Tarsal tunnel syndrome is a nerve compression condition that affects the posterior tibial nerve as it travels through a narrow space on the inside of the ankle. This tunnel is formed by bone and soft tissue, and when pressure builds within this area, the nerve becomes irritated. This condition is often compared to carpal tunnel syndrome in the wrist, but it affects the foot and ankle. Because symptoms can resemble other foot conditions, an accurate diagnosis is essential for effective treatment and long term relief.

Common symptoms include tingling, numbness, and sharp or shooting pain along the inside of the ankle or the bottom of the foot. These sensations may worsen with prolonged standing or walking. Many patients report that symptoms feel similar to plantar fasciitis, especially when heel pain is present. Others may confuse it with diabetic neuropathy due to the presence of nerve related discomfort, such as numbness or tingling. This overlap can delay proper care if not carefully evaluated.

Several causes and risk factors contribute to the development of tarsal tunnel syndrome. These include flat feet, ankle injuries, and space occupying masses such as cysts. Individuals with biomechanical imbalances or chronic conditions that affect circulation or nerve health may also be at increased risk. Repetitive stress and prolonged weight bearing activities can further aggravate the nerve and worsen symptoms over time.

Early evaluation and proper diagnosis is vital in managing this condition effectively. A podiatrist can differentiate between similar conditions and recommend appropriate treatment options to relieve pressure on the nerve. Addressing the underlying cause can help prevent progression and improve daily function. If you have symptoms related to tarsal tunnel syndrome, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Jason Bell, DPM of Advantage Foot and Ankle Center . 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 contact our office located in Newark, DE . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Peeling skin between the toes is more than a cosmetic concern. It can be a sign that the skin has become irritated, damaged, or infected. The affected area may look white, flaky, cracked, or soft from excess moisture. Redness, itching, or an unpleasant odor are other symptoms. Several problems can lead to peeling skin, including fungal infections, trapped moisture, and eczema, which causes dry, inflamed skin. A podiatrist can examine the affected area, determine the cause, and recommend treatment that targets the problem instead of simply covering up the symptoms.

A fungal infection is one of the most frequent reasons for peeling skin between the toes. Fungus grows well in warm, damp places, making the spaces between the toes especially vulnerable. Shoes that do not allow enough air circulation can create an environment where moisture stays trapped. Wearing tight-fitting shoes can also increase rubbing and irritation. Some skin conditions produce peeling that looks similar to a fungal infection, making a professional evaluation important. A podiatrist can identify the source of the peeling through a careful examination and testing. Treatment is based on the diagnosis and focuses on restoring healthy skin while reducing discomfort and preventing the problem from returning.

Ignoring peeling skin between the toes can allow the skin to crack. This makes it easier for bacteria to enter and cause an infection. Patients with diabetes or poor circulation face a greater risk of serious complications because their damaged skin heals more slowly. A podiatrist can provide an accurate diagnosis, remove damaged skin when appropriate, and recommend treatment that protects the surrounding tissue. Regular follow-up visits also allow the healing process to be monitored and adjusted as  needed. Healthy skin between the toes supports comfort, balance, and everyday movement. If you notice peeling skin between the toes, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and appropriate treatment.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions, please feel free to contact our office located in Newark, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Peripheral neuropathy is a diabetes-related condition that affects the nerves, most often in the feet and lower legs. High blood sugar can damage nerves and interfere with the signals they send to the brain. As a result, a person may lose normal feeling in the feet or experience uncomfortable sensations. Symptoms include numbness, tingling, and burning pain. Some people notice sharp, shooting discomfort that becomes worse at night. Others develop reduced sensitivity to temperature or touch. Because nerve damage can make it difficult to feel injuries, even a small cut or blister can become a serious problem when unnoticed. Diabetic neuropathy can also affect balance and increase the risk of falls.

Several factors increase the risk of diabetic neuropathy. Poor blood sugar control is one of the most significant causes. The risk also rises with longer-lasting diabetes, smoking, and poor circulation. Nerve damage can lead to changes in the shape of the feet, and some people develop muscle weakness that affects how they walk. Others notice cramping, foot fatigue, or difficulty maintaining stability while walking. Loss of feeling in the feet is particularly concerning because it reduces awareness of injuries and pressure points. This increases the chance of skin breakdown, infection, and foot ulcers.

A podiatrist plays an important role in identifying and managing diabetic neuropathy. A podiatrist evaluates sensation, circulation, and foot structure. Regular foot exams help detect problems before they become severe. Treatment includes monitoring nerve-related changes, addressing pressure areas, and helping prevent wounds. A podiatrist can also recommend shoes that provide proper support and protection for feet affected by nerve damage. Patients with diabetic neuropathy benefit from consistent podiatric care because foot problems can develop without obvious warning signs. Prompt attention to numbness, burning, tingling, or unexplained foot pain is essential. It can help reduce the risk of serious complications and preserve mobility. If you have symptoms of diabetic neuropathy, it is suggested that you are under the care of a podiatrist who can provide effective relief and management tips. 

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our office located in Newark, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Walking is one of the most accessible and effective forms of exercise, offering a wide range of health benefits for people of all ages. Regular walking supports cardiovascular health, improves circulation, enhances joint mobility, and helps maintain a healthy body weight. It also promotes mental well-being by reducing stress and improving mood. Despite these benefits, the impact of walking on foot health depends heavily on proper support and alignment, which makes footwear a critical factor in preventing injury.

Wearing the right shoes for walking provides stability, cushioning, and arch support, all of which help distribute pressure evenly across the foot. Proper walking shoes reduce strain on the plantar fascia, tendons, and joints, allowing for a smoother and more efficient gait. In contrast, wearing the wrong shoes can lead to a range of foot conditions. Blisters are a common issue caused by friction between the foot and poorly fitting shoes. Soft tissue injuries, including tendon strain and ligament irritation, may also develop due to inadequate support or improper alignment.

Symptoms of foot problems related to poor footwear may include pain, redness, swelling, and discomfort during or after walking. Blisters may appear as fluid-filled areas on the skin, often caused by repeated rubbing. Soft tissue injuries may cause aching or sharp pain that worsens with activity. Risk factors include prolonged walking, wearing worn-out shoes, choosing footwear without proper arch support, and ignoring early signs of discomfort. These issues can gradually worsen if not addressed.

It is important to understand that walking provides significant health benefits, but wearing proper footwear is essential for protecting foot health. Selecting supportive, well-fitting shoes can prevent common injuries and improve overall comfort. If you have foot conditions from wearing the wrong shoes while walking, it is suggested you consult a podiatrist for an accurate diagnosis, appropriate treatment, and guidance on proper footwear.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

If you have any questions, please feel free to contact our office located in Newark, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.