Tarsal Tunnel Syndrome and Treatment


Tarsal tunnel syndrome refers to the irritation and / or compression of a nerve called the posterior tibial nerve. This nerve is found behind the anklebone on the inner side of the foot. (Same side as the big toe) As the nerve travels in this area it runs through small canal called the Tarsal Tunnel.

Symptoms include:

1. Radiation, burning, or shooting pain on the bottom of the foot, along the arch and / or up into the leg
2. “Pins and needles” sensation to the bottom of the foot and into the toes
3. Disturbances in the perception of temperature (feelings of coldness)
4. Feeling like there is a tight band around the foot
5. Loss of sensation to the sole of the foot and / or heel
6. Pain getting worse with prolonged standing or walking
7. Rest and leg elevation can relate symptoms


The main culprit in causing this condition is the decrease in space in the tarsal tunnel, which results in compression of the posterior tibial nerve. There are multiple reasons that can cause narrowing of the tarsal tunnel.

1. As the tibial nerve travels behind the anklebone, it goes through the tarsal tunnel, which is a narrow canal bordered by a sheath of tissue and the heel bone. As the tibial nerve goes through the tunnel, it typically splits into two nerves, the medial and lateral plantar nerves. If the tibial nerve splits into two nerves before entering the tunnel, it increases the number of structures going through this area. This results in a relative decrease of space in the tunnel and compression of the nerve.

2. Several tendons and veins course through the tunnel with the tibial nerve. If these structures are enlarged or swollen the tibial nerve can be compressed.

3. Compression of the tibial nerve can also occur from bony prominences, spurs or fragments of bone in the tarsal tunnel.

4. Abnormal heel position with the heel position more inward or outward can stretch the tibial nerve or narrow tube of the tunnel again resulting in excessive pressure on the nerve.

Physical Examination:

Tarsal tunnel syndrome can mirror other foot conditions, such as heel pain, arch pain, or neuropathy therefore, the podiatrist may need to utilize various examination techniques, imaging modalities and electro diagnostic studies to diagnosis tarsal tunnel and syndrome. The podiatrist will tap along the course of tibial nerve to reproduce the shooting sensation often associated with this syndrome. The podiatrist will also examine if there is any sailing along the tarsal tunnel and the medial arch because this may indicate a mass that may be in the tunnel. The podiatrist may also try to increase the pressure on the tibial nerve by turning the foot outward and up and holding this position for 5-10 seconds. This exam produces a narrowing the space of the tarsal tunnel and can recreate the patient's symptoms. Heel and foot position may also be examined to determine if that may be the cause of tarsal tunnel compression. In order to determine which nerve branches are involved, a pin prick test may be applied to the sole of the foot to determine which areas of the foot has decreased sensation.

Diagnostic Studies:

If a bony prominence is suspected as the cause of tarsal tunnel syndrome, the podiatrist may request X-ray imaging of the foot and ankle. For soft tissue masses or increase tendon size / swelling, MRIs may be requested as well. Ultrasound may also be utilized to determine the tibial nerve split or tendon pathology. If vein enlargement is suspected, the podiatrist may use a tourniquet wrapped above the tarsal tunnel to increase fluid accumulation in the veins. Other studies that may be ordered to study the function of the tibial nerve are nerve conductions studies or electromyography.

Non-Surgical Treatment:

The podiatrist may recommend taping, bracing, orthotics, or shoe configurations to provide support to the feet and correct the heel position. Correcting the abnormal foot movement that may cause stretching and pressure in the tarsal tunnel may prove to relate the symptoms of Tarsal Tunnel Syndrome. Icing and oral anti-inflammatory may be suggested to decrease swelling in the area.

Surgical Treatment:

The main purpose of tarsal tunnel surgery is to release structures that may be putting pressure on the posterior tibial nerve or removing bone or soft tissue masses that may cause narrowing in the tarsal tunnel. The incision is made behind the anklebone and in front of the Achilles tendon. During surgery, blunt surgical instruments are utilized in order to avoid damage to the nerves. The sheath of the tarsal tunnel is opened and the course of the tibial nerve and its branches are followed in order to remove any thickened structures and release any tight structures around the nerves. Following surgery, a bulky dressing is applied to the foot in order to decrease swelling. One week after surgery, simple motions of the ankle for 10-20 minutes twice a day may be recommended to prevent adhesions. After 2-3 weeks, sutures are removed and ambulation with tennis shoe may be allowed. The average time for most patients to begin exercise and full activity is 2-3 months after surgery. It is also important to note that tingling and pain may increase after surgery, and the pain and numbness may take up to one year or more to resolve

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Curing Foot Corns in Children

Children lead a very active lifestyle. Often, this active lifestyle will lead to corn formation on a child's foot. If you have a child who is suffering from foot corns, know that they are a fairly common occurrence, albeit a painful one.

