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TARSEL TUNNEL SYNDROME

Tarsal tunnel syndrome is a pinching of the tibial nerve, which runs down the back of the leg to the inner ankle. In this area of the ankle, a complex mix of nerves, muscles, and ligaments meet; this makes the tibial nerve prone to entrapment, or pinching.
Symptoms of tarsal tunnel syndrome include foot pain and weakness as well as numbness and tingling in the sole or arch of the foot.

A nerve might get pinched as a result of:

      • An injury to the ankle.
      • Rolling the foot inward when walking or running (Pronation).
      • A tissue mass or cyst.
      • An area of inflammation in or around a tendon (tenosynovitis).
      • At first, treatment may include rest, anti-inflammatory medicine, and supportive footwear, such as arch supports, custom orthotics, and support shoes. If this early treatment does not help relieve symptoms, surgery may be needed.

No single treatment works best for everyone with plantar fasciitis. But there are many types of treatment your doctor can try to help your foot get better. Contact your orthopaedic doctor in GLOBAL ORTHO & TRAUMA HOSPITAL, Coimbatore, India. For appointment call (0) 9600 24 24 24,     0091 (0)422 223 06 06.

Problem: Pump Bump

Whether they’re sky-high or mid-heel, this style is notorious for causing a painful knot on the back of the heel. The rigid material presses on a bony deformity some women have called a “pump bump.”  The pressure leads to blisters, swelling, bursitis, even pain in the Achilles tendon.  Ice, orthotics, and heel pads may provide pain relief …along with better shoes. The bony protrusion is permanent.

Problem: Unnatural Foot Position

Ultra-high heels force the feet into a position that puts stress on the ball of the foot.  At this critical joint, the long metatarsal bones meet the pea-shaped sesamoid bones, and the toe bones (phalanges). Too much pressure can inflame these bones or the nerves that surround them. Chronic stress to the foot bones can even lead to hairline fractures.

Problem: Ankle Sprains

All high heels boost the risk of an ankle sprain. The most common problem is a lateral sprain, which happens when you roll onto the outside of your foot. This stretches the ankle ligaments beyond their normal length. A severe sprain may tear the ligaments. A sprained ankle should be immobilized and may need physical therapy to heal properly. The risk of developing osteoarthritis rises with a severe sprain or fracture of the ankle.

Culprit: Stilettos

Although all high heels can cause problems, the ultra narrow heels of stilettos are particularly risky. “The weight is pinpointed on one area,” Brenner tells WebMD. “That makes you wobble like you’re walking on stilts.” The result is that you’re more likely to trip and sprain your ankle.

Problem: Bunions

A bunion is a painful lump at the base of the big toe, which may cause the toe to bend unnaturally. It forms when the tissue or bone at the base joint gets displaced. This may happen after years of abnormal pressure and movement. Pointy-toed shoes are a common factor, which explains the prevalence of bunions among women.

Culprit: Wrong Size Shoes

Nine out of 10 women are wearing shoes that are too small. The consequences aren’t pretty – calluses, blisters, bunions, corns, and other problems. The constant rubbing can irritate the joints in the foot and lead to arthritis. Research suggests many kids are also wearing the wrong shoe size, which puts them at risk for foot deformities as they grow.

Bunion

A bony bump at the base of the big toe, a bunion causes that toe to deviate toward the others. Throwing foot bones out of alignment and producing the characteristic bump at the joint’s base, a bunion can be very painful due to pressure or arthritis, and may also lead to corns. Pain relievers, pads to cushion the bunion, custom shoe inserts, or surgery may help, as will wearing roomy shoes and avoiding high heels.

Athlete’s Foot

A fungal infection that can cause peeling, redness, itching, burning, and sometimes blisters and sores, athlete’s foot is mildly contagious, passed by direct contact or by walking barefoot in areas such as locker rooms, or near pools. The fungi then grow in shoes, especially tight ones without air circulation. Athlete’s foot is usually treated with topical antifungal lotions or oral medications for more severe cases.

