
Tarsal tunnel syndrome is a condition where the posterior tibial nerve is compressed as it travels through the tarsal tunnel on the inside of the ankle. This can lead to tingling, burning, numbness, or sharp pain in the foot and ankle. Causes include hindfoot deformities, diabetes, hypothyroidism, excess weight, and excessive use of alcohol or tobacco. These factors can increase pressure around the nerve or contribute to nerve damage. A podiatrist can diagnose the condition using physical exams and imaging, then recommend treatment such as bracing or custom orthotics. If you are experiencing persistent foot or ankle pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat what may be going on.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Derek Smith, DPM of Oklahoma. 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 feel free to contact our offices located in Ponca City, and Stillwater, OK . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Understanding the differences between trail and running shoes is essential for foot health and performance. Trail shoes are designed for rugged terrain. They typically feature rubber outsoles for improved traction, stiffer midsoles for added support, and durable uppers that help keep out debris while providing extra grip. In contrast, traditional running shoes are ideal for paved surfaces. They offer a lightweight design, enhanced cushioning for shock absorption, and breathable materials to keep feet cool. Each shoe type serves a specific purpose, and wearing the wrong shoe can lead to discomfort or injury. A podiatrist can evaluate your foot structure, activity level, and gait to recommend the most appropriate footwear. If you have foot or ankle pain from wearing the wrong type of shoes, it is suggested that you visit a podiatrist. This type of doctor can treat various foot conditions, while ensuring your shoes support your movement.
You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Derek Smith, DPM from Oklahoma. Our doctor can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.
Tips for Finding the Right Running Shoe
- Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
- There should be little to no slipping at the heel
- Don’t assume your size in one shoe brand will be your size in another
- Do not lace up your shoes too tightly
- Walk around in the store with your new shoes before you buy them
If you have any questions please feel free to contact our our offices located in Ponca City, and Stillwater, OK . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat foot surgery is a procedure used to correct fallen arches when conservative treatments do not provide relief. Flat feet may result from genetics, injury, or conditions such as arthritis and tendon dysfunction. The surgery typically involves repairing tendons, realigning bones, or fusing joints to restore proper foot shape and function. Recovery time varies based on the type of procedure, but often includes rest and gradual return to activity. A podiatrist can determine if surgery is necessary after a thorough evaluation and imaging studies. They also guide patients through each phase of treatment. If flat feet are affecting your mobility or causing pain, it is suggested that you speak with a podiatrist about your options for long-term relief and improved function.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Derek Smith, DPM of Oklahoma. 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 offices located in Ponca City, and Stillwater, OK . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.