Tarsal Tunnel Syndrome

Description

Tarsal tunnel syndrome occurs when the nerve that provides sensation to the inner aspect of the ankle and foot becomes compressed. When there is too much pressure on the nerve, it can start to malfunction. Anything that puts pressure on the nerve (swelling, varicose veins, or a soft tissue mass) can cause it to become irritated. Over-pronation from having flat feet can also lead to tarsal tunnel syndrome. 

Symptoms

Symptoms include burning, tingling, and numbness at the inner ankle, heel, arch, or the toes. The pain is usually described as an "electric" sensation. These areas can become painful after long periods of standing and walking.

Treatment Options

Treatment options include rest, ice, elevation, custom orthotics, and injections. If the pain has not responded to these treatments, surgery may be required. 

Treatment Option Description (with Duration)

When pain occurs, it is important to rest the foot and ankle, apply ice to the affected areas, and elevate the leg to reduce any swelling. Conservative treatment depends on the main cause of the nerve compression. If you have flat feet and over-pronate as a result, custom orthotics may be prescribed to take stress off of the nerve. If there is a lot of swelling over the nerve path, an anti-inflammatory injection can be given to reduce inflammation, thereby taking pressure off the nerve. If the pain is due to a mass or lump compressing the nerve, surgery may be needed to remove the lump. Sometimes, a tissue called the flexor retinaculum that lies on the nerve can be too tight and pinch the nerve; in these cases this tissue has to be released surgically through a minimally invasive procedure.

Expected Outcome

There are many causes of tarsal tunnel syndrome. It is important to visit a podiatrist if you are noticing any of the above symptoms. The underlying cause of the symptoms must be determined to ensure that the condition does not return after treatment. The goal of treatment is to take pressure off of the posterior tibial nerve so that there is no more pain along its path.

We Help Restore Your Mobility Quickly 

At our New York City foot clinic, we understand just how difficult it can be to live with Tarsal Tunnel Syndrome. If you're suffering from this condition, or any other foot/ankle pain, our foot doctors, located in Downtown and Midtown Manhattan areas of NYC, can help you get back to comfortable and happy living. To find out more, call us at 917-398-3668 or book an appointment online.