Tarsal tunnel syndrome is a condition where the tibial nerve, located near the ankle, becomes compressed as it passes through the tarsal tunnel, a narrow space inside the ankle. This can cause pain, tingling, and numbness in the foot and ankle, often radiating into the toes. Symptoms may worsen with prolonged standing, walking, or physical activity. A podiatrist diagnoses tarsal tunnel syndrome through a physical examination, reviewing the patient’s symptoms, and conducting tests, such as nerve conduction studies or imaging, to identify nerve compression. Treatment usually begins with conservative methods like rest and targeted stretching exercises to alleviate pressure on the tibial nerve. In some cases, corticosteroid injections may be used to reduce inflammation and in severe cases surgery may be needed to release the compressed nerve. If you have symptoms as described, it is suggested that you schedule an appointment with a podiatrist who can offer relief that will restore function to the affected foot.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Howard Horowitz of Bowie 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 contact our office located in Bowie, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The Winograd Procedure is a common surgical treatment for chronic or recurring ingrown toenails that do not respond to conservative care. During this procedure, the podiatrist removes a small portion of the affected nail and surrounding tissue to prevent the nail from growing into the skin again. The goal is to eliminate pain, infection, and inflammation while preserving the natural shape of the toe. Most patients experience quick relief and can return to normal activities within a short time. However, as with any surgery, there are potential risks. These may include infection, delayed healing, minor bleeding, or temporary tenderness around the treated area. In rare cases, nail regrowth or persistent discomfort may occur. Following proper post-procedure instructions and keeping the site clean greatly reduces these risks. For safe, lasting relief from ingrown toenails, it is suggested that you consult a podiatrist experienced in this procedure.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Howard Horowitz of Bowie Foot & Ankle . Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

External fixation of an ankle fracture is a surgical treatment that uses a frame outside the leg connected to pins or wires that are placed into the bone. This method stabilizes the fracture and allows proper healing, especially when swelling or severe trauma prevents immediate internal fixation. Ankle fractures can result from falls, sports injuries, or accidents, leading to pain, swelling, and instability. During surgery, the podiatric surgeon places pins into the bone above and below the fracture, attaching them to an external frame to keep the bones aligned. A podiatrist helps guide recovery, monitor healing, and manage long-term function. If you have sustained an ankle injury, it is suggested that you contact a podiatrist who can provide you with effective treatment solutions, which may include this type of surgery. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Howard Horowitz of Bowie Foot & Ankle . Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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