Tarsal tunnel syndrome is caused by compression of the tibial nerve as it travels through a narrow space on the inside of the ankle. This area, known as the tarsal tunnel, contains tendons, blood vessels, and the nerve that supplies sensation to the bottom of the foot. When the tibial nerve becomes irritated or compressed, it can lead to a range of uncomfortable symptoms. This condition is considered an unusual form of peripheral neuropathy because it affects nerve function and sensation in the foot.

Common symptoms include pain, numbness, tingling, and a burning sensation along the bottom of the foot or around the ankle. Some individuals may also experience muscle weakness or damage in the foot if the condition progresses. The discomfort may worsen with prolonged standing or walking and improve with rest. These symptoms can interfere with daily activities and reduce overall mobility if not addressed early.

Several causes and risk factors contribute to the development of tarsal tunnel syndrome. Swelling from an injury, such as an ankle sprain, can place pressure on the tibial nerve. Other causes include flat feet, varicose veins, or inflammation from chronic conditions. Risk factors include repetitive stress, wearing improper footwear, and occupations that require long periods of standing. Structural abnormalities in the foot can also increase the likelihood of nerve compression.

Early recognition and proper management can help prevent long-term complications. Treatment often focuses on reducing pressure on the nerve and improving foot alignment. Wearing supportive footwear, rest, and targeted exercises may help relieve symptoms. Addressing the underlying cause is essential for long-term relief and improved function. If you have symptoms of tarsal tunnel syndrome, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Sham Persaud, DPM of Pennsylvania. Our practitioner 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 Washington and McMurray, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Workplace falls are a leading cause of injury across many industries and can affect employees in offices, warehouses, restaurants, and construction sites. A fall occurs when a person loses balance due to unsafe conditions or environmental hazards. These incidents often result in sprains, lacerations, contusions, or fractures, particularly involving the feet and ankles. Understanding how falls happen and what increases the risk is essential for prevention and safety. Workplace safety measures play an important role in reducing injury rates and improving overall productivity.

Common symptoms after a fall include pain, swelling, bruising, and limited movement. In more serious cases, fractures or deep cuts may require immediate medical attention. Several risk factors increase the likelihood of falling at work, including poor balance, improper footwear, fatigue, and lack of safety awareness. Employees who stand for long hours or perform repetitive tasks may also face a higher risk of foot and ankle strain, which can contribute to instability and falls.

The most common causes of workplace falls include wet surfaces, uneven flooring, cluttered walkways, and poor lighting. Spills that are not cleaned promptly can create slippery conditions, while loose mats or damaged flooring increase the chance of tripping. Cluttered work areas limit safe movement and reduce visibility of hazards. Inadequate lighting makes it difficult to see obstacles clearly, increasing the likelihood of missteps and injury. These preventable conditions highlight the importance of maintaining a clean and well organized environment.

Preventing workplace falls requires attention to safety practices such as proper housekeeping, wearing supportive shoes, and improving lighting conditions. Employers and employees should work together to identify and correct hazards before injuries occur. Early treatment of foot and ankle injuries can help prevent long-term complications and support faster recovery. If you have sustained a foot or ankle injury from falling at work, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Sham Persaud, DPM from Pennsylvania. Our practitioner will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Choosing the right running shoe is essential for comfort, performance, and injury prevention. Running places repeated impact force on the feet, ankles, and lower limbs, making proper support a key factor in foot health. An important consideration is how much your foot pronates, or rolls inward, during each step. Neutral pronation allows for balanced movement, while excessive inward rolling or limited motion can lead to uneven pressure. Understanding your gait and foot structure helps guide the selection of shoes that match your needs.

Symptoms of wearing the wrong running shoes often develop gradually. Common signs include foot pain, arch discomfort, and ankle instability. Excessive pronation can lead to strain along the inner foot and ankle, while insufficient pronation may increase pressure on the outer edge. These imbalances affect how impact force is absorbed, which can contribute to overuse injuries such as plantar fasciitis or stress fractures. Paying attention to these symptoms can prevent long term damage.

Several risk factors increase the likelihood of injury when wearing improper footwear. Foot structure, including flat feet or high arches, plays a major role in how the foot handles movement and pressure. Wearing shoes that do not match your pronation type can worsen alignment issues. The main cause of discomfort is poor shock absorption and lack of support, which forces the body to compensate during movement. This can lead to a chain reaction of strain throughout the lower body.

Choosing the right running shoe involves evaluating fit, cushioning, and support. Shoes should match your foot shape and provide stability based on your level of pronation. Replacing worn shoes regularly and rotating pairs can also help reduce impact stress. If you have foot pain from wearing the wrong running shoes, it is suggested that you consult a podiatrist for effective relief tips, and additional guidance on choosing shoes for your running style. 

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Sham Persaud, DPM from Pennsylvania. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

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