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Checking the Bottom of the Feet for Diabetic Patients

The importance of practicing everyday foot care is crucial for people who have diabetes. This can begin by washing and drying the feet thoroughly, followed by inspecting the bottom of the feet by using a mirror. If a family member or caregiver is available, they can also help with this. Neuropathy is a common condition for diabetic patients to develop and this is a nerve disorder that causes the inability to feel existing cuts or scrapes on the feet. If these cuts do not receive the prompt medical attention they need, they can become infected and ultimately lead to a diabetic foot ulcer. It is beneficial to properly trim the toenails weekly as this may help to prevent a painful ingrown toenail from developing. Additionally, it is suggested that diabetic patients always wear shoes and socks as well as frequently elevate the legs to help increase circulation. Diabetic patients are urged to be under the care of a podiatrist who can treat and manage this condition.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Signs of Tarsal Tunnel Syndrome

Some of the symptoms that are associated with tarsal tunnel syndrome can include pain in the overall foot, and the toes may feel weak and numb. The tarsal tunnel, located in the abkle, houses nerves, arteries, and tendons. It a crucial part in moving the foot, in addition to providing a maximum range of motion. Tarsal tunnel syndrome occurs when there is repeated pressure on the nerve that connects the ankle to the foot due to a blockage of the tunnel. This can happen as a result of enduring a foot or ankle injury, or from having an abnormal foot structure. Additionally, medical conditions such as diabetes, arthritis, or thyroid disorders may lead to developing this ailment, and the affected foot can become uncomfortable and swollen. A proper diagnosis is often performed which consists of having an X-ray, ultrasound, or MRI taken, in addition to undergoing a physical examination of the foot. If you have any of the above symptoms, please confer with a podiatrist who can help you with treatment options that are correct for you.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Effective Methods That Can Protect the Feet While Working

People can have foot pain when it is mandatory to stand during the work day. Research has indicated there is an increased number of sick days that are used each year as a result of working on the feet. Some of the foot conditions that develop can include bunions, foot pain, Achilles tendonitis, and poor circulation. These may happen from standing or walking on uneven surfaces, and wearing shoes that do not fit correctly. It is beneficial to elevate the feet as often as the day allows, and performing simple stretches may provide mild relief to the feet. Wearing compression socks or stockings may help to prevent poor circulation, and it can help to wear lower heels. If you would like more information about how to protect your feet while working, please ask a podiatrist who can offer you helpful tips.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
If you have any questions please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How to Find Relief With Morton’s Neuroma

One of the most common symptoms that patients notice with the foot condition that is referred to as Morton’s neuroma is the sensation of having a pebble in the shoe. It can cause continuous pain in the ball of the foot, and it most often happens as a result of frequently wearing high heels. These types of shoes generally do not provide ample room for the toes to move freely in, possibly causing the nerve between the third and fourth toes to become irritated. Additional symptoms can include having a numbing or tingling feeling in the toes, and a burning pain may exist in the ball of the foot. Patients have found relief in the beginning stages of Morton’s neuroma when shoes with lower heels are worn, and participating in sporting activities is temporarily ceased. In severe cases, surgery may be necessary, which can permanently repair or remove the affected nerve. If you feel you may have this condition, please speak with a podiatrist who can help you to decide on the correct treatment method.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot care needs.
All About Tailor’s Bunions

A bunion is a bump that is bony in nature and typically develops on the side of the big toe. Sometimes, however, bunions that are smaller may develop at the base of the pinky toe. When this occurs, the smaller bunion is known as a tailor’s bunion. Although this name might seem strange, it has an interesting story. The tailor’s bunion derives its name from the fact that hundreds of years ago, it was very common for tailors to spend the entirety of the working day sitting with their legs crossed. As such, it was easy for the sides of their pinky toe to rub against the floor while they worked. As a result, they developed a tailor’s bunion, also referred to as a bunionette. These hard bumps can cause pain and swelling, and may need attention if symptoms worsen. For more information, contact a podiatrist today.
If you are suffering from bunions, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Effects of Aging on the Feet

