Tarsal tunnel syndrome is caused by compression of the posterior tibial nerve as it passes through the tarsal tunnel on the inner side of the ankle. This pressure can lead to tingling, burning, numbness, or shooting pain in the foot or ankle. Causes include flat feet, injury, swelling, or underlying conditions like diabetes or arthritis. Risk factors include repetitive stress, improper footwear, and prolonged standing. A podiatrist can diagnose this condition using physical exams and imaging, then provide treatment options, such as orthotics or medication. If you notice ongoing foot pain or numbness, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Michael T. Hames of Florence Foot Center. 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 Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Wearing shoes specific to the sport you are playing can help avoid foot, toe, or ankle injuries. Sports shoes are designed to combine cushioning, flexibility, fit, and traction suited to each sport’s demands. For instance, court shoes for tennis or pickleball include rounded midsoles, and firm outward ridges along the shoe edge that improve side‑to‑side stability. Their midfoot support and herringbone-pattern outsoles help to grip hard court surfaces during pivots. In contrast, running shoes are designed for forward motion with vertical edges and soft midsoles. This shoe would increase the risk of lateral ankle sprains and Achilles tendon injuries when worn in court sports. Basketball shoes vary from low-top styles that enhance speed and ankle muscle activation, to high-top versions that offer extra protection during rebounds. Traction patterns and midfoot reinforcements under the arch help to limit twisting during quick cuts. Cleats for soccer, football, and lacrosse use strategic stud placements and carbon-fiber outsoles for grip in multidirectional movement.  Additionally, golf shoes feature spikes or hybrid soles and plates to steady the stance through swings. A podiatrist can evaluate your foot structure, sport requirements, and shoe features to recommend proper footwear. If you are experiencing foot pain after sports activity, it is suggested that you schedule an appointment with a podiatrist for advice and relief tips.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Michael T. Hames from Florence Foot Center. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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

Gout is a painful form of inflammatory arthritis caused by a buildup of uric acid crystals in the joints, most commonly the big toe. This condition can develop suddenly and is often triggered by dietary choices, genetics, or underlying health issues. Risk factors include cardiovascular disease, diabetes, diuretic use, obesity, and elevated triglyceride levels. Symptoms of gout include intense joint pain, redness, swelling, and warmth, often described as feeling like the toe is on fire. The joint may become so tender that even the weight of a bedsheet feels unbearable. A podiatrist plays a vital role in diagnosing and managing gout. Through physical examination, imaging, and lab tests, they can confirm the condition and offer relief through medication, dietary guidance, and preventive strategies to manage flare-ups and avoid joint damage. If you are dealing with this condition, it is suggested you make an appointment with a podiatrist for evaluation and treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Michael T. Hames from Florence Foot Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Foot pain may be about more than just the feet. Foot pain can also be an early warning sign of other health problems. Persistent coldness in the feet and toes may point to poor blood circulation, known as peripheral arterial disease, sometimes linked to diabetes or heart conditions. Swelling in the ankles or feet may indicate cardiovascular or kidney disorders. Burning, tingling, or numbness may suggest peripheral neuropathy, often seen in diabetic patients or people with vitamin deficiencies. Sudden pain in the big toe joint may signal gout, while white or spoon-shaped nails can be associated with systemic illnesses such as anemia or liver disease. Conditions like Raynaud's disease, marked by toes turning white and blue in response to cold, may also suggest underlying autoimmune disorders. A podiatrist can evaluate and treat these symptoms as well as help identify any broader medical concerns. If you are experiencing foot pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Michael T. Hames from Florence Foot Center. 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 Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An acute ankle sprain occurs when the foot twists or rolls in an unnatural way. The term acute means that the injury happened recently and suddenly, rather than over time. Athletes involved in sports that involve jumping, quick direction changes, or uneven surfaces are more at risk. An acute ankle sprain causes immediate pain, swelling, and difficulty walking. Most acute sprains affect the ligaments on the outside of the ankle, particularly the one that connects the outer ankle bone to the foot. Ligaments help keep the ankle stable, and when they are stretched or torn, the ankle can become weak or unstable. Without proper care, athletes risk repeated sprains and long-term problems like chronic pain or joint stiffness. A podiatrist can determine the severity of the ankle injury, recommend bracing or walking support, and discuss surgery, if needed. If you have sprained an ankle, it is suggested that you make an immediate appointment with a podiatrist.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. Michael T. Hames from Florence Foot Center. 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 take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

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

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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