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The tibial nerve is located in the ankle and runs through the tarsal tunnel. This is a passageway in the ankle that is made of bones and ligaments. Tarsal tunnel syndrome occurs when the tibial nerve becomes compressed and may happen from overusing the foot and ankle. Common symptoms include a tingling or numbing feeling on the bottom of the foot, and there may be a burning sensation. It may worsen with prolonged standing or walking and may lessen when the affected foot is elevated. Tarsal tunnel syndrome may occur from having a cyst in the foot, severe flat feet, or possibly from an ankle deformity following an injury. Non-surgical treatment includes wearing orthotics and stopping the activity that caused the syndrome. If surgery is an option, healing time takes approximately two weeks. If you have chronic pain in the sole of your foot, please consider seeing a podiatrist for a proper diagnosis and treatment options.

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.

Read more about Treating Tarsal Tunnel Syndrome

Warmer weather means that your feet will be more exposed to the elements. Practicing a little daily care will help keep your feet healthy and beautiful all year round. Keeping your feet moisturized is important in any season. To avoid your exposed heels from drying out and cracking, apply a topical emollient or occlusive moisturizer at night and cover your feet with socks to lock in moisture. Keeping your toenails groomed properly will not only help you avoid ingrown toenails, but will help make them look great in sandals as well. Trim your toenails flush with the tip of your toe and straight across. After a shower, when your cuticles are naturally softer, you can gently press them back with your finger wrapped in the edge of a towel for a professionally groomed look. Regardless of the season, the best foot care tip is to wear comfortable shoes that fit properly to avoid blisters, corns and calluses, in addition to other foot conditions. It is suggested you consult with a podiatrist for additional foot care tips, or before embarking on any foot care regimen if you have diabetes, nerve damage or poor circulation.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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.

Read more about Everyday Foot Care

There are many people who have busy schedules which can make it difficult to practice adequate warm-up and cool-down stretches before running. It is important to make time to properly stretch before and after running as this may help to prevent running injuries. Beneficial changes that can help to avoid injuries consist of improving form by maintaining good posture and practicing correct training procedures. Research has shown it helps runners to gradually increase mileage and speed, and it is important to stay hydrated and eat enough protein. Additionally, when one day per week is taken off from running, it can help to give the body adequate time to rest. If you have questions about how running injuries can affect the feet and how to avoid them, please consult with a podiatrist. 

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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.

Read more about Preventing Running Injuries
Tuesday, 10 May 2022 00:00

Ways to Prevent Falls in the Elderly

According to the CDC, one out of four seniors over 65 experiences a fall, and the odds are that once you have fallen, it will happen again. This often occurs as the result of diminishing balance, mobility and coordination as you age. Five simple ways to help prevent falls, and the injuries that may follow, include removing tripping hazards around the home, making stairs and bathrooms safer, wearing proper shoes and slippers, using a cane or walker, and doing exercises that both strengthen legs and feet and improve balance and coordination. First, it is suggested that you remove area rugs or mats that can be tripped over or that slide too easily, and clear hallways and walkways of clutter or other objects. Second, have railings installed on all stairways, including those on porches or home entry areas. Also, add grab bars to bathroom tubs and showers and make sure to use non-slip mats. Third, find shoes that provide support and fit well. Avoid going barefoot and walking around in socks at home. Instead get shoes and slippers with non-skid soles for safety both inside and out of the house. Fourth, it is amazing how many seniors refuse to use a walking aid out of vanity, but using a cane or walker is one of the best ways to avoid falls. Finally, see your podiatrist for information on how to strengthen your ankles and feet with exercises you can do at home.  A podiatrist can answer any questions you may have on ways to prevent falling.  

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Ian Klein, D.P.M from Florida. Dr. Klein will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

Read more about Falls Prevention
Tuesday, 03 May 2022 00:00

What Is a Heel Spur?

When the heel bone suffers repeated strain or irritation, the body can react by sending extra amounts of calcium to the injury site to protect it. Among the causes are poorly fitting shoes, obesity, arthritis, gait abnormalities, excessive running, and plantar fasciitis. This calcium can build up over time and cause hard, pointy deposits, known as spurs, to develop on the heel bone. Heel spurs can cause pain that may be worse in the morning or more mild and steady throughout the day. Rest or activity can trigger the pain. Heel spurs may occur along with plantar fasciitis, which may cause tenderness and inflammation as well. Not all heel spurs are painful, but those that are can be treated by a podiatrist with a variety of therapies including custom orthotics, physical therapy, cortisol injections, anti-inflammatory medications, or surgery if more conservative methods do not provide relief. 

