The tarsal tunnel is a narrow space that runs behind and below the medial malleolus or the largest of the three bones that form the ankle. The tarsal tunnel contains important tendons, nerves, and blood vessels that help provide movement and flexibility in the foot. Tarsal tunnel syndrome is also known as tibial nerve dysfunction or posterior tibial nerve neuralgia. It is a type of neuropathy that is associated with the compression of nerves in the tarsal tunnel. It is like the more well-known and common condition that affects the wrists called carpal tunnel syndrome. Tarsal tunnel syndrome can result from flat feet, a sprained ankle, or underlying conditions, such as arthritis or diabetes. It can cause pain, tingling, or numbness in the foot. If you suffer from foot pain, it is suggested that you consult with a podiatrist at your earliest convenience to obtain a correct diagnosis and treatment plan.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Robert Stein, DPM of South Shore Foot Care. 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 Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Athlete’s foot is a particular kind of fungal infection that impacts the feet. Individuals who have athlete’s foot may experience different symptoms. For example, patients may present a scaly rash that could be red. There are several different types of athlete’s foot that an individual could have. Moccasin-type athlete’s foot is one such type. Several things characterize this kind of athlete’s foot. Namely, moccasin-type athlete’s foot affects the soles of the feet, the heel, and the edges of the foot. As a result of having a moccasin-type athlete’s foot, an individual could experience soreness in the feet. The skin on the feet may even thicken in texture or crack. If you are struggling with athlete’s foot, it is suggested that you consult with a podiatrist today.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Robert Stein, DPM from South Shore Foot Care.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A small bunion that forms on the side of the pinky toe is called a bunionette. Many people refer to this as a tailor’s bunion, and it occurs when the bottom bone on the pinky toe shifts or becomes larger. This name originated hundreds of years ago when tailors would work with their legs crossed, causing the pinky toes to touch the ground. This would cause a small bump to form on the base of the little toe. It often rubs against the shoe, causing pain and discomfort. A common reason for a tailor’s bunion to develop is from wearing shoes that do not fit correctly. Additionally, loose ligaments, tight calf muscles, or a foot that leans to the outside may be causes for a tailor’s bunion to form. Temporary relief may come from choosing shoes with adequate room in the toe area and wearing a protective pad over the bunion. If you have this condition, it is suggested that you confer with a podiatrist who can provide you with permanent relief, which may include minor surgery for removal.

If you are suffering from bunion pain, contact Robert Stein, DPM of South Shore Foot Care. 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 offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A condition commonly called turf toe is the result of overextending the big toe joint. It happens when the toe is pushed too far toward the top of the foot. Picture a football player raising the heel of his foot to push off the ground and burst forward when the quarterback throws the ball. This overextension of what is known as the metatarsophalangeal joint, or MTP, combined with the weight of the body, can easily sprain the joint. Symptoms of turf toe include pain and tenderness to the touch, swelling and bruising, limited range of motion, and loose joints. You may not be able to move the joint without causing pain, and bruising may extend into the foot. In more severe cases, it may become difficult to put any weight on the big toe. Treatment for turf toe may include the necessity of wearing a protective boot, which will help to keep the MTP joint from bending. Diagnosis is often done through an MRI to determine the severity of the injury. Recovery may take up to eight weeks, and in severe cases surgery may be involved. For information about turf toe and its treatment, it is suggested that you seek the expertise of a podiatrist. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Robert Stein, DPM of South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

The importance of maintaining proper foot care increases as the aging process occurs. This may be a result of walking or standing at various jobs throughout the years, in addition to possibly wearing shoes that do not fit correctly. Many elderly people have difficulty looking at the soles of their feet. This is imperative to do, as it is helpful in checking for existing cuts, scrapes, and bruises. There are patients who choose to have a family member or caregiver that can help them to accomplish this. When the toenails are properly trimmed weekly, it may help to prevent painful foot conditions, such as ingrown toenails, from developing. The feet can be protected by refraining from walking barefoot, and slowly increasing physical activity which is beneficial in improving blood circulation to the feet and legs. If you are interested in learning more about how to care for elderly feet, it is advised that you consult a podiatrist who can provide you with the knowledge you are seeking.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Robert Stein, DPM from South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The body can provide hints to alert people that something potentially serious is going on in their bodies. Such signals take on different forms depending on the health issue experienced. Swelling of the feet is one such symptom that can be a flag of health problems. Peripheral edema, the term used to refer to swollen feet, is a gathering of fluid within the tissue of the feet. Swollen feet can be caused by prolonged periods of inactivity, walking for a long time, or hot, humid weather. They also can be caused by more serious underlying health conditions. Foot injuries, such as sprains and fractures often cause swelling. Lymphedema, when the lymphatic system is compromised and there is inefficient draining of fluid that collects in the lower limbs, can cause swelling in the feet. Osteoarthritis is a degenerative joint disease caused by wear and tear on joints and the breakdown of cartilage that can lead to the feet becoming swollen. Besides the fact that our feet are the source of our mobility, other health issues may be lurking behind swollen feet so taking care of them is critical. If you are experiencing prolonged swelling in your feet, it is suggested you see a podiatrist for a proper diagnosis and treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Robert Stein, DPM of South Shore Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Podiatrists often prescribe orthotics that may help various foot conditions. The joints in the feet and ankle undergo stress while walking and running, and wearing orthotics may help to relieve some of this pressure. Many patients have found they are able to walk or run faster, and this may be a result of the shock absorption that can come from wearing orthotics. Diabetic patients can benefit from wearing orthotics, which may help to prevent injuries that can happen from the inability to feel nerve damage. Additionally, orthotics may help to distribute the body’s weight evenly, possibly preventing corns and calluses from developing. If you have any type of foot condition, it is strongly suggested that you are under the care of a podiatrist who can determine if orthotics are right for you.

If you are having discomfort in your feet and would like to try orthotics, contact Robert Stein, DPM from South Shore Foot Care. 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 offices located in Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat feet happen when the feet are flush with the ground. Sometimes flat feet can contribute to foot, ankle, or knee problems because they can alter leg alignment. Flat feet can be a result of overuse injuries, excess weight, a bone deformity, or a tendon tear or rupture. Sometimes flat feet are genetic. There are no gender differences for risk of flat feet. A person with flat feet may not be allowed in the military because spinal damage can happen to such a person when marching. Having flat feet can also cause overpronation in runners. Flat feet can also interfere with proper balance as body weight is unevenly distributed and present more of a risk for falling. Orthotics, braces, or insoles might help flat feet. If there is no pain, treatment for flat feet is not needed. If you have flat feet and they are causing discomfort, see a podiatrist who can examine your feet and provide options to address your symptoms.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Robert Stein, DPM from South Shore Foot Care. 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 Cedarhurst and Franklin Square, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.