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Treating Foot Problems as You Age
Adults often experience the onset of foot conditions more and more as they age. Just like the tires on a car, the feet simply begin to wear down. It is thought that the average senior puts about 115,000 miles on their feet over a lifetime. If foot problems are taking a more prominent role in your life, there are some ways to help prevent them from getting worse. Check to see if you need different shoes, because feet tend to widen as you age. Shoes with good support can also help prevent falls. It may also be time to give up high heels and pointy-toed shoes which often cause bunions, hammertoes, corns, and other foot ailments over time. The wearing away of the natural fat pads on the heel and ball of the foot may indicate a need for shoe inserts or orthotics to help cushion your feet. If standing or walking is becoming difficult, implementing the use of a walker, walking stick, or cane may help to prevent loss of balance and falls. Finally, it is a good idea to make regular appointments with a podiatrist to make sure your feet are receiving the proper care they need.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot Pain and Discomfort During Pregnancy
Pregnancy can often bring on painful swelling in the feet and ankles as well as changes in your gait. The extra weight a woman gains during pregnancy puts pressure on their heels, ankles, and plantar fascia (the long tissue running along the bottom of the feet). This may cause pain in the heel and ankles, and plantar fasciitis (an inflammation of the plantar fascia). This additional weight may also alter a woman’s stride, causing her feet to flatten and roll inward when she walks. Swelling, or edema, is another common condition among pregnant women, and is caused by an excessive production of fluid, blood, and water retention during pregnancy. Also, relaxin is a hormone produced during pregnancy that can loosen and relax the ligaments in feet and ankles, possibly causing discomfort and instability. A podiatrist can help a woman throughout her pregnancy to relieve pain, swelling and discomfort, while helping to correct any gait or alignment issues.
Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will attend to all of your foot and ankle needs.
What Foot Problems Can Arise During Pregnancy?
One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward. This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.
Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages.
How Can I Keep My Feet Healthy During Pregnancy?
- Wearing orthotics can provide extra support for the feet and help distribute weight evenly
- Minimize the amount of time spent walking barefoot
- Wear shoes with good arch support
- Wear shoes that allow for good circulation to the feet
- Elevate feet if you experience swelling
- Massage your feet
- Get regular, light exercise, such as walking, to promote blood circulation to the feet
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Wounds That Don't Heal Need to Be Checked
Heel Pain Is Often Caused by Plantar Fasciitis
The plantar fascia is a thick band of tissue on the bottom of the foot that connects the heel with the forefoot. Because the plantar fascia is so instrumental in the mechanics of walking, it can become overloaded and stressed from overuse, excess weight, structural issues in the foot, or improper footwear. This strain can cause the plantar fascia to become excessively stretched, painful and inflamed. Tiny tears may also develop in the tissue, particularly where it connects with the heel bone. This condition is known as plantar fasciitis. The pain of plantar fasciitis tends to be worse in the morning or after periods of rest, and may lessen as you move around and warm up. Wearing footwear with insufficient support in the heel or walking barefoot can intensify the pain. If you believe you may have plantar fasciitis, it is important to seek the care of a podiatrist as soon as possible to treat the condition before it worsens.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Is a Nutcracker Fracture?
The Nutcracker is a famous and challenging ballet. It’s name has also been used to refer to a type of foot fracture involving the cuboid bone (located near the center of the foot) that can be seen in ballet dancers. A nutcracker fracture is characterized by a cuboid bone that is crushed in between the heel bone (calcaneus) and the third and fourth toe bones (metatarsals). This injury causes pain and swelling, particularly along the outside of the foot. Bearing any weight on the foot may be difficult or impossible. More severe fractures can also cause pain along the inside of the foot and visible deformity. Treatment for a nutcracker fracture may include resting, icing, and immobilizing the foot and managing pain. Surgery may be needed in severe cases. If you have injured your foot, it is strongly suggested that you seek the care of a podiatrist.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ways to Repair Cracked Heels
About one-fifth of adults in the United States experience cracked heels, studies show. Besides being unsightly, cracked heels that deepen can also become painful and lead to bleeding. Because there are no oil glands on the feet, they often become dried out. In addition, medical conditions such as diabetes, psoriasis and eczema can promote cracked heels. One of the simplest remedies for cracked heels is a petroleum jelly treatment. It helps reduce moisture loss from the skin and keeps it hydrated. Soak your feet in warm water for about 15 minutes, and then use a pumice stone to scrub off the dried skin. Rinse and pat dry thoroughly. Next, apply moisture lotion to the affected area and cover that with petroleum jelly to seal it in. Put on a pair of wool socks overnight and wash your feet again the next morning. If cracked heels continue to give you problems, it is suggested that you visit a podiatrist who can recommend further treatment options.
If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.
