Blog
Anterior Tarsal Tunnel Syndrome and Foot Nerve Compression

Anterior tarsal tunnel syndrome is a condition caused by compression of the deep peroneal nerve as it passes under the structures on the top of the foot. This compression can result from wearing tight shoes, repetitive activity, trauma, or swelling in the area. Symptoms include tingling, numbness, burning, or sharp pain between the first and second toes, as well as discomfort on the top of the foot that may worsen with activity or footwear pressure. Risk factors include engaging in activities that place repeated stress on the foot, wearing improperly fitting shoes, or having structural foot abnormalities. A podiatrist can diagnose the condition using a physical exam and imaging if needed, as well as recommend supportive footwear, orthotics, or anti inflammatory therapy. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat the condition.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dawn Miles, DPM of Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Corns and Calluses Differ

Corns and calluses both develop when the skin on the feet is exposed to repeated pressure, but they are not the same. A corn is a small, cone-shaped bump that often appears on the top of a toe, usually over a joint, and it can feel sore when touched. Corns between the toes are softer because the skin stays moist in that area. A callus is a wider, flatter patch of thick skin that often forms on the ball of the foot or the sides of the feet where weight and rubbing increase. Calluses rarely hurt unless they become very thick. A podiatrist can tell the difference by looking at the size, shape, and location of the hardened skin. Treatment options for a painful corn include reducing pressure on the toe, removing the hardened center, and safely trimming the thickened skin. If you have a painful corn on your foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and safe, sterile treatment.
If you have any concerns regarding your feet and ankles, contact Dawn Miles, DPM of Florida. Our doctor will treat your foot and ankle needs.
Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.
Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:
- Well-fitting socks
- Comfortable shoes that are not tight around your foot
- Shoes that offer support
Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.
If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Do I Need Walking or Running Shoes?

Selecting proper footwear is essential because running places greater strain on the body than walking, making the right support critical for comfort and injury prevention. Walking shoes are designed for steady forward motion and usually offer flexible soles and cushioning for the heel and arch. Running shoes provide more shock absorption, stronger heel support, and added stability to handle the higher impact forces with each stride. Both types should fit well, offer good traction, and match your foot shape and activity level. A podiatrist can evaluate your gait, foot structure, and any pain concerns to recommend the best footwear for your needs. If you have sustained a foot injury from wearing the wrong shoes, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on the correct shoes to wear for your desired activity.
For more information about walking shoes versus running shoes, consult with Dawn Miles, DPM from Florida. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.
Foot Health: The Differences between Walking & Running Shoes
There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.
You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.
Differences
Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.
Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.
If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout and How to Manage It

Gout is a painful form of inflammatory arthritis that occurs when uric acid crystals build up in a joint, most often the big toe. This condition can develop due to high uric acid levels, certain foods, dehydration, or underlying medical issues. Risk factors include family history, obesity, kidney disease, and diets high in red meat or alcohol. Symptoms often include sudden sharp pain, redness, swelling, and warmth in the affected joint. A podiatrist can diagnose gout, provide relief through targeted treatment, and recommend lifestyle changes to reduce flare ups. If your big toe and surrounding areas are causing you pain, it is suggested that you promptly consult a podiatrist who can accurately diagnose gout, and help you to manage this painful condition.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dawn Miles, DPM from Florida. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Blog Archives
- 2026
- 2025
- 2024
- 2023
- 2022
- 2021
- 2020
- 2019







