Inside the ankle, located next to the ankle bones, is a narrow structure protected by ligaments called the tarsal tunnel. There are several things that go through this tunnel including veins, arteries, tendons, and the posterior tibial nerve. When this narrow tarsal tunnel becomes compressed, the posterior tibial nerve can get squeezed or compressed as well resulting in what is known as Tarsal Tunnel Syndrome. This compressed nerve can produce tingling, burning, numbness, pain or even give the sensation of an electrical shock anywhere throughout the foot and ankle, and even the calf. Symptoms can occur at once, or gradually. Tarsal Tunnel Syndrome can be brought on by injuries that cause inflammation near the tunnel, flat feet, enlarged or abnormal veins or cysts in the tunnel, or diseases which cause swelling, such as arthritis and diabetes. If you experience any symptoms described here, see a podiatrist in order to receive proper care, and to avoid permanent nerve damage.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. 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 one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

While cracked heels can be unsightly, they are not merely a cosmetic concern. In some cases, the cracks in the skin can become so deep that they cause pain, bleed, and become infected. To avoid this, it is important to moisturize your feet on a regular basis, especially if you notice dry skin. You may want to first soak your feet and gently buff away dry skin with a pumice stone. Then, apply a moisturizer and put on socks to help seal in the moisture. If home treatment doesn’t help reduce dryness and prevent painful cracks, then it is strongly suggested that you seek the care of a podiatrist. You should also see a podiatrist for care if you are diabetic or have a compromised immune system, as these conditions can lead to serious foot complications. 

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 Brian D. Jackson, DPM from Neuhaus Foot and Ankle. 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 one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sesamoid bones are connected to tendons instead of other bones or can be deeply embedded in muscle tissue. The largest sesamoid bone is the kneecap. Two other petite sesamoid bones, the size of corn kernels, are located at the base of the toe in the ball of the foot. When these bones become stressed due to overuse from activities such as ballet dancing, running, playing baseball or similar sports, the tendons surrounding the sesamoid bones become inflamed and painful. This is known as sesamoiditis. Check with a podiatrist if you suspect you are afflicted with sesamoiditis. Sometimes bruising can occur, and if it does it is normally mild. You can cushion the bruise with padding and avoid tight constricting shoes or other sources of friction. Podiatrists can help treat sesamoiditis with icing, compression bandages, and more, while prescribing rest and elevation of the affected foot.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Peripheral artery disease (PAD) is a medical condition that can cause poor circulation in the lower limbs. This occurs due to a buildup of fatty plaques in the arteries that supply the lower limbs. The plaque causes arteries to narrow and harden, making it more difficult for blood to travel through them and bring oxygen and nutrients to the feet and ankles. In its early stages, PAD may be asymptomatic. As it progresses, symptoms can include foot and leg cramps, numbness, weakness, coldness, skin discoloration, hair loss, and slow-healing sores and wounds on the lower limbs. Your podiatrist can screen you for PAD through a variety of simple, noninvasive tests. If you suspect that you may have PAD, or if you are an older adult or have a family history of vascular disease, it is suggested that you visit a podiatrist for a PAD screening. 

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

High heeled shoes may be fashionable, but they are not your best footwear option when it comes to maintaining the proper health of your feet. Wearing high heels, particularly shoes that are tight-fitting, narrow, or have excessively high heels, can damage your feet. Frequent high heel wearing can lead to bunions, hammertoes, pump bump, corns, calluses, neuromas, ankle sprains, and even back pain. If you would still like to wear high heels, reduce the risk of potential problems by opting for shoes that do not have pointed or narrow toe boxes, or a heel taller than two inches. If you start to feel foot pain while wearing these shoes, it is suggested that you change into something more comfortable and properly fitting as soon as possible. For more information about the effects of high heels on the feet, please consult with a podiatrist. 

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.