Nerve Compression in the Ankle May Cause Pain, Burning, and Numbness

Nerve Compression in the Ankle May Cause Pain, Burning, and Numbness

There is a narrow passageway called the tarsal tunnel, which is located on the inside of the ankle. The tibial nerve, starting at the back of the leg, runs down through the tarsal tunnel, along with veins, arteries, and tendons. Because so many structures pass through the tarsal tunnel, the interior space is very confined. This space becomes even more constricted if an ankle injury occurs that causes inflammation or a swollen vein or tendon, or if a cyst develops within the tunnel. This can cause the tibial tendon to become squeezed, or compressed, and result in pain, burning, tingling, or numbness along the nerve’s path. This condition is known as tarsal tunnel syndrome. Flat feet, and inflammation due to arthritis and diabetes may also contribute to this condition developing. It is important to have tarsal tunnel syndrome diagnosed and treated as early as possible, not only to relieve pain and inflammation, but to avoid permanent nerve damage. A podiatrist can assess your condition and devise an appropriate treatment plan to get you on the road to recovery as soon as possible.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Terri Quebedeaux, DPM of Agave Podiatry . 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 offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Heel Spurs: An Often Overlooked Heel Condition

Heel Spurs: An Often Overlooked Heel Condition

The plantar fascia tissue attaches to the heel bone and stretches out to connect with the toes. When this band of tissue gets excessively and repeatedly stretched, it can stress the heel bone and tear its lining. This type of wear and tear on the heel bone can prompt a response in the body where calcium deposits build up over time creating spurs on the bone that can grow up to half an inch. Heel spurs may or may not be painful. They may go undiagnosed or overlooked because they can occur in tandem with the inflammatory condition known as plantar fasciitis. If your heel spurs are symptomatic, they may create sharp pain, heat, tenderness, and inflammation in the heel. People who are obese or who have osteoarthritis are more prone to developing heel spurs. Older adults and those who wear improper footwear are also more at risk. If you are experiencing heel pain or believe you may have heel spurs, make an appointment with a podiatrist who may need an X-ray to diagnose your heel spurs. Once diagnosed, your heel spur may be treated with rest, cold compresses, anti-inflammatory injections, pain medication, physical therapy, stretching, and more.

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 Terri Quebedeaux, DPM from Agave Podiatry . Our doctor 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 feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the latest in diagnostic and treatment technology to meet your needs.

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How to Treat Heel Spurs

Heel spurs are calcium deposits that cause bone protrusions on the heel bone. Heel spurs are usually associated with plantar fasciitis, which occurs when the plantar fasciitis in the foot becomes inflamed. Typically, heel spurs don’t cause any symptoms. However, they can produce chronic or intermittent heel pain. Those who have had the condition often describe the irritation as a stabbing pain.

There are risk factors that may make you more likely to develop heel spurs. People who have abnormal walking gaits, run and jog on hard surfaces, are obese, or wear poorly fitting shoes are more likely to develop heel spurs.

Fortunately, there are precautions you can take to avoid developing heel spurs. One of the best ways to do this is by wearing well-fitting shoes with shock-absorbent soles. Another preventative technique is to choose running shoes if you plan on running, and walking shoes if you plan on walking. Shoes are made for different activities and it is important to research a shoe before you purchase a pair.

The pain associated with heel spurs often decreases the more you walk. However, a recurrence of pain after an extended period of rest or walking is likely to occur with this condition. Those with severe heel spur pain may opt to go the surgical route for treatment.  However, more than 90% of those with the condition get better without surgical treatment. If you have a heel spur and want to know if surgery is right for you, you should go to your podiatrist and he or she will be able to conduct a pre-surgical test or exam to determine if you are an optimal candidate for surgery.

Treating Heel Pain with Shockwave Therapy

Shockwave therapy is one treatment option for plantar fasciitis, a condition that causes heel and foot inflammation and pain. This type of injury is often caused by overworking the feet. Heel pain is most common in people that exercise often, individuals who are overweight, and people whose profession require them to stand for long periods of time.

Heel pain can be caused by a number of problems including ill-fitting shoes, strenuous exercise routines or work hazards. Simple treatment options involve buying new shoes, taking ibuprofen, doing heel and foot exercises, and resting your feet. For severe cases, shockwave therapy can be considered a more viable form of treatment.

Shockwave therapy should be considered for patients that have had unsuccessful treatment or whose heel pain has lasted for more than six months. In shockwave therapy, a device delivers shockwaves to the patient’s body, which jumpstart the body’s repair mechanisms. These mechanisms then begin working more effectively to repair damage done to the heel area.

