choices to ensure optimal comfort and functionality for your feet when you run. It is suggested that you consult a podiatrist for guidance about the long term dangers of wearing high heels.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dean Kim, DPM from Greater Texas Foot & Ankle Specialist. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

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Poor Foot Circulation and Physical Interventions

Poor foot circulation refers to a condition where blood flow to the feet is compromised, leading to various types of discomfort and health issues. These often arise from underlying conditions, like peripheral artery disease, diabetes, or vascular disorders, which hinder the efficient transport of oxygen and nutrients to the feet. Cold feet, numbness, and tingling sensations are common indicators of inadequate blood circulation. Implementing effective physical interventions is paramount in managing this condition. Regular exercise, such as walking or gentle stretches, promotes blood flow and strengthens the muscles that assist in circulation. Elevating the legs when sitting or lying down helps to reduce swelling and encourages blood flow. Proper hydration and maintaining a healthy weight also contribute significantly to overall circulatory health. If you have poor circulation and notice symptoms in your feet, it is strongly suggested that you consult a podiatrist who can guide you toward effective treatment methods.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Dean Kim, DPM of Greater Texas Foot & Ankle Specialist. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 Frisco, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Causes Symptoms and Treatment for Poor Circulation in the Feet

See Your Podiatrist Regularly If You Work On Your Feet

Do you work on your feet all day and find your feet in pain? Don't go to work in pain each day. Your foot pain can be treated, and we can help.

Strategies That May Help Prevent Running Injuries

Research reveals that nearly half of recreational runners sustain injuries, often affecting the Achilles tendon, calf, knee, ankle, lower leg, feet, and toes. Various factors contribute to injury risk, including running mechanics, footwear, and abrupt mileage increases. Fortunately, effective strategies exist to prevent running injuries before they disrupt your routine. It is essential to understand that injury prevention is complex, with factors like anatomy, history of injuries, and training methods playing roles. Each runner is unique, possessing distinct anatomical traits and injury histories, making injury prevention a challenging task. To reduce injury risk, experts recommend focusing on building a strong body, maintaining proper form, and choosing suitable footwear. Achieving a balance among these factors can significantly lower the likelihood of injuries, ensuring a rewarding and injury-free running experience. It is also advisable to schedule an appointment with a podiatrist for personalized advice on preventing running injuries.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dean Kim, DPM of Greater Texas Foot & Ankle Specialist. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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

Read more about Preventing Running Injuries

Bones and Muscles in the Feet

The feet are intricate structures comprising a complex interplay of bones and muscles. The skeletal foundation, consisting of 26 bones per foot, provides the necessary framework for stability and mobility. These bones, meticulously arranged in arches and joints, form a remarkable support system that bears the weight of our entire body. Meanwhile, a network of muscles, tendons, nerves, and ligaments allows the feet to function properly. From the dynamic flexing of toes to the subtle shifts in weight distribution, these muscles work tirelessly to maintain balance and facilitate your every step. The feet serve as a testament to the exquisite design of the human body, showcasing the seamless collaboration between bones and muscles that enables you to traverse the world with grace and agility. If you are experiencing pain or other problems related to your foot structure, it is suggested that you consult a podiatrist.

If you have any concerns about your feet, contact Dean Kim, DPM from Greater Texas Foot & Ankle Specialist. Our doctor 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 Frisco, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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The Vital Role of Hygiene in Combating Athlete's Foot

Athlete's foot, a common fungal infection, underscores the significance of daily foot hygiene in preserving overall health. This condition thrives in warm, moist environments, making it imperative for individuals, especially athletes, to prioritize cleanliness. Regular washing and thorough drying of feet, paying particular attention to spaces between toes, can deter the growth of fungi. Choosing moisture-wicking socks and breathable footwear is essential to minimize the conditions favorable for the infection. Sharing personal items, such as towels or shoes, should be avoided to prevent the spread of the fungus. Maintaining clean, dry feet not only aids in preventing athlete's foot but also promotes the general well-being of the feet. Vigilance in hygiene practices, coupled with prompt treatment if symptoms arise, empowers individuals to protect their feet from the discomfort and inconvenience associated with athlete's foot infection. If you have developed athlete’s foot, it is strongly suggested that you are under the care of a podiatrist to discuss effective treatment methods, which may include prescribed medication.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dean Kim, DPM from Greater Texas Foot & Ankle Specialist.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

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

Read more about Athlete’s Foot

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