The main cause of foot corn is shoes that do not fit properly or are too tight. Children are constantly growing; so their need to be properly fitted for new shoes more often is greater than that of adults.

Foot corn are calluses that form on the skin, usually under the toes or on the pad of the foot. They can be yellow or gray in color and if left too long can become red and inflamed. Luckily there are many remedies that can help.

· Have your child go barefoot as often as possible; this allows their foot to rest and breathe without pressure or friction. If you live near a beach, have them walk in the sand, as it acts as a natural pumice to slough off dead skin cells.

· Over the counter creams: These are very effective and can be found at your local drugstore.

· Medicated pads: These are also effective and are available at any drugstore.

· Epsom salts: Soak their foot in Epsom salts and warm water for 10-15 minutes. Then take a pumice stone and gently rub the outer layer of skin.

· Tea Tree Oil: mix some tea tree oil with apple cider vinegar and rub directly on the corns several times a day.

Chamomile tea: Soak their foot in brewed chamomile tea for 10-15 minutes and then wrap the foot with a sock overnight.

· Mix up a paste of 6 aspirin tablets, 1/2 a teaspoon of water and 1/2 a teaspoon of lemon juice. Apply directly to the corn and then wrap their foot with a warm sock or towel for 15 minutes. Take a pumice stone and gently rub the outer layer.

· Essential oils like tangerine and lemon work well when rubbed directly on foot corns. Apply with a cotton pad several times daily.

Of course the best cure is prevention. Be sure and get your child fitted with their proper shoe size often. Do not buy them shoes that are too narrow and do not allow proper toe movement. If you have tried the above tips and your child corns do not disappear within a few weeks, it may be time to go to your family doctor. He or she will be able to write a prescription.

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Toenail Fungus Home Remedies Is The Fastest Method To Kill The Problem With Ugly Yellow Nails

Synthetic nails are certainly here to stay and it is without a doubt a difficult task to find a woman that does not wear them in this day and age. This all boils down to the fact that they use the artificial nails to cover their natural finger and toenails in order to make them more attractive.

Nonetheless, women of all ages are also known to make use of artificial nails to cover up nail fungus infection sequentially ending in the termed phrase “artificial nail fungus”. Regrettably, this does not heal nor resolve the actual problem rather, this makes the situation even worse.

The simple explanation for this is, nail fungus thrives inside a favourable atmosphere in which usually there is a great deal of dampness and that is dark. This is typical for many types of fungi.

There are toenail fungus home remedies that can really simplify the treatment of nail fungus. Any time a person applies artificial nails to any infected fingernail or toenails, this produces a good environment that is excellent for the growth of the fungus, which is equally dark and also provides the necessary moisture.

Considering that these types of fungus develop solely in places which tend to lack air and on hands or feet which tend to be damp and warm, the synthetic nail prevails any simple circulation of air all around any nail. Fungal nail bacterial infections tend to be much more typical with the toenails rather than the fingernails.

Using the toenail fungus home remedies will help get rid of those unsightly, yellow and rather painful infected nails. Neverheless, one thing must be clarified here! Any false nail that is placed over the natural nail will help an event fungus to thrive and spread.

Most of the time, one of the main reasons for women to start wearing artificial nails is because they already have a fungal infection and wish to hide the unsightly infected yellow nails, especially if it is their finger nails they wish to cover up.

It must be said that this practice offers no solution to the problem and just pours more petrol on the already blazing fire, so to speak. This is simply because the natural nails are deteriorating under the artificial ones in a perfect environment for the fungus, created by ones self.

If this “Cover-Up” process carries on the natural nails will become so infected that it is not even possible to attach any synthetic nails again. The problem must be resolved at the root and the toenail fungus home remedies can only be of great advantage while the nails are exposed to fresh air.

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Biomechanical Assessment for Foot Care

Any kind of discomfort in any part of the body is really a matter of concern. So even a minor discomfort in the foot can really make you feel uncomfortable. Your leg is one of the most important part of the body, since it helps in movement. The human foot and ankle plays a vital role in our daily lives. If one of them creates any kind of troubles then you really have to be careful about it and take proper care.

But most often it happens that we do not take care of our foot, though that is one of the most vital parts of the body. Trauma, infection, skin disease and even simply bearing weight on the feet can cause changes to the skin of the feet including the toes and the heel. There are different kinds of foot diseases and even corns and calluses are an area of ​​thickened skin caused by fiction and pressure. An average person's feet when walking will only spend six tenths of a second in contact with the ground.

When you grow old there are chances that your feet will suffer the most due to age old problems. Certain diseases like osteoporosis occurs in the leg which makes the leg really weak and you suffer from pain.There are several ways in which you can cure the foot disease like the bio mechanical examination which is a critical part of the assessment for functional foot orthotics. Muscle strength, range of motion at important joints and the angular relationships of the segments of the joints and legs.

