October 2018

A common cause of the condition that is referred to as tarsal tunnel syndrome may occur as a result of constant overuse of the ankle. The most common reason for this to happen may be from power walking, frequent running, or standing for the majority of the day. It typically affects the nerve that is on the inside of the foot and ankle, and when this becomes damaged, inflammation and tenderness may occur. Research has shown the importance of treating tarsal tunnel syndrome promptly to avoid the possibility of permanent nerve damage from developing. Treatment options may begin with resting and elevating the foot, which may reduce inflammation, in addition to taking anti-inflammatory medications, which may help in alleviating a portion of the pain that often accompanies this condition. If you feel you may have tarsal tunnel syndrome, please speak to a podiatrist as quickly as possible for a proper evaluation and to discuss the best treatments techniques for you.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Amy Dunetz of Florida. Our doctors 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 one of our offices located in Aventura and Davie, FL. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Have your child's feet been examined lately?

If you have ever experienced the pain of plantar fasciitis, you may want to consider the option of having shockwave therapy performed. This treatment may consist of electromagnetic pulses, which convert to shock waves and this is aimed at the affected tendons. Shock wave treatments that are low-energy is spread out over a series of treatments, and minimal pain is often associated with this form of therapy. If you choose to have a high-energy treatment, it is typically given in one session, and may produce considerable pain. Research has shown these treatments may begin to start a healing response in the body, and this may help in relieving some of the pain associated with plantar fasciitis. If you would like additional information about shockwave therapy, please consult with a podiatrist who can properly help you to decide if this treatment technique is correct for you.

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Dr. Amy Dunetz from Florida. Our doctors can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

If you have any questions, please feel free to contact one of our offices located in Aventura and Davie, FL. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The condition known as rheumatoid arthritis is a painful ailment that typically affects the muscles and joints. When this occurs in the feet, the toenails may become affected in addition to the patient possibly experiencing pain and stiffness. The discomfort is generally felt in the smaller joints in the feet, and this can possibly lead to the formation of corns and bunions. In severe cases, the toes may curl and hammertoe may develop as a result of this. This particular form of arthritis occurs when the body’s immune system is compromised. The ability to fight infection is diminished, and this may cause pain and swelling to gradually develop. If you are afflicted with rheumatoid arthritis in the joints of the feet, it’s strongly suggested that you consult with a podiatrist, so correct treatment can commence.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist  if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. Amy Dunetz of Florida. Our doctors will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact one of our offices located in Aventura and Davie, FL. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If you enjoy the sport of running or jogging, you may develop a stress fracture. This may gradually occur from the frequent repetitive motion that accompanies this type of activity. Despite the fact that many people who engage in sports may endure the discomfort of a stress fracture, certain individuals may be prone to developing this ailment. This may include having a medical condition that may weaken the bones, or experiencing a disorder that may affect the nerves. This may result in a loss of feeling. The pain that is associated with this condition may not be felt. The noticeable symptoms may include pain and discomfort and may be more intense in one foot. After an MRI or bone scan is performed, the proper treatment options can be discussed, such as possibly wearing a cast or boot or taking certain medications. Please consult with a podiatrist if you have endured a stress fracture and would like information about correct treatment techniques that are right for you.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Amy Dunetz from Florida. Our doctors 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 one of our offices located in Aventura and Davie, FL. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many people have found that making simple adjustments in the household may aid in preventing falls from occurring. These changes may include installing grab bars in the shower area, keeping the lighting bright in the house, repairing loose carpet, in addition to removing the majority of the clutter that may be present. Research has shown falling to be the number one cause of injuries in elderly people, and this may result in serious injuries. It can be a frightening experience, and many seniors may not engage in certain activities to prevent a fall from occurring. Additionally, it may be beneficial to live on one floor, which will eliminate the possibility of falling down any steps. When non-slip mats are used in the bath and shower areas, the risk of falling may be decreased. It’s important to pay close attention to any condition in the house, which may promote falling.

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. Amy Dunetz from Florida. Our doctors 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 one of our offices located in Aventura and Davie, FL. We offer the newest diagnostic and treatment technologies for all your foot care needs.