Tarsal tunnel syndrome involves pressure on a nerve that travels along the inside of the ankle and into the sole of the foot. It is similar to how carpal tunnel syndrome affects a nerve at the wrist. The pain develops when the tibial nerve is squeezed within a narrow space near the ankle, leading to sensory changes in the foot. Warning signs include tingling, numbness, burning, or sharp sensations in the arch, heel, or toes. Discomfort can worsen with walking or standing and continue during rest. Causes include flat feet, swelling after ankle injuries, arthritis-related changes, or soft tissue masses near the nerve. A podiatrist can evaluate foot structure, check nerve response, and confirm the source of compression. If you are experiencing such ankle pain, it is suggested that you make an appointment with a podiatrist for a diagnosis and options for treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Darren Day, DPM from Hawaii. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our offices located in Honolulu and Kahuku, HI . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Toenail fungus is a common infection that affects the nails of the feet and causes changes in appearance and texture. It develops when fungi enter the nail through small cracks or separation from the nail bed. Common symptoms include thickened nails, discoloration ranging from yellow to brown, brittleness, crumbling edges, and an unpleasant odor. The nail may become distorted and difficult to trim, leading to discomfort while walking or wearing shoes. Causes of toenail fungus include moist environments, sweaty feet, shared public spaces, and weakened immunity. A podiatrist can accurately diagnose the infection and recommend effective treatment options, including topical care, oral medication, or in-office procedures. They can also provide guidance on proper foot hygiene to prevent recurrence. If you notice changes in your toenails or have nail discomfort, it is suggested that you schedule an appointment with a podiatrist who can effectively treat this condition, which may include prescribed medication.

For more information about treatment, contact Darren Day, DPM of Hawaii. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please contact our offices located in Honolulu and Kahuku, HI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Football places intense strain on the feet and ankles, and the push-off forces used for sprinting or sudden direction changes can damage the thick tendon behind the heel. The Achilles tendon, which links the calf muscles to the heel bone, allows a player to jump, run, and accelerate. Quick bursts of speed, tackling, and uneven fields increase tension in this tendon, making a tear more likely, especially when a player lands awkwardly or the ankle twists. A rupture causes sharp pain, swelling, and difficulty standing on the toes. A podiatrist can assess the tendon, order imaging, discuss footwear that provides support, and recommend treatment such as bracing, therapy guided exercises, or surgery when needed to restore strength and mobility. If you have Achilles tendon pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and safe, sterile treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Darren Day, DPM of Hawaii. 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 Honolulu and Kahuku, HI . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Falls in seniors often start with problems in the feet, toes, or ankles that make walking less steady. Painful joints, reduced range of motion, or stiffness in the ankles can change gait and slow reaction time when stepping on uneven ground. Thickened toenails, numbness, or deformities like hammertoes can affect balance. Additionally, wearing shoes with inadequate support or worn-out flip-flops make slips more likely. Weak muscles in the lower legs or arthritis in the foot joints can cause a shuffling stride, which increases the chance of tripping. Previous injuries, swelling, or poor circulation can also interfere with safe movement, adding to the risk of fractures if bones are fragile. A podiatrist can evaluate the feet, correct gait problems, and recommend proper footwear to improve stability. For help in preventing falls or to address any existing foot problems, it is suggested that you schedule  an appointment with a podiatrist for a diagnosis and appropriate treatment.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Darren Day, DPM from Hawaii. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our offices located in Honolulu and Kahuku, HI . We offer the newest diagnostic and treatment technologies for all your foot care needs.