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Tarsal Tunnel Syndrome Facts

Tarsal tunnel syndrome is a condition where the posterior tibial nerve, which runs along the inside of the ankle, becomes compressed or irritated as it passes through a narrow passageway called the tarsal tunnel. This compression can result from various causes, including injury, inflammation, or structural abnormalities like flat feet. Symptoms often include pain, tingling, burning sensations, or numbness in the foot and ankle, which may worsen with activity. Diagnosing tarsal tunnel syndrome typically involves a physical examination, medical history review, and tests such as nerve conduction studies or imaging to evaluate nerve function and detect any underlying issues. If you have pain in this part of your foot, it is suggested that you contact a podiatrist who can provide timely treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Jeffrey Parrett, DPM of Parrett 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 office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Pain on the Top of the Foot

Pain on top of the foot is often caused by extensor tendonitis, which occurs when the tendons that lift the toes become irritated or inflamed. Extensor tendonitis frequently develops from wearing tight shoes, excessive pressure, or biomechanical factors like high or flat arches. People who engage in repetitive activities like running, walking on uneven terrain, or standing for long periods of time may be more susceptible to experiencing pain on top of the foot. Symptoms typically include pain that worsens with movement, tenderness when pressing on the top of the foot, swelling, and occasional bruising. Some individuals may notice discomfort when wearing shoes, especially if laces are too tight. A podiatrist can assess the cause of the pain, recommend supportive footwear, and suggest orthotics to reduce strain on the tendons. In some cases, additional treatments, including anti-inflammatory medication or corticosteroid injections may be needed. If these methods do not bring relief, surgery may be considered to relieve pain and restore mobility. If you have pain on top of your foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

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Foot Fractures May Signal Osteoporosis

Osteoporosis weakens bones, making them more prone to fractures, including those in the feet, toes, and ankles. A stress fracture in the foot, especially one that occurs with minimal impact or no clear cause, may be an early warning sign of this condition. Since osteoporosis, more common among women, reduces bone density, routine activities like walking or standing for long periods can lead to small, repetitive injuries that result in foot fractures. Women with this condition are particularly vulnerable to stress fractures in the metatarsals, which are the long bones in the foot that bear weight. Symptoms include pain, swelling, and difficulty walking. A podiatrist can assess the extent of the injury and recommend appropriate treatment options, which may include immobilization, supportive footwear, or surgery in severe cases. Identifying osteoporosis-related fractures early can help prevent further complications and support long-term foot health. If you have incurred a foot stress fracture, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

Read more about Causes, Symptoms, and Treatment for a Broken Foot

Understanding Athlete's Foot and How to Prevent It

Athlete's foot is a fungal infection that affects the skin on the feet, often starting between the toes. It is caused by fungi that thrive in warm, damp environments. The infection leads to symptoms such as itching, redness, peeling, and sometimes blisters. Athlete's foot is extremely contagious and can spread in public places like gyms, swimming pool areas, and locker rooms. To prevent athlete's foot, it is important to maintain proper foot hygiene by keeping the feet clean and dry. Wearing moisture-wicking socks made of materials like cotton or wool can help reduce sweat build-up, which is a breeding ground for the fungus. Additionally, it is essential to wear well-ventilated shoes that allow the feet to breathe. Using antifungal powders or sprays can further protect against infection, especially for those who frequent public spaces. Regularly changing socks and avoiding walking barefoot in communal areas are also effective prevention measures. Athlete’s foot can be uncomfortable and unsightly. If you have developed this condition, it is suggested that you promptly contact a podiatrist who can effectively treat athlete’s foot, often with prescribed medication.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

  • Thoroughly washing and drying feet
  • Avoid going barefoot in locker rooms and public showers
  • Using shower shoes in public showers
  • Wearing socks that allow the feet to breathe
  • Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

  • Redness
  • Burning
  • Itching
  • Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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

 

Read more about How to Deal with Athlete's Foot

Recognizing a Foot Stress Fracture

Diagnosing a foot stress fracture requires a thorough evaluation by a podiatrist to identify the source of pain. Patients are typically asked about their medical history, including any past fractures, current medications, and daily activities that may contribute to repetitive stress on the feet, toes, or ankles. A podiatrist will perform a physical examination, applying gentle pressure to the affected area to check for tenderness or localized pain. If a foot stress fracture is suspected, diagnostic imaging is often necessary. X-rays may be taken first, but foot stress fractures can sometimes be challenging to detect immediately after injury and may only become visible once healing begins. In such cases, advanced imaging like MRI scans, ultrasound, or bone scans may be used to confirm the diagnosis and assess surrounding soft tissues. These methods allow a podiatrist to pinpoint the site of the fracture. If you believe you have developed a foot stress fracture, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Read more about Dealing with Stress Fractures of the Foot and Ankle

The Perils of Stepping on a Nail

Stepping on a nail can lead to serious complications if not treated properly. When a nail punctures the foot, it creates a small but deep wound, allowing bacteria to enter and potentially cause infections like cellulitis, abscesses, or even bone infections. Tetanus, a rare but life-threatening condition, is also a risk if vaccinations are not current. Immediately after the injury, clean the wound thoroughly with soap and water, apply an antiseptic, and cover it with a sterile bandage. Avoid walking on the injured foot to prevent further damage. Seek medical attention even if the wound seems minor. A podiatrist can assess the depth of the injury, remove debris, prescribe antibiotics if needed, and recommend a tetanus booster. If you have a nail puncture wound, it is strongly suggested that you see a podiatrist for proper care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

Read more about Wound Care

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Cracked Heels in Winter

Cracked heels are a common concern during winter when cold, dry air strips moisture from the skin. The feet endure constant pressure from body weight, causing the skin on the heels to expand. If the skin is dry and rigid, it can split, leading to painful cracks, called fissures. Unlike other areas of the body, the soles of the feet lack sebaceous glands to lubricate the skin, making them more prone to dryness. Factors like prolonged standing, wearing poorly fitting shoes, or conditions such as diabetes, hypothyroidism, eczema, and athlete’s foot can increase the likelihood of cracked heels. Severe cracks may make walking uncomfortable and even lead to infections if left untreated. A podiatrist can evaluate the condition of your heels, recommend specialized treatments to improve skin hydration, and address any underlying health issues that may be contributing to the problem. This foot doctor can also suggest footwear and preventative measures to maintain healthy feet all year long. If you have painful cracked heels, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

  • Invest in a good foot cream
  • Try Using Petroleum Jelly
  • Ease up on Soaps
  • Drink Plenty of Water

Ways to Prevent Cracked Heels

  • Moisturize After Showering
  • Skip a Shower
  • Keep Shower Water Lukewarm
  • Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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

Read more about Solutions for Cracked Heels

Managing Bunions

A bunion, or hallux valgus, is a deformity at the base of the big toe, affecting the metatarsophalangeal, or MTP, joint. It occurs when the first metatarsal bone angles outward, while the top of the big toe tilts inward. This results in a protrusion that can become inflamed and painful. Shoes with a narrow toe box or high heels often worsen the discomfort by putting pressure on the misaligned joint. Bunions can develop due to inherited foot structures, such as flat feet or low arches. They are more common among women, especially those in occupations requiring prolonged standing or who frequently wear high heels. Left untreated, a bunion may lead to additional foot issues, including calluses, hammertoes, or pain in the ball of the foot. A podiatrist can evaluate the severity of your bunion and suggest custom orthotics to improve alignment, padding to reduce friction, or, in severe cases, surgery to restore function. If you experience toe pain caused by a bunion, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

If you are suffering from bunion pain, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Read more about Bunions
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