
Tarsal tunnel syndrome is caused by compression of the posterior tibial nerve as it passes through a narrow space along the inside of the ankle. This pressure can develop from flat feet, swelling after injury, or conditions like arthritis or diabetes. Risk factors include poor foot structure, repetitive stress, and inflammation in the area. Symptoms include tingling, burning, numbness, or shooting pain that can extend into the foot and toes. Discomfort may worsen with activity or prolonged standing. A podiatrist can evaluate the condition, identify underlying causes, and recommend treatment options. Included are supportive footwear, prescribed orthotics, or certain medication. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can diagnose and treat the problem.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. 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 Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

An ingrown toenail develops when the edge of a nail grows into the surrounding skin, often causing pain, redness, and swelling. Common causes include improper toenail trimming, wearing tight shoes, and repeated pressure on the toes. Risk factors include curved nails, injury, and poor foot-care habits. When conservative care is not effective, a minor surgical procedure may be recommended. This procedure involves gently removing part of the nail and treating the nail root to prevent it from growing inward again. Recovery time is usually short, with most people returning to normal activities within a few days while keeping the area clean and protected. A podiatrist can diagnose the condition, provide treatment, and help prevent recurrence. If you have symptoms of an ingrown toenail, it is suggested that you consult a podiatrist who can offer effective treatment solutions, which may include minor surgery.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions, please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton’s neuroma and traumatic neuromas are painful nerve conditions that can affect the feet in different ways. Morton’s neuroma develops when a nerve becomes thickened from repeated pressure or irritation, usually between the third and fourth toes. Many people describe burning pain, tingling, numbness, or the feeling of standing on a pebble while walking. A traumatic neuroma forms after a nerve has been injured by surgery, a deep cut, or direct trauma to the foot. As the nerve heals abnormally, it may create sharp pain, sensitivity, or electric shock sensations. Although these conditions involve different causes, both can interfere with walking and daily activity. A podiatrist can examine the foot, identify the affected nerve, and use imaging studies or diagnostic testing to confirm the condition. Treatment may include orthotics, footwear changes, injections, medication, or surgery, when symptoms become severe. If nerve pain in the foot continues to worsen, it is suggested that you visit a podiatrist for evaluation and appropriate treatment.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Scott Shrem of Garden State Foot & Ankle Center. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in Hazlet, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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