September 2024

Tarsal tunnel syndrome, also known as tibial nerve dysfunction or posterior tibial nerve neuralgia, is caused by compression of the tibial nerve as it passes through the tarsal tunnel on the inner side of the ankle. This nerve compression leads to pain, tingling, and numbness in the foot. Individuals with tarsal tunnel syndrome often experience symptoms on the sole and the toes, particularly the arch area. In severe cases, the discomfort may be aggravated by standing or walking. Tarsal tunnel syndrome may cause difficulty in completing daily activities. If you have pain in this area of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat this condition. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Stephen Petrofsky of Florida. 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 Port Charlotte, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Posterior tibial tendonitis is an inflammation of the posterior tibial tendon, which supports the arch of the foot and aids in walking. This condition often results from overuse or repetitive strain, commonly seen in athletes or those with flat feet. Symptoms include pain and swelling along the inner ankle, difficulty standing on tiptoe, and a collapsing arch, leading to a flat-footed appearance. If untreated, it can progress to more severe foot deformities and chronic pain. Diagnosis typically involves a physical examination, assessing symptoms and foot mechanics, and may include imaging tests like MRI scans or ultrasounds to evaluate tendon damage. Treatment usually focuses on rest, medications, and orthotics to support the arch. In severe cases, surgery may be considered. If you are suffering pain along your inner ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. Stephen Petrofsky from Florida. 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
• 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 office located in Port Charlotte, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Congenital foot problems are deformities or conditions present at birth that affect the structure and function of the feet. Common congenital foot issues include clubfoot, flat feet, and toe deformities such as overlapping or webbed toes. These conditions can range from mild to severe, impacting a child's ability to walk, balance, and engage in physical activities. Early detection is critical for effective management. Conservative treatments often begin with gentle manipulation and stretching exercises to improve foot alignment. For more structured support, custom orthotics or braces may be used to guide the foot into a more natural position as the child grows. Targeted exercises play a significant role in strengthening the muscles and improving mobility. In some cases, casting or splinting is recommended to gradually correct the deformity. While surgery is an option for more severe cases, many congenital foot problems can be managed conservatively, allowing children to develop healthy, functional feet as they grow. If your child is born with a foot condition, it is strongly suggested that you schedule an appointment with a podiatrist as quickly as possible to get treatment underway.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Dr. Stephen Petrofsky of Florida. 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 office located in Port Charlotte, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Fibromatosis is a condition characterized by the growth of benign fibrous tumors, known as nodules, in various tissues. When this condition occurs on the feet, it primarily affects the plantar fascia, the thick band of tissue running along the bottom of the foot. This type of fibromatosis, often referred to as plantar fibromatosis or Ledderhose disease, results in the formation of painful nodules that can lead to discomfort and difficulty walking. These growths are non-cancerous but can be quite bothersome and impact foot function. Early diagnosis and management are essential to alleviate symptoms and prevent progression. If you have developed this condition, it is suggested that you visit a podiatrist who can offer you effective treatment solutions.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Stephen Petrofsky of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our office located in Port Charlotte, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.