What is tarsal tunnel syndrome?

 

The tarsal tunnel is a compartment found on the medial (inner) side of the ankle, through which tendons and nerves and vascular structures traverse to enter the foot. Similar to carpal tunnel syndrome in the hand, the nerve that runs through here (posterior tibial nerve) can become compressed, causing debilitating symptoms. 

 

Symptoms include inner ankle and heel pain, burning, tingling and numbness. 

 

Conditions that can initiate or exacerbate tarsal tunnel include over pronation, prolonged weight bearing activity, pressure from shoe gear, lower extremity swelling, varicose veins, hypothyroidism, diabetes and arthritis. 

 

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 nonsurgical treatment.

 

Treatment options may include rest, anti inflammatories, orthotics, supportive comfortable shoes, physical therapy, immobilization, and in some cases surgery. As with most conditions, tarsal tunnel syndrome is best managed when caught early. If you think you are experiencing tarsal tunnel syndrome give our office a call to find out what your treatment options are! 440-774-1100