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 Pedram Aslmand, DPM of Advanced Foot and Ankle Center. Our podiatrist 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 offices located in Long Beach, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fibromatosis, also known as Ledderhose disease, is a condition that affects the connective tissue on the bottom of the foot. It leads to the formation of firm nodules within the plantar fascia, which can interfere with normal foot function. While these growths are benign, they can cause discomfort and affect mobility if they become large or irritated. Understanding the nature of this condition helps guide proper care and management.

Common symptoms include the presence of one or more nodules in the arch of the foot. These growths may feel firm to the touch and can cause pain when pressure is applied during walking or standing. Some individuals experience a sensation of tightness or discomfort that worsens with activity. As the condition progresses, the nodules may increase in size, making it more difficult to wear certain types of shoes comfortably.

The causes of plantar fibromatosis are not fully understood, but repetitive stress and strain on the plantar fascia are believed to play a role. Genetic factors may also increase the likelihood of developing this condition. Risk factors include age, foot structure abnormalities, and activities that place continuous pressure on the arch. The buildup of fibrous tissue leads to the formation of nodules that can disrupt normal movement.

Managing plantar fibroma involves addressing symptoms and reducing stress on the foot. Early evaluation allows for appropriate care and can help prevent further progression. Supportive measures and professional guidance are important for maintaining comfort and mobility. If you have lumps on the sole of your foot, it is suggested that you visit a podiatrist for an accurate diagnosis and effective management tips. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Pedram Aslmand, DPM of Advanced Foot and Ankle Center. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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

Hammertoe is a foot deformity that causes one of the smaller toes to bend at the middle joint instead of lying flat. The condition usually develops gradually and most often affects the second, third, or fourth toe. In its early stages, the toe may still be flexible, but it can become stiff over time if left untreated. Hammertoe may be caused by muscle imbalance, arthritis, or pressure from footwear that does not fit properly. As the toe changes shape, it may become painful to walk or wear shoes. Corns, calluses, and irritation may also develop where the deformed toe rubs against footwear. Early evaluation is important because treatment is often more effective before the toe becomes permanently stiff.

A podiatrist can examine the affected toe and determine how advanced the hammertoe has become. During the evaluation, the podiatrist checks toe movement, foot alignment, and areas of increased pressure that may be causing discomfort. They also look for skin changes and other foot conditions that may be contributing to the problem. Treatment depends on the severity of the deformity and the patient's symptoms. Professional hammertoe treatment may include custom orthotics, supportive footwear recommendations, or other medical treatments to improve foot function and reduce pain. If the deformity becomes severe, more advanced treatment options may be discussed.

Professional podiatry care can help relieve pain, improve mobility, and slow the progression of hammertoe. Addressing the condition early may also reduce the risk of worsening deformity and ongoing pressure on the affected toe. A podiatrist creates a treatment plan based on your individual needs and monitors changes over time. Professional foot care can also improve comfort during walking and everyday activities. If you have toe pain or notice a toe that is beginning to change shape, it is suggested that you consult a podiatrist for an evaluation.

Hammertoes can be a painful condition to live with. For more information, contact Pedram Aslmand, DPM of Advanced Foot and Ankle Center. Our podiatrist will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

Sever's disease is one of the most frequent causes of heel pain in active children. It occurs when repetitive stress affects the growth plate in the heel, leading to irritation and discomfort. As children grow, their bones develop quickly, while muscles and tendons may remain tight. This creates increased tension at the heel, particularly during sports and physical activity. The condition is most often seen in children between 8 and 14 years old who are involved in activities that require running and jumping.

Common symptoms include heel pain that worsens with activity and improves with rest. Children may complain of soreness after sports or physical education. Limping or favoring one foot is also common, especially after prolonged activity. The heel may feel tender to the touch, and pressure can increase discomfort. These symptoms may come and go but tend to return if the underlying cause is not addressed.

Several risk factors increase the likelihood of developing Sever's disease. Rapid growth during adolescence is a primary factor, as it affects the balance between bones and soft tissues. High impact sports, tight calf muscles, and lack of proper shoe support can all contribute. Children with flat feet or high arches may place uneven stress on the heel, increasing irritation. Understanding these risks can help guide prevention and early care.

Treatment focuses on relieving stress on the heel and promoting healing. Rest, stretching, and wearing supportive shoes are key components of recovery. Heel cushions and orthotic devices can provide additional support and reduce impact. Early management allows children to remain active while minimizing discomfort. If your active child has heel pain, it is suggested that you consult a podiatrist for an accurate diagnosis and effective relief and management tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Pedram Aslmand, DPM from Advanced Foot and Ankle Center. Our podiatrist can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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