What Is PTTD?The posterior tibial tendon serves as one of the major supporting structures of the foot, helping it to function while walking. Posterior tibial tendon dysfunction (PTTD) is a condition caused by changes in the tendon, impairing its ability to support the arch. This results in flattening

Heel pain is most often caused by plantar fasciitis, a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst. Because there are several potential

What Is Flatfoot? Flatfoot is often a complex disorder, with diverse symptoms and varying degrees of deformity and disability. There are several types of flatfoot, all of which have one characteristic in common: partial or total collapse (loss) of the arch.   Other characteristics shared by most

What Is a Ganglion Cyst? A ganglion cyst is a sac filled with a jellylike fluid that originates from a tendon sheath or joint capsule. The word “ganglion” means “knot” and is used to describe the knot-like mass or lump that forms below the surface of the skin.   Ganglion cysts are among

Webbed toes (also known as syndactyly) is a rare condition seen in approximately one in 2,000 births. Those with this condition have two or more toes that are partially or fully joined by a flexible skin bridge.  Syndactyly most commonly affects the second and third toes, but it can occur between

Weak ankles may be a result of previous ankle injuries, but in some cases they are a congenital (at birth) condition. The ankles are sore, and “give way” easily while standing, walking, or doing other activities. When an ankle is injured, it may take a few weeks to many months to fully heal. Often,

Varicose veins are usually due to improperly functioning valves within the veins. The veins typically appear prominent or look "raised."  The condition can cause swelling of the legs, ankles, and feet. The skin may become discolored due to leakage of blood into the surrounding tissues, and ulcers may

What is Turf Toe? Turf toe is a sprain of the big toe joint resulting from injury during sports activities. The injury usually results from excessive upward bending of the big toe joint. The condition can be caused from either jamming the toe, or repetitive injury when pushing off repeatedly when running

Toe walking, a condition in which a person walks on the toes or ball of the foot, is most often seen in young children learning to walk. A child who does not outgrow toe walking in early childhood should be evaluated by a foot and ankle surgeon. Toe walking may be idiopathic (habitual) or it can be caused

The structure of the foot is complex, consisting of bones, muscles, tendons, and other soft tissues. Of the 26 bones in the foot, 19 are toe bones (phalanges) and metatarsal bones (the long bones in the midfoot). Fractures of the toe and metatarsal bones are common and require evaluation by a specialist.

"Tired feet" are not a medical condition, but are a common complaint related to various medical conditions. Abnormal foot structure (flatfoot or high arched foot) can overburden the foot, resulting in muscle fatigue. Obesity, improper footwear, pregnancy, leg swelling, increased activity level, or compensation

“Tingly feet" can be a sign of nerve loss. The nerves in the feet come from the lower back. Pressure or chemical change in the nerve can cause a tingling sensation in the feet. Any sensation that is out of the ordinary can be an early sign of neurologic or vascular problems. In addition to tingling,

What Is the Tarsal Tunnel? The tarsal tunnel is a narrow space that lies on the inside of the ankle next to the ankle bones. The tunnel is covered with a thick ligament (the flexor retinaculum) that protects and maintains the structures contained within the tunnel—arteries, veins, tendons, and nerves.

What is a Tarsal Coalition? A tarsal coalition is an abnormal connection that develops between two bones in the back of the foot (the tarsal bones). This abnormal connection, which can be composed of bone, cartilage, or fibrous tissue, may lead to limited motion and pain in one or both feet.   The

What is a Talar Dome Lesion? The ankle joint is composed of the bottom of the tibia (shin) bone and the top of the talus (ankle) bone. The top of the talus is dome-shaped and is completely covered with cartilage—a tough, rubbery tissue that enables the ankle to move smoothly. A talar dome lesion is

What Is a Tailor’s Bunion? Tailor’s bunion, also called a bunionette, is a prominence of the fifth metatarsal bone at the base of the little toe. The metatarsals are the five long bones of the foot. The prominence that characterizes a tailor’s bunion occurs at the metatarsal “head,” located

Synovitis is inflammation of the tissues that line a joint. It is commonly associated with specific diseases such as arthritis or gout, but may also be the result of overuse or trauma. Symptoms of synovitis may include redness, swelling, warmth, and pain with joint motion. Evaluation by a foot and

Swelling of the feet may be due to many factors, including trauma, infection, tumor, varicose veins, improper function of the lymphatic system, poor circulation, hypertension, and congestive heart failure, to name a few.  The foot and ankle surgeon will recommend treatment based on examination and diagnosis

