The Tarsal Tunnel is a narrow tunnel in the ankle, next to the ankle bones, that serves as a pathway for nerves, veins, arteries and tendons. Tarsal Tunnel Syndrome occurs when the tibial nerve in this tunnel gets squeezed or compressed. Like carpal tunnel, both arise from the compression of a nerve in a confined space. Common signs of Tarsal Tunnel Syndrome can include a tingling or burning sensation, numbness, or a shooting pain. While symptoms may be felt in the heel, calf, arch or toes, they are primarily felt in the ankle and the bottom of the foot. Symptoms can come on suddenly but are typically provoked by overuse of the foot, such as standing or walking for extended periods of time. It is important to seek treatment from a podiatrist for this condition in order to determine the correct diagnosis and prevent permanent nerve damage.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. 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 our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Running can be one of the healthiest activities someone can do. However, there is always a risk of getting injured. The first step to limiting running injuries involves getting the proper footwear. Having shoes that are made for running, and making sure they fit correctly is a great initial step in preventing injury. Second, make sure to warm-up properly and listen to your body if something doesn't feel right. Next, make sure your body has time to rest and recover. Alternating between different exercise activities each day so the muscles have time to rebuild and repair can also be beneficial in injury prevention. Lastly, make sure to build strength in the legs since new runners are more susceptible to injury. If you have just taken up running, and you are looking to prevent an injury, consult with a podiatrist for advice and techniques you can follow.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.
What Are Some Causes of Running Injuries? - One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury. - Stress fractures can occur from overtraining, lack of calcium, or even your running style.
Best Ways to Prevent Running Injuries - Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury. - Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.
If you have any questions please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
One symptom that is associated with poor circulation is cold feet. This can be a result of limited blood flow, and it may be indicative of serious health issues. Additional signs of this condition can include a tingling or numbing sensation, increased blood pressure, and the feet may feel heavy. There are several reasons why poor circulation may develop. These can consist of being obese, leading a sedentary lifestyle, and having medical conditions such as diabetes. Research has indicated it is beneficial to perform low-impact exercises that can consist of yoga, swimming, and walking. Patients have found relief when compression stockings are worn which may help to increase circulation. If you have symptoms of poor circulation in your feet, it is strongly advised that you are under the care of a podiatrist who can help you to manage this condition.
While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor will treat your foot and ankle needs.
Poor Circulation in the Feet
Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.
Symptoms
Some of the most common symptoms of poor circulation are:
Numbness
Tingling
Throbbing or stinging pain in limbs
Pain
Muscle Cramps
Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.
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 office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
The ball of the foot is located between the arch of the foot and the toes, and it primarily contains metatarsal bones. While walking, weight is transferred from the heel to the ball of the foot, and an uneven weight transfer can cause pain and swelling in that area. As you get older, the fat pad at the bottom of the foot can wear away and cause shock to the ball of the foot. Pain in the ball of the foot can also be caused by high arches, obesity, arthritis, ill-fitting shoes, and wearing high heels too often. If you are looking to manage and limit this type of pain from becoming worse, please consult with a podiatrist for professional guidance.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor 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)
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 our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
Warts are an abnormal skin growth that can be painful and unsightly. Plantar warts in particular may occur on the bottom of the foot and can be up to two inches wide. Warts form when a virus enters the skin typically through a cut or scrape, causing the skin to grow rapidly, resulting in a wart. Proper hygiene is very important as warts can be contagious. Warts can be contracted from sharing personal items such as towels and razors, or from public places like pools and showers. They can also be transferred to another part of the body after touching them. Warts can be treated by practicing proper hygiene, covering the wart to prevent spreading, and avoiding contact with the wart. However, it is best to consult with a podiatrist to prevent the wart from spreading or becoming worse.
