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If you have pain that is located on the inside of the ankle and foot, you may be experiencing an uncomfortable foot condition that is known as tarsal tunnel syndrome. This condition occurs when the nerves in this area of the foot become damaged and will typically cause severe inflammation. It may develop as a result of walking, running or standing for extended periods of time, or possibly from a serious injury that the foot endures. There may be effective treatment options that may provide partial relief, including performing gentle stretching exercises, resting and elevating the foot, or minimizing any foot pressure that is present. This may often include wearing shoes that are fit looser, which may aid in reducing any tightness around the foot. It is strongly suggested to speak with a podiatrist if you are experiencing this type of foot pain who can aid in properly treating this painful foot condition.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Jeffrey Bruening of Bruening Foot & Ankle. 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 offices located in Covina and Alta Loma, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome

The largest tendon in the body is referred to as the Achilles tendon. The purpose of this particular tendon is to connect the heel to the toes, and if this should endure an injury and become torn or inflamed, severe pain and discomfort may be an unfortunate repercussion. There are different types of pain that is associated with the Achilles tendon, which may include Achilles tendonitis and Achilles tendinosis. The latter condition consists of chronic pain that may originate from improper treatment of Achilles tendonitis. This original ailment may occur in people who participate in running and jumping activities, and severe pain and burning may often accompany this type of tendonitis. There may be additional reasons why this tendon may become inflamed, including running in cold weather or having flat feet, or if one leg is significantly shorter than the other. If you are experiencing pain that involves the Achilles tendon, it’s suggested to speak to a podiatrist, so a proper diagnosis can be obtained, and treatment can begin.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Jeffrey Bruening of Bruening Foot & Ankle. Our doctor 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 our offices located in Covina and Alta Loma, CA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries
Monday, 12 November 2018 00:00

Foot Conditions Resulting from Aging Feet

Research has shown that the feet of elderly people may develop foot conditions as the aging process occurs. This may be a result of a loss of cushioning that is found in the feet, in addition to changes in the toenails and skin. It’s important to wear shoes that are comfortable and fit properly, which may include eliminating high heels or shoes that have inadequate room for the toes to move about in. Circulation may improve when gentle foot stretches are performed throughout the day, in addition to wearing socks that are not too tight. There are several common ailments that may be prevalent to aging feet, including Athlete’s foot, cracked heels, and the formation of corns and calluses. Many seniors may become afflicted with the uncomfortable condition known as ingrown toenails, which may be a result of the toenails being cut improperly. Please consult with a podiatrist about effective techniques to properly care for elderly feet.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Jeffrey Bruening from Bruening Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet, and can hide many life threating medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

Read more about Elderly Foot Care
Monday, 05 November 2018 00:00

Stretches That May Benefit Plantar Fasciitis

Many people experience an uncomfortable foot condition that is referred to as plantar fasciitis. Research has shown there may be effective stretches that can be performed, which may help in relieving a portion of the pain and discomfort that is associated with this ailment. Several patients may notice that the pain in the morning may be worse than the remainder of the day. This may be a result of the plantar fascia not being stretched during the night, and this band of tissue across the bottom of the foot may typically become stiff upon arising. There are several stretches that are effective in helping the pain associated with this condition. These may include sitting on the floor with your legs stretched out in front of you, and your toes pointed upward. When a towel is wrapped around your feet and pulled towards you, a mild stretch across the sole of the feet may be felt. Additionally, it may be beneficial to stretch the Achilles tendon and this may help in strengthening the plantar fascia. This can be accomplished by standing with your hands straight on the wall in front of you, while placing one foot in front of the other and leaning in slowly toward the wall. It’s important to hold this position for thirty seconds, followed by repeating on the other side. If you would like additional information on how to perform proper foot stretches, please consult with a podiatrist.

Why Stretching is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Jeffrey Bruening from Bruening Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

If you have any questions, please feel free to contact our offices located in Covina and Alta Loma, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Stretch Your Feet
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