Tarsal tunnel syndrome is a condition that results from compression of the tibial nerve as it passes through the inner ankle. This area, known as the tarsal tunnel, is a tight space that can become inflamed or restricted. The condition is classified as an entrapment neuropathy, because the nerve becomes trapped and irritated. This leads to abnormal nerve signals that cause pain and sensory changes in the foot. Knowing the definition and causes of this condition can help individuals recognize symptoms early.

Symptoms often include a burning tingling sensation along the inner ankle and into the sole of the foot. Some individuals may feel numbness, weakness, or shooting pain that worsens with movement. The discomfort may come and go, or become more constant over time. Activities that involve prolonged standing or walking can increase symptoms. These sensations can affect balance and make everyday tasks more difficult.

Risk factors for tarsal tunnel syndrome include structural foot issues such as flat feet, which place added stress on the nerve. Ankle injuries can lead to swelling that compresses the nerve within the tunnel. Other contributing causes include growths such as cysts or inflammation from overuse. Wearing improper footwear that lacks support may also increase pressure on the inner ankle. These factors can combine to create an environment where nerve irritation develops.

Treatment focuses on relieving pressure and improving foot support. Rest, wearing proper footwear, and orthotics can help reduce strain on the affected area. Early care can prevent worsening symptoms and improve mobility. Seeking a podiatric evaluation ensures a targeted treatment plan that addresses the underlying cause. If you have signs of tarsal tunnel syndrome, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.

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 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.

Some rock climbers assume that foot pain is simply part of the sport. It is true that climbing places stress on the feet and ankles. Small footholds concentrate body weight on an area, while down-turned climbing shoes hold the toes in a curled position. Falls can twist the ankle or force the foot against the wall. These demands can lead to heel pain, toe-joint irritation, or an ankle sprain. However, pain and injuries can also be related to the shoes worn. Sharp pain, numbness, or soreness that continues after removing climbing shoes should not be ignored. 

Several injuries deserve attention. Pain behind the heel can involve the Achilles tendon, which connects the calf muscles to the heel bone. Pressure from a climbing shoe can contribute to a tender bump at the back of the heel. Pain under the heel can result from irritation of the thick tissue supporting the foot. Tight shoes may push the big toe inward and irritate its joint. An ankle sprain can leave the joint swollen, weak, or unstable. Continued climbing with pain can affect technique and place greater stress on other body parts.

A podiatrist can determine which part of the foot or ankle is injured and identify contributing factors. An evaluation includes a foot-and-ankle examination, a review of climbing habits, and an assessment of walking and balance. Imaging can show a fracture or other damage when there is concern. Treatment includes supportive padding, a brace, or a custom orthotic that improves foot position in everyday shoes. A podiatrist can recommend climbing-shoe features suited to the patient’s foot shape and provide guidance for returning safely. Serious fractures, torn tendons, or unstable joints sometimes require surgery. Prompt care can limit further damage and support a comfortable return to the sport. If you have foot or ankle pain from climbing, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Cary Golub, DPM from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

A bunion is a bony bump that forms at the base of the big toe due to joint misalignment. Over time, the big toe shifts toward the smaller toes, which causes the joint to protrude outward. This change can lead to discomfort and difficulty with daily activities. While many bunions can be managed with conservative care, some cases progress and require surgical treatment. Understanding when this type of foot surgery is needed helps individuals make informed decisions about their foot health.

Common symptoms of bunions include pain, swelling, redness, and limited movement of the big toe joint. The area may become tender, especially while wearing tight or narrow shoes. Risk factors include inherited foot structure, improper footwear, and conditions that affect joint alignment. High-heeled or narrow shoes can increase pressure on the forefoot, which may worsen the deformity over time. Additional causes include flat feet, arthritis, and repeated stress on the foot.

Bunion surgery may be recommended when symptoms interfere with daily life and do not improve with non-surgical treatments. Several types of procedures are used depending on the severity of the condition. These may include removal of part of the metatarsal head, removal of excess bone, and realignment of soft tissues around the joint. In some cases, the podiatric surgeon may reposition bones to restore proper alignment. Each surgical approach is designed to reduce pain, correct deformity, and improve function.

Deciding on bunion surgery involves evaluating symptoms, lifestyle needs, and overall foot health. Early treatment may prevent progression, but advanced cases may require surgical correction for long-term relief. Understanding the causes, symptoms, and treatment options can support better outcomes. If you are considering bunion surgery for lasting relief, it is suggested that you consult a podiatrist who can determine if this type of foot surgery is right for you. 

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 care needs.

Clubfoot is a congenital foot condition that causes one or both feet to develop in an unusual position before birth. The foot typically points downward and turns inward, creating a noticeable difference in alignment. This condition affects the muscles, tendons, and bones of the foot and ankle. Although clubfoot may look concerning, early diagnosis and proper treatment can help many children achieve improved foot function and normal mobility.

Common symptoms of clubfoot include an inward-turning foot, a tight Achilles tendon, a smaller affected foot, and limited flexibility. The foot may appear stiff and difficult to move into a normal position. Without treatment, the child may develop an abnormal walking pattern as they grow. While clubfoot is not usually painful in babies, untreated cases can lead to long-term challenges with balance, footwear, and physical activity.

The causes of clubfoot are linked to abnormal development of the foot during pregnancy. Researchers believe genetic factors and changes in muscle or connective tissue development may contribute to the condition. Risk factors include having a family history of clubfoot and certain neuromuscular conditions. Clubfoot is one of the most common congenital foot conditions, but the exact reason it develops is not always clear.

Diagnosis begins with a detailed physical examination after birth. A podiatrist will assess the position and flexibility of the foot to determine the severity of the condition. Additional evaluations may be performed if needed to understand the structure of the foot. Early attention provides the best opportunity for improving alignment and preventing future complications. If your child has signs of clubfoot, it is suggested that you include a podiatrist on your health-are team to ensure healthy foot development. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Cary Golub, DPM of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.