So it is very essential for you to do some physical exercise that will help in the flexible movement of the body. The information gained from bio mechanical assessment forms the basis for a rehabilitation program or if the problem is mechanical -an orthotic prescription.

If the condition is caused by the mechanical balance of a joint then podiatrist may advice for some medicines. Orhotics are devices designed to improve the ways in which the joints are aligned. The bone loss is associated with revision surgery or pathology has been the impetus for developing modular revision total hip prostheses.

The aim of Biomechanical Assessment is to relieve from the pain and restore the proper hip function. Bone grapes may also be used to augment the bone during revision. A challenge faced by surgeons in revision arthroplasty is the appropriate fixation of the new implant because of the loss of the femoral bone stock caused due to initial trauma, or it may be due to the primary hip implant surgery or may be pathology.

If you feel a sudden pain in your feet then you just do not neglect it. You have to access it yourself that whether you are suffering from any kind of mental stress or strain. The feet is one of the most important part of the body and it is our duty to take proper care of the area as it takes the extreme pain and pressure of the entire body.

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The Importance Of Healthy Feet

Many people overlook the importance of good foot health, but unhealthy feet can affect the way we feel through our entire body. Everyone knows that at the end of a long day on your feet, more than just your feet are achy. Health professionals familiar with Eastern medicine and reflexology believe there are links between feet and other body parts. By applying pressure to these points on the feet, it can change the health through your entire body. In addition to connections, there is the fact that when your feet hurt, you feel the motivation to do less. This inactivity can affect your health in a negative way. If you have been struggling with pain in your feet, it may be time to see a foot podiatrist and speak with him about foot orthotics.

One of the main benefits to having healthy feet is the ability to walk comfortably. Doctors recommend that people get at least 30 minutes of physical activity each day and walking is often the activity of choice for many people. If your feet hurt all the time, you are illegally to head out for a walk no matter how nice the weather or how much you want to get fit. It is important to improve the health of your feet so you can use them in an effort to improve the health of the rest of your body. Too many people put off exercise for too long and suddenly they are stuck with health problems that could have been avoided. Do not let yourself be a part of this group.

Walking is an important leisure activity, too. When you go on vacation, you probably spend time exploring new areas you have never seen before. The last thing you want is to be hampered by aching feet. If you have a vacation planned in your near future, you will want to get your feet as healthy as possible so the pain does not impede the enjoyment of your trip.

When your feet are healthy and they look good and feel good, you are able to wear more stylish shoes. Many people deal with pain in their feet by resorting to ugly, but comfortable footwear. There are a lot of choices for sale that are very stylish, but in order for the shoes to be comfortable, your feet must be in good health. If you want to wear shoes that look great, get your feet healthy. This is especially the case with sandals. If you will be showing your feet to the world, they need to look good.

One final reason for getting your feet healthy: vanity. If you think your feet are ugly, you will feel bad about yourself every time you see them. If your feet are attractive and healthy, you will feel better about going barefoot, even if it is just around your home. There are too many things to worry about already when it comes to physical appearance. Do not let your feet be one of your concerns.

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Reasons to Opt for Laser Treatment for Nail Fungus Infection

It is important that we keep our body clean and maintain hygienic conditions to avoid infections. Many people get nail fungus infection because of dirt and moisture and not maintaining hygienic conditions. This kind of fungal infection is mostly on the toenails. This is mainly because we wear socks and shoes for long hours. Nail fungus infection is not life threatening and there are different methods to get rid of it, but it should not spread so it is advisable to cure it at the earliest and the best is to take precautions because precautions are better than cure!

There are many other methods to cure the nail fungus infection like surgery, applying creams and ointments, taking oral medication, laser treatment etc. In a surgery the complete nail infection is removed surgically. This process takes a long time to heal and is expensive too. Applying creams or ointment feet less scary and easy because it is just to be applied externally. This is the cheapest way but this would not remove the infection completely and will take weeks to cure. Another way is oral medication, a very common method of curing any infection or disease. Medicines are dangerous for our body and they do not always insure full recovery.

The best treatment is the laser treatment as its safe, fast and very effective. One or two sittings can completely cure you without any side-effects or harm. In laser treatment, ultraviolet light beams or rays are targeted at the nail fungus. The rays of the laser targeted on the infection kills the bacteria deep inside, thus removing the infection completely so that it's not only cured but also results from spreading to the other nails. 90% of patients have been successful using the laser treatment for curing nail fungus infection.