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Saint Petersburg, FL. . We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Heel Spurs
Tuesday, 26 April 2022 00:00

Do I Need Surgery for a Hammertoe?

A hammertoe affects one of the three middle toes of the foot, causing the toe to bend upward at its middle joint. Wearing shoes with larger foot beds, using shoe inserts or padding, toe stretching and strengthening exercises, and other lifestyle changes might be enough to manage a hammertoe.  However, if those kinds of things do not help, surgery may be called for. Those with other foot problems like bunions, corns, or heel spurs may have surgery to take care of all problems at once. However, if one has poor blood circulation in their feet, any kind of foot infection, or health problems that make surgery a risky option, they are unlikely to be a good candidates. If you think you have a hammertoe and cannot find relief, consult a podiatrist for a customized treatment plan.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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.

Read more about Hammertoe

A ganglion cyst is a benign, fluid-filled mass that develops near a joint capsule or the thin layer of tissue surrounding a tendon. When ganglion cysts develop in the feet, they can occur in the ankle or top of the foot. Ganglion cysts usually present as a visible lump on the outside of the skin, and can cause a dull ache or pain—especially if the cyst is pressing on a joint or tendon, or is being irritated by footwear. In some cases, a ganglion cyst may be caused by some sort of trauma, however the exact cause of these bothersome growths is not always known. Because ganglion cysts sometimes disappear on their own, your podiatrist may determine that monitoring the cyst for a period of time may be the best initial approach. However, if the pain and discomfort are severe, or you have had the cyst for a while, your podiatrist may suggest other treatments such as modifications to footwear, aspirating the cyst and injecting it with steroids, or even surgery if more conservative treatment options don't provide relief or the cyst returns.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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.

 

Read more about Ankle Pain
Tuesday, 12 April 2022 00:00

What Can Cause Cracked Heels?

Severely cracked heels are referred to as heel fissures. They are defined as cracked skin that appears on the heels, and they can often cause pain and discomfort. This condition can occur for several reasons, including being overweight, wearing shoes that have an open back, or standing for the majority of the day. Additionally, medical conditions consisting of psoriasis or eczema may contribute to the development of cracked heels. It is helpful to wash and dry the feet thoroughly, followed by applying a good moisturizer. Cracked heels can be an unsightly, uncomfortable nuisance, and it is strongly suggested that you consult with a podiatrist if this condition is affecting you.

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 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.

Cracked Heels

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

Ways to Help Heal Them

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

Ways to Prevent Cracked Heels

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

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

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

Read more about Solutions for Cracked Heels
Tuesday, 05 April 2022 00:00

Types of Corns

Repeated friction on the foot can result in developing corns. They are hardened areas of skin, and some can cause pain and discomfort. There are three kinds of corns, consisting of hard, soft, and seed. Corns that form on the sole of the foot are referred to as seed corns, and they are generally found in groups. Hard corns can form on top of the toes, and may come from wearing shoes that do not fit correctly. Soft corns are found between the toes, and are typically moist. Relief for most corns can be found when the correct shoes are worn, and wearing specific socks may help to reduce some of the friction. Some patients can experience pain with corns, and it may interfere with completing daily activities. If you have developed any type of corn on your foot, it is suggested that you confer with a podiatrist who can provide the best options for you.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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.

Read more about Corns and Calluses

If you work on your feet all day, you may want to look into how you can lessen the impact this can have on your health. You may even be able to reduce pain, swelling, and other complications that working on your feet may be causing. The first order of business is to get yourself a good pair (or two) of leather shoes with quality construction, non-slip soles, cushioned inner lining, wide heels and support in the back for your ankles. Alternate those shoes daily. Take every break you are entitled to and sit down while elevating your feet. Try strengthening your body through fitness training, stretching, and building up your endurance. Soak your legs in a hot tub at night to relieve muscles. A podiatrist can also create custom orthotics to distribute weight more evenly and provide extra cushioning and structure. If your feet are in pain after working all day, seek the counsel of a podiatrist to explore all possible treatment options. 

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.

Read more about How to Handle a Long Work Day on Your Feet
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