
Tarsal tunnel syndrome occurs when the posterior tibial nerve becomes compressed inside the tarsal tunnel, a narrow space near the ankle. This can cause tingling, burning, or shooting pain in the foot. What makes it tricky is that these symptoms often mimic other conditions, such as plantar fasciitis, neuropathy, or a pinched nerve in the lower back. The pain may come and go or become more intense with standing or walking. Proper diagnosis is essential because treatment for one condition may not help another. A thorough exam, along with imaging or nerve testing, can help confirm what is causing the pain. If you have ongoing foot pain or strange sensations that have not improved with rest or new shoes, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Lance Greiff, DPM of Great Neck Podiatry. 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 Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle injuries are a frequent concern in baseball due to the dynamic and fast-paced nature of the game. Players often experience sprains or strains as a result of rapid direction changes and high-impact movements. Running at full speed and sliding into bases can place intense stress on the ankle joints, especially when contact with the base is awkward or mistimed. Uneven playing surfaces increase the risk of rolling the ankle during sprints or fielding. Quick lateral movements and sudden stops while fielding or chasing a ball also contribute to ankle strain. Additionally, stealing bases demands explosive acceleration and abrupt sliding, which can lead to twists or falls. If you have sustained a foot or ankle injury while playing baseball, it is suggested that you consult a podiatrist who can offer effective treatment solutions, allowing you to return to this popular sport as soon as possible.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Lance Greiff, DPM from Great Neck Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
If you have any questions, please feel free to contact our offices located in Great Neck Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Achilles tendinopathy is a condition that affects the thick tendon connecting the calf muscles to the back of the heel. It usually begins with stiffness or a dull ache that gets worse during or after activity. This problem often develops from overuse, tight calf muscles, or a sudden increase in exercise. Athletes and active adults are especially at risk. You might notice swelling or tenderness along the tendon, especially the first thing in the morning. Early care includes rest, stretching and wearing supportive shoes. Eccentric strengthening exercises may also help reduce pain and rebuild strength. In more serious cases, a podiatrist may suggest targeted exercises or advanced treatments. Ignoring the signs can lead to further damage or even a rupture. If your heel or lower leg is sore, it is suggested you see a podiatrist for a proper diagnosis and appropriate treatment.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Lance Greiff, DPM of Great Neck Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our offices located in Great Neck Bronx, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.