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Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome

Discover specialised care for diagnosing and treating Tarsal Tunnel Syndrome at Bucks Podiatry.
Our team of dedicated experts offers personalised treatment plans to help you get back on your feet.
What is Tarsal Tunnel Syndrome?
Tarsal tunnel syndrome happens when the posterior tibial nerve gets pressed as it goes through a narrow space in the ankle called the tarsal tunnel. This space is made of bones and soft tissues. Like carpal tunnel syndrome in the wrist, tarsal tunnel syndrome can lead to pain, numbness, and tingling in the area when the nerve gets squeezed due to swelling or problems within the tunnel.
Causes of Tarsal Tunnel Syndrome
Various factors can cause Tarsal Tunnel Syndrome:
  • Injury: Ankle sprains, fractures, or trauma can lead to nerve compression.
  • Flat Feet: People with flat feet are at higher risk due to outward heel tilt.
  • Medical Conditions: Arthritis, diabetes, or thyroid issues can increase TTS risk.
  • Overuse: Repetitive foot movements can contribute to nerve compression.
  • Abnormal Growths: Tumours, cysts, or varicose veins can put pressure on the nerve in the tarsal tunnel area.
Symptoms of Tarsal Tunnel Syndrome
TTS symptoms can include:
  • Pain and Burning: Feel pain in the inner ankle or foot, like a burning or tingling sensation extending to the toes.
  • Numbness or Tingling: Feel like the sole of the foot is numb or “pins and needles.”
  • Swelling: Notice swelling in the ankle area, which may worsen nerve compression.
  • Weakness: Experience weakness in the foot muscles, making standing or walking for long periods difficult.
  • Worsening Symptoms: Symptoms typically get worse with activity, especially  prolonged standing or walking, and get better with rest.
Spotting symptoms early can help with better treatment and results.
Diagnosing Tarsal Tunnel Syndrome
Early diagnosis is crucial to prevent further damage and begin the appropriate treatment.
During your initial appointment, our podiatrist will thoroughly examine your foot and ankle, taking into account your medical history and discussing your symptoms. To ensure a comprehensive assessment, we may use X-rays to rule out other conditions or utilise an ultrasound scan to obtain detailed images of soft tissue structures. This enables us to identify abnormalities such as cysts or inflammation.
Treatment for tarsal tunnel syndrome
The treatment for Tarsal Tunnel Syndrome will be tailored to the individual based on the severity of the condition.
Non-Surgical Treatments:
  • Rest and Ice: Reduce activity and apply ice to the affected area to help alleviate symptoms temporarily.
  • Exercises: Strengthen and stretch the ankle muscles to relieve nerve pressure.
  • Medications: Anti-inflammatory medications like ibuprofen reduce pain and swelling. Corticosteroid injections may be used for severe cases.
  • Orthotic Devices: Orthotics can support and reduce strain on flat feet, helping alleviate symptoms.
Surgical Treatments:
Surgical options such as Tarsal Tunnel Release or removing abnormal growths may be considered if non-surgical treatments are ineffective.
Tarsal tunnel syndrome prevention
To prevent Tarsal Tunnel Syndrome:
  • Wear proper footwear for good support and cushioning.
  • Take breaks during repetitive activities to avoid overuse injuries.
  • Maintain a healthy weight to reduce pressure on the feet and ankles.
  • Manage underlying conditions such as diabetes, arthritis, and thyroid disorders
If you have persistent symptoms of tarsal tunnel syndrome, it is advisable to consult a podiatrist.
Our aim is to assist you in maintaining optimal foot health and overall well-being.
Please get in touch with us.
Each patient has a plan made to suit them, their goals and their stages of injury/recovery.
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