Tarsal tunnel syndrome develops when the posterior tibial nerve becomes compressed near the inner ankle. It is similar to carpal tunnel syndrome in the wrist.  The affected nerve plays a key role in sensation and movement within the foot. When pressure builds inside the tarsal tunnel, it disrupts normal nerve function and leads to discomfort. The condition may develop gradually, making it easy to overlook in its early stages. Understanding how it feels and what contributes to it can help individuals seek care at the right time.

Many people with this condition report a burning or tingling sensation that travels along the inside of the ankle into the arch of the foot. Some describe sharp pain that worsens with activity and improves with rest. Others may feel numbness or a pins-and-needles sensation that becomes more noticeable at night. The discomfort can vary in intensity, but it often interferes with walking, standing, or exercise. Over time, the symptoms may become more persistent and difficult to ignore.

The causes of tarsal tunnel syndrome are often related to pressure or structural changes in the foot. Flat feet are a common factor because they alter foot mechanics and increase strain on the nerve. Swelling from injuries, tendon inflammation, or joint conditions can also narrow the tunnel space. Risk factors include obesity, repetitive stress, prolonged standing, and wearing poorly fitting shoes. Certain medical conditions, including diabetes and arthritis, may further increase the likelihood of nerve compression.

Managing this condition requires a clear understanding of its cause and severity. Early treatment may include rest, wearing supportive footwear, and custom orthotics to reduce pressure. In more advanced cases, medical intervention may be necessary to prevent long-term nerve damage. If you have pain in this part of your foot, 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 Gary Saphire, DPM of Parkway 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 contact our office located in Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The ankle is a complex joint that supports body weight, helps maintain balance, and allows movement. Because it is used throughout the day, it is vulnerable to a number of disorders. Among the most common ankle disorders are sprains, fractures, and tendonitis. A sprain occurs when the ligaments that hold the ankle joint together are stretched or torn. Symptoms include pain, swelling, and bruising. Severe sprains may also limit weight-bearing. A fracture, which is a break in one or more ankle bones, can cause severe pain, difficulty standing, and noticeable swelling. Tendonitis develops when the tendons, thick cords that connect muscles to bones, become irritated or inflamed. People with tendonitis frequently experience pain, stiffness, and tenderness around the ankle.

Arthritis is another disorder that can affect the ankle joint. This condition causes inflammation inside a joint, and symptoms include pain, swelling, and reduced movement. Osteoarthritis develops when the cartilage between bones wears away. Rheumatoid arthritis occurs when the body's immune system attacks healthy joint tissue. Another form, called post-traumatic arthritis, can develop after an ankle injury. People with arthritis frequently notice stiffness when getting up, discomfort when walking, and swelling around the joint. 

Recognizing ankle disorders early can help reduce complications and improve treatment results. Persistent pain, swelling, and stiffness should not be ignored. Other warning signs include difficulty bearing weight, limited motion, and repeated ankle injuries. A podiatrist can evaluate the ankle by reviewing symptoms and performing a physical examination. Diagnostic testing includes X-rays, magnetic resonance imaging, also called MRI, and computed tomography scans, commonly known as CT scans. These tools help identify damage to bones, tendons, ligaments, and other soft tissues. If you have symptoms of an ankle disorder, it is suggested that you make an appointment with a podiatrist for an exam and diagnosis.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Gary Saphire, DPM from Parkway Podiatry. 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 Brooklyn, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Drop foot is a condition defined by difficulty lifting the front part of the foot, which can cause the toes to drag while walking. This issue often results from weakness or paralysis of the muscles responsible for ankle dorsiflexion. It is commonly linked to nerve-related conditions and can significantly affect balance, gait, and overall mobility. Individuals with drop foot may develop compensatory walking patterns, such as lifting the knee higher than normal, which can lead to further strain on the lower body.

Several causes contribute to drop foot, including stroke, sciatica, and nerve injury. A stroke may disrupt signals between the brain and muscles, while sciatica can compress nerves that control foot movement. Direct nerve injury, especially involving the peroneal nerve, is another frequent cause. Symptoms include difficulty lifting the foot, frequent tripping, muscle weakness, and an altered walking pattern. Risk factors include underlying neurological conditions, lower back disorders, trauma, and prolonged pressure on the nerves.

Targeted exercises play an important role in improving functional mobility and strength. Calf stretch exercises help maintain flexibility and reduce tightness in the lower leg. Balance exercises are essential for improving stability and coordination, which can reduce the risk of falls. Lower back exercises may also support nerve health by reducing pressure and improving alignment. Consistent movement training can strengthen supporting muscles and enhance walking mechanics over time.

It is important to understand that early intervention and structured exercise programs can help manage drop foot and improve daily function. Addressing the underlying cause while focusing on mobility and strength can lead to better outcomes. If you have symptoms of drop foot, it is suggested you consult a podiatrist for strengthening and management tips.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Gary Saphire, DPM from Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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

Turf toe is an injury involving the joint at the base of the big toe, usually caused when the toe bends too far upward during sports or sudden forceful movement. Mild cases involve stretching of the surrounding soft tissues, causing tenderness, mild swelling, and discomfort with push-off movements. Moderate injuries involve partial tearing, often leading to more noticeable swelling, bruising, reduced movement, and pain during walking. Severe cases involve significant tissue damage or complete tearing, making weight-bearing difficult and causing marked pain, instability, and substantial swelling. Because the big toe plays an important role in balance and forward movement, even less severe injuries can affect activity and recovery, if ignored. A podiatrist can evaluate the extent of injury, recommend imaging when needed, and guide proper treatment to support healing. If you have pain in your big toe after sports or sudden foot injury, it is strongly suggested that you visit a podiatrist for appropriate care.

Toe pain can disrupt your daily activities. If you have any concerns, contact Gary Saphire, DPM of Parkway Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.