Until lately, laser therapy has long been identified to help with eye problems. Today, it is utilized to treat nail fungus infections. The procedure is quick lived and would take roughly ten to twenty minutes per nail. In the situation of treating a lot more than one particular infection, much more time is devoted to your procedure. There will probably be no need for hospitalizing the affected person as soon as the treatment is through and nail polish could be used shortly after.

Go online and do a bit of research on the different types of treatments before you opt for one. This way you can be sure to find the right one for your infection.

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The Best Foot Cream: The Best Treatment for Your Feet

Our feet, though they do not seem like it, are the most important part of our body. Imagine your life without using your feet. You will not be able to go to work, not be able to go to the table to eat or even get up from your bed. This why those who underestimate the importance of their feet should change their mindset now before everything is too late.

So why should we give importance to our feet anyway? For you, these parts may seem like invincible and strong because we use them most of the time. The truth, on the other hand, is that they are as sensitive as other parts of our body that we keep visible most of the time such as our faces, arms, and legs. They need the same level of skin care protection that they require. If you are not aware of this fact, then read on.

Just like our face, our feet also require constant exfoliation to let the new skin grow on the surface. Unfortunately, our feet do not have the capability of exfoliating on own own so we need to scrub them to help remove the old skin away and make way for the new layer. We can do this by having foot scrubs. And no, it is not required for us to have a foot spa at an expensive salon just to make sure our feet are on their best condition. We can be our own professional by choosing the best foot cream and doing the foot spa on our own.

So how can we know that the product is the best foot cream? One way to be sure is by looking at the ingredients of the product. The best ingredients combine the best foot cream products so one way to be sure is to look for the best ingredients being used in the industry at present.

One example of a good ingredient is Super Sterol Liquid. This ingredient is a cholesterol based component which has been proven effective in damaging damaged and dry skin. It also helps in making the skin cells heal quickly for those who have dry and chapped skin. Neem oil is another ingredient commonly used on the best foot cream products. Just like Super Sterol Liquid, it also helps in healing and soothing dry skin. Beside these, however, Neem oil also helps solve anti-fungal problems so it can also be used by those who have skin infections.

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Common Causes of Heel Pain (Plantar Fasciitis)

There are many causes of pain directly under the heel. Perhaps the most common cause is called plantar fasciitis. This is also commonly known as a heel spur. Whatever name you call it, the evaluation and the treatment remains the same. This discussion will include the anatomy of heel pain the treatment alternatives and what you can expect during your recovery.

The plantar facial band is a tight ligamentous structure on the bottom of the foot, which helps to hold up the arch. It begins directly underneath the heel and is attached to the bone (calcaneus). At the origin under the heel it is about 2cm in width. It then travels out towards the toes and broadens out. Just before reaching the toes, it splits into 5 slips with each slip going into a toe. You can see that the weakest point of the entire structure is at its origin in the heel where it is so small.

The bony alignment of the foot serves as the structural framework, which supports your arch. If for any reason this framework begins to flatten out (pronation), then the plantar fascial band has to help by resisting this abnormal flattening. Since the origin of the fascial band under the heel is its weakest point, the greatest stress will be transmitted to this site.

As you walk or run there will be a repetitive mechanical stress applied to this attachment. This abnormal stress will eventually lead to an inflammatory reaction around the origin of the fascial band where it is being “pulled away” from the bone. A major component of any inflammatory reaction is swelling. In this situation the swapping is imperceptible on the surface, but it is present around the fascial band. There are many small nerves running through this area and the swelling increases the pressure on theses nerves resulting in the pain you feel.

In an attempt to strengthen the attachment of the plantar fascial band, your body will actually lay down bone as a response to this chronic irritation. The formation of this “heel spur” is the end result of plantar fasciitis and is often times asymptomatic.

The pain associated with plantar fasciitis is normally fairly specific. Most people describe the pain as an aching “tightness” with occasional sharp pain “like a nail” under the heel. The pain is the worst typically when they first get out of bed in the morning or after sitting for a long time. The first few steps are excruciatingly painful. The pain will decrease gradually as the foot “warms up” which may be anywhere from 4-5 steps to 45 minutes. Another common complaint is that the pain again increases after standing for a long time.

What makes plantar fasciitis suddenly flare up? As we discussed in the causes of fasciitis, anything which increases the stress on the plantar fascia. Increased stress may come from an increase in activities such as a runner increasing his / her mileage. It may come from a worn out pair of shoes, which no longer are able to support an abnormal structural deformity. It also may occur with an increase in weight and often times a patient will relate a recent weight gain of 5-10 pounds.

In order to accurately diagnose plantar fasciitis, a detailed medical history is obtained, as well as a comprehensive examination of your foot to see what areas and movements are sensitive. Many times your walk or gait is examined, and X-Rays are taken in the office to determine the bony structure of the foot, to examine for any heel spurs, fractures, bone tumors, arthritic changes, and any other pathology.

