Tarsal tunnel syndrome, also known as tibial nerve dysfunction, is a condition where the tibial nerve is compressed or irritated as it passes through the tarsal tunnel, the narrow passageway on the inside of the ankle beneath the ankle bones. This compression can result from various causes, such as injury, swelling from ankle sprains, arthritis, or structural abnormalities like flat feet. Symptoms of tarsal tunnel syndrome include tingling, burning pain, or numbness of the inner ankle and sole of the foot. Some individuals may experience a shooting pain that radiates up the leg or into the toes. Symptoms tend to worsen with prolonged standing or walking. Proper diagnosis involves a thorough medical history, physical examination, and sometimes imaging tests like MRI scans to evaluate nerve compression. Relief options include rest, anti-inflammatory medications, orthotic devices, and in severe cases, surgical decompression to relieve pressure on the nerve. If you have developed ankle pain, it is suggested that you consult a podiatrist who can provide a proper diagnosis and offer treatment options that are right for you.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. 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 our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Corns, those pesky patches of thickened skin, can turn a simple walk into agony. Identifying them is key. Look for hardened areas on toes or feet, often with a cone-like shape pointing inward. They are caused by friction and pressure, typically from wearing ill-fitting shoes or repetitive actions. Treating corns involves gentle methods like soaking the feet in warm water, using a pumice stone to smooth the area, and moisturizing to prevent recurrence. Avoid over-the-counter corn removal products, as they can damage healthy skin. For persistent corns, or if you are unsure about treatment, it is wise to seek advice from a podiatrist. They can provide professional care, assess your foot health, and recommend appropriate courses of action. Do not let corns slow you down. It is suggested that you schedule an appointment with a podiatrist for personalized guidance and relief. 

If you have any concerns regarding your feet and ankles, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. 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 our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Selecting the right running shoes is important for both performance and injury prevention. Good running shoes should provide adequate support, cushioning, stability, and proper fit. Look for shoes that match your foot type, whether you have flat feet, high arches, or neutral arches. Additionally, consider the terrain you will be running on and choose shoes with appropriate traction and durability. When buying running shoes, try them on in the afternoon when your feet are slightly swollen, ensuring a proper fit. Leave about a thumb's width between your longest toe and the end of the shoe. Transition gradually from old to new shoes to allow your feet to adjust to the differences in support and cushioning. If you are looking for well-fitting running shoes, it is suggested that you visit a podiatrist for personalized guidance on selecting shoes and to address any specific foot concerns. This foot doctor can assess your gait, foot structure, and biomechanics to recommend the most suitable shoes for your needs, helping you enjoy a safe and comfortable running experience.

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Wearing the wrong shoes can cause heel pain due to poor arch support, insufficient cushioning, or an improper fit. High heels or shoes with a rigid sole can strain the plantar fascia, the ligament connecting the heel to the toes, leading to discomfort. Shoes that are too tight or too loose can also cause friction and pressure points, resulting in heel pain. To prevent this, choose shoes with proper arch support and ample cushioning to absorb impact. Ensuring a correct fit is vital, as shoes should have enough room for your toes and provide a secure fit at the heel. Opt for shoes with a slightly raised heel and a flexible sole to support natural foot movement. These measures can alleviate heel pain and promote overall foot health. If you have heel pain that could be a result of wearing shoes that do not fit right, it is suggested that you consult a podiatrist who can offer you treatment solutions, and guide you toward wearing the right shoes.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Swollen feet and ankles can result from various causes. Prolonged standing or sitting, particularly during travel, can lead to fluid accumulation in the lower extremities. Injuries such as sprains or strains often cause localized swelling as part of the body's natural response to trauma. Medical conditions like heart disease, kidney problems, and liver disorders can also lead to swelling due to fluid retention. Additionally, pregnancy frequently causes swollen feet and ankles from increased pressure on the veins. Certain medications, including those for high blood pressure or diabetes, may have swelling as a side effect. Lifestyle changes like regular exercise, elevating the legs, and wearing compression socks may help to manage and reduce swelling. Swollen feet and ankles also may indicate an underlying health condition. If you have swollen feet and ankles that are causing discomfort, it is suggested that you schedule an appointment with a podiatrist who can uncover the reason and offer you relief remedies.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Ankle pain while cycling is often due to poor form, overtraining, or using a bike that is the wrong size. Improper cycling form, such as incorrect foot positioning on the pedals, can strain the ankle joints and muscles. Starting with intense or prolonged rides too quickly without allowing your body to adapt can also lead to overuse injuries, including ankle pain. Additionally, riding a bike that does not fit your body properly can force your ankles into awkward positions, causing discomfort and potential injury. To prevent ankle pain, focus on maintaining correct form by keeping your feet properly aligned on the pedals. Gradually increase the intensity and duration of your rides to build strength and endurance. Additionally, ensuring your bike is properly fitted to your body can also help maintain proper alignment and reduce the risk of ankle pain. If your ankle begins to hurt during or after a bike ride, it is suggested that you consult a podiatrist who can properly treat it, and guide you on additional ankle injury prevention techniques.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Rheumatoid arthritis, or RA, can wreak havoc on the feet, causing a myriad of symptoms and affecting various joints. One of the most telling signs of RA in the feet is the presence of pain, swelling, and stiffness, particularly in the morning or after periods of rest. RA commonly targets the joints in the feet, including the metatarsophalangeal, or MTP joints, the interphalangeal, or IP joints, the subtalar joint, and the ankle joint. Inflammation in these joints can lead to deformities like bunions, hammertoes, and ankle instability. Additionally, RA can cause joint erosion and destruction over time, resulting in significant disability and loss of function. Early diagnosis and intervention is essential in managing RA in the feet, as prompt treatment can help alleviate symptoms and preserve joint function. If you have foot pain, it is suggested that you consult a podiatrist who can diagnose RA and help you to manage this condition.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pressure injuries and diabetic foot wounds are two distinct yet potentially serious conditions that affect the feet, often requiring specialized medical attention from a podiatrist. Pressure injuries, commonly known as bed sores or ulcers, develop due to prolonged pressure on specific areas of the body, typically seen in individuals who are immobile or bedridden. They often occur on bony prominences, such as the heels, ankles, or toes, and lead to tissue damage and open wounds. Diabetic foot wounds are a consequence of diabetes-related complications, including peripheral neuropathy and impaired circulation. These wounds typically appear as ulcers, blisters, or cuts and are slow to heal due to poor blood flow and reduced sensation in the feet. Diagnosing these conditions involves careful examination, often including assessment of wound size, depth, and surrounding tissue condition. Prompt intervention is imperative to prevent complications like infection or tissue necrosis. If you have a foot wound or ulcer, it is strongly suggested that you seek immediate evaluation and treatment from a podiatrist to prevent further complications and promote healing.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Children's foot health is imperative as they grow, with different stages requiring specific care and attention. Babies have soft and pliable feet that gradually develop bone structure and muscle strength. During the toddler years, as children begin to walk, their feet undergo significant changes, necessitating support and wearing well-fitted shoes to aid proper development. Choosing the right shoes is vital. They should be flexible, have a wide toe box, and provide adequate arch support without being too tight. Common foot problems in children include flat feet, in-toeing, out-toeing, and excessive pronation, which can affect gait and posture. Early detection and intervention are key to preventing long-term issues. Regular foot inspections, proper hygiene, and encouraging barefoot play when safe can promote healthy foot development. If any abnormalities or persistent issues arise, visit a podiatrist for a thorough assessment and appropriate guidance on maintaining optimal foot health as children grow.

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 Graff Foot, Ankle and Wound Care. 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 our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.