Ankle pain is a widespread condition that can limit movement, affect balance, and reduce overall quality of life. It may result from a sudden injury or develop gradually due to joint wear and degeneration. Common causes include sprains, fractures, and cartilage damage within the joint. Individuals often report swelling, reduced range of motion, and ongoing discomfort during walking or standing. Risk factors such as aging, excess body weight, repetitive strain, and a history of ankle injuries can increase the likelihood of developing chronic symptoms. Without proper care, ankle pain may worsen over time and interfere with daily activities.

When non-surgical treatments such as rest, bracing, and orthotics do not provide relief, ankle arthroplasty may be considered. This type of foot surgery, often referred to as total ankle replacement, involves removing damaged joint surfaces and replacing them with artificial components. The goal is to restore smoother movement while reducing pain. In contrast to ankle fusion, which restricts motion, this approach is designed to preserve flexibility and support a more natural walking pattern.

The surgery is performed in a sterile setting by a trained podiatric surgeon. Damaged bone and cartilage are carefully removed, and prosthetic components made of durable metal and medical-grade plastic are inserted to recreate the joint. Following surgery, patients participate in a structured recovery plan that includes gradual weight-bearing and guided rehabilitation. Many patients experience improved alignment, decreased pain, and better overall function after healing.

Ankle arthroplasty is not appropriate for every patient. Those with severe deformity, compromised bone quality, or active infection may require alternative treatment options. A detailed evaluation is essential to determine candidacy and ensure the best outcome. If you have chronic ankle pain and are considering this procedure, it is suggested that you consult a podiatrist who can determine if this type of foot surgery is appropriate for your condition.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Paul Hutchison, DPM of Hutchison Foot Clinic. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Tarsal tunnel syndrome develops when the posterior tibial nerve becomes compressed near the inner ankle. It is similar to carpal tunnel syndrome in the wrist.  The affected nerve plays a key role in sensation and movement within the foot. When pressure builds inside the tarsal tunnel, it disrupts normal nerve function and leads to discomfort. The condition may develop gradually, making it easy to overlook in its early stages. Understanding how it feels and what contributes to it can help individuals seek care at the right time.

Many people with this condition report a burning or tingling sensation that travels along the inside of the ankle into the arch of the foot. Some describe sharp pain that worsens with activity and improves with rest. Others may feel numbness or a pins-and-needles sensation that becomes more noticeable at night. The discomfort can vary in intensity, but it often interferes with walking, standing, or exercise. Over time, the symptoms may become more persistent and difficult to ignore.

The causes of tarsal tunnel syndrome are often related to pressure or structural changes in the foot. Flat feet are a common factor because they alter foot mechanics and increase strain on the nerve. Swelling from injuries, tendon inflammation, or joint conditions can also narrow the tunnel space. Risk factors include obesity, repetitive stress, prolonged standing, and wearing poorly fitting shoes. Certain medical conditions, including diabetes and arthritis, may further increase the likelihood of nerve compression.

Managing this condition requires a clear understanding of its cause and severity. Early treatment may include rest, wearing supportive footwear, and custom orthotics to reduce pressure. In more advanced cases, medical intervention may be necessary to prevent long-term nerve damage. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Paul Hutchison, DPM of Hutchison Foot Clinic. 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 Memphis, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Morton’s neuroma affects the ball of the foot, most commonly between the third and fourth toes. It is sometimes referred to as Morton’s disease, although it is not actually a disease but a nerve irritation or thickening of the tissue surrounding a nerve. This condition develops when the nerve leading to the toes becomes compressed or irritated, often causing sharp or burning pain. Many patients describe the sensation as walking on a small pebble or having a fold in their sock that will not go away.

The causes of Morton’s neuroma are closely related to repetitive pressure and irritation of the forefoot. Wearing tight or narrow shoes is one of the most common factors, especially footwear with a narrow toe box or high heels. These shoes place extra pressure on the front of the foot and squeeze the toes together. High-impact activities like running or sports that involve repeated forefoot stress can also increase the risk. In some cases, foot structure plays a role. This includes flat feet, high arches, or abnormal toe alignment, all of which can increase nerve compression.

Risk factors for Morton’s neuroma include prolonged use of improper footwear, participation in high-impact sports, and occupations that require long periods of standing or walking. Women are more commonly affected due to footwear choices, but the condition can occur in anyone. Symptoms often begin gradually with mild tingling or numbness in the toes. The pain may become more intense, especially when wearing shoes or applying pressure to the forefoot. Some people may also experience burning sensations or a feeling of instability when walking.

Diagnosis and treatment of Morton’s neuroma typically involve a thorough evaluation by a podiatrist. A physical examination, along with imaging if needed, helps confirm the condition and rule out other causes of foot pain. Treatment options may include footwear changes, custom orthotics, padding to reduce pressure, and anti-inflammatory measures. In more persistent cases, injections or minimally invasive procedures may be recommended to reduce nerve irritation. Surgery is considered when conservative treatments do not provide relief. If you have signs of Morton’s neuroma, it is strongly suggested that you consult a podiatrist for a proper diagnosis and treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Paul Hutchison, DPM of Hutchison Foot Clinic. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Toenail fungus can change the look and feel of the nail over time. It happens when tiny organisms grow in or under the toenail, often in warm, damp areas. The nail may become thick, yellow, brittle, or lifted from the nail bed. Some people also notice pain when pressure is placed on the toe while walking. Although toenail fungus may not seem urgent at first, it can be hard to manage once it becomes established. It may also spread to other nails or cause more discomfort as the nail changes shape. Professional podiatry care can help identify the problem early and reduce the chance of ongoing nail damage while supporting better foot health.

A podiatrist can examine the affected toenail and determine whether fungus is truly the cause. This matters because nail injuries, aging, psoriasis, and other problems can look similar to a fungal nail infection. In some cases, a small nail sample may be tested to confirm the diagnosis. Once the cause is clear, the podiatrist can recommend a treatment plan based on the severity of the infection and the patient’s overall foot health. Treatment may include prescription topical medication, oral medication, or careful trimming of thickened nail tissue. People with diabetes, poor circulation, or immune-system concerns should be especially cautious, because nail problems can lead to more serious foot issues.

Early evaluation is important because toenail fungus treatment often takes time and requires consistent follow-up. A podiatrist can monitor nail growth, check for changes, and adjust care when needed. Professional treatment may also improve comfort in shoes and support healthier-looking toenails. Seeking expert care helps avoid delays caused by guessing what is wrong with the nail. If you have thick, discolored, painful, or lifting toenails, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

For more information about treatment, contact Paul Hutchison, DPM of Hutchison Foot Clinic. 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 office located in Memphis, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.