Tarsal Tunnel Syndrome
Tarsal tunnel syndrome is a condition that affects the foot and ankle, often causing pain and discomfort. It occurs when the posterior tibial nerve, which runs through a narrow passage inside the ankle known as the tarsal tunnel, becomes compressed or squeezed. This syndrome can affect anyone, but it is more common in athletes and individuals who spend long periods on their feet.
What Causes Tarsal Tunnel Syndrome?
- Injuries such as sprains or fractures can lead to swelling in the tarsal tunnel area, putting pressure on the nerve.
- Activities that involve repetitive motion of the foot, such as running or prolonged standing, can cause strain on the tarsal tunnel, leading to symptoms over time.
- Poor foot alignment due to flat feet or high arches can increase tension on the nerve inside the tarsal tunnel, contributing to this condition.
- Conditions like arthritis or tenosynovitis (inflammation of tendons) can cause swelling in the ankle region, compressing the nerve.
- Cysts, varicose veins, or other growths near the tarsal tunnel can apply pressure on the nerve, leading to unwanted symptoms.
- Diabetes can lead to nerve damage, known as neuropathy, which may increase the risk of developing tarsal tunnel syndrome due to changes in nerve function.
- Excess body weight can put additional pressure on the tarsal tunnel, increasing the likelihood of nerve compression and contributing to symptoms.
How Does Feet Option Podiatry Treat Tarsal Tunnel Syndrome?
After a thorough examination of your foot and ankle by our skilled podiatrists, we will develop a personalised treatment plan tailored to the extent of your tarsal tunnel syndrome. Scans or ultrasounds may be recommended to confirm a diagnosis and determine the best treatment options for you. Our goal is to relieve your symptoms and restore normal function. Here are some treatments we may recommend:
- Rest and activity modification: Reducing activities that exacerbate symptoms allows for healing. We may suggest alternative exercises that minimise stress on your feet.
- Ice application: Applying ice packs can help reduce swelling and alleviate pain in affected areas.
- Anti-inflammatory medications: Over-the-counter medications, such as ibuprofen, may be recommended to reduce inflammation around the nerve.
- Physical therapy exercises: We design specific exercises to strengthen the muscles around your ankle and improve flexibility for better support.
- Custom orthotics: Our podiatrists might create custom shoe inserts to provide proper arch support and reduce pressure on the tarsal tunnel.
- Corticosteroid injections: In some cases, injections may be administered directly into the affected area to reduce inflammation and pain quickly.
- Ankle braces or supports: Using braces can help stabilise your ankle, preventing movements that could worsen symptoms.
- Manual therapy techniques: Techniques such as massage or joint mobilisation may be employed to improve mobility and ease discomfort.
- Surgery (in severe cases):
If conservative treatments do not provide relief, surgical intervention might be considered to release pressure from the nerve by removing any obstructive tissue within the tarsal tunnel.
Suspecting You Have Tarsal Tunnel Syndrome?
If you suspect you have tarsal tunnel syndrome, it's crucial to minimise weight-bearing activities immediately. Resting your foot while elevating it above heart level can help manage swelling. Applying ice intermittently offers further relief from pain. For an accurate diagnosis and an effective treatment plan tailored to your needs, consult with our expert podiatrists today.
