Tarsal tunnel syndrome occurs when the posterior tibial nerve becomes compressed as it travels through the tarsal tunnel on the inside of the ankle. The tarsal tunnel is similar to the carpal tunnel in the wrist. This pressure on the nerve can cause pain, tingling, numbness, or burning sensations in the foot and ankle. Common causes include flat feet, injury, swelling, or systemic conditions like diabetes. Risk factors involve repetitive stress and prolonged standing. A podiatrist can diagnose tarsal tunnel syndrome through a physical exam and nerve testing, then create a treatment plan that may include orthotics or minimally invasive procedures. If you have persistent ankle or foot pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Amy DeGirolamo, DPM of Florida Foot and Ankle Associates. Our practitioner 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 Miami,FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Selecting the proper running shoes is essential for performance and injury prevention. For 5K races and shorter distances, lightweight shoes with responsive cushioning offer speed and comfort. For 10K to half marathons, choose shoes with balanced support and cushioning for endurance. Marathon and ultra-distance runners benefit from maximum cushioning and stability to handle long hours of impact. Additionally, trail running shoes should provide traction, durability, and protection for uneven terrain. A podiatrist can analyze your gait, foot structure, and running style to recommend the best shoe type for your needs. If you have developed a foot or ankle injury from wearing the wrong running shoes, it is suggested that you consult a podiatrist. This type of doctor can treat various foot conditions, and guide you on choosing the right shoes for your running needs.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Amy DeGirolamo, DPM from Florida Foot and Ankle Associates. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

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

Foot drop is a condition that causes difficulty lifting the front part of the foot, resulting in dragging or slapping the foot while walking. This can lead to an abnormal gait and increase the risk of tripping or falling. Common symptoms include weakness or paralysis of the muscles that lift the foot, numbness, tingling, or a heavy feeling in the affected leg. Causes of foot drop include nerve injury, muscle disorders, stroke, or compression of the peroneal nerve near the knee. The foot may appear to drag or drop when lifted, and individuals may raise their knee higher than normal to avoid tripping. A podiatrist can diagnose foot drop by assessing muscle strength, nerve function, and walking patterns. Treatment options may include targeted exercises, bracing, or surgery, depending on the cause and severity. It is suggested that you make an appointment with a podiatrist to receive an accurate diagnosis and personalized treatment plan.

If you have any concerns about your feet, contact Amy DeGirolamo, DPM from Florida Foot and Ankle Associates. Our practitioner 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 Miami,FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A bunion, also known as hallux valgus,  is a deformity of the big toe joint that can cause pain, swelling, and difficulty walking. Surgery is sometimes chosen when conservative treatments no longer provide relief. For middle-aged and older adults, one important consideration is how the procedure may influence balance and gait. Research has shown that correcting the alignment of the big toe can improve stability, reduce pain, and restore more natural walking patterns. However, recovery requires time and rehabilitation, and some individuals may experience temporary weakness or changes in weight distribution. Wearing proper footwear, targeted exercises, and a gradual return to activity are key factors in regaining full function. Each patient’s outcome can vary depending on health, activity level, and severity of the deformity. If you are considering bunion surgery and have concerns about balance or gait, it is suggested that you consult a podiatrist for personalized guidance and appropriate care.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Amy DeGirolamo, DPM of Florida Foot and Ankle Associates. Our practitioner will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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