Where Is the Tarsal Tunnel Located?

Posted on October 12, 2020

The tibial nerve is located in a small tunnel surrounded by tendons in the inner side of the ankle. Tarsal tunnel syndrome can develop when this specific nerve becomes compressed, and is often accompanied by pain and swelling. It may happen as a result of enduring an ankle injury, such as a sprain or fracture, or from having bone spurs. Mild relief may be found when the affected foot is elevated, and it may help to take anti-inflammatory medication. In severe cases, surgery can be a viable option to permanently reduce or eliminate the pain that is associated with this condition. If you have developed this ailment, it is strongly recommended that you speak with a podiatrist who can help you choose the correct treatment option.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. 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 Bentonville, AR. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Defining and Treating Plantar Fasciitis

Posted on October 5, 2020

One common source of heel pain is plantar fasciitis, which occurs when the plantar fascia, the tissue connecting the heel to the bottom of the foot, is inflamed. Common symptoms of plantar fasciitis include sharp heel pain, pain after resting, heel tenderness, pain while flexing, and tingling or burning in the bottom of the foot. Upon experiencing symptoms, it is important to visit a podiatrist. During the exam, a podiatrist will examine any swelling, tenderness and pain points. After the examination, your podiatrist will suggest a variety of treatment options that can include rest, orthotics, stretching, icing, and massages. Medicine may also be prescribed. If you think that you are suffering from plantar fasciitis, it is suggested that you visit a podiatrist.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Stephen S. Pirotta  from Advanced Foot & Ankle Clinics. 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 Bentonville, AR. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Common Symptoms of Morton’s Neuroma

Posted on September 28, 2020

The nerve that becomes thick or irritated in patients that have Morton’s neuroma is referred to as the plantar interdigital nerve. This condition can produce severe pain and discomfort, and generally occurs between the second, third, or fourth toes. It can develop as a result of wearing shoes that do not have adequate room for the toes to move freely in, or from repetitive impact that can come from participating in running and jumping activities. Common symptoms that many patients experience can include a burning pain in the forefoot, and many people often describe the feeling as having a small stone that is lodged under the foot. If you are afflicted with Morton’s neuroma, please confer with a podiatrist as quickly as possible who can effectively treat this condition.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

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Sesamoiditis and Runners

Posted on September 21, 2020

Sesamoiditis is a common condition among athletes, specifically runners. This condition can occur when there is inflammation present in the tendons of the foot. When sesamoiditis has developed, runners may experience pain in the balls of their feet. Some have described the condition as feeling like they have a rock stuck in their shoe. A sharp or burning sensation in the toe area can also be indicative of sesamoiditis. For a proper diagnosis, and advice on running techniques to prevent his condition, please speak with a podiatrist.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

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Different Types of Diabetic Foot Ulcers

Posted on September 14, 2020

Diabetic foot ulcers are slow healing wounds that appear on the feet of individuals with diabetes and can become a very serious health issue. Almost a quarter of all individuals diagnosed with diabetes will develop a foot ulcer at some point in their life. There are several types of diabetic foot ulcers, and knowing which type you have can help determine the most effective treatment. Neuropathic ulcers occur when nerve damage from diabetic neuropathy prevents the patient with diabetes from feeling pain from an injury. This allows the wound to progress before you are even aware of it, increasing the risk of infection. Ischemic ulcers may be caused by a lack of blood flow to the feet. These types of ulcers are often difficult to heal. Neuroischemic ulcers are the most difficult to heal and occur in individuals who have both neuropathy and poor circulation. Infected wounds occur in half of diabetic patients with foot ulcers, and require close medical attention. If you have diabetic foot ulcers, it is highly recommended that you are under the care of a podiatrist who can help you look after your wounds and prevent severe complications.  

