Tendons, blood vessels, and nerves—such as the tibial nerve which provides feeling and mobility in the foot—travel through the tarsal tunnel in the ankle. When the tibial nerve gets constricted or damaged, Tarsal Tunnel Syndrome can occur. This condition produces tingling or numbness, pain, and a weakening in muscles and various parts of the foot. It can be triggered by swelling, abnormal growths in bones and joints, varicose veins, abnormal arches, and various systemic diseases. A complete recovery is possible if the condition is diagnosed and treated in its early stages. To avoid permanent complications such as pain, numbness, and immobility, it is suggested to consult with a podiatrist who can provide a variety of treatments and therapies.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors 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 Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The ankle joint, where the shin bone and the bone at the top of the foot meet, is a common area for arthritis to develop. Arthritis symptoms that affect the ankle include pain, tenderness, swelling, stiffness, and a reduced range of motion in the joint. Certain types of arthritis are more likely to affect the ankle joint than others. Post-traumatic arthritis, which occurs following an injury such as a dislocation or an ankle fracture, may be responsible for ankle arthritis. Rheumatoid arthritis, which can affect any joint in the body, may also cause ankle pain. Osteoarthritis, the most common type of arthritis which is associated with aging, rarely occurs in the ankle. If you are experiencing ankle pain, please consult with a podiatrist, who can diagnose and treat your condition.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors 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
• Bursitis
• 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 one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The foot condition that is known as athlete’s foot is a common ailment that can cause the feet to feel uncomfortable. It develops as a result of a fungal infection. Symptoms many patients experience often include peeling skin, severe itchiness on the bottom of the foot and between the toes, and the affected areas can appear red. The fungus that causes athlete's foot lives and thrives in warm and moist environments. These can consist of public swimming pools, shower room floors, and surrounding areas. It is common for the fungus to enter the body through tiny cracks in the skin on the feet. An effective prevention technique involves wearing appropriate shoes while in these areas. There are several treatment methods, and it is suggested that you consult with a podiatrist who can determine which one is the best for you.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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

Ingrown toenails can occur from a sudden injury, genetics, or from wearing shoes that do not fit correctly. Additionally, ingrown toenails can develop if the toenails are cut improperly. The big toe is most frequently affected. Common symptoms that are often associated with this ailment include reddened skin surrounding the ingrown nail, tenderness, and pain. This is a result of the nail growing into the skin. If the area becomes infected, drainage may ooze from the sides of the nail. Some patients find it beneficial to soak their toe in warm water, as this may help to soften the affected area enough to separate the nail from the skin. It is strongly suggested that you consult with a podiatrist if you have an ingrown toenail.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Many people think babies' feet are smaller versions of their own adult feet, despite the fact that they go through a detailed developmental process. There are levels of growth in babies' feet. They start out crawling, and this phase can strengthen the feet by stretching the toes. As children start to walk, their feet become toned, and their soft cartilage begins to harden. It is beneficial to refrain from having your child wear shoes while walking indoors, as this can help to stretch the ligaments, tendons, and muscles that are found in each foot. The first pair of shoes should be worn when walking begins outside. It is important to monitor your child’s foot development and to be aware of any abnormalities if they appear. If you would like additional information about the stages of babies’ foot development, please consult with a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

The most common forms of foot pain consists of plantar fasciitis, ankle sprains, and Achilles tendon injuries. Depending on the severity of these injuries, performing frequent stretches and foot exercises may help the patient to find mild relief. Some of the benefits can include loosening tendons and muscles that have become tight, which can be helpful in achieving pain relief. An effective stretch for the plantar fascia includes sitting on a chair after placing a towel on the floor in front of you. This is followed by picking up the towel with your toes, until a stretch on the bottom of the foot is felt. Many patients like to perform a similar stretch by rolling the sole of their foot on a tennis ball. If you are experiencing any type of foot pain, it is strongly suggested that you are under the care of a podiatrist who can effectively treat foot ailments.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

A sudden injury that involves severe twisting of the foot may result in a broken ankle. This is generally noticed immediately by the severe swelling that often accompanies a broken ankle. Treatment includes wearing a cast or boot for several weeks as the healing process occurs. Many patients find the affected foot has lost mobility, and looks smaller compared to the other foot. There are exercises that can be performed that can help to accelerate ankle strength. These can include performing ankle stretches that help circulation and improve the many functions of the ankle. If you have broken your ankle, please confer with a podiatrist as quickly as possible who can suggest effective post treatment techniques.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

While it is true that standing for prolonged periods of time can burn more calories than sitting, there are also many foot and lower limb problems associated with prolonged standing. These can include blood pooling in the legs, leading to swelling and poor circulation, and foot and leg pain. Standing all day can also aggravate pre-existing foot conditions, such as bunions, corns, and calluses. If you must stand for long periods of time as part of your job, it is suggested that you sit down during breaks, gently stretch and massage the legs and feet, and apply ice to painful areas if pain becomes excessive. For more information about working on your feet, please consult with a podiatrist. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.