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April 2024

Tuesday, 30 April 2024 00:00

Diagnosis of Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which involves the compression of the posterior tibial nerve as it passes through the tarsal tunnel on the inner side of the ankle, can be tricky to diagnose. Diagnosis typically begins with a physical examination where a podiatrist, or foot doctor, evaluates the foot for signs of nerve compression. The podiatrist may use specific tests that could provoke symptoms. To confirm the diagnosis and eliminate other potential conditions, magnetic resonance Imaging, or an MRI scan is commonly used. An MRI can provide clear images of the soft tissues surrounding the ankle, helping to identify any abnormalities like tumors, varicose veins, or structural deformities compressing the nerve. The treatment strategy may vary depending on MRI findings. For example, if the MRI reveals a structural anomaly compressing the nerve, surgical intervention may be required to alleviate the pressure. However, if inflammation is mild and no significant anatomical issues are detected, more conservative treatments like corticosteroid injections or custom orthotics might be effective. For proper diagnosis of tarsal tunnel syndrome and the most effective treatment plan, it is suggested that you consult a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

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

Common Cause of Tarsal Tunnel Syndrome

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

The Effects of Tarsal Tunnel Syndrome

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

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

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

Read more about Treating Tarsal Tunnel Syndrome
Published in Blog
Tuesday, 23 April 2024 00:00

Infected Ingrown Toenails

Ingrown toenails are among the most common and painful foot issues people face. An ingrown toenail occurs when the edge or corner of the toenail grows into the surrounding skin, causing irritation, redness, swelling, and pain. If left untreated, ingrown toenails can become infected, leading to more severe discomfort and potentially serious complications. Podiatrists, or foot doctors, specialize in treating ingrown toenails and offer effective solutions to alleviate the pain associated with this condition. When you visit a podiatrist for an infected ingrown toenail, they will first assess the severity of the problem. Targeted treatment typically involves gently trimming or removing the ingrown portion of the nail, along with providing relief for any associated infection. Podiatrists can also offer guidance on proper nail care techniques to help prevent future occurrences. If you're dealing with the discomfort of an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist. 

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

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Published in Blog
Tuesday, 16 April 2024 00:00

Risk Factors for Falling

As people age, the risk of a fall increases, but it should not be seen as inevitable. Falls can be caused by various factors, including weak muscles, poor balance, and dizziness. Foot problems like pain or deformities, and cognitive issues such as memory loss, and vision and hearing impairments, can also contribute to the risk of falls in seniors. Medications that induce drowsiness, excessive alcohol consumption, and certain bladder or bowel conditions can increase the likelihood of falling. Falls often result from an interaction of these factors, with a higher number of risk factors further elevating the potential for falls. In addition, falls can sometimes signal underlying health issues like constipation, infections, dehydration, or sudden confusion. A podiatrist can provide expert advice and interventions to address foot-related problems, improve balance, and reduce the risk of future falls. If instability causes you to lose your balance or fall frequently, it is suggested that you schedule an appointment with a podiatrist for a thorough exam and options for treatment. 

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 Howard Waxman, DPM from Pleasant Valley Podiatry. Our doctor 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 one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Falls Prevention
Published in Blog

Plantar fasciitis, a leading cause of heel pain, occurs when the thick band of tissue that runs along the bottom of your foot and connects the heel bone to the toes becomes inflamed. A large number of plantar fasciitis patients experience persistent heel pain. Treatment for this condition often goes beyond rest, and pain relief measures to include strength exercises specifically designed to alleviate stubborn heel pain. These exercises aim to strengthen the muscles surrounding the foot and ankle, improving support for the plantar fascia and reducing the strain on it. A podiatrist may recommend targeted exercises not only to help relieve the immediate discomfort in the heels but also to prevent future episodes of pain. Incorporating these strength exercises into a comprehensive treatment plan means patients are addressing the root causes of plantar fasciitis. If you experience persistent heel pain from plantar fasciitis, it is suggested that you consult a podiatrist for a personalized treatment plan, which may include performing specific stretches.

Many people suffer from bouts of heel pain. For more information, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Published in Blog
Wednesday, 03 April 2024 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Published in Blog
Tuesday, 02 April 2024 00:00

The Prevalence of Bunions

Bunions, characterized by a bony bump that forms at the base of the big toe, affect a significant portion of the population. This deformity arises when the big toe begins to lean toward the second toe, causing the structure of the foot to change and result in a bump at the big toe joint. Factors contributing to bunion development include genetic predisposition, footwear choices, and certain foot structures. More women than men have bunions, due to wearing narrow, tight-fitting shoes and high heels that place undue pressure on the forefoot. However, anyone can develop bunions, and they are increasingly observed across all age groups, from teenagers to the elderly. The widespread nature of this condition shows the importance of recognizing early symptoms and seeking appropriate treatment. A podiatrist, or foot doctor, has the specialized knowledge of the foot to properly treat and prevent bunions. It is suggested you schedule an appointment with a podiatrist if you have a bunion to prevent its progression.

If you are suffering from bunions, contact Howard Waxman, DPM of Pleasant Valley Podiatry. Our doctor 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 one of our offices located in Willoughby Hills and Broadview Heights, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions
Published in Blog
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