Tarsal tunnel syndrome, abbreviated TTS, is a relatively rare but painful condition involving the compression of the tibial nerve as it passes through the tarsal tunnel, a narrow passageway on the inside of the ankle. The tarsal tunnel is enclosed by bone and ligaments, and when pressure is exerted on the tibial nerve within this space, it can lead to TTS. The exact causes of tarsal tunnel syndrome can vary, but common factors include injury or trauma to the ankle, such as sprains or fractures, which may lead to swelling and compression of the nerve. Overpronation, where the foot rolls excessively inward, can also place additional stress on the tibial nerve. Other factors contributing to TTS may include systemic conditions like diabetes, which can result in nerve inflammation and entrapment. Recognizing the potential causes of tarsal tunnel syndrome is essential in seeking appropriate medical care and taking preventive measures to alleviate this painful condition. If you have foot pain, it is suggested that you contact 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 Joseph D. Ruffo, DPM, PC 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 feel free to contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

While flip flops may be a staple of warm weather wardrobes, they pose a significant risk to the health of our feet. These flimsy sandals lack proper arch support and cushioning, exposing our feet to a host of issues. The flat, thin soles fail to absorb shock, leading to increased pressure on the heels and arches, which can contribute to conditions like plantar fasciitis. The lack of ankle support also increases the risk of sprains and strains. Additionally, constant gripping to keep flip flops in place can lead to toe deformities and exacerbate existing conditions, such as bunions. The open design exposes feet to external elements, making them susceptible to injuries, infections, and sunburn. Long-term use of flip flops can result in altered walking patterns, affecting overall posture. To safeguard foot health, it is essential to choose footwear that provides adequate support and protection, relegating flip flops to short-term, low impact use. If you are interested in additional information about the impact flip flops may have on the feet, it is suggested that you schedule an appointment with a podiatrist.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact Joseph D. Ruffo, DPM, PC from New York. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

• They Slow You Down
• May Cause Blisters and Calluses
• Expose Your Feet to Bacteria

If you have any questions, please feel free to contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swollen feet can serve as an indicator of underlying health issues, primarily stemming from fluid retention in body tissues. This phenomenon, known as edema, results from disruptions in the intricate processes of the circulatory system that can lead to the accumulation of excess fluid, resulting in swollen feet. Various factors contribute to edema, such as prolonged periods of standing that may impede blood flow, pregnancy-induced physiological changes, and varicose veins. In cases of congestive heart failure, the heart's inability to pump blood efficiently leads to blood stagnation, commonly causing edema in the lower limbs. Lymphedema, a consequence of a malfunctioning lymphatic system, can result from surgical procedures or genetic disorders, leading to fluid accumulation. Thyroid disorders, menstrual hormonal fluctuations, and liver damage, particularly cirrhosis caused by long-term alcohol exposure, are additional contributors to edema. Kidney disorders, such as nephrotic syndrome, can cause inefficient water removal and subsequent edema. For help with swollen feet or ankles, it is suggested that you schedule an appointment with a podiatrist for an exam and diagnosis.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Joseph D. Ruffo, DPM, PC of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Orthotics can provide significant relief for individuals suffering from bunion pain. Bunions are characterized by the enlargement of the joint at the base of the big toe, often leading to pain, swelling, and altered foot biomechanics. Orthotics offer several benefits in managing this condition. They help redistribute pressure and support the arch of the foot, reducing the strain on the affected joint. This alleviates pain and prevents the bunion from worsening. Orthotics can also correct abnormal foot mechanics, such as overpronation or supination, which can contribute to bunion formation and exacerbation. By promoting proper alignment, orthotics help avoid further deformity. Additionally, they offer cushioning and shock absorption, reducing discomfort when walking or engaging in physical activities. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist for care options and discussion on whether orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact Joseph D. Ruffo, DPM, PC from New York. Our doctor 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 contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.