Tarsal tunnel syndrome is a nerve condition that develops when the tibial nerve becomes compressed. This happens as it passes through a narrow space on the inside of the ankle called the tarsal tunnel. The pressure can interfere with normal nerve function and lead to ongoing foot discomfort. The condition may be associated with injuries, swelling, or changes in the structures surrounding the nerve. Some people develop symptoms gradually. Others notice discomfort after an ankle injury or increased stress on the foot. Because several foot and ankle conditions can produce similar symptoms, an accurate diagnosis is essential. Early evaluation by a podiatrist can help identify the cause of nerve compression and support timely treatment before symptoms become more severe.

Symptoms of tarsal tunnel syndrome vary, depending on the amount of pressure placed on the nerve. Many people experience burning pain, tingling, or numbness along the inside of the ankle or the bottom of the foot. Others notice sharp, shooting pain that may spread into the toes or heel. Symptoms often become more noticeable after prolonged standing or walking and may gradually interfere with daily activities. As the condition progresses, some individuals also develop weakness in the affected foot. Persistent nerve irritation should not be ignored because ongoing compression may affect normal sensation and foot function. A thorough examination is important to determine whether tarsal tunnel syndrome or another condition is responsible for the symptoms.

A podiatrist specializes in diagnosing and treating conditions that affect the feet, ankles, and surrounding nerves. During an examination, the podiatrist evaluates your symptoms, foot structure, and walking mechanics while looking for signs of nerve compression. Additional testing may be recommended to confirm the diagnosis and rule out other causes of foot pain. Treatment focuses on relieving pressure on the nerve, improving foot function, and reducing discomfort. If you are experiencing burning foot pain, tingling, or numbness that may be related to tarsal tunnel syndrome, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Scott Matthews, DPM, MD of Salem Foot Care . 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 Wikesboro, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Offloading in wound care is an important part of helping foot wounds heal. Offloading means reducing pressure on the injured area so the skin and tissue have a better chance to recover. Every step places force on the feet, especially on the bottom of the foot. When pressure continues on an open wound, healing slows and the wound can become larger or deeper. Patients with diabetes, poor circulation, or reduced feeling in their feet face an even greater risk because they may not notice the damage while walking. A podiatrist carefully examines the wound, identifies the source of pressure, and develops a treatment plan that protects the injured area while supporting healing. Offloading also helps lower the chance of repeated injury that can delay recovery.

A podiatrist selects the best offloading method based on the wound's location, the shape of the foot, and the patient's daily activities. Options include specialized walking boots, custom shoe inserts, or protective shoes that spread body weight more evenly across the foot. Some patients benefit from casts or other devices that limit pressure on the wound while walking. A podiatrist also checks for foot deformities, calluses, and areas of excess pressure. The wound is routinely measured and examined for progress. The treatment plan can be adjusted whenever healing slows or new pressure points develop.

Offloading works together with wound treatment by protecting healthy tissue and helping new tissue develop. A podiatrist also monitors circulation, watches for signs of infection, and recommends the most appropriate shoes to reduce future problems. Early treatment gives many patients the best opportunity for healing before a wound becomes more serious. Careful offloading also helps lower stress on nearby skin and reduces the chance of another wound developing in the same area. If you have foot wounds that will not heal, it is suggested that you are under the care of a podiatrist who can offer effective treatment and management solutions.

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 Scott Matthews, DPM, MD from Salem Foot Care . 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 office located in Wikesboro, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar warts are caused by the human papillomavirus, or HPV, which enters the skin through tiny cuts or abrasions. These warts develop on the bottom of the foot, often in weight-bearing areas, such as the heel or ball of the foot. Unlike warts on other parts of the body, plantar warts grow inward due to pressure from walking and standing. This inward growth can make them painful and difficult to ignore. Understanding the cause and early signs of plantar warts is essential for preventing spread and seeking timely treatment.

Symptoms of plantar warts vary depending on their size and location. Many people notice a rough, grainy lesion on the sole of the foot. Some contain small black dots that are clotted blood vessels. Pain may feel like stepping on a small stone, especially while walking or applying pressure. The skin surrounding the wart can become thickened or callus-like. Some warts remain small and isolated, while others may multiply and spread across the foot, if left untreated.

There are two primary types of plantar warts: solitary and mosaic. A solitary wart appears as a single, well-defined lesion that may grow deeper into the skin over time. It often becomes more painful as it enlarges. Mosaic warts, on the other hand, develop as clusters of smaller warts grouped together in a patch. These are usually more superficial but can cover a larger area, making them more difficult to treat. Both types are caused by the same virus but differ in appearance and growth pattern, which can influence treatment decisions.

Risk factors for plantar warts include walking barefoot in public swimming pool areas, locker rooms, and communal showers. This is because the virus thrives in warm, moist environments. Individuals with a weakened immune system are more susceptible to infection and may experience more persistent or widespread warts. Minor skin injuries also increase the risk by providing entry points for the virus. Maintaining proper foot hygiene and wearing protective footwear can reduce exposure. If you have symptoms of a plantar wart, it is strongly suggested that you consult a podiatrist for effective relief and treatment solutions.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Scott Matthews, DPM, MD from Salem Foot Care . Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

Flat feet occur when the arches of the feet are lower than normal or do not develop fully. In some people, the arches appear when they are sitting, but flatten when they stand. This is called flexible flatfoot because the arch changes position with movement. Many people with flat feet have no pain, but others develop discomfort after standing for long periods of time or while walking. Pain can affect the heel, ankle, or even the lower leg. The feet can also become tired more quickly during daily activities. Factors like inherited foot structure, injuries, and shoes that lack proper support can increase stress on the feet and contribute to symptoms.

A podiatrist can determine whether flat feet are causing your pain or whether another condition is responsible. The evaluation includes examining your feet while sitting, standing, and walking. Your podiatrist also checks how the ankles move and whether the arches change shape with movement. X-rays can show the position of the bones and help identify arthritis or other structural problems. In some cases, advanced imaging provides a closer look at the tendons and other soft tissues. A tendon is a strong band of tissue that connects muscle to bone. Finding the exact cause of pain helps your podiatrist develop the most effective treatment plan.

Treatment depends on the severity of the symptoms and the condition of the feet. A podiatrist can recommend custom orthotics to improve foot support and reduce strain on the arches. Orthotics are specially designed shoe inserts that help improve foot alignment and distribute pressure more evenly. Additional treatment includes supportive braces, or medication to reduce pain and inflammation. Some patients with severe deformity or long-lasting pain that does not respond to other treatments benefit from surgery. Early evaluation can improve comfort, protect foot function, and help prevent worsening problems. If you have symptoms of flat feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Scott Matthews, DPM, MD from Salem Foot Care . 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 office located in Wikesboro, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.