Posts for: August, 2017
Maybe you've heard of carpal tunnel syndrome, a condition in the wrist that occurs when swelling or a change in position of the tissue within the carpal tunnel squeezes and irritates the median nerve. Similar to carpal tunnel syndrome is tarsal tunnel syndrome, an ankle condition that occurs from the compression of a nerve in a confined space.
What is Tarsal Tunnel Syndrome?
The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve - the main focus of tarsal tunnel syndrome.
Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:
- Injury to the ankle, which may produce swelling near the nerve.
- Abnormal blood vessels or cysts that occupy space within the tunnel.
- Scar tissue that press against the nerve.
- Foot deformities, such as flat feet, which increase strain on the nerve.
- Systematic diseases, such as diabetes or arthritis.
When patients visit us at our office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:
- Burning or tingling sensation
We Can Help
If you experience pain, burning and tingling in your feet or toes, make an appointment with our office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended.
Although a shin splint is commonly used to describe various pains between the ankle and the knee, it actually refers to a specific inflammatory condition of the tibia -- a condition called medial tibial stress syndrome.
A type of "overuse injury" to the legs, the most common causes of shin splints include excessive running, poor conditioning and over-pronation (flattening of the arch). The result is pain in the front or inside of the lower leg that usually gets worse with a sudden increase in distance or intensity of training. Shin splints are a common problem for many runners and athletes. Muscle weakness, non-supportive shoes and overtraining are also contributing factors.
To prevent shin splints, warm up and stretch muscles before starting any workout activity and choose supportive footwear. Begin workouts gradually and avoid over-training. All of these methods will go a long way in helping to prevent many lower leg problems. Conservative treatment for most shin splint pain includes rest, ice, compression and elevation. Strengthening exercises, anti-inflammatory agents and custom foot orthotics may also be recommended to reduce symptoms.
Shin pain isn't always indicative of a shin splint. Lower leg pain may actually signal a more serious problem, including a stress fracture, partial muscle tear and tendonitis, all of which require special treatment. Always seek the professional care of a podiatrist if:
- You have severe pain in your shin following an injury.
- Your shin is hot and inflamed.
- Swelling in your shin increases.
- Shin pain persists during rest.
Proper diagnosis of the cause of pain is necessary in order to administer the most appropriate treatment. If you suffer from shin pain, visit your podiatrist for an evaluation and proper treatment.
Are you dealing with heel pain? If so, plantar fasciitis may be to blame.
Heel pain happens to more people than you might imagine. Of course, we put our feet through so much abuse that it shouldn’t come as much of a surprise that some issues may arise at some point. If you are currently dealing with heel pain, our Spokane Valley, WA, podiatrist Dr. Jacqueline Babol is here to help you determine whether or not it could be caused by plantar fasciitis.
What is plantar fasciitis?
There is a thick mass of tissue that runs along the soles of your feet from the toes to the heel bone. This tissue is known as the plantar fascia and it also helps to support the arches of the foot. When you have plantar fasciitis this simply means that this specific ligament is inflamed.
What are the symptoms?
The most common symptom is heel pain. This pain may even radiate into the arches of the foot. You’ll notice that the pain is worse first thing in the morning or immediately after exercise or high impact activity. Many people characterize this pain as sharp, throbbing or stabbing. While this condition most often occurs in one foot, it can still happen to both feet at the same time.
Who can develop plantar fasciitis?
While this can happen to anyone, athletes (particularly runners) are prone to developing this inflammatory foot condition. Of course, if you have high arches, if you overpronate, if you are overweight, if you are on your feet most of the day or if you don’t have shoes that provide enough support then you’re also more likely to develop plantar fasciitis at some point during your lifetime.
When should I see a doctor?
It’s always best to play it safe and visit our Spokane Valley, WA, foot doctor if you are noticing new foot pain. If your symptoms seem like that of plantar fasciitis then you’ll want to give us a call.
You should also visit us right away if you are dealing with heel pain that is so severe that you can’t walk, if your foot is also red or warm to the touch, if the pain is also accompanied by a fever or if you have numbness or tingling in the heel.
Don’t let heel pain impact your daily life. Don’t you want to get back on your feet again? If so, call Foot & Ankle Clinic in Spokane Valley, WA, and Hayden, Kellogg, and ID today to see how we can help you.a