Swelling of the ankles may be due to many factors, including trauma, infection, tumor, varicose veins, improper function of the lymphatic system, poor circulation, hypertension, and congestive heart failure, to name a few.  The foot and ankle surgeon will recommend treatment based on examination and

Stress fractures are tiny, hairline breaks that can occur in the bones of the foot. They can be caused by overtraining or overuse, improper training habits or surfaces, improper shoes, flatfoot or other foot deformities, and even osteoporosis. These tiny breaks in the bones of the feet can lead to a

“Shin splints” is a term to describe pain and swelling in the front of the lower legs. The pain usually appears after and is aggravated by repetitive activities such as running or walking. Contributing causes are flat feet, calf tightness, improper training techniques, worn out or improper shoes/sneakers,

What is a Sesamoid? A sesamoid is a bone embedded in a tendon. Sesamoids are found in several joints in the body. In the normal foot, the sesamoids are two pea-shaped bones located in the ball of the foot, beneath the big toe joint.   Acting as a pulley for tendons, the sesamoids help the big

What is Rheumatoid Arthritis? Rheumatoid arthritis (RA) is a disease in which certain cells of the immune system malfunction and attack healthy joints. RA causes inflammation in the lining (synovium) of joints, most often the joints of the hands and feet. The signs of inflammation can include pain,

An uncontrolled urge to move one’s legs is referred to as "restless legs." This can happen while trying to sleep, while traveling, or any time the legs are at rest. There is no known test to diagnose the problem; instead, the foot and ankle surgeon considers the individual’s history to determine

Rest: Stay off the injured (foot/ankle). Walking may cause further injury. Ice: Apply an ice pack to the injured area, placing a thin towel between the ice and the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again. Compression: An elastic wrap should be used to control

Pigeon toes (intoeing) is a condition in which the feet point inward when walking. It is commonly seen in children and may resolve in very early childhood with no treatment or intervention.  The child should be examined by a foot and ankle surgeon if the intoeing is causing significant tripping, difficulty

What Are the Peroneal Tendons? A tendon is a band of tissue that connects a muscle to a bone. The two peroneal tendons in the foot run side-by-side behind the outer ankle bone. One peroneal tendon attaches to the outer part of the midfoot, while the other tendon runs under the foot and attaches near

Osteoporosis, which means “porous bone,” is a condition in which bones become weak and thin due to lack of calcium. People with osteoporosis have an increased risk of bone fractures (breaks).  Osteoporosis is often called the “silent disease” because many people do not realize they have it.

Osteoporosis, which means “porous bone,” is a condition in which bones become weak and thin due to lack of calcium. People with osteoporosis have an increased risk of bone fractures (breaks).  Osteoporosis is often called the “silent disease” because many people do not realize they have it.

Osteomyelitis (an infection of the bone) can be caused by a variety of microbial agents (bacteria, fungus), the most common of which is staphylococcus aureus. This serious infection can occur from a number of sources: • It may enter bone through an injury, such as an open fracture with the bone

What Is Osteoarthritis? Osteoarthritis is a condition characterized by the breakdown and eventual loss of cartilage in one or more joints. Cartilage (the connective tissue found at the end of the bones in the joints) protects and cushions the bones during movement. When cartilage deteriorates or is

What is the Os Trigonum?  The os trigonum is an extra (accessory) bone that sometimes develops behind the ankle bone (talus). It is connected to the talus by a fibrous band. The presence of an os trigonum in one or both feet is congenital (present at birth). It becomes evident during adolescence when

The Lisfranc Joint The Lisfranc joint is the point at which the metatarsal bones (long bones that lead up to the toes) and the tarsal bones (bones in the arch) connect. The Lisfranc ligament is a tough band of tissue that joins two of these bones. This is important for maintaining proper alignment and

What is a Fifth Metatarsal Fracture? Fractures (breaks) are common in the fifth metatarsal – the long bone on the outside of the foot that connects to the little toe. Two types of fractures that often occur in the fifth metatarsal are:   Avulsion fracture. In an avulsion fracture, a small

The foot contains 26 bones and more than 30 joints. The body’s natural response to any type of joint injury is to increase blood flow to the affected area. This results in an accumulation of fluid in the tissues in and around the joint, resulting in swelling. Depending on the cause of the injury, joint