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 our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Twenty-five percent of the bones in the body are located in the feet. Two bones, known as the sesamoid bones, are found on the bottom of the big toe. They are used to point and flex the foot, and sesamoiditis can occur if they become inflamed. This can happen as a result of an injury and can cause pain and discomfort when the big toe is bent. Treatment can begin with moving the toe as little as possible. Additionally, inflammation may be reduced when anti-inflammatory medicine is taken. Runners may be prone to developing this condition, and is it advised that rehabilitation be completed before running can resume. If you have injured this part of your foot, it is suggested that you speak to a podiatrist who can treat this ailment as quickly as possible.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
Sudden increase in activity
Increase in physically strenuous movement without a proper warm up or build up
Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
When babies are born, their feet are flexible, and will gradually strengthen as they get older. During their first year, their feet will grow to approximately half of their adult foot size. As walking begins, it is beneficial to have your child walk barefoot while indoors. When the toes grasp the floor, the overall foot becomes stronger. When it is time for your child to walk outside, and the first shoes are purchased, there are important things to look for. The shoes need to be made with breathable materials, in addition to fitting properly with ample room for the toes to move freely in. Many parents observe their child’s walking patterns, as this can help to recognize potential problems. It is advised that you consult with a podiatrist who can provide useful information about your child’s feet.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in Gig Harbor, WA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The Tarsal Tunnel is a narrow tunnel in the ankle, next to the ankle bones, that serves as a pathway for nerves, veins, arteries and tendons. Tarsal Tunnel Syndrome occurs when the tibial nerve in this tunnel gets squeezed or compressed. Like carpal tunnel, both arise from the compression of a nerve in a confined space. Common signs of Tarsal Tunnel Syndrome can include a tingling or burning sensation, numbness, or a shooting pain. While symptoms may be felt in the heel, calf, arch or toes, they are primarily felt in the ankle and the bottom of the foot. Symptoms can come on suddenly but are typically provoked by overuse of the foot, such as standing or walking for extended periods of time. It is important to seek treatment from a podiatrist for this condition in order to determine the correct diagnosis and prevent permanent nerve damage. 
Running can be one of the healthiest activities someone can do. However, there is always a risk of getting injured. The first step to limiting running injuries involves getting the proper footwear. Having shoes that are made for running, and making sure they fit correctly is a great initial step in preventing injury. Second, make sure to warm-up properly and listen to your body if something doesn't feel right. Next, make sure your body has time to rest and recover. Alternating between different exercise activities each day so the muscles have time to rebuild and repair can also be beneficial in injury prevention. Lastly, make sure to build strength in the legs since new runners are more susceptible to injury. If you have just taken up running, and you are looking to prevent an injury, consult with a podiatrist for advice and techniques you can follow.
One symptom that is associated with poor circulation is cold feet. This can be a result of limited blood flow, and it may be indicative of serious health issues. Additional signs of this condition can include a tingling or numbing sensation, increased blood pressure, and the feet may feel heavy. There are several reasons why poor circulation may develop. These can consist of being obese, leading a sedentary lifestyle, and having medical conditions such as diabetes. Research has indicated it is beneficial to perform low-impact exercises that can consist of yoga, swimming, and walking. Patients have found relief when compression stockings are worn which may help to increase circulation. If you have symptoms of poor circulation in your feet, it is strongly advised that you are under the care of a podiatrist who can help you to manage this condition.
The ball of the foot is located between the arch of the foot and the toes, and it primarily contains metatarsal bones. While walking, weight is transferred from the heel to the ball of the foot, and an uneven weight transfer can cause pain and swelling in that area. As you get older, the fat pad at the bottom of the foot can wear away and cause shock to the ball of the foot. Pain in the ball of the foot can also be caused by high arches, obesity, arthritis, ill-fitting shoes, and wearing high heels too often. If you are looking to manage and limit this type of pain from becoming worse, please consult with a podiatrist for professional guidance.
Warts are an abnormal skin growth that can be painful and unsightly. Plantar warts in particular may occur on the bottom of the foot and can be up to two inches wide. Warts form when a virus enters the skin typically through a cut or scrape, causing the skin to grow rapidly, resulting in a wart. Proper hygiene is very important as warts can be contagious. Warts can be contracted from sharing personal items such as towels and razors, or from public places like pools and showers. They can also be transferred to another part of the body after touching them. Warts can be treated by practicing proper hygiene, covering the wart to prevent spreading, and avoiding contact with the wart. However, it is best to consult with a podiatrist to prevent the wart from spreading or becoming worse.
Twenty-five percent of the bones in the body are located in the feet. Two bones, known as the sesamoid bones, are found on the bottom of the big toe. They are used to point and flex the foot, and sesamoiditis can occur if they become inflamed. This can happen as a result of an injury and can cause pain and discomfort when the big toe is bent. Treatment can begin with moving the toe as little as possible. Additionally, inflammation may be reduced when anti-inflammatory medicine is taken. Runners may be prone to developing this condition, and is it advised that rehabilitation be completed before running can resume. If you have injured this part of your foot, it is suggested that you speak to a podiatrist who can treat this ailment as quickly as possible.
When babies are born, their feet are flexible, and will gradually strengthen as they get older. During their first year, their feet will grow to approximately half of their adult foot size. As walking begins, it is beneficial to have your child walk barefoot while indoors. When the toes grasp the floor, the overall foot becomes stronger. When it is time for your child to walk outside, and the first shoes are purchased, there are important things to look for. The shoes need to be made with breathable materials, in addition to fitting properly with ample room for the toes to move freely in. Many parents observe their child’s walking patterns, as this can help to recognize potential problems. It is advised that you consult with a podiatrist who can provide useful information about your child’s feet.