What is Tarsal Tunnel Syndrome?

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tarsal tunnel syndrome

The Tarsal Tunnel is the narrow space in your foot that lies on the inside of the ankle next to your ankle bones. The tunnel is covered with a thick ligament that protects and maintains the structures within the tunnel—the arteries, veins, tendons and nerves.

Tarsal tunnel syndrome is a squeezing on the posterior tibial nerve that produces symptoms anywhere along the path of the nerve. Your posterior tibial nerve runs along the inside of your ankle into the foot.

If you have tarsal tunnel syndrome, you may experience one or more of the following symptoms:

  • Tingling or burning sensation
  • Numbness
  • Pain including a shooting pain that is usually felt on the inside of the ankle or on the bottom of the foot
  • Symptoms may be worse during weight-bearing activity such as walking, standing or running
  • Symptoms may occur at rest or just before sleeping at night

The causes of tarsal tunnel syndrome may be any of the following:

  • An injury such as a fracture or ankle sprain
  • Arthritis
  • Diabetes
  • Strenuous athletic activity
  • Varicose veins that press on the nerve
  • Multiple traumas that stretch the nerve
  • Hip and knee abnormalities or heel pain
  • Bone spurs
  • Muscle impingement
  • Foot deformities

Treatment options are available. Treatment of tarsal tunnel syndrome may include:

  • Anti-inflammatory medications
  • Cortisone injections
  • Orthotics or changes in footwear
  • Surgery

If you suspect you may have tarsal tunnel syndrome, the physicians at IMS Pain Management will work with you to provide the best treatment options available to relieve symptoms and treat your condition. Make an appointment with one of our specialists today.

tarsal tunnel syndrome


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