Tarsal tunnel syndrome is similar to carpal tunnel syndrome , which occurs in the wrist. Tarsal tunnel syndrome is a chronic injury caused by compression or squeezing of the nerve that provides sensation to the bottom of your foot.
Tarsal tunnel syndrome is most commonly caused by the entrapment of the posterior tibial nerve . It is most common in active adults , but it can also occur in children.
Pain
Pain is sometimes felt near the area where the nerve is squeezed or pinched. Pain and/or numbness in the foot can also be caused by ligament and tendon laxity in the knee.
Pain in the feet can be extremely debilitating; it usually starts in the heel with a burning or sharp stabbing sensation.
Treatment
A variety of treatment options, often used in combination, are available to treat tarsal tunnel syndrome. Treatment starts with testing the nerve by a specialist to rule out other nerve conditions and to confirm the diagnosis of tarsal tunnel syndrome.
Video of Tarsal Tunnel Syndrome Test
The treatments begin with anti-inflammatory medications , and possibly an injection of cortisone into the area around the nerve. Treatments may also include rest, casting with a walker boot, anesthetic injections , hot wax baths , wrapping , compression hose , and orthotics , if there is a biomechanical abnormality.
If there is a stress fracture ,treatment is non-weight bearing in a cast for at least 6 to 8 weeks depending on the severity of the fracture. It is very important to seek early treatment if any of the symptoms of tarsal tunnel syndrome occur. Sometimes surgery is recommended .
Surgery
Surgery for decompression may be necessary for cases that do not respond to these treatments. Surgery involves making a small incision behind the ankle, along the course of the posterior tibial nerve.This surgery can usually be done on an outpatient basis , meaning you can leave the hospital the same day.
Your ankle will be supported in a plaster splint for 10 days after surgery.
Your surgeon may have you attend physical therapy sessions for up to eight weeks after surgery.
Conclusion
Occasionally, tarsal tunnel syndrome is confused with plantar fasciitis, or heel spurs.
Treatment of the tarsal tunnel syndrome is accomplished by resisting the forces on the tibial nerve. Compared with carpal tunnel syndrome, tarsal tunnel syndrome is much less common. Among the most widely used treatment method for tarsal tunnel syndrome is the use of an orthotic device.
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Compression Anklet
