
The Underlying Causes of Neuropathy Affecting the Feet

Neuropathy, a condition characterized by nerve damage, can significantly impact the feet, leading to various symptoms that range from tingling sensations to sharp pain. Diabetes stands as a primary contributor to neuropathy, with prolonged elevated blood sugar levels damaging nerves over time. Other systemic conditions such as autoimmune disorders, kidney diseases, and vitamin deficiencies can also instigate neuropathic symptoms in the feet. Moreover, exposure to toxins, certain medications, or infections may provoke neuropathy, affecting the peripheral nerves responsible for transmitting signals between the feet and the central nervous system. Trauma or injury to the nerves, often arising from accidents or surgeries, can induce neuropathic symptoms. Understanding the diverse causes of neuropathy is paramount for an accurate diagnosis and targeted intervention. If you have tingling or numbing sensations in your feet, it is suggested that you schedule an appointment with a podiatrist who can diagnose and treat neuropathy.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with the foot specialists from Podiatry Associates of Belleville. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our office located in Belleville, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Neuropathy
Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.
The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.
Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.
Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.
If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.
Risk Factors of Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition characterized by the compression of the tibial nerve as it passes through the tarsal tunnel in the ankle. Several factors can increase the risk of developing this syndrome. Some individuals may have foot structures that predispose them to tarsal tunnel syndrome. This includes flat feet or high arches, which can create abnormal pressure on the tibial nerve within the tarsal tunnel. Previous ankle injuries, fractures, or sprains can damage the structures within the tarsal tunnel, potentially leading to compression of the tibial nerve. Underlying medical conditions, such as diabetes, arthritis, or peripheral neuropathy, can increase the risk of nerve compression within the tarsal tunnel. Engaging in activities that involve repetitive foot movements or prolonged standing can strain the tibial nerve, raising the risk of tarsal tunnel syndrome. Wearing improperly fitting shoes or those lacking proper support can contribute to nerve compression in the tarsal tunnel. Excess body weight can exert added pressure on the foot and ankle, potentially compressing the tibial nerve. If you suffer from pain, numbness, or tingling in your ankle, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact the foot specialists of Podiatry Associates of Belleville. Our doctors 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 office located in Belleville, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Treating Tarsal Tunnel Syndrome
Tarsal tunnel syndrome is a condition in which the tibial nerve, located in the tarsal tunnel in the foot, is compressed. The tibial nerve can become compressed from injury, such as an ankle sprain, flat feet, and lesions. Arthritis, diabetes, and varicose veins can also cause swelling and thus result in nerve compression.
Symptoms of tarsal tunnel syndrome include several different sensations in the sole of the foot, inside the ankle, and around the tibial nerve. These sensations include shooting pains, numbness or reduced sensation, pins and needles, burning, and tingling. Symptoms tend to worsen with greater activity to the area. In rare and severe occasions, this can change the muscles in the foot.
If you suspect you have tarsal tunnel syndrome, you should consult with your podiatrist. He or she will examine your medical history to see if you have a history of diabetes, arthritis, or flat feet. They will also check to see if you have suffered an injury to the area recently. An electrical test will be conducted to check if the nerve has been damaged. A simpler Tinel’s Test might also be used. This includes simply tapping the nerve to create a sensation. An MRI scan of the area may also be used.
Treatments vary greatly for tarsal tunnel syndrome. Treatments include both nonsurgical and surgical options depending upon the severity of the condition. Nonsurgical options include anti-inflammatory medication and steroid injections to the area. Orthotics, such as a splint or brace that immobilizes the foot, is another noninvasive option. For those with flat feet, custom shoes can be made to offer better foot support. Surgical options include a tunnel tarsal release, in which an incision is made behind the ankle down to the arch of the foot. This releases the ligament and relieves pressure off the nerve. Some doctors use a more minimally invasive surgery, where smaller incisions are made in the ankle and the ligament is stretched out.
If you are suffering from painful sensations in your foot, see a podiatrist who can determine if you are experiencing tarsal tunnel syndrome. Tarsal tunnel syndrome that is left unchecked can cause permanent nerve damage to the foot.
Recognizing the Symptoms of Flat Feet

