Tarsal tunnel syndrome is a condition caused by pressure on the posterior tibial nerve as it passes through a narrow space on the inside of the ankle called the tarsal tunnel. This nerve provides sensation to the bottom of the foot, so irritation can cause unusual symptoms. People often describe burning, tingling, numbness, or sharp pain that travels into the heel, arch, or toes. Symptoms may worsen with long periods of standing or walking. The condition can develop after an ankle injury, from swelling in the area, or because of foot structure such as flat feet that place extra pressure on the nerve. Without treatment, nerve irritation may gradually worsen and interfere with daily activities. Early care can help reduce pressure on the nerve and relieve discomfort. If you notice persistent tingling, burning, or numbness in the foot, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Shady Grove Podiatry. 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 contact our office located in Gaithersburg, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Running places repeated stress on the feet and ankles, which must absorb force and keep the body balanced with every stride. Each step sends pressure through the heel, arch, and forefoot as the foot strikes the ground and pushes the body forward. The ankle joint bends and stabilizes the leg while muscles and tendons guide movement and protect the joints. The plantar fascia, a strong band of connective tissue that runs along the bottom of the foot from the heel to the toes, supports the arch and helps absorb impact. The Achilles tendon, the thick cord that connects the calf muscles to the heel bone, helps lift the heel during push off. During a run, the foot may absorb forces several times greater than body weight. When running leads to ongoing foot or ankle pain, a podiatric evaluation is suggested for proper diagnosis and appropriate treatment.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact one of our podiatrists of Shady Grove Podiatry. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries? 
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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

A heel spur is a small bony growth that forms where the heel bone meets the soft tissues of the foot. It often develops gradually in response to ongoing strain, tight muscles, or repeated pressure on the heel. Many people are surprised to learn that the spur itself is not always the source of discomfort. Instead, the surrounding inflammation and irritation can create sharp or aching pain when standing, walking, or getting out of bed in the morning. Flat feet, high arches, or worn footwear may contribute to the problem by placing added stress on the heel. Early attention can prevent symptoms from becoming more persistent. Supportive shoes, stretching, and reducing pressure in the area can help calm irritation, but lasting heel pain should never be ignored. If you notice recurring discomfort in your heel or suspect a heel spur, it is suggested that you see a podiatrist for a clear diagnosis and personalized treatment plan.

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 one of our podiatrists from Shady Grove Podiatry. Our doctors 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, please feel free to contact our office located in Gaithersburg, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet occur when the arches collapse, and the entire sole touches the ground while standing. You may identify flat feet by noticing little or no arch, uneven shoe wear, or ankles that roll inward. Symptoms can include foot pain, swelling along the inside of the ankle, heel discomfort, and fatigue after standing or walking. Causes may involve genetics, injury, obesity, aging, or weakened tendons. Solutions include supportive footwear, strengthening exercises, stretching routines, and custom orthotics to improve alignment and reduce strain. A podiatrist can evaluate foot structure, perform a gait analysis, and design a personalized treatment plan. If your flat feet are causing you discomfort, it is suggested that you consult a podiatrist who can offer effective relief and management solutions.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Shady Grove Podiatry. 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 our office located in Gaithersburg, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A dancer's ankle is a remarkable structure that provides strength, flexibility, and control while supporting the entire body on tip toes. During movements such as en pointe and plie, the ankle, forefoot, and midfoot must work together with exceptional coordination and stability. Dancers require extra range of motion in the forefoot and midfoot to achieve proper alignment and graceful extension. At peak activity, up to three times body weight can pass through the feet, placing significant stress on bones, ligaments, and tendons. Without proper conditioning and alignment, overuse injuries may develop. A podiatrist can assess biomechanics, recommend supportive care, and guide injury prevention strategies. If you have injured your foot or ankle while dancing, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions.

If you have any concerns about your feet, contact one of our podiatrists from Shady Grove Podiatry. Our doctors 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 Gaithersburg, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.