Tarsal tunnel syndrome occurs when the tibial nerve, which runs through the tarsal tunnel, becomes compressed or irritated. The tarsal tunnel is a narrow space located on the inner side of the ankle, formed by bone and soft tissues. It allows nerves, blood vessels, and tendons to pass from the leg to the foot. When the tibial nerve is compressed in this confined space, it can cause sharp or burning pain, numbness, or tingling that radiates into the sole of the foot. Symptoms often worsen with activity or later in the day. Common causes of tarsal tunnel syndrome include flat feet or plantar fasciitis, which increase strain on the inner ankle structures. Repetitive movement, prolonged standing, or extra body weight may also contribute to the problem. Diagnosis typically involves a physical exam, nerve conduction tests, and imaging studies to pinpoint the issue. If you are experiencing ankle pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors 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 Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

As people age, natural changes in gait can affect mobility and stability. Reduced calf muscle strength often leads to taking shorter steps, while balance issues may increase the period in the walking cycle when both feet are on the ground simultaneously. In younger adults, this phase typically makes up about 18 percent of the cycle, but it may increase to 26 percent or higher as people age or experience balance challenges. This added time on both feet offers greater stability, helping to lower fall risk. Joint changes, like reduced ankle flexibility, may further impact stride length. To maintain balance, older adults might shift their weight or adopt postural changes, leading to a wider stance and a less fluid movement. Neurological changes can make coordinating each step more difficult, slowing pace and reducing synchrony in body movement. A podiatrist can assess specific gait challenges in seniors and suggest exercises or custom orthotics to restore stability and improve gait mechanics. If you have trouble walking while carrying out daily activities, it is suggested that you make an appointment with a podiatrist for a gait analysis, exam, and treatment options.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors 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 office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Clubfoot, or congenital talipes equinovarus, is a birth defect in which one or both feet are twisted out of shape or position. In this condition, the foot is typically rotated inward and downward, with the affected foot’s heel pointing upward, causing the foot to appear club-like. It occurs in about one in every 1,000 births, and is more common in boys than girls. The exact cause of clubfoot is not fully understood, but genetic and environmental factors may play a role. If left untreated, clubfoot can lead to difficulties in walking and other mobility issues. Treatment typically begins shortly after birth, using the Ponseti method, which involves gentle manipulation and casting to gradually correct the position. In some cases, minor surgery may be necessary to release tight tendons. If your baby was born with clubfoot, it is strongly suggested that you seek early treatment from a podiatrist to achieve the best outcome.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Stress fractures are small cracks in the bones, often caused by repetitive force or overuse, and commonly seen in athletes and active individuals. Factors contributing to foot stress fractures include sudden increases in physical activity, wearing inadequate footwear, and underlying conditions like osteoporosis. Symptoms typically include localized pain in the midfoot area that worsens with activity, swelling, and tenderness when pressure is applied. Patients may also notice bruising or discomfort during weight-bearing activities. A podiatrist can accurately diagnose stress fractures through a physical exam, and imaging tests like X-rays or MRI scans. This type of doctor may recommend orthotic devices or modified activities to promote healing. In some cases, a short period of immobilization may be necessary. Recovery can vary, but generally takes several weeks, with a gradual return to activity once healing is confirmed. If you suspect a stress fracture, it is suggested that you schedule an appointment with a podiatrist for effective diagnosis and treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors 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 Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Athlete's foot, also known as tinea pedis, is a fungal infection that affects the skin on the feet, often starting between the toes. It thrives in warm, moist environments like locker rooms, public showers, and sweaty shoes. Causes include walking barefoot in these type of areas or wearing damp footwear for extended periods of time. Symptoms of athlete’s foot consist of itching, redness, peeling, and cracking skin, typically between the toes, and sometimes blisters or sores. In severe cases, the infection can spread to the toenails or other parts of the body. Diagnosis is usually made based on the appearance of the skin, but a podiatrist may take a skin scraping to confirm the presence of fungus. In persistent cases of athlete’s foot, prescription-strength antifungals may be needed. If you have athlete’s foot that is not clearing up, it is suggested that you schedule an appointment with a podiatrist for treatment.

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 one of our podiatrists from Greater Boston Foot Care, PLLC.  Our doctors 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 office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toenail fungus, or onychomycosis, is caused by fungi that invade the nail bed, leading to thick, discolored, and brittle nails. Symptoms often include yellow or white streaks under the nail, a foul smell, and in severe cases, pain or detachment of the nail. Thickened toenails can also result from trauma, poor circulation, or other medical conditions. If you notice significant discoloration, pain, or the nail lifting from the bed, it is important to consult a podiatrist, as persistent or severe infections often require medical attention. This type of doctor can provide prescription antifungal medications or recommend laser therapy, depending on the severity of the condition. If you have toenail fungus or thick toenails, it is suggested that you schedule an appointment with a podiatrist for a comprehensive evaluation and effective treatment options.

For more information about treatment, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Plantar fasciitis is a painful condition caused by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel to the toes. This condition often results in sharp heel pain, especially with the first steps in the morning or after prolonged sitting. Common causes include overuse, wearing improper footwear, obesity, and tight calf muscles. To alleviate symptoms, a variety of treatment options are available. Custom orthotics can provide support and redistribute pressure, while night splints help keep the foot in a stretched position during sleep. Taping techniques and specific exercises can also strengthen the foot and improve flexibility. If you are struggling with heel pain or suspect you have plantar fasciitis, do not hesitate to seek professional help. It is suggested you schedule an appointment with a podiatrist who can assess your condition and tailor a treatment plan to get you back on your feet comfortably.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

As people age, foot care becomes increasingly important to maintain mobility and comfort. Common issues among the elderly include bunions, corns, and blisters. Blistering skin lesions on the feet of the elderly can be a common and concerning issue. These lesions, often filled with fluid, can result from various factors, including friction, pressure, and decreased skin integrity associated with aging. The skin of elderly individuals tends to become thinner, drier, and more fragile over time, making it more susceptible to damage and blister formation. If left untreated, blistering skin lesions can increase the risk of infection and other complications, particularly in elderly individuals with compromised immune systems. If you are elderly and experiencing such blisters, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors 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 office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.