Tarsal tunnel syndrome is a condition that causes pain on the inside of the ankle, extending to the foot and sometimes the toes, caused by compression of the posterior tibial nerve. This nerve travels through the tarsal tunnel, a narrow space inside the ankle that also contains blood vessels and tendons. When the tissues surrounding the tarsal tunnel become inflamed, they can press on the nerve, causing burning, tingling, and pain, especially during walking or when wearing certain shoes. Factors that can contribute to this condition can include foot injuries, swelling from other medical issues, or improper foot posture. A podiatrist can diagnose tarsal tunnel syndrome through a physical examination, sometimes using nerve conduction studies or imaging tests to determine the extent of the compression. Treatment options include corticosteroid injections, custom orthotic devices, and, in some cases, surgery to relieve the pressure on the nerve. If you have pain on the inside of the ankle, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Patricia Mcilrath, DPM from Health One 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 tendonitis
• 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 our offices located in Reading and Rittenhouse, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Poor foot circulation, often linked to peripheral vascular disease, or PVD, can cause significant discomfort and health issues. Symptoms can include numbness, tingling, and cold feet, in addition to noticeable changes in skin color or wounds that heal slowly. Common causes of poor circulation include diabetes, smoking, and prolonged sitting or standing. To alleviate symptoms, adopting lifestyle changes is vital. Regular exercise, such as walking or cycling, helps improve blood flow. Elevating the feet and avoiding wearing tight footwear can also enhance circulation. Additionally, quitting smoking and managing underlying conditions like diabetes contribute to better vascular health. If you have any of the above symptoms, it is strongly suggested that you promptly visit a podiatrist who can accurately diagnose and treat poor circulation.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Patricia Mcilrath, DPM of Health One Podiatry. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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

A foot orthosis, with the plural being orthoses, is a medical device inserted into shoes to correct foot problems by redistributing pressure and providing support. These devices function by adhering to tissue stress principles, which aim to reduce stress and strain on tissues within the foot, alleviating pain and promoting healing. Orthoses are used for various foot conditions, such as plantar fasciitis, Achilles tendinopathy, and midfoot osteoarthritis. Foot orthoses work by aligning the foot and ankle into a more biomechanically efficient position, thus reducing abnormal motion and pressure on specific areas. They can be either prefabricated or custom-made. Prefabricated orthoses are mass-produced and available off the shelf, offering a general fit and support. Custom-made orthoses, however, are specifically designed to match an individual's unique foot structure and condition, providing a higher level of precision and effectiveness. Proper prescription and fitting of orthoses are imperative for achieving the desired therapeutic outcomes. If you have foot pain that persists, it is suggested that you consult a podiatrist for an accurate diagnosis and to see if orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact Patricia Mcilrath, DPM from Health One Podiatry. 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 our offices located in Reading and Rittenhouse, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A sprained foot can vary in severity, with common signs including pain, swelling, and bruising surrounding the affected area. Mild sprains involve stretching or slight tearing of ligaments, causing minimal swelling and discomfort. Moderate sprains result in more significant pain, swelling, and difficulty in bearing weight. Severe sprains, characterized by complete ligament tears, often cause intense pain, extensive swelling, and instability in the foot. Relief methods for sprained feet typically involve resting the foot, compression with a bandage to support the injured area, and elevating the foot above heart level to minimize swelling. Pain relievers can help to manage pain and inflammation. Severe sprains may require medical evaluation and possibly immobilization with a brace or cast, in addition to performing specific stretches to regain strength and range of motion in the foot. If you have sprained your foot, it is suggested that you contact a podiatrist who can offer you effective relief and treatment methods.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Patricia Mcilrath, DPM from Health One Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

Plantar fibromatosis and Ledderhose disease are related conditions characterized by the development of benign nodules or lumps in the connective tissue of the feet, affecting the plantar fascia and foot arch. These nodules, composed of fibrous tissue, can cause pain and discomfort, particularly while standing or walking. Plantar fibromatosis typically affects the middle of the foot's underside, while Ledderhose disease occurs on the underside of the foot arch. These conditions often cause a feeling of pressure or a sensation akin to walking on pebbles. While symptoms can vary, they generally worsen with weight-bearing activities due to the increased pressure on the affected areas. Relief options include orthotic devices, steroid injections, and in severe cases, surgical removal of the nodules to alleviate pain and restore foot function. If you have nodules or lumps on the bottom of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat these conditions.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Patricia Mcilrath, DPM of Health One Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our offices located in Reading and Rittenhouse, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.