1(480) 840-3457 Request Appointment

Tarsal Tunnel Syndrome

by | | 1,875 comments

What Is the Tarsal Tunnel? TarsalTunnel

The tarsal tunnel is a narrow space that lies on the inside of the ankle next to the ankle bones. The tunnel is covered with a thick ligament (the flexor retinaculum) that protects and maintains the structures contained within the tunnel—arteries, veins, tendons, and nerves. One of these structures is the posterior tibial nerve, which is the focus of tarsal tunnel syndrome.

What Is 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. Tarsal tunnel syndrome is similar to carpal tunnel syndrome, which occurs in the wrist. Both disorders arise from the compression of a nerve in a confined space.

Causes

Tarsal tunnel syndrome is caused by anything that produces compression on the posterior tibial nerve, such as:

  • A person with flat feet is at risk for developing tarsal tunnel syndrome, because the outward tilting of the heel that occurs with “fallen” arches can produce strain and compression on the nerve.
  • An enlarged or abnormal structure that occupies space within the tunnel can compress the nerve. Some examples include a varicose vein, 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.

Symptoms

Patients with tarsal tunnel syndrome experience one or more of the following symptoms:

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

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.

Sometimes the symptoms of the syndrome appear suddenly. Often they are brought on or aggravated by overuse of the foot, such as in prolonged standing, walking, exercising, or beginning a new exercise program. It is very important to seek early treatment if any of the symptoms of tarsal tunnel syndrome occur.
If left untreated, the condition progresses and may result in permanent nerve damage. In addition, because the symptoms of tarsal tunnel syndrome can be confused with other conditions, proper evaluation is essential so that a correct diagnosis can be made and appropriate treatment initiated.

Diagnosis

The foot and ankle surgeon will examine the foot to arrive at a diagnosis and determine if there is any loss of feeling. During this examination, the surgeon will position the foot and tap on the nerve to see if the symptoms can be reproduced. He or she will also press on the area to help determine if a small mass is present.

Advanced imaging studies may be ordered if a mass is suspected or if initial treatment does not reduce the symptoms. Studies used to evaluate nerve problems—electromyography and nerve conduction velocity (EMG/NCV)—may be ordered if the condition shows no improvement with non-surgical treatment.

Non-surgical Treatment

A variety of treatment options, often used in combination, are available to treat tarsal tunnel syndrome. These include:

  • Rest. Staying off the foot prevents further injury and encourages healing.
  • Ice. Apply an ice pack to the affected area, placing a thin towel between the ice and the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again.
  • Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
  • Immobilization. Restricting movement of the foot by wearing a cast is sometimes necessary to enable the nerve and surrounding tissue to heal.
  • Physical therapy. Ultrasound therapy, exercises, and other physical therapy modalities may be prescribed to reduce symptoms.
  • Injection therapy. Injections of a local anesthetic provide pain relief, and an injected corticosteroid may be useful in treating the inflammation.
  • Orthotic devices. Custom shoe inserts may be prescribed to help maintain the arch and limit excessive motion that can cause compression of the nerve.
  • Shoes. Supportive shoes may be recommended.
  • Bracing. Patients with flatfoot or those with severe symptoms and nerve damage may be fitted with a brace to reduce the amount of pressure on the foot.

When is Surgery Needed?

Sometimes surgery is the best option for treating tarsal tunnel syndrome. The foot and ankle surgeon will determine if surgery is necessary and will select the appropriate procedure or procedures based on the cause of the condition.

1,875 Comments

  1. Buy Roxicodone Online

    Quality articles or reviews is the crucial to attract the viewers to pay a visit the web site, that’s what this web site is providing.

    Reply
  2. Ecommerce web designer

    Quality articles is the important to invite the visitors to pay a quick visit the website, that’s what this web site is providing.

    Reply
  3. Auto feed screwdriver

    Does your blog have a contact page? I’m having problems locating it but, I’d like to shoot you an e-mail. I’ve got some recommendations for your blog you might be interested in hearing. Either way, great blog and I look forward to seeing it develop over time.

    Reply
  4. Gift hamper delivery

    I pay a quick visit day-to-day some blogs and information sites to read posts, however this blog provides quality based writing.

    Reply
  5. Hairdressing supplies

    Good day! Do you know if they make any plugins to help with Search Engine Optimization? I’m trying to get my blog to rank for some targeted keywords but I’m not seeing very good success. If you know of any please share. Appreciate it!

    Reply
  6. Fake trees

    I pay a visit day-to-day some web sites and websites to read articles, except this website offers feature based posts.

