Tarsal Tunnel


Tarsal tunnel syndrome, also known as posterior tibial neuralgia, is a compression neuropathy and painful foot condition in which the tibial nerve is compressed as it travels through the tarsal tunnel. Symptoms include pain, burning, numbness radiating to the big toe and first 3 toes, tingling over the base of the foot and heel, and electrical sensations. Though it is difficult to figure the exact cause of tarsal tunnel syndrome it is imperative to try and determine the root of the problem. Your treatment and potential outcome of treatment depends on this. Potential causes of tarsal tunnel syndrome include, but are not limited to:

  • Benign tumors or cysts
  • Bone spurs
  • Inflammation of the tendon sheath
  • Nerve ganglions
  • Swelling from a broken or sprained ankle

A few of the most common, non-invasive options are:

  • Rest
  • Manipulation
  • Strengthening of tibialis anterior
  • Tibialis posterior
  • Peroneus and short toe flexors
  • Casting with a walking boot
  • Corticosteroid and anesthetic injections
  • Wrapping
  • Compression hose
  • Orthotics

Should the conservative treatment measures default, surgery may be recommended to decompress the area. In addition, proper pain management and counseling is required.*

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