Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve becomes compressed as it passes through the tarsal tunnel near the inner ankle. This nerve compression can cause pain that radiates along the arch, heel, or toes. Common symptoms include burning sensations, tingling, numbness, sharp pain, or aching that worsens with walking or prolonged standing. Causes may include flat feet, swelling, injury, cysts, varicose veins, or inflammation that increases pressure within the tarsal tunnel. A podiatrist can perform a thorough evaluation to identify the source of nerve irritation and confirm the diagnosis. Treatment may include wearing supportive footwear, custom orthotics, activity modification, and targeted therapies to relieve pressure on the nerve. Early care helps reduce discomfort and prevent long-term nerve damage. If you have pain near the inner ankle, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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 contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Orthotics are medical devices placed inside shoes to support and align the feet during standing and walking. They are used to help balance the foot in a neutral position, improving overall posture and reducing strain on the ankles, knees, hips, and lower back. Orthotics also cushion the foot from excessive pounding, helping absorb shock and protect joints and soft tissues. By improving alignment and reducing pressure, orthotics may help control pain caused by conditions such as plantar fasciitis, arthritis, and foot fatigue. A podiatrist can evaluate foot structure, gait, and activity level to determine if orthotics are appropriate. Custom orthotics are designed to address individual needs and provide long-term support. If foot pain or instability is affecting your daily life, it is suggested that you schedule a visit with a podiatrist to learn how orthotics can improve comfort and mobility.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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 feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Understanding ingrown toenails is important because this common condition can cause significant discomfort when the edge of the nail grows into the surrounding skin. It affects people of all ages, but is more common in males due to nail shape, activity levels, and footwear choices. Early symptoms include redness, swelling, and tenderness along the nail border. Conservative care may help when the problem is mild, including warm foot soaks, careful nail lifting, proper trimming, protective dressings, and medication, if infection is present. When symptoms continue or return, non-conservative options provide more lasting relief. In office procedures can safely remove the offending nail edge and, when appropriate, prevent that part from growing back. These treatments are quick and allow patients to resume routine activities with little downtime. If you have a painful ingrown toenail, it is suggested that you see a podiatrist who can determine the best treatment to ease pain and prevent complications.

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 one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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 our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunion is a foot condition defined by a structural change at the joint where the big toe meets the foot. It appears as a bony prominence along the inside of the foot, often accompanied by swelling or redness. Bunions develop due to abnormal joint mechanics, inherited foot structure, or prolonged pressure from narrow footwear. Over time, the big toe may drift toward the smaller toes, altering normal foot function. Symptoms include joint pain, stiffness, tenderness, and difficulty walking comfortably. A podiatrist can properly diagnose the condition and determine its severity. Treatment may involve shoe recommendations, custom orthotics, joint support, and strategies to reduce inflammation and prevent progression. If you have developed a bunion, it is suggested that you consult a podiatrist who can offer effective management solutions.

If you are suffering from bunions, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors 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?

Podiatrists 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 provider.

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 Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.