    Reply
  7. Turkish tea cups with handle

    This is the right site for anyone who would like to understand this topic. You know so much its almost tough to argue with you (not that I personally would want to…HaHa). You definitely put a fresh spin on a subject that’s been discussed for ages. Great stuff, just great!

    Reply
  8. KiaHus

    [url=http://cialisvpack.com/]cialis 20[/url]

    Reply
  9. Ramiro Willich

    I have been surfing online more than 2 hours today, yet I never found any interesting article like yours.
    It’s pretty worth enough for me. In my opinion, if all web owners
    and bloggers made good content as you did, the internet will be much more useful than ever before.

    Reply
  10. Linda Sposato

    I am sure this paragraph has touched all the
    internet viewers, its really really pleasant post on building
    up new website.

    Reply
  11. Teresa Travis

    Nice post. I was checking continuously this blog
    and I am impressed! Extremely helpful info specifically
    the last part 🙂 I care for such information much. I was seeking this particular info for a long time.

    Thank you and best of luck.

    Reply
  12. Francisco Odell

    Ahaa, its pleasant conversation on the topic of this piece of writing here at this web site,
    I have read all that, so at this time me also commenting at this place.

    Reply
  13. Russell Heim

    Hey there! Someone in my Facebook group shared this website with us so I came to take a look.

    I’m definitely loving the information. I’m book-marking and will be tweeting this to my followers!

    Excellent blog and outstanding design and style.

    Reply
  14. Karen Carpenter

    Hi there, I discovered your site by the use of Google
    at the same time as searching for a comparable topic, your site came up, it seems good.
    I’ve bookmarked it in my google bookmarks. Hello there, simply
    became aware of your blog through Google, and located that
    it’s really informative. I’m going to be careful for brussels.
    I’ll be grateful if you proceed this in future.
    Many other people will probably be benefited from your
    writing. Cheers!

    Reply
  15. Kimberly Stafford

    What’s up, I log on to your new stuff regularly.

    Your humoristic style is witty, keep doing what you’re doing!

    Reply
  16. Nicholas Chytil

    It’s the best time to make some plans for the future and it’s time to
    be happy. I have read this post and if I could I want to suggest you
    some interesting things or advice. Perhaps you can write next
    articles referring to this article. I desire to read even more things about it!

    Reply
  17. Etta Vanduine

    I enjoy reading through a post that can make people think.

    Also, thanks for allowing for me to comment!

    Reply
  18. Audrea Fitzgerald

    I am sure this article has touched all the internet viewers, its really really pleasant paragraph on building up new weblog.

    Reply
  19. Jonathan Bailey

    Ahaa, its good conversation on the topic of this post here at this web site,
    I have read all that, so now me also commenting
    at this place.

    Reply
  20. Thomas Biby

    I think you have noted some very interesting details, thanks for the post.

    Reply
  21. Kurt Jerome

    It is perfect time to make some plans for
    the future and it’s time to be happy. I’ve read this post and if
    I could I want to suggest you few interesting things or tips.

    Maybe you could write next articles referring to this article.
    I desire to read even more things about it!

    Reply
  22. Irene Stuckey

    I was suggested this web site via my cousin. I am no longer sure whether this submit is
    written via him as nobody else know such precise
    approximately my difficulty. You are wonderful!
    Thank you!

    Reply
  23. Daniel Hockaday

    Ahaa, its good conversation on the topic of this piece of writing here
    at this website, I have read all that, so now me also commenting at this place.

    Reply
  24. vreyro linomit

    Thank you, I’ve recently been searching for info about this topic for a long time and yours is the greatest I’ve discovered so far. But, what in regards to the bottom line? Are you sure concerning the source?

    Reply
  25. Lillian Thomas

    I’ve been browsing on-line greater than three hours
    lately, but I never discovered any attention-grabbing article like yours.
    It’s pretty value enough for me. In my view, if all site owners and bloggers made just right content material as you probably
    did, the net might be much more helpful than ever
    before.

    Reply
  26. William Thiele

    Hello, i read your blog from time to time and i own a similar one and i was just curious if you
    get a lot of spam responses? If so how do you stop it, any plugin or anything you can recommend?

    I get so much lately it’s driving me insane so any assistance is very much
    appreciated.

    Reply
  27. Maria Borchert

    It is the best time to make a few plans for the longer term and it
    is time to be happy. I have read this submit and if I could I wish
    to recommend you some fascinating things or advice. Maybe you can write subsequent articles relating to this article.
    I want to read even more things approximately it!