Shockwave therapy also helps eliminate pain in the heel area. When the body’s natural repair mechanisms are triggered, tissue healing in the body is sped up. This leads to pain reduction after pain transmission nerves are stimulated.

Shockwave therapy eliminates the risk factors associated with surgery, such as the use of anesthetics, and is less invasive. Since this technique also helps improve the body’s natural healing techniques, recovery time should be shorter than surgical procedures.

Discomfort issues can also be a side effect of treatment. Short-term issues normally include skin bruising, minor pain during and after treatment, swelling of the heel, and discolored tissue. However, these side effects of shockwave therapy usually disappear after a few days. The fast recovery time of shockwave therapy makes it easy for patients to return to their daily routines.

Like most types of treatments, surgeries, and medications, shockwave therapy is not for everyone. Potential patients with heart conditions and people with pacemakers should not be considered for this technique. People on certain types of medications, usually medications affecting blood clotting, would be ineligible for shockwave therapy. Children and pregnant women should avoid this treatment option as well.

Overall, shockwave therapy could be a great option for heel pain. It is less invasive than surgery, helps trigger natural healing mechanisms, and should be considered by people who have had long bouts of heel pain or tried conventional treatment options that were unsuccessful.

Shockwave Therapy May Provide a Break From Heel Pain

Shockwave Therapy May Provide a Break From Heel Pain

Sound wave technology that is similar to Shockwave Lithotripsy—which has been used to break up kidney stones for decades—can also be very effective in treating plantar fasciitis. Plantar fasciitis is a painful inflammation of the plantar fascia tissue which spans the entire sole connecting the heel with the base of the toes. It is the most common cause of chronic heel pain. When the plantar fascia tissue becomes damaged from overuse the high-energy acoustic sound waves from Extracorporeal shock wave therapy (ESWT) can stimulate healing in the tissue, while reducing inflammation and pain. If you have been suffering from heel pain, make an appointment with a podiatrist for an examination. If you are diagnosed with chronic plantar fasciitis, ask if you are a good candidate for Extracorporeal shock wave therapy. 

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

If you have any questions, please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Different Types of Flat Feet

Different Types of Flat Feet

Flat feet is a somewhat self-explanatory foot affliction that can affect a wide variety of individuals. This condition occurs when someone has no visible arch in their foot, or it may partially or completely disappear when the foot is on the ground. In other words, people with flat feet have no gap between the ground and the middle point of the soles of their feet. When standing, people with flat feet will be able to press their entire foot flush against the ground. While this condition can occur in children, adults may also be susceptible to flat feet. There are two main kinds of flat feet that you ought to be aware of. The first kind is known as flexible flat foot. This typically occurs in children when the arch of their feet disappears when standing, but it reappears when the child is sitting down. In some cases, children with flexible flat foot will also exhibit arches in their feet when walking on their tip toes. The second kind is known as rigid flat foot. This kind of flat foot is seen in both children and adults who never exhibit any kind of arch in their feet, whether they are walking normally, walking on their tip toes, or sitting down. If you believe you might have flat feet, consider contacting a podiatrist who can provide guidance and assistance.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Terri Quebedeaux, DPM from Agave Podiatry . 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 offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flat Feet

Flat Feet

Flat Feet

Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.

Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.

It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.

There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.

Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes. 

Are You Suffering From Ingrown Toenails?

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

How Maffucci Syndrome Affects the Feet

How Maffucci Syndrome Affects the Feet

There are several troublesome rare diseases that can negatively impact the health of your feet. Although these conditions can be extremely rare, it is important for you to familiarize yourself with these afflictions in case you ever have to identify one of these conditions in yourself or a loved one. One rare condition that negatively impacts the feet is known as Maffucci syndrome, which has only impacted a total of 200 reported patients since its discovery. This syndrome produces a number of abnormalities in the skeleton that can manifest themselves in the feet. For example, people with Maffucci syndrome can experience enchondromas, which are cartilage tumors throughout the bones in their feet. Endochromas caused by Maffucci syndrome can also appear in the hands, ribs, and skull. Individuals suffering from Maffucci syndrome usually also experience some kind of abnormality in the skin. Namely, it is common for individuals to see hemangiomas, or clumps of blood vessels, throughout the skin and possibly on the feet. Maffucci syndrome undoubtedly is a rare condition, but you should be on the lookout for these symptoms. If you are experiencing the above symptoms, or would like to gather more information, it is suggested to speak to a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact Terri Quebedeaux, DPM of Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

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Rare Foot Conditions

A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions. 

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