May 2022

A stress fracture is a common athletic injury. It often involves the long bones in the foot that are known as the metatarsal bones. When a stress fracture occurs, which is also referred to as a hairline fracture, it can cause pain and discomfort. It is often difficult to walk on the affected foot, and relief may come from elevating the foot. It can happen when runners increase their speed and distance too fast. Additionally, people who run for long distances at a time may experience a stress fracture. Wearing shoes that fit correctly may decrease the risk of getting this type of fracture. Some people have existing medical conditions that may increase the risk of getting a stress fracture. These can include osteoporosis, arthritis, diabetes, or a vitamin deficiency. A diagnosis is typically performed by having an X-ray taken, and then proper treatment measures are taken. If you feel you have a stress fracture, it is strongly suggested that you schedule an appointment with a podiatrist who can help you to manage this ailment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Gerald Perelman from Ohio. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

The tibial nerve is located in the ankle and runs through the tarsal tunnel. This is a passageway in the ankle that is made of bones and ligaments. Tarsal tunnel syndrome occurs when the tibial nerve becomes compressed and may happen from overusing the foot and ankle. Common symptoms include a tingling or numbing feeling on the bottom of the foot, and there may be a burning sensation. It may worsen with prolonged standing or walking and may lessen when the affected foot is elevated. Tarsal tunnel syndrome may occur from having a cyst in the foot, severe flat feet, or possibly from an ankle deformity following an injury. Non-surgical treatment includes wearing orthotics and stopping the activity that caused the syndrome. If surgery is an option, healing time takes approximately two weeks. If you have chronic pain in the sole of your foot, please consider seeing a podiatrist for a proper diagnosis and treatment options.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Gerald Perelman of Ohio. 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 Wilmington, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The arch of the foot functions in three major ways. First, it serves as a shock absorber when you walk, run, and jump. Second, it serves as a stabilizing factor for activities on all types of surfaces. Third, the arch of the foot helps to distribute your weight across the entire foot, rather than just on the heel or ball. As a runner, it is extremely important to find shoes that offer the necessary arch support. The needs differ according to whether you have flat feet, normal arches, or high arches. Many running shoes will accommodate someone with normal arches. Those with flat feet, however, may wish to look for shoes with a well-cushioned middle and a wider toe box. By contrast, high arches generally put more pressure on the ball of the foot causing it to roll outward. Shoes with extra cushioning and high insoles may help. In some cases, orthotics may be used to help counteract your specific condition. Custom orthotics can be made by a podiatrist. If your feet consistently hurt after a run you may wish to consult a podiatrist for an examination to determine whether the pain is related to arch problems, as well as recommendations on the best running shoes for you. 

If you are a runner, wearing the right running shoe is essential. For more information, contact Dr. Gerald Perelman from Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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

It may be difficult for you to know if your child is having heel pain because it is not often associated with children. However, certain conditions that cause heel pain can afflict the young, even if they do not know how to properly communicate their distress. Sever’s disease, for instance, is a form of heel pain that stems from irritation to the growth plate in the heels of growing children. Children can also develop plantar fasciitis from overuse of the heel or wearing shoes that do not fit. This condition is a painful inflammation of the plantar fascia tissue that connects to the heel to the toes. Active children can also develop tiny stress fractures of the heel bone which can occur gradually over time and be quite painful. There are certain clues your child’s condition may provide if you know what to look for. If your child limps or changes the way they walk or run, cuts back on physical activities, complains that their feet or heels feel odd or stiff, or that something is stuck in their shoe, they may have a painful heel condition. It is suggested that you make an appointment for your child with a podiatrist to have your child’s condition diagnosed and treated properly. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Gerald Perelman of Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

Runners can sometimes experience pain in their ankles after running which may be caused by any number of things including overuse. Taking a day off between long runs and increasing mileage by only 10% weekly can give your ankles time to rest and adapt. Ankle instability can also be caused by overpronating, which is when the ankle rolls inward too severely. This stride abnormality often occurs in people with flat feet. You can often compensate for this condition with custom orthotics and special shoes that correct overpronation and give the arch extra support. Another possible cause for painful ankles after a run is your stride. Additionally, excessively long strides can force a runner’s ankles to over-flex repeatedly and weaken the ankle muscles. Strengthening exercises and yoga may help increase mobility in the ankle and build up muscle strength. Contact a podiatrist today if you are experiencing any ankle pain after running. They can examine, diagnose, and treat your painful condition to keep you performing at your best while helping to avoid other injuries from occurring. 

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. Gerald Perelman from Ohio. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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