Any successful treatment must focus on decreasing the stress on the plantar fascial band and at the same time decreasing the swelling around it. Your treatment will focus on both of these areas simultaneously. First, the bony structure of your foot must be supported in order to decrease the stress on the plantar fascial band. Second, the inflammation, which causes the pressure and pain of the nerves, must be decreed in order to treat the pain.

The good news is that in most instances, heel pain can be successfully treated and eliminated with conservative non-surgical treatments. Surgical procedures are also available for those who do not respond to conservative treatments. Timely presentation for an examination following the first symptoms of heel pain typically results in a quick resolution to this condition.

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Will Children Grow Out Of The Pain In Their Feet?

Many people are surprised that I see a large number of youngsters in my podiatry practice. In fact, children have a fair amount of foot problems. Ingrown toenails and plantar warts are the most common reason that kids find their way into the office. The treatment for these conditions is generally straightforward.

I also see many children who suffer from foot pain or problems. Kids having foot pain? Absolutely! The truth is many more children suffer needlessly from pain in their feet but are told by other doctors that they'll grow out of it or assumed by their parents to be growing pains. The pain can return again and again and eventually become constant. You'll find these children not wanting to participate in sports or physical education in school. They'll turn to their PlayStations and TV's and stay more sedentary. As they gain weight, which is a tremendous problem in children, they will suffer even more foot pain. No kid has to suffer this way.

Put simply: Kids will NOT grow out of foot pain. The same goes for pain in their ankles and pain in the knee. It should not be there and you should bring your child to a podiatrist for evaluation if this is the case.

I clearly remember a mother who brought her twelve year old daughter to the office on the recommendation of her astute pediatrician who notices a potential issue with her foot and ankle mechanics. I asked her daughter if she had any pain in her foot. She responded that she had no such pain. I then asked about ankle, knee, hip, or back pain. Her mother chimed in: Well that's just her normal knee pain. I looked at her and explained that there is no such thing as “normal” pain in a 12 year old.

Most foot pain experienced by children is caused by foot function. The foot does not function as properly as it should, causing excessive pressure to occur on some areas of the foot. This is common in the arch, inside of the foot and ankle, and the heel. Treatment is a combination of anti-inflammatory medication to treat the acute problem and the use of a custom orthotic to correct the foot function that has preceded the issue from going away on its own in the first place. It is unusual to consider surgery in a kid and is a last resort, so that concern should not be a reason to come to the clinic.

You owe it to your child to address the cause of his foot or ankle pain so he can return to being a kid. No child should have foot pain. If she does, contact your local podiatrist to schedule an appointment.

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Ankle Sprains: Not Just a Sports Injury

Ankle sprains can occur at any time, whether it be on the basketball court or on the sidewalk. As we head into the icy season, ankle injuries are bound to happen. The ankle joint is made up of the tibia and fibula, bones which combine the lower leg, and the talus. Bones are held together by ligaments, which are thick bands of tissue to add stability to the joint. When an ankle is sprained, the ligaments are overstretched (Type I), partially torn (Type II) or completely torn (Type III). The ankle is typically painful, swollen and discolored. Most ankle sprains heal within 3-8 weeks, with the more severe injuries requiring more time to regain stability.


To promote healing, decrease pain and reduce swelling, follow the RICE principle for the first 48-72 hour after the injury. REST the affected area to stop new injury and bleeding. ICE is applied to reduce pain and inflammation. Crushed ice works best because it conforms well to the bony ankle. Make sure to place a towel in between the ice and your skin and apply ice for 10 minutes. You can alternate 10 min on and then 10 min off for the first hour or two post injuries, if required. COMPRESSION should be applied using an elastic bandage, splint or cast to limit swelling and fluid accumulation around the injury. ELEVATE the injured area above the level of your heart to prevent further fluid accumulation.

Early treatment with a Physiotherapist will also ease and reduce your recovery time. A Physiotherapist will conduct a thorough assessment of your ankle and provide support in four main areas.

1. Symptom Management
Physiotherapists can assist you in the pain and loss of mobility in your ankle. Through a special technique called mobilizations, Physiotherapists can assist in the development of a healthy scar and increase ankle mobility.

2. Exercise Instruction
Exercise helps regain full movement and assists with circulation to the injured site. Instruction on appropriate strength and flexibility exercises for the surrounding musculature will be provided.

3. Graduated Plan for Return to Activity
While movement is important to recovery, it needs to be carefully progressed to allow for adequate healing of the ligaments. Activities will progress from gentle range of motion exercises, to strengthening exercises, to activities on a wobble board, in order to retrain your ankle to react quickly to changes in position.

4. Prevention from Further Injury
Bracing or regular taping of the ankle may be required. It is normal to continue to expect some discomfort with activity but the ankle should not become significantly swollen and sore after activity. Continue to warm up before exercise and take precaution on those slippery roads!

