July 2023

Tarsal tunnel syndrome is an infrequent condition characterized by damage to the tibial nerve, one of the major nerves in the body. It is typically caused by compression within the tarsal tunnel, which is a narrow passage located inside the ankle. This compression, known as entrapment neuropathy, occurs due to the restricted space formed by bones and soft tissues in the area. The tibial nerve, along with certain blood vessels and tendons, passes through the tarsal tunnel. It is responsible for moving and feeling things in the lower leg and foot. However, the term tarsal tunnel syndrome is commonly used to describe any discomfort or pain along the tibial nerve. This syndrome can stem from various underlying causes, including injury to the foot or ankle, flat feet or fallen arches, and medical conditions, such as diabetes or arthritis. Individuals affected by tarsal tunnel syndrome may experience pain, a burning sensation, or tingling along the path of the tibial nerve. If you have foot or ankle pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. 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 Kirksville, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Having tired muscles in the feet can cause a stress fracture to occur. These muscles can become fatigued by increasing speed and distance too quickly while running, which may cause the inability to absorb shock. The stress can be placed on the foot bones, possibly leading to a stress fracture. A common symptom of a stress fracture can consist of gradual pain while walking or running, which may decrease when activity is temporarily stopped. The area may also feel tender when touched, and this may propel patients to seek medical treatment. This often begins with resting the affected foot, and many people choose to wear a protective boot or cast that can encourage mobility. The average recovery time is between six and eight weeks, and it may help to pursue non-impact activities. If you have foot pain, and fear you may have a stress fracture, it is suggested that you confer with a podiatrist who can accurately diagnose and treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

One of the first signs of plantar fasciitis is heel pain. This pain will gradually worsen if medical attention is not promptly received. Plantar fasciitis is an inflamed or irritated plantar fascia, the band of tissue connecting the heel to the toes. It is instrumental in pointing and flexing the foot, which is crucial in completing daily activities. This condition can happen from standing on hard or uneven surfaces for long periods of time, or from wearing shoes that do not fit correctly. Mild relief may be found when the foot is rested and elevated, and gentle heel stretches are performed. An effective stretch consists of standing on a step while lowering one heel at a time and repeating for several repetitions. Some people may find it temporarily helps to wear a night splint, which can naturally stretch the calf, heel, and arch. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can provide you with more permanent solutions.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

Orthotics are inserts that are placed inside the shoe. They can be purchased in a store or can be custom-made to correct a specific foot condition. These can include bunions, hammertoe, plantar fasciitis, or neuromas, and choosing the right type of orthotic may help to reduce existing pain and discomfort. People who have flat feet or other foot abnormalities may benefit from wearing orthotics. An over-the-counter orthotic is generally chosen based on what the foot condition and shoe size is, whereas kiosk orthotics are chosen by having a foot scan performed. When orthotics are custom-made, an evaluation of activity level, medical conditions, height and weight is done to determine what type of materials the orthotics will be made from. If you have a foot abnormality and are interested in learning about different kinds of orthotics, it is strongly suggested that you speak with a podiatrist who can determine which type is best for you.

If you are having discomfort in your feet and would like to try orthotics, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor 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 our office located in Kirksville, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.