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

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Ways to Prevent Athlete’s Foot

Posted on September 8, 2020

Athlete’s foot is a fungal infection that causes the skin in between the toes to become itchy, blister, and peel. The fungus that causes athlete’s foot is usually spread in warm and moist environments such as communal showers or public pools. It thrives in sweaty environments as well, and one key way to prevent athlete’s foot is to alternate shoes. Because it takes 24-48 hours for the sweat to dry out in shoes, it is also possible to dry shoes out with a hair dryer. Wearing flip flops or shower shoes while using a communal shower or public pool is another key to limiting the spread and risk of athlete’s foot. Lastly, do not wear other people’s footwear since the fungus can spread via sharing shoes. If you believe that you may have athlete’s foot, it is important to consult with a podiatrist for proper treatment.

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 Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics.  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 Bentonville, AR. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Deal with Athlete’s Foot

What Causes Flat Feet?

Posted on August 31, 2020

Flat feet occur when the arch of the foot is lower than normal or nonexistent. Because flat feet change how the feet and legs align, they can cause pain in the heel, arches of the feet, or the legs. One cause of flat feet occurs when the feet do not develop correctly during childhood. Most children develop a visible arch in their feet by around age 10, but in some cases, the arch never develops. While this occurs regularly and is not a big issue, flat feet can also develop with age. Risk factors for developing flat feet include injuries, arthritis, diabetes, or obesity. Signs of flat feet include shoes that don’t wear out evenly, pain in the feet and legs, or weakened feet. If you are suffering from the signs of flat feet, it is important to consult with a podiatrist to discuss proper treatment options. These may include orthotics, special stretches or a weight loss strategy.  

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics. Our doctor 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 our office located in Bentonville, AR. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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When Should I Visit a Podiatrist?

Posted on August 24, 2020

Podiatrists are professional experts in taking care of the feet and ankles. Typical conditions that podiatrists diagnose and treat include broken bones, sprains, bunions, ingrown toenails, corns and calluses, and warts to name a few. Podiatrists also help diagnose pain in the feet, ankles, and heels that may be leading to more serious ailments. These can include plantar fasciitis, stress fractures, Morton’s neuroma, and heel spurs. High risk patients, such as those who have diabetes, suffer from arthritis, or the elderly who are at a higher risk of falling, are encouraged to be under the care of a podiatrist. If you or a loved one is considered high risk for developing any of the conditions mentioned, or is currently experiencing any type of foot pain, it is recommended to consult with a podiatrist.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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

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Elderly Patients May Prevent Foot Conditions With Proper Foot Care

Posted on August 17, 2020

It is important to maintain proper foot care, and this can be difficult for many seniors to accomplish. Elderly people may have difficulty in bending down to trim their toenails, in addition to checking their feet for cuts, bruises, or wounds. Poor circulation may be a common ailment among seniors and this may cause numbness in the feet. Dry feet may be prevented when plenty of fresh water is consumed daily, and the feet can feel better when they are soaked in warm water. It is important to wear shoes and socks that fit correctly, and this often helps to prevent bunions and blisters from developing. If you would like additional information about how elderly feet should be cared for, please consult with a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

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Possible Causes of Heel Pain

Posted on August 10, 2020

Heel pain can often be uncomfortable, and may be indicative of existing foot conditions. A common cause of heel pain is plantar fasciitis, which occurs as a result of a damaged or injured plantar fascia. The plantar fascia is the portion of tissue that connects the heel to the toes, and it can cause severe pain and discomfort if it becomes injured. Additional reasons for heel pain to develop can happen from being overweight, or from standing for extended periods of time throughout the day. Additionally, wearing shoes that do not fit correctly may be a cause of heel pain. Children who participate in running and jumping activities may be susceptible to developing Sever’s disease, which is a condition that affects the growth plate in the heel. If you are experiencing heel pain, it is strongly suggested that you consult with a podiatrist, who can properly diagnose and treat any type of heel pain, as quickly as possible.

Many people suffer from bouts of heel pain. For more information, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

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