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Tarsal tunnel syndrome is a condition caused by compression of the posterior tibial nerve, which runs along the inside of the ankle through a narrow space called the tarsal tunnel. It is similar to carpal tunnel syndrome in the wrist. Causes can include injury, flat feet, swelling, or growths that put pressure on the nerve. Symptoms often involve tingling, burning, numbness, or shooting pain in the foot and ankle. Risk factors include repetitive stress, certain foot shapes, and medical conditions like arthritis or diabetes. A podiatrist can diagnose the condition, relieve nerve pressure, and recommend treatments such as orthotics, or, in severe cases, surgery. If you have persistent ankle or foot nerve pain, it is suggested that you visit 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. Larry Cohen of New York City. 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 offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toenail fungus is a common infection caused by fungi that grow in warm, moist environments and affect the nail bed. It can lead to thickened, discolored, brittle, or distorted nails and may produce an unpleasant odor. Risk factors include excessive sweating, poor foot hygiene, walking barefoot in damp areas, and a weakened immune system. Causes include fungal exposure in communal showers, gyms, or from tight footwear. A podiatrist can diagnose the condition and provide treatments such as topical or oral medications, nail debridement, or advanced therapies. If you have signs of toenail fungus, it is suggested that you consult a podiatrist who can effectively treat this condition, which may include prescribed medication. 

For more information about treatment, contact Dr. Larry Cohen of New York City. 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 offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot ulcers are not only a concern for people with diabetes. Many individuals without diabetes also develop painful sores on the feet that are slow to heal. These ulcers can be caused by poor circulation, vein problems, pressure from footwear, or unnoticed injuries. People with limited mobility, nerve damage, or skin conditions are especially at risk. Unlike diabetic foot ulcers, these wounds may be overlooked or misdiagnosed, delaying proper treatment. If left untreated, they can lead to infection and deeper tissue damage. Identifying the root cause is essential to healing. A podiatrist can evaluate the ulcer, recommend wound care, and help prevent future sores. If you notice a sore on your foot that is not healing or keeps returning, it is suggested that you schedule an appointment with a podiatrist for an evaluation and expert care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Larry Cohen from New York City. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat feet in babies and children are common and usually a normal part of early development. Symptoms include feet that appear flat when standing, uneven shoe wear, or difficulty with balance as the child begins to walk. This condition often results from undeveloped arches, flexible joints, or inherited traits. While many cases resolve naturally as the child grows, some may benefit from early evaluation. A podiatrist can assess foot structure, provide stretching exercises, and recommend proper footwear or orthotics, if needed. If you notice your baby or child is walking differently or showing signs of discomfort, it is suggested that you consult a podiatrist. Early guidance can support healthy development and prevent future foot or gait concerns.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Larry Cohen from New York City. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions, please feel free to contact our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.