Tarsal tunnel syndrome is a nerve compression condition that affects the posterior tibial nerve as it travels through a narrow space on the inside of the ankle. This tunnel is formed by bone and soft tissue, and when pressure builds within this area, the nerve becomes irritated. This condition is often compared to carpal tunnel syndrome in the wrist, but it affects the foot and ankle. Because symptoms can resemble other foot conditions, an accurate diagnosis is essential for effective treatment and long term relief.

Common symptoms include tingling, numbness, and sharp or shooting pain along the inside of the ankle or the bottom of the foot. These sensations may worsen with prolonged standing or walking. Many patients report that symptoms feel similar to plantar fasciitis, especially when heel pain is present. Others may confuse it with diabetic neuropathy due to the presence of nerve related discomfort, such as numbness or tingling. This overlap can delay proper care if not carefully evaluated.

Several causes and risk factors contribute to the development of tarsal tunnel syndrome. These include flat feet, ankle injuries, and space occupying masses such as cysts. Individuals with biomechanical imbalances or chronic conditions that affect circulation or nerve health may also be at increased risk. Repetitive stress and prolonged weight bearing activities can further aggravate the nerve and worsen symptoms over time.

Early evaluation and proper diagnosis is vital in managing this condition effectively. A podiatrist can differentiate between similar conditions and recommend appropriate treatment options to relieve pressure on the nerve. Addressing the underlying cause can help prevent progression and improve daily function. If you have symptoms related to tarsal tunnel syndrome, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Raul Hidalgo DPM of South Texas Foot & Ankle Care. 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 San Antonio, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat feet occur when the arches of the feet are low or absent, causing most or all of the sole to make contact with the ground while standing. Some people are born with flat feet, while others develop them later in life. Aging, injuries, arthritis, and certain inherited conditions can affect the structures that support the arch. Flat feet do not always cause discomfort, but they can change the way weight is distributed across the feet. This change can place added stress on the heels, ankles, and lower legs. As a result, some people experience pain, fatigue, or difficulty with movement. 

Symptoms of flat feet vary from person to person. Included are pain in the arch, heel, or ankle. Swelling around the ankle or discomfort that increases while walking or prolonged standing may also occur. Flat feet can affect body alignment, leading to pain in the knees, hips, or lower back. A podiatrist can evaluate the structure and function of the feet through a physical examination and gait analysis. This assessment looks at how the feet move and bear weight. Diagnostic imaging, like X-rays can provide additional information about the bones and joints. Identifying the cause of flat feet is an important step in creating an effective treatment plan.

Treatment focuses on reducing pain, improving foot function, and supporting the arches. A podiatrist can prescribe custom orthotics to improve alignment and reduce strain on the feet. Other treatment options include ankle bracing and recommendations for shoes with proper support and stability. A podiatrist can manage related conditions that contribute to flat feet and monitor changes in foot structure. In severe cases, surgery can correct structural problems that are causing significant pain or limiting mobility. If you have flatfoot pain, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate relief and treatment solutions.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Raul Hidalgo DPM from South Texas Foot & Ankle Care. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Foot blisters are one of the most common skin conditions that affect active individuals and others who spend long hours standing or walking. A blister forms when repeated friction or pressure causes the upper layer of skin to separate from the layers beneath it. Fluid then collects in the space as a protective response. Blisters frequently affect the heels, toes, and the ball of the foot, especially when footwear does not fit properly or when moisture builds up from sweat.

Early symptoms often include a hot spot on the skin, followed by redness and mild irritation. As the blister develops, it becomes a raised, fluid-filled area that may feel tender or painful. Walking can become uncomfortable, and pressure from shoes may worsen the irritation. If a blister breaks open, the underlying skin becomes exposed and more vulnerable to infection. Proper care involves keeping the area clean, dry, and covered with a sterile dressing. Avoid removing the top layer of skin, as it helps protect the healing tissue.

Several factors contribute to the development of foot blisters. Tight-fitting shoes, poorly designed insoles, and rough seams can create repeated friction. Moisture from sweating softens the skin and increases susceptibility to damage. Long-distance walking, running, and high-impact activities also raise the risk. In addition, burns, allergic reactions, and viral skin infections may cause blister-like symptoms, which require careful evaluation to determine the correct treatment approach.

Prevention plays a key role in maintaining foot health. Wearing well-fitted, supportive shoes and moisture-wicking socks can significantly reduce friction. Keeping feet dry and using protective padding in high-risk areas may help prevent recurrence. Paying attention to early warning signs allows for quick action before a blister worsens. If you have foot blisters, it is suggested that you see a podiatrist for a proper diagnosis and safe treatment.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Raul Hidalgo DPM of South Texas Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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