Tuesday, 30 July 2024 00:00

What Causes Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome, also known as tibial nerve dysfunction, is a condition where the tibial nerve is compressed or irritated as it passes through the tarsal tunnel, the narrow passageway on the inside of the ankle beneath the ankle bones. This compression can result from various causes, such as injury, swelling from ankle sprains, arthritis, or structural abnormalities like flat feet. Symptoms of tarsal tunnel syndrome include tingling, burning pain, or numbness of the inner ankle and sole of the foot. Some individuals may experience a shooting pain that radiates up the leg or into the toes. Symptoms tend to worsen with prolonged standing or walking. Proper diagnosis involves a thorough medical history, physical examination, and sometimes imaging tests like MRI scans to evaluate nerve compression. Relief options include rest, anti-inflammatory medications, orthotic devices, and in severe cases, surgical decompression to relieve pressure on the nerve. If you have developed ankle pain, it is suggested that you consult a podiatrist who can provide a proper diagnosis and offer treatment options that are right for you.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Thong V. Truong of California. 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 office located in Chico, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 30 July 2024 00:00

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition in which there is a compression of the posterior tibial nerve. The posterior tibial nerve runs along the inside of the ankle into the foot. Tarsal tunnel syndrome is named for the tarsal tunnel, which is a thin space along the inside of the ankle beside the ankle bones. This space contains various nerves, arteries, and tendons, and includes the posterior tibial nerve. 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 compressed, causing tingling or burning, numbness, and pain.

Common causes of tarsal tunnel syndrome involve pressure or an injury. Injuries that produce inflammation and swelling in or around the tunnel may place pressure on the posterior tibial nerve. Direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or trauma to the tibial nerve, can result in tarsal tunnel syndrome. Diseases that damage nerves, such as diabetes or arthritis, may cause tarsal tunnel syndrome. Those with flat feet are at risk for developing the condition, as the extra pressure and strain placed on the foot may compress the posterior tibial nerve.

Feeling different sensations in the foot at different times is a common symptom of tarsal tunnel syndrome. An afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg. Symptoms are primarily felt on bottom of the foot and/or the inside of the ankle. Symptoms can appear suddenly and may occur due to overuse of the foot.

To diagnose tarsal tunnel syndrome, your podiatrist may examine the foot and tap the posterior tibial nerve to see if symptoms surface. He or she may also order an MRI to determine if a mass is present.

Treating tarsal tunnel syndrome will depend on the decision of your podiatrist. Multiple options are available, however, and can include rest, ice, immobilization, oral medications such as anti-inflammatory drugs (NSAIDS), physical therapy, injection therapy, orthotics, supportive shoes, braces, and surgery.

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 23 July 2024 00:00

Those Annoying Foot Blisters Again

Blisters between the toes can disrupt comfort and mobility. They are often caused by friction from wearing ill-fitting shoes or excessive moisture. Symptoms can include a painful, fluid-filled sac that may burst if not treated promptly, leading to infection or further irritation. Proper wound care starts with cleaning the area gently with mild soap and water, followed by applying a sterile bandage to protect it from further friction. Avoid popping blisters, as it can increase infection risk. Moisturizing the surrounding skin and wearing well-fitting, breathable footwear can help to prevent recurrence. For persistent blisters or signs of infection such as redness, swelling, or pus, it is important to seek professional care from a podiatrist. They can provide tailored treatment, such as antibiotic ointments or specialized dressings, ensuring proper healing and minimizing future complications. Do not ignore blisters. Consider scheduling an appointment with a podiatrist for an expert evaluation and care to keep your feet healthy and pain-free.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Thong V. Truong of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

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Tuesday, 23 July 2024 00:00

Blisters on the Feet

Blisters are a common ailment of people who wear shoes that are either too tight or rub against the feet in an uncomfortable way. Knowing the basics of blisters is important for understanding how they are formed and what treatments should be used for them.

A blister on the foot, or any other part of the body, is a small pocket that is filled with fluid. It usually forms on the upper layer of the skin because these layers are loose enough to allow a blister to form. The most common fluid in a blister is just a clear, watery-like fluid that usually isn’t cause for concern. However, blisters can fill up with blood if they are deep enough and pus if they have become infected with bacteria.

Blisters almost always form on the feet due to shoes rubbing up against the foot, where the friction causes blisters. These can occur after you have walked for a long period of time or when your shoes do not fit you properly. Your feet are also more prone to blisters if they are moist, so keeping them dry and clean is one preventative step you can take.

Preventing infection should be the number one concern when treating blisters, as well as relieving the pain they can cause. Using a bandage to cover up the blister will help it heal and prevent bacteria from entering it. New skin will form under the blister and eventually cause it to pop. You can also take a sterilized pin and try to pop it yourself.

If the blister is filled with pus or blood, seeking treatment from a doctor is ideal. Antibiotics may need to be taken in order to completely eliminate the bacteria inside the blister. See a doctor to have an antibiotic prescribed.

The best way to treat blisters is to prevent them all together. Keeping your feet dry and making sure that your shoes fit properly are just two of the steps you can take to prevent blisters. Shoes that are too tight or shoes that are too loose and allow your feet to slide in them will cause blisters. Applying a bandage to an area where you think a blister is about to form is another way you can prevent them.

Monday, 22 July 2024 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 16 July 2024 00:00

Benefits of Limb Salvage Surgery

Limb salvage surgery is a critical procedure used to avoid foot or toe amputation due to severe injuries, infections, or cancers. During the surgery, doctors remove the damaged or diseased parts of the foot while preserving as much healthy tissue as possible. This requires advanced reconstruction techniques to keep the foot functional. Limb salvage surgery helps patients maintain physical abilities and provides significant emotional benefits to enhance the overall quality of their lives. Complex Infections, such as osteomyelitis, can destroy bone and surrounding tissue, requiring careful surgical intervention. Additionally, conditions like bone cancers, severe diabetic ulcers, and peripheral artery disease can severely impair blood flow and tissue health, making limb salvage surgery necessary to prevent amputation. If you or someone you know struggles with severe trauma, infections, bone cancers, diabetic ulcers, or poor circulation affecting your feet, it is suggested you make an appointment with a podiatrist for evaluation and treatment options.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Dr. Thong V. Truong from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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

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Tuesday, 16 July 2024 00:00

Limb Salvage

Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes, peripheral vascular disease, neuropathy, cancer, and severe crush injury. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.

The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If the bone is removed, it is then replaced with prostheses, synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.

Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 09 July 2024 00:00

Dealing with Toenail Fungus

Experiencing toenail fungus, or onychomycosis, can be a persistent and bothersome condition. Toenail fungus causes nails to become yellow, opaque, and brittle, often leading to crumbling or breaking. The fungus thrives in warm, moist environments, making individuals with sweaty feet or those who wear heavy shoes more susceptible. Not only is it unpleasant, but toenail fungus is also highly contagious. It can spread easily in communal areas, such as swimming pools, locker rooms, and shared showers. Treatment usually involves oral antifungal medications that need to be taken for several weeks. Even as the medication starts working, it might take some time before new, healthy nail growth appears, and the discoloration and brittleness may persist until then. Preventive measures are essential to managing and avoiding the spread of the infection. Keeping feet dry, wearing moisture-wicking socks, trimming nails properly, and ensuring feet are fully dry before putting on socks and shoes can help. If you are experiencing symptoms of toenail fungus, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Thong V. Truong of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

 

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