A trapped tibial nerve in the tarsal tunnel may be indicative of tarsal tunnel syndrome. This condition can cause pain and discomfort, and may lead to unpleasant sensations in the foot. Overall movement of the affected foot may weaken as well. This condition can develop as a result of a foot injury, or from genetic factors that can cause the ankle to become unstable. Common symptoms that patients may experience can include swelling, a burning or tingling sensation, and numbness in the toes. Mild relief may be found when custom made orthotics are worn, as this can help to alleviate a portion of the pain. If you are experiencing foot pain, a podiatrist can diagnose your condition and offer you effective treatment options.

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 Achilles tendon is an integral part of the foot. It is the tendon that connects the calf to the heels which allows walking, running, and jumping to occur. This tendon can easily tear as a result of tight calf muscles. Additionally, it may happen from wearing shoes that do not fit correctly or from having flat feet or high arches. Patients may find relief when the leg is gently massaged and corrective exercises are performed. Common symptoms of this condition can include severe pain in the back of the heel, and it is often difficult to point and flex the toes. It may help to elevate and rest the affected foot, in addition to apply compression that can help to reduce existing swelling. If you have injured your Achilles tendon, it is strongly suggested that you seek the advice of a podiatrist who can offer you correct treatment techniques.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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 tools and technology to treat your foot and ankle needs.

Many people have general aches and pains in their feet. When pain develops in the ball of the foot, it may be indicative of a condition that is referred to as Morton’s neuroma. This is an ailment that affects the nerves in the feet that helps to avoid falling by maintaining balance. It develops as a result of inflamed nerves which can happen for a variety of reasons. These can include wearing shoes that do not fit correctly or from medical ailments consisting of bunions, hammertoe, and flat feet. Mild relief may be found when the affected foot is massaged, and it may be beneficial to wear custom made orthotics. If you have pain in this part of your foot, it is strongly suggested that you seek the counsel of a podiatrist who can properly diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

Cracked heels affect many people worldwide. When the cracks deepen and become uncomfortable, they can be called fissures. This ailment can develop as a result of wearing shoes that have an open back. Additionally, patients can notice they have cracked heels from standing on hard surfaces for the majority of the day. Existing medical conditions that can contribute to causing this condition can include psoriasis and eczema. Mild relief may be found when the affected foot is soaked in warm water, and followed by applying a good moisturizer. Additionally, it may be beneficial to drink fresh water daily, and this may aid in reducing cracked heels from forming. If you have developed cracked heels, please speak to a podiatrist for effective prevention methods and healing techniques.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.

Children and young teenagers who frequently participate in sporting activities may be prone to developing Sever’s disease. This is a condition that affects the growth plate in the heel and can cause severe pain and discomfort. This condition may be observed by parents who notice their child is limping and has difficulty while walking. Some of the reasons this condition may develop can consist of poor foot structure and increased running or jumping. The first step in finding relief is to stop the activity that caused the pain. Additionally, it is beneficial to perform simple calf stretches and to elevate the affected leg. It is recommended that you visit a podiatrist if you notice your child has these symptoms.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

People worldwide can be affected by corns on the feet. They are defined as small, hardened portions of skin that have developed as a result of excess friction. Corns can form on the soles of the feet, or between the toes, and can cause severe pain and discomfort. Additional causes of corns can include wearing shoes and socks that do not fit correctly, and medical conditions consisting of bunions and hammertoes. Mild relief may be found when larger shoes are worn if the corn is between the toes. This may help to prevent further irritation that may happen from the toes rubbing together. The corn may soften after the affected foot is soaked in warm water, and it can help to use a pumice stone to eliminate dead skin on top of the corn. If you have corns on your feet, please consult with a podiatrist who can help you to remedy this condition.

If you have any concerns regarding your feet and ankles, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctors to determine the best treatment option for your case of corns.

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 uncomfortable foot condition that is referred to as plantar warts is caused by the human papillomavirus (HPV). It can cause damage to the top layer of the skin, and can enter the body through tiny cracks in the skin on the feet. Plantar warts develop on the sole of the foot, and grow inward as a result of the constant pressure the feet endure during walking and standing. This type of wart generally causes severe pain and discomfort, and is considered to be contagious. The fungus that causes these warts lives in warm, moist environments, which can include public swimming pools, locker rooms, and surrounding areas. Plantar warts may have small, dark spots in the center, which are actually blood vessels that feed the wart. If you have developed plantar warts, it is suggested that you speak to a podiatrist who can determine what the best course of treatment is for you.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Raynaud’s disease is a disorder that causes temporarily reduced blood flow to the hands and feet. The reduction in blood flow is due to a contraction of the smooth muscles controlling the small arteries that supply blood to the hands and feet. This contraction is also known as a vasospasm. In people with Raynaud’s disease, vasospasms may be triggered by stress or cold temperatures. These can lead to the affected areas becoming numb, cool to the touch, and white or bluish in color. When blood flow returns to normal, the affected areas may throb, tingle, or turn red. If you have symptoms of Raynaud’s disease in your feet, a podiatrist can teach you how to manage this condition.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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.