    Reply
  28. Jasmin Attwood

    It is the best time to make some plans for the future and
    it is time to be happy. I have read this post and if I could I want to suggest you few interesting things or advice.
    Maybe you can write next articles referring to this article.
    I want to read even more things about it!

    Reply
  29. Virginia Rodolico

    It is perfect time to make some plans for the future and it’s time to be happy.
    I have learn this post and if I could I desire to suggest you
    few fascinating issues or tips. Maybe you can write subsequent articles
    regarding this article. I wish to learn even more
    issues about it!

    Reply
  30. Jeanne Norwood

    I needed to thank you for this wonderful read!! I certainly loved
    every bit of it. I’ve got you bookmarked to check out new things you

    Reply
  31. Verla Stroud

    Hey There. I discovered your weblog the usage of msn.
    That is a really smartly written article. I’ll make sure to bookmark it and return to learn more of
    your helpful information. Thanks for the post. I’ll certainly comeback.

    Reply
  32. Michael Ferguson

    Hey would you mind sharing which blog platform you’re using?
    I’m planning to start my own blog in the near future
    but I’m having a difficult time choosing between BlogEngine/Wordpress/B2evolution and Drupal.
    The reason I ask is because your design seems different then most blogs and I’m looking for something unique.
    P.S Apologies for being off-topic but I had to ask!

    Reply
  33. Janet Sanders

    I am sure this post has touched all the internet people, its really really good post on building
    up new website.

    Reply
  34. Robert Aquino

    I am sure this post has touched all the internet viewers, its really really good piece of
    writing on building up new weblog.

    Reply
  35. Melissa Suman

    Hi, I do think thius iis a greeat site. I stumbledupon iit 😉 I maay retur yeet aagain since
    I book mwrked it. Money aand freedopm iss tthe besdt wayy to change, mayy yoou
    bbe rich and cintinue tto hslp others.

    Reply
  36. Joseph Foo

    Hello, Neat post. There is a problem along with your web site in web explorer, may test this… IE nonetheless is the market chief and a good section of folks will pass over your excellent writing due to this problem.

    Reply
  37. Juan Hatcher

    Hi there i am kavin, its my first occasion to commenting anyplace, when i read this piece
    of writing i thought i could also create comment due to this good paragraph.

    Reply
  38. Misty Arola

    It’s the best time to make some plans for the
    future and it’s time to be happy. I have read this post and if I could I wish to suggest you few interesting things or advice.

    Maybe you can write next articles referring to this article.
    I desire to read even more things about it!

    Reply
  39. Sharon Baskin

    I read this paragraph completely about the comparison of most recent and previous
    technologies, it’s awesome article.

    Reply
  40. Lois Parker

    One more thing I would like to convey is that rather than trying to fit all your online degree courses on days of the week that you complete work (as most people are tired when they come home), try to obtain most of your lessons on the week-ends and only 1 or 2 courses on weekdays, even if it means taking some time away from your saturday and sunday. This is really good because on the weekends, you will be extra rested in addition to concentrated with school work. Thanks a bunch for the different recommendations I have realized from your blog.

    Reply
  41. Paul Kendall

    It’s appropriate time to make some plans for the future and it is time to be happy.
    I’ve read this post and if I could I wish to suggest you few interesting things
    or advice. Maybe you can write next articles referring to this article.
    I desire to read more things about it!

    Reply
  42. Sharon Bailey

    Howdy would you mind letting me know which hosting company you’re utilizing?
    I’ve loaded your blog in 3 different internet browsers and I must say this blog loads a lot faster then most.
    Can you suggest a good web hosting provider at a honest price?
    Thanks a lot, I appreciate it!

    Reply
  43. Linda Mohr

    I will immediately grasp your rss feed as I can’t in finding your e-mail subscription link or newsletter service.

    Do you’ve any? Please allow me recognize so that I may just subscribe.
    Thanks.

    Reply
  44. Richard Quinn

    I have learned result-oriented things through the blog post. One more thing to I have seen is that in most cases, FSBO sellers will probably reject you. Remember, they would prefer never to use your services. But if an individual maintain a steady, professional relationship, offering assistance and being in contact for about four to five weeks, you will usually be capable of win a business interview. From there, a house listing follows. Thanks a lot

    Reply
  45. Mildred Plyler

    It’s perfect time to make some plans for the future and it is time to be happy.
    I’ve read this post and if I could I want to suggest you some
    interesting things or suggestions. Perhaps you can write next
    articles referring to this article. I want to read more things about it!

