Tarsal tunnel syndrome occurs when there is a compression or squeezing of the posterior tibial nerve as it travels through the tarsal tunnel. The tarsal tunnel is a narrow space that lies on the inside of the ankle and it contains arteries, veins, tendons and nerves, including the tibial nerve. There can be a variety of causes for this compression such as an abnormal structure in the area, a cyst or bone spur, an injury that causes inflammation like an ankle sprain, and diseases like arthritis and diabetes. Those who have flat feet are also at a higher risk for tarsal tunnel syndrome because the heel tilts and can strain or stress to the nerve. Symptoms individuals experience consist of pain or numbness to the affected area, or a burning or tingling sensation which is often described similar to “pins and needles." Common treatment options for tarsal tunnel syndrome include orthotics, braces, rest, physical therapy, and in severe cases, surgery. If you are suffering from any symptom of tarsal tunnel syndrome it is important to visit a podiatrist for a proper diagnosis.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of New England Foot and Ankle. 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 one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Orthotics are inserts that you wear inside your shoes. They can be used to treat or manage a variety of foot conditions, such as plantar fasciitis and acquired flat foot. Orthotics are typically not used to prevent overuse injuries like stress fractures or tendonitis. There are two types of orthotics: over the counter and custom. Over the counter orthotics can be bought in most major drug, department, and shoe stores. Custom orthotics are made especially for your foot. The type of orthotic you should get depends on the specific foot problems that you are dealing with. Over the counter orthotics that are appropriately selected can be beneficial for treating a variety of common foot problems, while custom orthotics are especially useful for those who have foot deformities. To find out if orthotics are right for you, please consult with a podiatrist.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

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 but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that 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 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 are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The medical name for flat feet is pes planus. Flat feet are a foot condition that affects the arch, which can be absent or extremely low. Many patients have no symptoms with this condition, and it does not interfere with accomplishing daily activities. Some people, however, are severely affected by flat feet, and can experience symptoms that often include easily becoming tired, pain in the heel and arch area, and difficulty standing on the toes. Flat feet can be caused by genetic factors, foot injury, aging, and pregnancy. There are three groups of flat feet. Mild cases may be relieved when arch supports are used. Moderate flat feet may affect the Achilles tendon, and can be painful. If flat feet are severe, the foot may be deformed. It is suggested that patients who have any type of flat feet be under the care of a podiatrist who can effectively treat this condition.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from New England Foot and Ankle. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot pain on the inside of the foot is called medial foot pain, and foot pain on the outside of the foot is called lateral foot pain. It is most common for foot pain to be located on the outside of the foot. Lateral foot pain can be frustrating for those who enjoy being on their feet.  The cuboid is one of the seven tarsal bones on the outside of the foot. An excess amount of traction over the cuboid can cause the tarsal bone to dislocate, which may result in cuboid syndrome. Pain for those with cuboid syndrome is usually experienced by those who participate in weight bearing activities. If you are experiencing any symptoms or have any questions regarding cuboid syndrome, please consider scheduling a consultation with a podiatrist today.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from New England Foot and Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

With the approach of warmer weather, many children are gearing up and preparing for fair-weather sports such as softball and soccer. Regardless of the sport your child may be participating in, injuries are bound to occur. To help protect your child’s feet for the upcoming season, consider the following tips. Be sure to have protective tape available to wrap around the ankles, as tape can help prevent or brace sprains or fractures. Be sure your child is wearing shoes appropriate for the sport he or she is participating in, as this can not only improve your child’s performance, but also protect him or her from injury.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.