July 2023

Tarsal tunnel syndrome is a foot condition that can be painful. The tibial nerve is found inside the tarsal tunnel, and an injury can cause this nerve to become compressed. It may also occur from having an abnormal foot structure, such as flat feet or a bone spur. The tibial nerve is located in the ankle and allows movement and feeling in various parts of the foot. The tarsal tunnel lies in the back of the inside of the ankle, and when this nerve is irritated in this narrow tunnel, tarsal tunnel syndrome can develop. Some of the symptoms that are associated with this foot condition can consist of a tingling or numbing sensation on the sole of the foot, and the toes may be difficult to move. Treatment generally begins with resting the foot and eliminating any activities that can cause discomfort. Some patients choose to wear orthotics, which may help reduce some of the symptoms. If the pain is severe and daily activities are difficult to accomplish, surgery may be an option to enlarge the tarsal tunnel. If you have this syndrome, it is suggested that you visit a podiatrist who can guide you toward the treatment that is best for you.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our doctors of Kitsap Foot & Ankle Clinic. 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 one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If you are a senior, then you may already be familiar with the risk of falling or tripping that many older Americans experience. Doing the best to prevent falling can be an essential part of a senior’s foot care plan, as falling can lead to foot conditions such as fractures. One area in which a senior may be extra careful to prevent falling is on parking lots and sidewalks. By keeping these areas in good repair around one’s house, a senior can potentially prevent a fall. Also, addressing the accumulation of any snow or ice around these areas is also critical to preventing falls. If you are a senior or are caring for one, it is suggested that you contact a podiatrist about falls prevention.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our doctors from Kitsap Foot & Ankle Clinic. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Clubfoot is a congenital foot disorder that occurs during the later stages of pregnancy. It is noticeable as the infant’s foot turns inward, which causes the bottom of the foot to face up or to the side. Clubfoot generally falls into one of two categories. Isolated clubfoot is considered to be the most common form of this condition, and it can occur in children where there are no other medical issues. Non-isolated clubfoot occurs along with other health problems, such as include spina bifida. It may be difficult to move the hands and legs, and the joints in the body can be affected. High incidences of clubfoot may occur if the baby is a male, or if there is a family history of clubfoot. If your child is born with this foot condition, it is strongly suggested that you confer with a podiatrist as early as possible so the correct treatment can begin.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our doctors of Kitsap Foot & Ankle Clinic. Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact one of our offices located in Bremerton and Port Orchard, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Flip-flops are certainly a popular shoe style. However, they are not a completely healthy option due to the lack of support that they provide. Many patients often wonder what they can wear besides flip-flops. The answer is that there are a variety of different summer shoes that a person might consider wearing. For example, a person might wear a supportive pair of sandals that have a strap around the back of the foot. A person also might consider wearing espadrilles instead of flip-flops. These are essentially canvas shoes. The benefit is that, unlike flip flops, the feet need not scrunch up to keep the shoe on the foot. Also, it can be important to select shoes that provide adequate support. If you are someone that is looking for an alternative to flip flops, it is suggested that you contact a podiatrist today for more information.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact one of our doctors from Kitsap Foot & Ankle Clinic. Our doctors will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

If you have any questions please feel free to contact one of our offices located in Bremerton and Port Orchard, WA .  We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.