Tarsal tunnel syndrome is caused by compression of the posterior tibial nerve as it travels along the inside of the ankle. This pressure can disrupt normal nerve signals and lead to ongoing discomfort. People with this condition may notice burning, tingling, or shooting pain that travels into the heel, arch, or toes. Symptoms can worsen with activity or prolonged standing, and may feel similar to other foot conditions. Causes often include swelling, injury, flat feet, or structural changes that place stress on the nerve. Untreated compression can lead to increased pain and reduced function. A podiatrist can perform a detailed evaluation, identify the source of pressure, and provide targeted treatment to relieve nerve irritation. If symptoms continue or worsen, it is strongly suggested that you consult a podiatrist for an accurate diagnosis and expert care.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Jennifer M. Kern, DPM of South Carolina. 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 contact our office located in West Columbia, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A fungal toenail infection can be frustrating when it keeps coming back. This infection occurs when fungi grow under or within the nail, leading to thick, discolored, and brittle nails. Recurrence is common because the infection can linger in the nail or surrounding skin even after treatment appears successful. It may take up to a year and a half for a new, healthy nail to fully grow, so early improvement does not always mean the fungus is gone. Risk factors for recurring toenail fungus include poor circulation, diabetes, and repeated exposure to warm, moist environments. A podiatrist can confirm the diagnosis with an exam and testing to create a treatment plan that targets the infection at its source. Care may include prescription medications, nail care, and monitoring nail growth. If you have a stubborn fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment plan.

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 Jennifer M. Kern, DPM of South Carolina. 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 contact our office located in West Columbia, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Fabry disease is a rare genetic disorder caused by a deficiency of an enzyme needed to break down certain fatty substances in the body. This buildup can affect multiple organs, including the nerves and blood vessels in the feet. Individuals may experience burning pain, tingling, numbness, and sensitivity to temperature, which can interfere with daily activities. Symptoms often begin in childhood or adolescence and may worsen over time. This condition is inherited. A podiatrist can help manage foot-related symptoms by assessing nerve function, recommending protective footwear, and providing strategies to reduce discomfort and prevent complications. Early recognition and care are important for maintaining mobility. If you have symptoms of Fabry disease, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact Jennifer M. Kern, DPM of South Carolina. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions, please feel free to contact our office located in West Columbia, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swelling of the feet, also known as edema, occurs when fluid builds up in the tissues, causing the feet to appear puffy or enlarged. The skin may look stretched or shiny, and pressing on the area can sometimes leave an indentation. Patients often describe a heavy or tight feeling, and shoes may suddenly feel too snug. Swelling often develops after long periods of standing or sitting. However, it may also be linked to circulation issues, injury, pregnancy, or underlying medical conditions. A podiatrist can evaluate the pattern and severity of swelling through a physical exam and may coordinate care if a broader medical cause is suspected. Treatment focuses on improving circulation and reducing fluid buildup with supportive footwear, compression, and targeted exercises. Early attention can help prevent discomfort and complications. If you notice swelling of the feet, it is suggested that you make an appointment with a podiatrist.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Jennifer M. Kern, DPM of South Carolina. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our office located in West Columbia, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.