Hammertoe

When toe muscles get out of balance, they can cause painful toe problems. While some people are prone to hammertoe, other risks include tight footwear. Hammertoe generally causes the middle joint of the toe to bend downward, with toes appearing raised near the foot. Well–fitted footwear with the correct amount of space in the toe box, shoe supports, and surgery may offer relief.

Ingrown Toenail

A toenail that has grown into the skin, an ingrown toenail can result in pain, redness, swelling, even infection. Cutting nails too short or not straight across, injury to the toenail, and wearing tight shoes are culprits. For mild cases, soak the foot in warm water, keep it clean, and wedge a small piece of cotton under the corner of the ingrown nail to lift it off the skin. Minor surgery can remove all or part of the nail.

Flatfoot (Pes Planus)

Flatfoot is characterized by the sole of the foot coming into complete or near–complete contact with the ground. It may be inherited, caused by an injury, or by a condition, such as rheumatoid arthritis. Flatfoot symptoms are rare, though weight gain, ill–fitting shoes, or excessive standing may cause pain. Treatment includes foot–strengthening exercises, and shoes with good arch support or orthotics.

Swollen Feet

This is usually a temporary nuisance caused by standing too long  or a long flight — especially if you are pregnant. In contrast, feet that stay swollen can be a sign of a serious medical condition. The cause may be poor circulation, a problem with the lymphatic system, or a blood clot. A kidney disorder or underactive thyroid can also cause swelling. If you have persistent swelling of your feet, see a physician.

Burning Feet

A burning sensation in the feet is common among diabetics with peripheral nerve damage. It can also be caused by a vitamin B deficiency, athlete’s foot, chronic kidney disease, poor circulation in the legs and feet (peripheral arterial disease), or hypothyroidism.

Pain in the Big Toe

Gout is a notorious cause of sudden pain in the big toe joint, along with redness and swelling (seen here). Osteoarthritis is another culprit that causes pain and swelling. If the joint is rigid, it may be hallux rigidus, a complication of arthritis where a bone spur develops. Finally, turf toe is an ailment of athletes, particularly those who play on hard surfaces. It’s caused by an injury to ligaments surrounding the joint.

Pain in the Smaller Toes

If you feel like you’re walking on a marble, or if pain burns in the ball of your foot and radiates to the toes, you may have Morton’s neuroma, a thickening of tissue around a nerve, usually between the third and fourth toes. It is eight to 10 times more common in women than in men. It is caused by injury or too much pressure on the toes.

Claw Toe

This foot deformity can be caused by shoes that are tight and pinch your toes or by a disease that damages nerves, such as diabetes, alcoholism, or other neurological disorder. Your toes will be bent upward as they extend from the ball of the foot, then downward from the middle joint, resembling a claw. They may respond to stretching and exercises of the toes or you may need special shoes or even surgery.

Foot Spasms

A sudden, sharp pain in the foot is the hallmark of a muscle spasm or cramp, which can last many minutes. Overwork and muscle fatigue are common causes. Other causes include poor circulation, dehydration, or imbalances in potassium, magnesium, calcium, or vitamin D levels in the body. The changing hormone levels of pregnancy or thyroid disorders may play a role. If spasms are frequent or severe, see a doctor. Strengthening exercises can help with muscle fatigue.

White Nails

Injury to the nail or illness anywhere in the body can cause white areas in the nails. If part or all of a nail separates from the nail bed (shown here), it can appear white – and may be due to an injury, nail infection, or psoriasis. If the nail is intact and most of it is white, it can sometimes be a sign of a more serious condition including liver disease, congestive heart failure, or diabetes. Talk with your health care team about any concerns.

Ringworm

This itchy, scaly patch of skin is not caused by a worm at all. The culprit is a fungus (tinea). Ringworm is contagious, easily spreading through skin-to-skin contact and shared clothing or equipment — even through pets. Most cases are easy to treat with antifungal creams. On the bright side: you can tell your teammates, “there’s a fungus among us.”

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