April 2024

Tarsal tunnel syndrome, which involves the compression of the posterior tibial nerve as it passes through the tarsal tunnel on the inner side of the ankle, can be tricky to diagnose. Diagnosis typically begins with a physical examination where a podiatrist, or foot doctor, evaluates the foot for signs of nerve compression. The podiatrist may use specific tests that could provoke symptoms. To confirm the diagnosis and eliminate other potential conditions, magnetic resonance Imaging, or an MRI scan is commonly used. An MRI can provide clear images of the soft tissues surrounding the ankle, helping to identify any abnormalities like tumors, varicose veins, or structural deformities compressing the nerve. The treatment strategy may vary depending on MRI findings. For example, if the MRI reveals a structural anomaly compressing the nerve, surgical intervention may be required to alleviate the pressure. However, if inflammation is mild and no significant anatomical issues are detected, more conservative treatments like corticosteroid injections or custom orthotics might be effective. For proper diagnosis of tarsal tunnel syndrome and the most effective treatment plan, it is suggested that you consult a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Jeffrey Parrett, DPM of Parrett Podiatry. 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 feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle sprains occur when the ligaments surrounding the ankle joint are stretched or torn, typically due to sudden twisting or rolling of the foot. Different grades of ankle sprains vary depending on how much ligaments were damaged. Grade 1 sprains involve slight stretching of the ligaments with mild tenderness and swelling. Grade 2 sprains involve partial tearing of the ligaments, leading to moderate pain, swelling, and difficulty bearing weight on the affected ankle. Grade 3 sprains are the most severe, involving complete tearing or rupture of the ligaments, resulting in severe pain, swelling, instability, and sometimes a popping sound at the time of injury. Proper diagnosis and treatment by a podiatrist are important for managing ankle sprains effectively and preventing long-term complications like recurrent injuries. If you suspect an ankle sprain, it is suggested that you make an appointment with a podiatrist today. 

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

Pain in the ball of the foot can occur for a variety of reasons. Two common causes are stress fractures from excessive exercise or Morton's neuroma, which is thickened tissue around nerves where the toes and metatarsal bones meet. This results in burning pain that is increased by physical activity or from wearing ill-fitting shoes. Other causes of pain in the ball of the foot, often termed metatarsalgia, are bunions. These bony growths at the base of the big toe can alter weight distribution, forcing more pressure onto the ball of the foot. Symptoms typically include a dull ache, sometimes accompanied by burning, tingling sensations, or numbness in the toes that worsens with standing or walking. While supportive footwear and custom orthotics can help redistribute pressure, in severe cases steroid injections or surgery may be necessary for long-term relief. A podiatrist can conduct a thorough exam of the affected foot to form a diagnosis. This will then allow for a personalized treatment plan to address the underlying cause, ensuring effective pain management and restoring mobility. If you are suffering from pain in the ball of the foot, it is suggested that you schedule an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Choosing the right shoes is important for people with arthritic feet. Wearing proper footwear can significantly alleviate pain and improve mobility, while the wrong shoes can worsen symptoms of arthritis. Shoes with a wide toe box, cushioned soles, and adequate arch support can help distribute weight evenly, reduce pressure on sensitive areas, and support the foot's natural shape. Additionally, shoes with adjustable closures, such as Velcro straps or laces, can accommodate changes in foot size due to swelling. Podiatrists play a key role in this selection process by evaluating your specific foot structure, identifying areas of concern, and recommending footwear that addresses your unique needs. Podiatrists may also suggest custom orthotics, which are personalized insoles that fit inside your shoe. If you suffer from arthritic feet, it is suggested that you consult a podiatrist when choosing shoes for maximum support and comfort. 

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Joint replacement for ankle arthritis is a surgical option for those suffering from severe arthritis in their ankle. The point of the replacement surgery is to relieve pain and restore the function of the ankle. Arthritis is characterized by the breakdown of cartilage that cushions the ends of the bones, leading to pain, stiffness, and reduced mobility. During ankle joint replacement surgery, also known as ankle arthroplasty, the damaged parts of the ankle bones are removed and replaced with artificial components. These components mimic the natural movement of the ankle, offering patients the chance to regain mobility. This procedure is considered when less invasive treatments have failed to provide relief. It is also considered mostly for older, less active patients. Joint replacement can significantly reduce pain and improve the ankle's function, making it a valuable treatment option for those with advanced ankle arthritis. If you are suffering from arthritis in the ankle, it is suggested that you schedule an appointment with a podiatrist to discuss whether ankle replacement surgery is right for you. 

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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