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Heel Spurs and Their True Role In Heel Pain

Heel spurs are often misunderstood sources of heel pain. There are several types and locations of bone spurs in the heel. Whereas one spur commonly thought to cause pain does not in actuality, another spur often overlooked can be a source of tremendous pain. This article will discuss these each of spurs, and their actual contribution to foot pain.

There are essentially two places on the heel bone that bone spurs can develop. In most cases, these spurs form as a result of Traction and Pulling from either tendons or ligaments. It is the foot structure and its effect on the function of the foot during standing and walking that influence this transaction, and subsequently the bone spurs that follow. The most common location of a heel spur, and one that is commonly associated with heel pain, is found under the heel bone. However, this spur is rarely ever the true source of heel pain. Attached to the heel bone at this location is a ligament called the plantar fascia. This tissue runs the length of the arch, and is essentially a firm rubbery band that helps support the overlying anatomical structures. In people with flat or flattening feet, gradual tension on this fascia creates inflammation and tissue damage. From this plantar fasciitis develops, which is essentially a chronic inflammatory disease of the tissue. This inflammation and tissue damage is the true source of heel pain on the bottom of the foot. The spur is simply traction-caused calcification of the attaching fascia tissue where it meets the bone, essentially extending the length of the bottom of the heel bone. This spur runs parallel with the ground, and is not felt externally. Many people have heel spurs in this location and have no pain in the heel at all. Even those with very thin heel padding under the skin do not experience discomfort from these spurs.

Like all things, there is an exception to pain in spurs on the bottom of the heel. Certain classes of diseases, particularly immune-response arthritic conditions like rheumatoid arthritis and a group of diseases called seronegative arthropathies, can have heel spurs and pain as part of their symptoms. The spurs in these conditions is not the typical spur running out and parallel with the ground. In these conditions, the heel spurs are fluffy and face downwards, into the pad of the heel. The general body inflammation found in these conditions increases the irritation these spurs create, which then leads to pain with weight bearing directly as a result of the spur presence. It should be noted that many people also assume this heel pain is related to 'arthritis', similar to their hip, knee, or hand arthritis. In actuality, these areas of arthritis are simply wear and tear on a joint joint or group of joints, called osteoarthritis. The arthritic conditions described above that lead to heel spurs are diseases of the immune system that destroy joint tissue, not simply mechanical joint wear. This process differences significantly from the disease most people know as 'arthritis'.

The other common location for heel spurs is the back of the heel. These spurs develop around or behind the attachment point of the Achilles tendon, a thick and powerful tendon that allows the foot to bend downward at the ankle. Tightness of this tendon, through either tight tissue or short tissue, creates a great deal of traction on the back of the heel bone. Occasionally, this traction results in spur formation behind the tendon, or around where it actually attaches on the heel. Additionally, the tendon itself can become reclassified, with bone-like deposits within the tendon tissue at and above the heel attachment. Over time, this excessive bone will create inflammation and irritation to the tight tissue around it, and lead to Achilles tendonitis as well as inflammation of the tissue that covers the bone. The pain from this condition is directly related to the bone spur, and can be quite disabling. The tendon may become weakened, and has the potential to rupture. Fractures of these spurs is also not uncommon, although sometimes the separated tendon calcification is misdiagnosed as a fraction of a spur from the heel bone.

Near this location is another part of the bone that can be implicated in cases of heel pain. The Haglund's deformity, or Pump Bump, is not actually a spur, but simply an enlargement of the top surface of the back of the heel bone. This bone develops thickened growth for a variety of reasons, some of which includes mechanical pressure from shoes that have firm heel material that protrudes into the heel at this spot. This enlarged bone can become inflamed and irritated, and shoe pressure can worsen it. Although a spur in the true sense is not present, the symptoms in this condition may not be distinguishable from an actual spur on the back of the heel.

Treatment of all these conditions requires addressing the underlying cause. For heel pain on the bottom of the foot, direct intervention to the heel spur is not necessary, and simply addressing the inflated fascia with anti-inflammatory measures and careful arch support usually results in a cure. When the pain is due to the less common spur associated with rheumatic disease, treatment of the underlying disease process can reduce the inflammation component, leading to pain reduction. In rare cases, shaving of the spurs may be necessary to obtain relief. For heel spur pain and Haglund's deformity behind the heel, treatment centers on loosing the Achilles tendon and using anti-inflammatory measures, along with stabilizing the ankle. In many cases however, the spurs themselves need to be removed, the Achilles tendon needs to be removed, repaired, and replaced, or the Haglund's deformity needs to be reduced if present. Surgery is often, but not always, the end result of treatment of spurs behind the heel.