As a car gets older, its parts start to wear out. This is also true with the feet. Foot problems begin to mount as one ages. This can be attributed to wear and tear, along with a number of other factors. The skin on the feet, along with other parts of the body, begins to lose its elasticity, creating an environment for infections or injuries. The fatty heel pad thins out, causing a loss of cushioning that may increase the likelihood of heel pain. Tendons and ligaments can become looser, leaving one open to strains and sprains. Further, the size of the foot may change as the feet naturally widen with age. It’s suggested that older adults check their shoe size before purchasing new footwear. Shoes that are too tight can invite foot and toe maladies. Finally, certain medical and health conditions, such as diabetes, obesity, and arthritis can affect the circulation of blood to the lower legs, feet, and toes. This can develop into neuropathy, which if not monitored, can lead to serious infections. As an older adult, it is a good idea to make an appointment with a podiatrist to check out the health of your feet.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot Conditions May Be Helped by Wearing Orthotics

Many people understand that having foot pain is not normal and will often look to wearing custom-made orthotics to find relief. Orthotics are described as inserts that are worn inside the shoe that may help to correct an abnormal walking pattern. Orthotics can enable the angles of the feet to normalize as well as help make daily activities easier to complete. Additionally, they can help the patient's feet to absorb shock which may reduce pressure on existing sore spots. Orthotics are known to help correct imbalances in the feet that can affect the entire body. Some of the ways a patient may notice they qualify for orthotics include one shoe wearing out faster than the other shoe, experiencing chronic heel pain, the feet excessively pointing in or out, and the toes are not straight. If you have foot conditions that need to be corrected, please consult with a podiatrist who can determine if wearing orthotics are right for you.
If you are having discomfort in your feet and would like to try orthotics, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein 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 office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Understanding Stress Fractures of the Feet

A tiny hairline crack in a bone is known as a stress fracture. It is caused by repetitive stress in the metatarsals, or long bones of the feet. It is common for athletes who do a lot of pounding on their feet, such as runners, basketball players, and tennis players. Among the causes or contributing factors to the development of stress fractures are shoes that do not provide ample cushioning, running or pounding on hard surfaces, tight muscles or tendons, and increasing the time or intensity of the particular activity. Stress fractures often go unnoticed at first, because the pain usually dissipates after stopping the activity. Also, stress fractures are difficult to detect, as they may not always show up on X-rays. The number one way to treat a stress fracture is to stop the activity. If you have further questions about stress fractures, please consult a podiatrist who can perform imaging tests to examine your feet and provide further treatment options.
Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain free and on your feet.
How Are They Caused?
Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.
Risk Factors
- Gender – They are more commonly found in women compared to men.
- Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
- Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
- Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
- Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures
Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.
If you have any questions, please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Which Ankle Bones Are Affected With an Ankle Fracture?

Broken bones in the ankle can occur due to an injury or a mishap. When there is a break in the ankle joint, the bones can separate into pieces. The tibia or fibula are often the most affected because they support the weight of the body. This type of fracture may cause severe discomfort while walking and may be difficult to do for several months. A broken ankle typically occurs from rolling or twisting the ankle beyond its normal range of motion, such as from unexpectedly stepping off of a curb. Common symptoms that many people experience with an ankle fracture can include bruising, and swelling, and it can be tender when touched. An X-ray is generally performed which is successful in determining the extent of the fracture and can then be treated accordingly. There are several methods to treat a broken ankle, consisting of wearing a walking boot, having a cast put on, and elevating the affected foot as often as possible. If you have endured a fractured ankle, it is strongly advised that you speak to a podiatrist who can effectively access the foot and offer the best treatment options for you.
Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.
Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.
When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.
Symptoms of a Fractured Ankle
- Excessive pain when the area is touched or when any pressure is placed on the ankle
- Swelling around the area
- Bruising of the area
- Area appears to be deformed
If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.
If you have any questions, please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why High Tops May Cause Foot Problems in Kids

