October 2025

Tarsal tunnel syndrome is a condition where the tibial nerve, located near the ankle, becomes compressed as it passes through the tarsal tunnel, a narrow space inside the ankle. This can cause pain, tingling, and numbness in the foot and ankle, often radiating into the toes. Symptoms may worsen with prolonged standing, walking, or physical activity. A podiatrist diagnoses tarsal tunnel syndrome through a physical examination, reviewing the patient’s symptoms, and conducting tests, such as nerve conduction studies or imaging, to identify nerve compression. Treatment usually begins with conservative methods like rest and targeted stretching exercises to alleviate pressure on the tibial nerve. In some cases, corticosteroid injections may be used to reduce inflammation and in severe cases surgery may be needed to release the compressed nerve. If you have symptoms as described, it is suggested that you schedule an appointment with a podiatrist who can offer relief that will restore function to the affected foot.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Charles Marchese of Manalapan Foot & Ankle. 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 our office located in Manalapan, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Wearing shoes that do not fit properly can cause more than just temporary discomfort. Over time, tight, loose, or unsupportive footwear can lead to a range of painful foot problems. Common issues include blisters, calluses, corns, and ingrown toenails, as well as more serious conditions, such as bunions, hammertoes, and plantar fasciitis. Wearing ill-fitting shoes can also alter natural walking patterns, creating strain on the ankles, knees, hips, and lower back. Choosing footwear that supports the shape of your foot, provides proper cushioning, and allows enough space for your toes to move freely is essential for maintaining foot health. Custom orthotics may be recommended for individuals with structural imbalances or chronic pain. If you experience ongoing soreness or changes in your feet, it is suggested that you consult a podiatrist for a professional assessment and guidance on selecting shoes that promote comfort, balance, and long-term mobility.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

If you have any questions please contact our office located in Manalapan, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The big toe plays a vital role in balance and movement, making it prone to injuries. Stubbing the big toe is a common cause of bruising or sprains, while fractures can occur from trauma or dropping heavy objects on it. Athletes are especially at risk due to repetitive stress, sudden stops, or forceful impacts during sports. These injuries can lead to pain, swelling, and difficulty walking, if not properly treated. A podiatrist can diagnose the severity of the injury, provide treatments like splinting or orthotics, and recommend specific exercises. If you have pain in your big toe, it is suggested that you  schedule an appointment with a podiatrist who can diagnose the problem and provide effective treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Charles Marchese of Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Manalapan, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat feet are common among babies. The arch generally develops at approximately age six, but flat feet can continue in ten percent of children through the teenage years. The noticeable signs your child may have flat feet often include stiff joints, the entire foot lying flat on the floor while standing, and possible pain while participating in sporting activities. There are patients who may develop arthritis from having flat feet, and this may be evident in the middle of the foot. If you have symptoms of flat feet, it is suggested that you are under the care of a podiatrist who can guide you toward proper management.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor 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 Manalapan, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.