As one can see, heel spurs are often misunderstood, and may or may not play an actual role in heel pain. Prompt identification and treatment of the cause of heel pain is vital for a successful treatment, as the appropriate treatment may be very different from one cause to another.

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Best Remedies for Foot Corns

Corns are mounds of rough, dry dead skin that form on the toes or foot. They are fairly common and are mainly caused by wearing improperly fitted shoes or high heels for too long. There are many remedies for foot corns that do not require a prescription or treatment from a doctor.

If you are looking for the best way to get rid of your painful foot corns, try these remedies:

· Purchase comfortable shoes that cushions your foot and has a thick outer sole

· Purchase padded inserts for extra protection

· Wider shoes will help make sure your toes can move better and reduces friction

· Stop wearing high heels

· Over the counter creams from your local drug store will help treat and reduce corns

· Medicated pads will soften the skin and make the corn easier to remove

· Soak your foot with Epsom salts for 10 minutes and then use a pumice stone to gently rub off the dead skin

· Use oils like baby oil, lemon oil or tangerine oil to soften the corn and dead skin and make it easier to rub off with a pumice stone

Over the counter creams are not recommended for people with diseases like diabetes or who have circulatory problems; the acid in the cream could cause a serious infection. The creams are also not recommended for the elderly, or those who have thin skin as the acid could irritate the skin further. See your doctor right away and get proper treatment.

If corns are severe or the remedies above do not help, a doctor's intervention may be required. He or she can prescribe that medication will be more effective. A podiatrist will also be able to help if you do not feel comfortable going to your family doctor.

As with most things, prevention is the best medicine. Make sure you buy the right size and style of shoe for your feet and purchase extra cushioned inserts if you need to. Get your feet sized by a professional and be aware of things like the width of your foot and your arches. A good shoe salesperson will be able to recommend a style and fit that's right for you. Try different brands and walk around the store before you buy. Do not skimp on quality: you may have to pay a bit more for a good shoe but it will be well worth it when you have healthy feet to show for it.

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FungiCure Review – Is It an Effective OTC Treatment for Nail Fungus?

If you are suffering from unsightly nail fungus and looking for viable treatment options you may already be aware of the numerous choices available when it comes to over the counter (OTC) products. Also, if, like many people, you want to avoid taking prescription medications, especially those that may cause serious side effects such as those intended for treating nail fungus, and already know that home remedies are totally ineffective, finding an OTC product is of the utmost importance.

FungiCure Maximum Strength Liquid is one such OTC treatment that is marketed as being an effective alternative to wasting time on home remedies or taking a risk with your health by using prescription drugs. But, the question remains; is this particular product really quite effective when it comes to treating a condition as stubborn as nail fungus, and does it outperform prescription medication or would your money simply be better elsewhere?

The Facts on FungiCure

Maximum Strength FungiCure Antifungal Liquid is touted by the company who makes it as a cure for most cases of ringworm and athlete's foot. Because it includes an antifungal ingredient, Fungicure is said to relieve symptoms caused by common fungus including burning, itching, and redness.

According to the directions, a thin layer of Fungi Cure should be applied twice per day, once in the morning and again at night, with the included brush applicator which makes it easy to reach the skin under the nails. The liquid treatment dries rather quickly and does not have a strong or medicinal odor that many OTC products tend to have.

The Fungi Cure liquid can be used for up to four weeks at a time but if no improvements are seen, it is recommended to stop using the product and consult with a doctor. However, if you do notice a positive difference in your nail fungus, the company says you can continue using it until the fungal infection is gone or marks marked improvement.

The active ingredient in Fungi Cure is 25% undecylenic acid, an antifungal agent. Also included are the active ingredients aloe vera gel, fragrance, hypromellose, isopropyl alcohol, purified water, and vitamin E.

The Pros and Cons of FungiCure

In terms of FungiCure's positive points, the product is readily available through a number of retailers including well known merchants such as Amazon.com, CVS, K-Mart, Walgreens, and Wal-Mart. It is also easy to use and reliably selling selling online for an average of $ 9 for a three ounce bottle at the time of this writing.

But, if you are not happy with your FungiCure purchase, the company's money-back guarantee policy involves asking them for a return request letter which is then used for obtaining a refund from the retailer you purchased the product from, a rather lengthy process.

Spectacular claims regarding the effectiveness of FungiCure can also be found online. But, are these glowing testimonials a biased representation of the truth written by those affiliated with the product or the accounts of an actual, honest experience?

Regardless of grandiose claims of nail fungus being completely cured within an unusually short period of time, the truth is that the vast majority of OTC products are simply unable to eradicate nail fungus for most people and satisfaction rates rarely reach the 50% mark.