High top sneakers were once worn primarily by basketball players to protect their ankles from getting injured. The jury is still out among experts on whether high tops are beneficial or detrimental to the athletes they were designed to protect. But now, high tops have become a fashion statement and are worn by many children who do not participate in sports. It is thought by some that wearing high tops can actually decrease the child’s development of ankle strength, flexibility and stability. On the other hand, some experts believe that wearing low top sneakers actually helps to develop ankle strength without exterior support. It is believed by some that continued wear of high tops by young people can increase the likelihood of restricted mobility in the ankle, as well as the weakening of ankle tendons, muscles, and ligaments. All this, they say, may add up to an increased chance of injury. For more information on the footwear that is most beneficial for your child, please consult with a podiatrist.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
More...
Pain in the Ball of the Foot

Of the twenty-six bones in the feet that allow you to walk, five are called metatarsals. These are the long bones that connect the toes to the ankles and help to control the movement of the leg and foot. When one or more of these bones causes pain it is known as metatarsalgia. Conditions that contribute to metatarsal pain include trauma, overuse, arthritis, bone or foot structure, and wearing high heels. Common symptoms of metatarsalgia include a feeling of walking on a pebble, a shooting or burning ache, and a general aching under the ball of the foot. Symptoms may worsen when standing, walking, running, or flexing the toes. Metatarsalgia can occur in one or both feet and range from mild to severe. One risk factor is high heels, which force the toes into a tight space and increase the weight on the metatarsals. In addition, being overweight, aging, and running for long periods are thought to be risk factors as well. If you are experiencing continued pain in the ball of the foot, it is a good idea to seek the help of a podiatrist for treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Ian Klein, D.P.M from Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Is Sever’s Disease?

Sever’s disease is a common overuse injury that affects the heels in growing children. This typically occurs in children ages seven to 14 when their bodies are undergoing rapid growth. Pain may develop due to inflammation where the Achilles tendon inserts into the growth plate located in the heel bone. Activities, like running and jumping can exacerbate the stress on the heel bone’s growth plate and cause pain. As might be expected, this affliction is most often seen in young athletes who participate in sports including soccer, gymnastics, football, and basketball. Such pain often goes away with rest and worsens the activities that caused it. It can be in one or both heels and a child might start limping or walking on their toes to avoid putting pressure on their heels. Resting the affected foot/feet is the best course of action. If the pain does not subside after a short period of time, take your child to a podiatrist who can properly diagnose the condition and treat it appropriately.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Ian Klein, D.P.M from Florida. Dr. Klein can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
What Is Tarsal Tunnel Syndrome?

People who have the foot condition known as tarsal tunnel syndrome often have symptoms that consist of numbness or a sensation that feels like pins and needles in the heel of their foot. This feeling may spread to the arch of the foot and can cause pain and discomfort. The condition is defined as the posterior tibial nerve becoming compressed and trapped inside the ankle. Patients who have flat feet may experience tarsal tunnel syndrome and this may result from the foot rolling. Specific medical conditions like osteoarthritis and diabetes may contribute to the onset of this ailment. Mild relief may come from taking certain medications including anti-inflammatory pills, which are typically prescribed. Performing exercises that can strengthen the foot once the inflammation has subsided may help to make it easier to accomplish daily activities. If you suffer from this ailment, please confer with a podiatrist who can guide you toward the best treatment techniques for you.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What is a Plantar Fibroma?

The foot condition known as plantar fibromatosis can also be referred to as Ledderhose disease. It is a rare condition where a nodule is embedded in the arch of the foot. It is often benign despite the pain and discomfort associated with it. One noticeable symptom of a plantar fibroma includes a firm lump in the arch of the foot, which may gradually increase in size. It can be caused by enduring a foot injury, frequently participating in running and jumping activities, or from taking certain medications. Having an MRI taken is often successful in diagnosing this condition and a biopsy may need to be performed. The pain may diminish when anti-inflammatory medications are taken as well as when orthotics are worn as they distribute the body’s weight more evenly. In severe cases when the plantar fibroma has significantly grown, surgery may be an option for permanent removal. If you suffer from this condition, it is advised that you seek the counsel of a podiatrist who can effectively guide you toward correct treatment techniques.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
- Steroid injections
- Orthotics
- Physical therapy to help apply anti-inflammatory creams on the bump
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
If you have any questions please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.