Comprehensive Care

At MedStar Orthopaedic Institute, our specialists are all fellowship-trained in foot and ankle surgery and focus exclusively on managing problems related to the lower extremities. We offer comprehensive and multidisciplinary care to ensure that your specific needs are met throughout treatment and recovery. We perform thousands of foot and ankle surgeries every year. We also collaborate on your care with any other specialist you need. This team approach gives you the best chance of a successful outcome.

What is a foot or ankle nerve disorder?

This is any problem that causes a restriction or pressure on the nerves found in the feet or ankles. The most common nerve disorders that affect the feet and ankles include tarsal tunnel syndrome and Morton’s neuroma, among others. Nerve conditions can be both painful and debilitating, and often require physical therapy or surgery to correct the problem.

At MedStar Orthopaedic Institute, we have extensive experience treating both diseases. Usually, treatment requires a combination of the following approaches:

  • Physical therapy
  • Occupational therapy
  • Braces
  • Orthopedic surgery

What are the causes?

There are a number of neurological foot and ankle conditions that can cause nerve pain in the foot and even inhibit your ability to walk or perform day-to-day tasks. In some cases, nerve problems even result in debilitating pain. At MedStar Orthopaedic Institute, it is our goal to not only stop your pain and get you back on your feet but also to treat the underlying cause of your nerve-related pain. Some of the commonly treated nerve issues at MedStar Orthopaedic Institute include:

What are the symptoms?

Visit one of our specialists if you are suffering from any of the following symptoms:

  • Burning feeling
  • Crawling sensation
  • Tingling or “foot falling asleep”
  • “Pins and needles” feeling
  • Radiating pain

How are these disorders diagnosed?

The orthopedic surgeons at MedStar Orthopaedic Institute are experts at diagnosing the full range of ankle arthritis problems. Our initial exam generally includes:

  • Medical history evaluation – This includes asking questions about when your pain began, whether it affects one or both ankles, and when the pain feels most severe. Other questions may be about previous injuries, whether you have other medical problems, and if you take any medications.
  • Physical exam – Your orthopedist will examine your ankles and feet and watch how you walk to evaluate alignment and strength in your ankles.
  • Nerve tests – Your physician may also use nerve disorder tests to help identify or rule out a nerve disorder.

What are the best treatments for nerve damage in the foot or ankle?

Nerve pain may be treated with conservative options, including the following:

  • Physical therapy
  • Orthotics
  • Pain medication
  • Massage therapy


When conservative options are not effective, our physicians at MedStar Orthopaedic Institute may recommend surgery, such as tarsal tunnel syndrome surgery, to repair nerve damage or release pressure on the nerve.


If you believe you may be suffering from a foot or ankle nerve disorder, call 202-295-0511 to schedule a consultation with one of our orthopedic specialists at MedStar Orthopaedic Institute. Our doctors have years of experience and are pleased to offer comprehensive nerve disorder care in the Washington, D.C. area.

Our Specialists

Foot & Ankle

Nicholas D. Casscells, MD
Nicholas D. Casscells, MD
Foot & Ankle Surgery

MedStar Georgetown University Hospital
MedStar Orthopaedic Institute - Chevy Chase
MedStar Orthopaedic Institute - Lafayette Centre
Paul Stuart Cooper, MD
Paul Stuart Cooper, MD
Foot & Ankle Surgery
PhonePhone: 202-444-3668

MedStar Georgetown University Hospital
Kathryn Marie O’Connor, MD

MedStar Montgomery Medical Center


3800 Reservoir Road Northwest Washington, DC, 20007
Phone: 202-444-8766
1120 20th Street Northwest, Building 1 South Washington, DC, 20036
Phone: 202-416-2000
5454 Wisconsin Avenue, 11th Floor Chevy Chase, MD, 20815
Phone: 301-215-9423