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  • Congenital Foot And Ankle Deformities
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  • Flat Feet
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    • Hammertoes
    • Laser treatment for fungal nails
    • Heel Spurs
    • Metatarsal Disorders
    • Pediatric Foot And Ankle Problems & Injuries
    • Plantar Fasciitis
    • Plantar Warts
    • Reconstructive Surgery Of The Foot And Ankle
    • Sports Related Injuries
    • Traumatic Surgery Of The Foot And Ankle
    • Treatment Of Charcot Foot And Ankle Deformities
    • Treatment Of Ingrown, Fungal And Thickened Nail Conditions

    Welcome to the Patient Information Center! Here you will find information about the most common foot and ankle ailments. Click on any of the issues below to find out more about specific problems and what treatment options are available. Here you will also find links to interesting websites pertaining to podiatry. If you have any questions, feel free to Contact Us through the website or give us a call!

    Common Ailments

    Helpful Information & Links

    The path to board certification by the American Board of Podiatric Surgery (ABPS) begins after graduating from an approved podiatric surgical residency program after which our doctors pass a rigorous written examination to become board qualified. Next, doctors spent up to 6 years of their initial practice time collecting various patient cases which demonstrate to the ABPS their decision-making, competency, and skills as a foot and ankle surgeon. After submission of these cases, detailed review, and acceptance to the ABPS, doctors sit for the ABPS oral examination held in Chicago, IL.

    • Dr. Paradoa has satisfied requirements by the ABPS to become board certified in Foot, Reconstructive Rearfoot/Ankle Surgery.

    Our patients can feel confident that they are being treated by a foot and ankle surgeon who has dedicated years of her education, training, and experience to achieving board certification status by the American Board of Podiatric Surgery.
    The American Board of Podiatric Surgery website has a wealth of information about podiatry and the requirements that must be met.

    A Doctor of Podiatric Medicine (DPM) is to the foot and ankle what a dentist is to the mouth, or an ophthalmologist to the eye — a doctor specializing in the prevention, diagnosis and treatment of foot disorders resulting from injury or disease. A DPM makes independent judgments, prescribes medications and performs surgery. The human foot has a complex interrelation with the rest of the body which means that it may be the first area to show signs of serious conditions such as diabetes and cardiovascular disease. Since the podiatric physician is often the first to detect symptoms of these disorders, he or she becomes a vital and sometimes lifesaving link in the health care team.

    The American College of Foot & Ankle Surgeons is a professional society of thousands of foot and ankle surgeons. Their website contains a plethora of information about advances in podiatry and connects its members to share that knowledge.

    FootHealthFacts.org is the official consumer website of the American College of Foot and Ankle Surgeons. This is a wonderful resource of information! From what foot injuries Olympians have suffered from during the 2012 London Olympics to a growing trend in lawn mower accidents, you will find interesting, informative and compelling articles in the world of Podiatry.

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    What Is the Tarsal Tunnel?
    TarsalTunnelThe tarsal tunnel is a narrow space that lies on the inside of the ankle next to the ankle bones. The tunnel is covered with a thick ligament (the flexor retinaculum) that protects and maintains the structures contained within the tunnel—arteries, veins, tendons, and nerves. One of these structures is the posterior tibial nerve, which is the focus of tarsal tunnel syndrome.

     

    What Is Tarsal Tunnel Syndrome?
    Tarsal tunnel syndrome is a compression, or squeezing, on the posterior tibial nerve that produces symptoms anywhere along the path of the nerve running from the inside of the ankle into the foot.

    Tarsal tunnel syndrome is similar to carpal tunnel syndrome, which occurs in the wrist. Both disorders arise from the compression of a nerve in a confined space.