Questions have also arisen in regards to the wording on the label of the Fungi Cure bottle which reads “not effective on scalp or nails.” Considering it is intended for curing nail fungus, why would the label indicate that it is not effective on nails?

According to the company, the active ingredient in FungiCure is in fact safe for using on both the scalp and the nails; however, the FDA requires that the statement be present on all OTC antifungal products as the nails are a hard, non-porous surface and therefore unable to absorb a topical treatment such as this one.

So, should you use FungiCure for your nail fungus? Your wisest choice may be to first investigate all of your options thoroughly when it comes to finding the most effective treatment for nail fungus for saving your money now and your precious time in the future.

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Proper Foot Care Is Very Essential

Your feet are a very important part of your body. It is the feet that bear the weight of your entire body. You are constantly using your legs to walk around here and there, to stand, to run. In fact, ever since, man started walking on two feet, a lot of the work load was shifted from the hands to the feet.

But most of the times you choose to ignore your feet. You take care of your face by doing facial, using face packs, you take care of your hair, your hands, your eyes, your ears, but when it comes to the question of feet, you almost forget about it. But your feet need to be taken proper care of. Taking proper foot care comes under personal hygiene.

But this is not correct. Foot care is very important and if you take proper care of your feet, then you yourself will feel better. If you go for a simple foot massage which includes gentle stroking of the foot, rotating the ankles, pivoting and kneading, you will see the difference that you feel in your body. Since a lot of important nerves are there that connect your feet with the entity body, that is why; you are relaxed from head to toe if your feet are pampered a little bit.

If you do not take care of your feet regularly, there are chances that you might develop bouts of athletes' foot, chilblains, verrucas and even fungus in your toes. That is why; If you go for regular foot care, you can avoid all these foot problems.

Taking regular foot care is not a difficult task. Even while taking your bath if you rinse your feet properly with a little soap then dry your feet properly especially between the toes, your feet will feel good the whole day.

Trim your toe nails on a regular basis. Do not cut your nails too short and do not cut your or dig the corners of your toes. If you have corns and calluses, do not use over the counter medicines to treat them. Do not even trim, cut or shave them. Dip your feet in warm water for 10 to 15 minutes. Then when the corns and calluses become a little soft, try to scrub them off. But in several cases, it is better to go to a doctor.

Another essential feature in Foot Care is to wear clean washed socks and stockings. Change your socks regularly and do not wear socks or stockings that are too tight. You feet need air to breathe too.

Some people's feet have a tendency of sweating a lot in summer. If your feet sweat a lot, then you should wash your feet before going out. Even use foot powder. When you come back from work, keep your feet dipped in warm water and rinse it with an antiseptic soap.

One most important feature of taking the proper care of your feet is to wear proper shoes. Ill fitting shoes are not good for feet. Ill fitting shoes can create a lot of foot problems.

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Tired Feet Need Specialist Treatments To Get Them Back In Form

The one thing that all of us depend on to get us from one place to another is our feet. These extremitudes, although not always beautiful to look at, to put up with untold punishment all day and sometimes well into the night. It is no wonder then that sometimes we start to suffer when they start to complain. There are many things which can go wrong with these extremities but all it takes is the services of a foot podiatrist to get things back on track again. For those wishing to look for specialists in the area, try searching for 'foot orthotics' online to see what kind of services are on offer.

These specialists are very much like doctors but their main aim is to keep the feet in good condition of course. Since these extremities can have so much go wrong with them, it is very often the only way that someone can get some relief from the pain or misery of having a condition which is not pleasant.

For example, those of us who have to wear covered in shoes all day will certainly catch a whiff of something unsuccessful after many hours of being on the move. Hot and humid conditions do nothing for those tired and aching appendages which can be attacked by all kinds of fungal growths. Indeed, even those who swim regularly also stand a good chance of being infected with something less than pleasant.

The one thing that any of these specialists will tell people is to change their shoes from day-to-day. Even changing shoes from day to evening is a good idea since it gives the shoe the chance to dry out. Indeed, sloshing a good amount of anti-fungal powder around inside them too is a great way to ensure that nothing is allowed to grow in there.

For the feet themselves though, very often nails will start to turn yellow and flake off, or growths will appear between the toes or on the ball of the underside. Any of these conditions is sufficient to send someone off to the specialist, but getting all of them together is not a very pleasant experience to say the least.

Bones too can get cracked or have a spiral fracture if the person tends to be a sports person. Not wearing the right shoes for the right sports leaves the person open to injuries which could render them unable to play for several months at a time. This is not good, of course, but worse for the professionals who earn their daily bread from what they do.

It is vital, therefore, to find a good specialist in the local area who can examine these poor appendages and check to see if anything is going wrong down there. Most of us are just too busy to do a minute inspection so having regular check-ups, much like the car tune ups, may be a good idea and may also work out more economic in the end.

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