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Tendons, blood vessels, and nerves—such as the tibial nerve which provides feeling and mobility in the foot—travel through the tarsal tunnel in the ankle. When the tibial nerve gets constricted or damaged, Tarsal Tunnel Syndrome can occur. This condition produces tingling or numbness, pain, and a weakening in muscles and various parts of the foot. It can be triggered by swelling, abnormal growths in bones and joints, varicose veins, abnormal arches, and various systemic diseases. A complete recovery is possible if the condition is diagnosed and treated in its early stages. To avoid permanent complications such as pain, numbness, and immobility, it is suggested to consult with a podiatrist who can provide a variety of treatments and therapies.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Wearing high heels is popular among many women. While they can positively enhance the appearance of the legs, they may cause uncomfortable foot conditions. It may be beneficial to frequently practice specific foot stretches in order to help diminish possible foot ailments from wearing high heels. An effective stretch consists of placing the fingers between the toes, while gently pulling down and strengthening the top of the foot. The bottom of the foot can become stronger when a towel is placed on the sole of the foot while lying down. You will feel a stretch as the leg is extended upward, and the towel is pulled toward the face. If you would like additional information about how to keep the feet healthy while wearing high heels, 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 Cary Golub, DPM from New York. 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 our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Many people think babies' feet are smaller versions of their own adult feet, despite the fact that they go through a detailed developmental process. There are levels of growth in babies' feet. They start out crawling, and this phase can strengthen the feet by stretching the toes. As children start to walk, their feet become toned, and their soft cartilage begins to harden. It is beneficial to refrain from having your child wear shoes while walking indoors, as this can help to stretch the ligaments, tendons, and muscles that are found in each foot. The first pair of shoes should be worn when walking begins outside. It is important to monitor your child’s foot development and to be aware of any abnormalities if they appear. If you would like additional information about the stages of babies’ foot development, please consult with a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoe is a common foot deformity in which one or more of the little toes are fixed in a bent position at the middle joint. If it is diagnosed early, this condition can be treated nonsurgically using orthotics, foot exercises, foot pads or cushions, and nonsteroidal anti-inflammatory medications or steroid injections. Without early diagnosis and treatment, hammertoe tends to worsen over time and may require surgery. Typically, surgery for a hammertoe is an outpatient procedure, so you can go home on the same day as your surgery. Following surgery, you may be able to bear weight on your foot immediately. However, full recovery usually takes 4-6 weeks, and you may need to wear special shoes or a boot. To find out which type of treatment is right for you, please consult with a podiatrist.  

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Cary Golub, DPM from New York. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The outer part of your ankle may be swollen due to an injury or because of an underlying medical condition. Ankle injuries such as sprains, fractures, and tendinopathies can make the ankle swell. Arthritis can affect any joint in the body, including the ankle joint. When the arthritic ankle joint is inflamed, it can cause the ankle to swell. You may also notice symptoms like warmth and redness around the joint and difficulty moving the ankle. Cellulitis, a skin infection, can also make the feet and lower legs swell. If you notice swelling around your ankle, it is suggested that you see a podiatrist for treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Cary Golub, DPM from New York. Our doctor 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 offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton’s neuroma is a condition in which a nerve between your toes becomes irritated or thickened. This can cause symptoms such as stabbing, shooting, or burning pains in the front of the foot. Tingling, numbness, and a sensation akin to a small pebble being stuck under your foot may be experienced as well. If you have Morton’s neuroma, certain modifications can help reduce your symptoms. These can include wearing wide, comfortable shoes with a low heel, reducing activities like running, which may exacerbate the pain, and losing weight to reduce the amount of pressure put on the foot. Taking over-the-counter anti-inflammatory drugs and wearing orthotic inserts may also help relieve pain. If you are experiencing the symptoms of Morton’s neuroma, it is suggested that you consult with a podiatrist. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Cary Golub, DPM of New York. Our doctor 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 offices located in Williston Park, and Long Beach, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Patients who have chronic foot pain, or who have endured a foot injury, may be interested in learning about the various types of foot surgery. For severe injuries, removal of parts of a bone may be necessary for proper healing. This procedure is referred to as a foot osteotomy, and it may be helpful in reshaping the bone that has become damaged. Additionally, it can be used to correct foot conditions that can include bunions, hammertoes, or specific types of fractures. Preparation for this type of surgery can consist of having several X-rays taken, and it is advised that eating and drinking are avoided the night before surgery. If you have questions or would like more information about having a foot osteotomy performed, please consult with a podiatrist who can provide you with the proper knowledge.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Cary Golub, DPM of New York. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Tarsal tunnel syndrome is a condition in which the posterior tibial nerve located in the ankle becomes compressed. This typically causes pain and numbness in the affected foot and toes. In about 40-50% of cases, tarsal tunnel syndrome is idiopathic, meaning that no cause behind the condition can be identified. In other instances, tarsal tunnel syndrome can be caused by a variety of other conditions that may compress the posterior tibial nerve, including muscle or bone injuries, ganglion cysts, or having flat feet. If you  have the symptoms of tarsal tunnel syndrome, it is suggested that you see a podiatrist for treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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