Flat feet, or fallen arches, are a common condition where the arches of the feet collapse, causing the entire sole to touch the ground. Recognizing the symptoms of flat feet is essential for understanding and addressing this condition. One prevalent sign is pain or discomfort along the inner side of the ankle and arch. Individuals with flat feet may also experience swelling along the inside of the ankle. The lack of a visible arch when standing or walking is a visual indicator of flat feet. Overpronation, where the foot rolls inward excessively, can contribute to this condition and lead to related issues, including shin splints or knee pain. Fatigue and aching in the feet and legs can occur, especially after prolonged standing. If you have flat feet, it is suggested that you speak to a podiatrist who can provide you with effective relief options.
Flatfoot is a condition many people suffer from. If you have flat feet, contact the foot specialists from Podiatry Associates of Belleville. Our doctors 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 Belleville, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flatfoot
Flatfoot is a foot disorder that is not as straightforward as many people believe. Various types of flatfoot exist, each with their own varying deformities and symptoms. The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot. Other signs of flatfoot include:
- “Toe drift,” or the pointing outward of the toes and the front part of the foot
- The tilting outward of the heel and the tilting inward of the ankle
- The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
- Hammertoes
- Bunions
One of the most common types of flatfoot is flexible flatfoot. This variation usually starts in childhood and progresses as one ages into adulthood. Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing. When not standing, the arch returns. Symptoms of flexible flatfoot include:
- Pain located in the heel, arch, ankle, or along the outside of the foot
- Overpronation, or an ankle that rolls in
- Shin splint, or pain along the shin bone
- General foot aches or fatigue
- Pain located in the lower back, hip, or knee
Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit. X-rays may be taken to define the severity and help determine the treatment option best for your condition. Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices. If nonsurgical methods prove ineffective, surgery may be considered. Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.
Wounds That Don't Heal Need to Be Checked
Diagnosis of Plantar Warts

Plantar warts, also known as verrucae plantaris, are warts that appear on the bottom of the feet, often in areas that bear weight like the heels, toes, and the middle of the foot. These warts can be particularly painful and difficult to treat because walking puts pressure on them, causing them to grow inward. Sometimes, many warts can grow together, forming what is known as mosaic warts. It can be hard to tell plantar warts apart from corns or calluses. Corns are hard skin that forms over joints from pressure and rubbing. They have a hard core and do not have the small black dots that warts do. Soft corns form in moist areas between toes due to pressure and rubbing. Another condition often mistaken for plantar warts is black heel, which can be seen in athletes like tennis or basketball players. This is where tiny blood vessels break, causing small black or brown spots on the heel or side of the foot. Carefully removing the top layer of skin can help separate this condition from warts, calluses, corns, and serious issues such as malignant melanoma. If you have what appears to be a wart on your foot, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.
Plantar warts can be very uncomfortable. If you need your feet checked, contact the foot specialists from Podiatry Associates of Belleville. Our doctors will assist you with all of your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
- Lesions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
Treatment
- Freezing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
If you have any questions please feel free to contact our office located in Belleville, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Warts
Plantar warts are growths that typically appear on the heels or other weight-bearing areas of the feet. These warts are caused by the human papillomavirus (HPV). The virus enters the body through breaks in the skin, such as cuts, that are on the bottom of the feet. Plantar warts are more likely to affect children and teenagers, people with weakened immune systems, people who have a history with plantar warts, and people who walk barefoot in environments exposed to a wart-causing virus.
If you suspect you have plantar warts, you may have the following symptoms: pain or tenderness while walking, a lesion that interrupts the ridges in the skin of your foot, small fleshy lesions on the bottom of the foot, or a callus where a wart has grown inward over a well-defined spot on the skin.
HPV causes plantar warts to form and is very common. There are more than 100 kinds of the virus in existence. However, only a few of them cause warts on the feet. The other types of HPV are likely to cause warts on other parts of the body.
If you have plantar warts, your podiatrist may try different treatment methods depending on your specific case. Some treatments for plantar warts are peeling medicines (salicylic acid), freezing medicines (cryotherapy), or surgical procedures. Laser treatments and vaccines are also used to treat plantar warts.
Insight into Foot Blisters

Foot blisters are fluid-filled pockets that form on the skin's surface, commonly caused by friction, heat, and moisture. These blisters can be painful and uncomfortable, affecting individuals of all ages. Friction is a primary culprit in blister formation. When the skin repeatedly rubs against footwear or other surfaces, it can lead to irritation, causing a blister to develop as a protective mechanism. Wearing ill-fitting shoes, especially those that are too tight or loose, can exacerbate this problem. Heat and moisture also contribute to blister development. When your feet sweat excessively, it creates a moist environment inside your shoes, increasing the risk of friction. In hot weather, sweat can make the skin more vulnerable to blistering. Another potential cause of blisters is burns, whether from hot surfaces, chemicals, or sunburn, as they can damage the skin and result in blister formation. Understanding the causes of foot blisters is essential for prevention. If you do develop a blister, it is important to protect and care for it to avoid infection and promote healing, and a podiatrist can help you accomplish this. It is suggested that you contact this type of doctor who can guide you toward healing and prevention techniques.
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 the foot specialists of Podiatry Associates of Belleville. Our doctors 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 Belleville, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.