Tarsal Tunnel Syndrome and Why an Accurate Diagnosis Matters

Tarsal tunnel syndrome is a nerve compression condition that affects the posterior tibial nerve as it travels through a narrow space on the inside of the ankle. This tunnel is formed by bone and soft tissue, and when pressure builds within this area, the nerve becomes irritated. This condition is often compared to carpal tunnel syndrome in the wrist, but it affects the foot and ankle. Because symptoms can resemble other foot conditions, an accurate diagnosis is essential for effective treatment and long term relief.

Common symptoms include tingling, numbness, and sharp or shooting pain along the inside of the ankle or the bottom of the foot. These sensations may worsen with prolonged standing or walking. Many patients report that symptoms feel similar to plantar fasciitis, especially when heel pain is present. Others may confuse it with diabetic neuropathy due to the presence of nerve related discomfort, such as numbness or tingling. This overlap can delay proper care if not carefully evaluated.

 

Several causes and risk factors contribute to the development of tarsal tunnel syndrome. These include flat feet, ankle injuries, and space occupying masses such as cysts. Individuals with biomechanical imbalances or chronic conditions that affect circulation or nerve health may also be at increased risk. Repetitive stress and prolonged weight bearing activities can further aggravate the nerve and worsen symptoms over time.

 

Early evaluation and proper diagnosis is vital in managing this condition effectively. A podiatrist can differentiate between similar conditions and recommend appropriate treatment options to relieve pressure on the nerve. Addressing the underlying cause can help prevent progression and improve daily function. If you have symptoms related to tarsal tunnel syndrome, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Barbara J. Aung, DPM of Aung Foot Health 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 contact our office located in Tuscon, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome

What You Need to Know About Heel Spurs

Heel spurs are bony growths that develop on the underside of the heel bone due to long-term stress and strain on the foot. They are often associated with plantar fascia irritation, where the connective tissue that supports the arch becomes inflamed. Over time, the body responds by depositing calcium, leading to the formation of a spur. While not all heel spurs cause pain, their presence can contribute to discomfort during daily movement.

Symptoms of heel spurs vary depending on severity and activity level. Many individuals describe a sharp, stabbing pain in the heel, especially with the first steps in the morning. Others report a dull ache that worsens after prolonged standing or walking. Swelling, tenderness, and localized inflammation may also be present. Risk factors include repetitive impact, poor foot mechanics, and wearing unsupportive footwear. Individuals who spend long hours on their feet are more likely to experience these symptoms.

The causes of heel spurs are typically linked to repetitive stress and strain. Activities such as running, walking on hard surfaces, or standing for extended periods of time can place continuous pressure on the heel. Wearing improper footwear that lacks arch support can increase tension on the plantar fascia. Additional risk factors include excess body weight, tight calf muscles, and flat feet or high arches. These conditions place extra stress on the heel and contribute to spur formation.

The key takeaway is that heel spurs develop over time due to repeated strain, but early care can reduce pain and prevent progression. Wearing supportive shoes, stretching, and activity modification play a major role in managing symptoms. Recognizing the warning signs allows for timely intervention and better outcomes. Heel pain is uncomfortable, and may affect daily activities. If this applies to you, it is suggested that you consult a podiatrist who can accurately diagnose and treat heel spurs.

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 Barbara J. Aung, DPM from Aung Foot Health Clinic . 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, please feel free to contact our office located in Tuscon, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Foot Stretches Provide Strength and Improve Balance

Falls in older people are a major health concern that can lead to serious injury, reduced independence, and decreased quality of life.  Many falls are linked to reduced ankle strength, poor balance, and changes in foot structure that occur with aging. The ankles can be strengthened by practicing specific foot stretches, making the overall foot stronger. The feet and ankles play a critical role in stability, as they provide the base of support for movement and posture. When strength and coordination decline, the risk of falling increases, especially during walking or changes in direction.

Common symptoms associated with fall risk include unsteady walking, weakness in the lower legs, and difficulty maintaining balance when standing still. Some individuals may notice slower reaction time or a tendency to shuffle while walking. Ankle pain from falling may also develop, leading to further instability and hesitation during movement. These symptoms often create a cycle where reduced confidence leads to less activity, which then weakens muscles and increases fall risk over time. Early recognition of these signs is important for prevention.

 

Risk factors for falls in older adults include decreased muscle strength, joint stiffness, and poor flexibility. Conditions such as arthritis, neuropathy, and vision changes can affect coordination and awareness of surroundings. Wearing improper footwear and uneven surfaces further increase the likelihood of losing balance. Weak ankles and limited range of motion reduce the ability to adjust quickly during movement. These factors combined make it more difficult to maintain stability, especially in challenging environments or during sudden movements.

 

Improving ankle strength and balance can significantly reduce fall risk. Simple exercises such as ankle circles, heel raises, and gentle stretches help improve flexibility and stability. Balance training, including standing on one foot or practicing controlled movements, enhances coordination and confidence. Wearing supportive footwear and having a safe home environment also play an important role in prevention. If you have injured your ankle from falling, or if balance concerns are present, it is suggested that you consult a podiatrist who can provide effective relief solutions. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Barbara J. Aung, DPM from Aung Foot Health Clinic . Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

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Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Causes and Symptoms of Ingrown Toenails

Ingrown toenails are a painful foot condition that occurs when the edge of a toenail grows into the surrounding skin. This problem most often affects the big toe. As the nail presses into the skin, irritation develops and the area becomes inflamed. Common causes include trimming the nails incorrectly, wearing tight-fitting shoes, and repeated pressure on the toes. Some people are born with nails that curve more than usual. This can increase the risk of developing an ingrown toenail. Athletes and others who spend long hours on their feet are also more likely to experience this condition. An ingrown toenail can begin as a minor problem, but it can quickly become more painful when the nail continues to grow into the skin.

Symptoms of an ingrown toenail include tenderness, redness, and swelling along the side of the nail. Pain is usually more noticeable when wearing shoes or when walking. As the condition worsens, the skin around the nail can become warm and increasingly sensitive. In some cases, drainage develops and a bacterial infection can occur. This can lead to additional swelling and discomfort. People with diabetes or circulation problems face a greater risk of complications from an infected ingrown toenail. Prompt evaluation by a podiatrist is important because the condition can become more serious when left untreated.

A podiatrist can diagnose an ingrown toenail through a careful examination of the affected toe. Treatment depends on the severity of the condition. Mild cases may respond to professional care that relieves pressure around the nail. More advanced cases may require a surgical procedure to remove part of the nail and prevent it from growing into the skin again. A podiatrist can treat infection and prescribe medication to reduce inflammation. Early treatment can help relieve pain and improve comfort while walking. If you have a painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Barbara J. Aung, DPM of Aung Foot Health Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Read more about Ingrown Toenail Care

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