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Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve becomes compressed as it passes through the tarsal tunnel near the inner ankle. This nerve compression can cause pain that radiates along the arch, heel, or toes. Common symptoms include burning sensations, tingling, numbness, sharp pain, or aching that worsens with walking or prolonged standing. Causes may include flat feet, swelling, injury, cysts, varicose veins, or inflammation that increases pressure within the tarsal tunnel. A podiatrist can perform a thorough evaluation to identify the source of nerve irritation and confirm the diagnosis. Treatment may include wearing supportive footwear, custom orthotics, activity modification, and targeted therapies to relieve pressure on the nerve. Early care helps reduce discomfort and prevent long-term nerve damage. If you have pain near the inner ankle, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Richard DiMario of Maine. 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 York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Joint pain in the feet can arise because each foot contains 33 joints that absorb force with every step, from the ankle to the small joints in the toes. Stress from injury, structural changes, or repeated loading can irritate joint surfaces and surrounding tissue. Inflammation plays a role when arthritis develops, while noninflammatory causes include joint strain, alignment problems, or pressure from shoes that lack adequate support or frequent use of flip-flops. Cartilage thinning can allow bones to rub, leading to stiffness and reduced motion. Pain can also stem from bunions or capsulitis in the ball of the foot. A podiatrist can assess movement, identify the source of pain, and discuss surgery when needed. If you have foot joint pain, it is suggested that you make an appointment with a podiatrist for a diagnosis and options for treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Richard DiMario from Maine. 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)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

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 York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot stress fractures are small cracks in the bones of the foot that develop from repetitive force and overuse rather than a single injury. They often occur when the foot is subjected to repeated impact without enough time to recover. Common risk factors include a sudden increase in activity, lack of variety in exercise routines, and challenges with weight management that place extra stress on the bones. Wearing poor footwear and inadequate conditioning may also contribute to these injuries. Early symptoms often include localized pain, swelling, and discomfort that worsens with activity. A podiatrist can diagnose stress fractures through examination and imaging, guide proper rest, recommend supportive footwear or immobilization, and create a safe return to activity. If you have consistent foot pain, it is suggested that you consult a podiatrist who can accurately diagnose what is going on, and offer appropriate treatment solutions.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A fungal infection in the toenails begins when tiny organisms settle under the nail and gradually alter its appearance. The nail may become thicker, take on a yellow or cloudy tone, or lose its smooth surface over time. Some people notice that shoes feel tighter, while others see the nail becoming crumbly or uneven as the infection progresses. Because the fungus lives beneath the hard nail plate, it often continues to grow unless properly treated. A podiatrist can examine the nail, confirm the cause, and create a plan that targets the infection at its source. Care may involve medicated applications, oral therapy, precise nail care, or advanced in-office treatments designed to limit fungal growth and improve the look and comfort of the nail. If your toenails are changing in ways that concern you, it is suggested that you see a podiatrist for effective treatment solutions.

For more information about treatment, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.