    Causes
    Tarsal tunnel syndrome is caused by anything that produces compression on the posterior tibial nerve, such as:

    • A person with flat feet is at risk for developing tarsal tunnel syndrome, because the outward tilting of the heel that occurs with “fallen” arches can produce strain and compression on the nerve.
    • An enlarged or abnormal structure that occupies space within the tunnel can compress the nerve. Some examples include a varicose vein, ganglion cyst, swollen tendon, and arthritic bone spur.
    • An injury, such as an ankle sprain, may produce inflammation and swelling in or near the tunnel, resulting in compression of the nerve.
    • Systemic diseases such as diabetes or arthritis can cause swelling, thus compressing the nerve.

    Symptoms
    Patients with tarsal tunnel syndrome experience one or more of the following symptoms:

    • Tingling, burning, or a sensation similar to an electrical shock
    • Numbness
    • Pain, including shooting pain

    Symptoms are typically felt on the inside of the ankle and/or on the bottom of the foot. In some people, a symptom may be isolated and occur in just one spot. In others, it may extend to the heel, arch, toes, and even the calf.

    Sometimes the symptoms of the syndrome appear suddenly. Often they are brought on or aggravated by overuse of the foot, such as in prolonged standing, walking, exercising, or beginning a new exercise program.

    It is very important to seek early treatment if any of the symptoms of tarsal tunnel syndrome occur. If left untreated, the condition progresses and may result in permanent nerve damage. In addition, because the symptoms of tarsal tunnel syndrome can be confused with other conditions, proper evaluation is essential so that a correct diagnosis can be made and appropriate treatment initiated.

    Diagnosis
    The foot and ankle surgeon will examine the foot to arrive at a diagnosis and determine if there is any loss of feeling. During this examination, the surgeon will position the foot and tap on the nerve to see if the symptoms can be reproduced. He or she will also press on the area to help determine if a small mass is present.

    Advanced imaging studies may be ordered if a mass is suspected or if initial treatment does not reduce the symptoms. Studies used to evaluate nerve problems—electromyography and nerve conduction velocity (EMG/NCV)—may be ordered if the condition shows no improvement with non-surgical treatment.

    Non-surgical Treatment
    A variety of treatment options, often used in combination, are available to treat tarsal tunnel syndrome. These include:

    • Rest. Staying off the foot prevents further injury and encourages healing.
    • Ice. Apply an ice pack to the affected area, placing a thin towel between the ice and the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again.
    • Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
    • Immobilization. Restricting movement of the foot by wearing a cast is sometimes necessary to enable the nerve and surrounding tissue to heal.
    • Physical therapy. Ultrasound therapy, exercises, and other physical therapy modalities may be prescribed to reduce symptoms.
    • Injection therapy. Injections of a local anesthetic provide pain relief, and an injected corticosteroid may be useful in treating the inflammation.
    • Orthotic devices. Custom shoe inserts may be prescribed to help maintain the arch and limit excessive motion that can cause compression of the nerve.
    • Shoes. Supportive shoes may be recommended.
    • Bracing. Patients with flatfoot or those with severe symptoms and nerve damage may be fitted with a brace to reduce the amount of pressure on the foot.

    When is Surgery Needed?
    Sometimes surgery is the best option for treating tarsal tunnel syndrome. The foot and ankle surgeon will determine if surgery is necessary and will select the appropriate procedure or procedures based on the cause of the condition.

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    Vero Beach Location

    Monday:

    9:00 AM-5:00 PM

    Tuesday:

    9:00 AM-5:00 PM

    Wednesday:

    9:00 AM-5:00 PM

    Thursday:

    9:00 AM-5:00 PM

    Friday:

    9:00 AM-12:00 PM

    Saturday:

    Closed

    Sunday:

    Closed

    Sebastian Location

    Monday:

    Closed

    Tuesday:

    1:00 PM-5:00 PM

    Wednesday:

    Closed

    Thursday:

    1:00 PM-5:00 PM

    Friday:

    9:00 AM-12:00 PM

    Saturday:

    Closed

    Sunday:

    Closed