Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a compression, or squeezing, on the posterior tibial nerve that produces symptoms anywhere along the path of the nerve running from the inside of the ankle into the foot. It is similar to carpal tunnel syndrome, which occurs in the wrist. Both disorders arise from the compression of a nerve in a confined space.

Main contributing factors

  • A person with flat feet or “fallen” arches can produce strain and compression on the nerve.
  • An enlarged or abnormal structure that occupies space within the tunnel such as a varicose ve, ganglion cyst, swollen tendon, and arthritic bone spur.
  • An injury, such as an ankle sprain, may produce inflammation and swelling in or near the tunnel, resulting in compression of the nerve.
  • Systemic diseases such as diabetes or arthritis can cause swelling, thus compressing the nerve.
Tarsal

Tarsal Tunnel Syndrome Symptoms

Symptoms are typically felt on the inside of the ankle and/or on the bottom of the foot. In some people, a symptom may be isolated and occur in just one spot. In others, it may extend to the heel, arch, toes, and even the calf.

  • Tingling, burning, or a sensation similar to an electrical shock
  • Numbness
  • Pain, including shooting pain

Treatment for Tarsal Tunnel Syndrome

  • RICE – rest, ice, compression & elevation
  • Activity modification or reduction
  • Immobilization
  • Soft tissue massage & stretching exercise
  • If biomechanics is a contributory cause – orthotics may be considered
  • Non-steroidal anti-inflammatory drugs (Nurofen etc)
  • Footwear change
  • Surgery may be required

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