    Reply
  46. Kristen Mulholland

    It’s the best time to make some plans for the future and it is time to be happy.
    I’ve read this post and if I could I desire to suggest you some interesting things or tips.
    Maybe you could write next articles referring to
    this article. I desire to read even more things about it!

    Reply
  47. Claudia Gadsby

    There’s definately a great deal to know about this issue.
    I love all the points you made.

    Reply
  48. Jess Simmer

    I’ll right away snatch your rss as I can’t in finding your
    email subscription hyperlink or newsletter service.
    Do you’ve any? Kindly permit me recognize so that I may subscribe.
    Thanks.

    Reply
  49. Debbie Garcia

    My spouse and I stumbled over here coming from a different
    web page and thought I might check things
    out. I like what I see so now i’m following you. Look forward
    to checking out your web page yet again.

    Reply
  50. Martha Shaver

    Hi, i think that i saw you visited my web site so i came to “return the favor”.I’m attempting to
    find things to improve my web site!I suppose its ok to use
    some of your ideas!!

    Reply
  51. Scott Pickney

    I love what you guys are up too. This sort of clever
    work and coverage! Keep up the terrific works guys I’ve added you guys to our blogroll.

    Reply
  52. Pamela Martineau

    I visited many websites however the audio feature for audio songs current at this web page is truly fabulous.

    Reply
  53. MarkHus

    [url=https://tdacialis.com/]cialis over the counter usa[/url] [url=https://cialisoral.com/]price of tadalafil 5 mg[/url] [url=https://viagraar.com/]where can i get genuine viagra[/url] [url=https://furosemidepills.com/]100 mg lasix no prescription[/url] [url=https://amoxicillinworx.com/]amoxicillin 500 mg price uk[/url] [url=https://duoviagra.com/]how to purchase viagra[/url] [url=https://augmentinab.com/]augmentin 375 mg price[/url]

    Reply
  54. PhillipLease

    can i order cialis online in canada [url=https://erection24h.us] viagra on steroids singapore[/url] cialis not working first time australia
    cialis generico 40 order acheter levitra online paris buy cialis reliable store

    Reply
  55. BbshDefE

    how to make natural viagra with immediate effect! http://loxviagra.com/ – viagra ingredients buy generic viagra online usa

    Reply
  56. Jospehwerix

    Капли Blue Wizard действуют мгновенно — уникальная молекулярная структура средства помогает активным веществам усваиваться уже в ротовой полости. Эффект возбуждения появляется спустя 1-5 минут после приема капель. Женский возбудитель в бишкеке купить женский возбудитель жвачка, возбуждающее средства для мужчин и женщин. Возбудитель для женщин российского производства серебряный лис женский возбудитель, женский возбудитель аптека в красноярске rendez vous женский возбудитель иркутск. Женский возбудитель в аптеках украины цена отзывы о женском возбудителе do it, действует ли женский возбудитель на мужчин. http://gunnerjbqf219864.targetblogs.com/5449472/проверенная-аптека-с-дженериками-для-потенции После употребление препарата, кровь у женщин начинает приливаться к пещеристым телам, к клитору. Тем не менее это не вызовет возбуждения, а только лишь изменит общее состояние организма, причём в худшую сторону, а именно: Открывали её специально, но совершенно для другой цели. Изначально фармкомпания разрабатывала Viagra: How a Little Blue Pill Changed the World. препарат для лечения артериальной гипертензии и стенокардии. Но во время клинических испытаний оказалось, что на сердце препарат силденафил влияет так себе, а вот на половой член оказывает сильное действие.

    Reply
  57. ivermectin 3 mg

    Thank you for every other informative website. Where else
    may I am getting that type of information written in such an ideal approach?

    I’ve a mission that I am just now operating
    on, and I’ve been on the glance out for such information. http://herreramedical.org/ivermectin

    Reply
  58. KimHus

    [url=https://cialisviagraforsale.com/]cialis 10mg cost[/url]

    Reply
  59. Loans

    [url=https://loansqua.com/]payday advance loans online[/url]

    Reply
  60. EvaHus

    [url=http://axcialis.com/]cialis australia pharmacy[/url]

    Reply
  61. SamHus

    [url=http://cialisnmed.com/]order tadalafil online india[/url] [url=http://viagragenn.com/]online viagra united states[/url] [url=http://bestpillsonly.com/]2666 gabapentin[/url]

    Reply