Ways to Help Heal Them
- Invest in a good foot cream
- Try Using Petroleum Jelly
- Ease up on Soaps
- Drink Plenty of Water
Ways to Prevent Cracked Heels
- Moisturize After Showering
- Skip a Shower
- Keep Shower Water Lukewarm
- Don’t Scrub Your Feet
If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Medications for Fungal Toenail Infections
Toenail fungus is extremely common, affecting about 5.5% of adults around the world. This condition can cause the toenails to become brittle, crumbly, discolored, or misshapen. In severe cases, the nails may even begin to separate from the nail bed and emit a foul odor. Treating fungal toenails can be difficult, as it can take a long time before there are visible results. There are various treatment options available, including topical medications that are applied directly to the nail, oral medications that are taken by mouth, and laser treatment. Currently, many podiatrists prescribe a combination of oral and topical treatments. While these medications can be effective, oral medications may cause unwanted side effects, and topical medications are not as effective for severe infections. If you have toenail fungus, it is suggested that you are under the care of a podiatrist.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Falling: Causes and Prevention
Falls are a leading cause of injury among older adults. In fact, every year a third of all Americans aged 65 or older experience a fall. Falls among the elderly can cause serious injury and mobility issues, as well as damage to their self-esteem and independence. Falls are typically caused by muscle weakness, mobility or balance issues, the side-effects of a medication, or the fear of falling. The best way to prevent falls is to exercise regularly, implement specific measures to make the home environment safer, manage medications, and maintain proper foot and ankle health. For more information about preventing falls, please consult with a podiatrist.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Should I Treat My Bunions?
A bunion is a bony outgrowth that can develop at the base of the big toe joint. This is a type of foot deformity and can be painful. The skin around the bunion may become red, inflamed, thickened, and callused. Your big toe may begin to push on your second toe and point towards the little toes instead of straight ahead. Your big toe joint can even become stiff and difficult to move. Since bunions tend to worsen with time, seeking treatment is strongly suggested. In its early stages, a bunion can be treated by wearing wider, padded shoes or orthotic devices. Bunions that have progressed may need to be treated surgically. If you have painful bunions, please seek the care of a podiatrist.
If you are suffering from bunion pain, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
It's Time for Beautiful Feet
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How Aging Adults Can Take Care of Their Feet
Growing old can be particularly problematic on your feet. The good news is that with a little attention and care, you can help lessen the impact many age-related foot conditions have on your health and avoid more serious problems down the road. Many foot conditions brought on by age—arthritis, stretched ligaments and tightened tendons, to name a few—can be helped by staying active, exercising and stretching to stay strong and flexible. Hammertoes can sometimes develop from years of wedging your feet into shoes that are too narrow in the toes. The best way to avoid hammertoes is to choose shoes that fit properly and are wider in the toe box. Fat pads that provide cushioning and shock absorption wear down with age. Orthotics and footwear with reinforced soles can help compensate for this loss of natural cushioning. Staying hydrated and moisturizing your skin can help make up for a loss of collagen due to age, which can lead to dry, cracked skin. For more tips and preventative foot care for aging adults, consult with a podiatrist.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How to Tell if You’ve Broken a Foot Bone
The three main signs of a broken bone, or fracture, are pain, swelling, and deformity around the bone involved. At the time of injury, you may feel or hear a snapping or grinding in the foot. The area will likely be tender, swollen, and bruised. Putting weight or pressure on the injured area will cause pain. You may also be able to see where the bone is broken or displaced, particularly if it is an open fracture, where the bone pokes through the skin. Sometimes the signs of a foot fracture are not obvious. Stress fractures, which are tiny cracks that develop in a bone over time, are very common in the foot bones and often produce only mild symptoms. If you suspect that you have broken a foot bone, please seek the care of a podiatrist.
A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Broken Foot Causes, Symptoms, and Treatment
A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury.
Common Symptoms of Broken Feet:
- Bruising
- Pain
- Redness
- Swelling
- Blue in color
- Numbness
- Cold
- Misshapen
- Cuts
- Deformities
Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.
Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Gout May Be Causing Pain in Your Big Toe
If you suffer from sudden pain, swelling, tenderness, heat, and stiffness in the joint of your big toe, you may have gout. This condition is an inflammatory form of arthritis where excess uric acid forms hardened crystals in the joints. The big toe is usually where gout occurs. People most at risk of developing gout are those with diabetes, hypertension, obesity, kidney dysfunction, or a genetic predisposition to it. Some believe that eating foods that are rich in purines can also contribute to gout’s formation in a person’s body. Uric acid is a byproduct of the body’s process of breaking down purines. People who suspect they have gout should consult with a podiatrist who can not only diagnose the condition, but help manage pain with anti-inflammatory medicine, make dietary recommendations, and even remove uric crystals in severe cases.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. 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 Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Is the Tarsal Tunnel and Why Is It Causing Me Pain?
The tarsal tunnel is a narrow passageway on the inside of the ankle that is made of a thick band of fibrous tissue (flexor retinaculum) and ankle bones. Veins, arteries, muscles, tendons, and the tibial nerve pass through the tarsal tunnel. Certain conditions such as a ganglion cyst, nerve sheath tumors, fibrosis, and even injuries can tighten the already-narrow space within the tunnel and compress the tibial nerve. This can cause burning pain or tingling (paresthesias) along the tibial nerve, the inside of the ankle, or bottom (plantar) part of the foot. If you are experiencing this type of discomfort, contact a podiatrist. They will perform a physical examination and may suggest that an MRI be performed to visualize lesions that may be present within the tunnel. Both conservative and surgical treatments will be considered depending on the cause and severity of the condition and will focus on reducing pressure on the nerve and relieving pain.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. 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 Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.