Tarsal Tunnel Syndrome Treatment & Management in Schaumburg
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome is compression or squeezing of the posterior tibial nerve at the inner aspect of the ankle. This painful condition is often due to injury or inflammation. Similar to carpal tunnel syndrome, tarsal tunnel refers to the compression of a nerve in a confined space. The tarsal tunnel is an area created by the very strong, laciniate ligament that covers a bony canal through which pass some of the major nerves, arteries, veins, and tendons of the foot. Individuals who suffer from tarsal tunnel syndrome exhibit symptoms that include tingling, burning sensations, numbness, and shooting pain. These symptoms often worsen after prolonged standing or walking, and they may also flare up at rest or at night.
If you’re struggling with tarsal tunnel syndrome, our foot and ankle doctors are here to help you find the relief you deserve:
Don't let tarsal tunnel syndrome keep you from the activities you love. Our team can assess your condition and create a personalized treatment plan to help alleviate the pain and get you back on your feet. Request an appointment today to take the first step toward recovery.
What is Tarsal Tunnel Syndrome? How and Why It Happens
Tarsal tunnel syndrome is a condition caused by the compression of the posterior tibial nerve, which runs through a narrow space in your ankle called the tarsal tunnel. This compression can lead to pain, tingling, numbness, or a burning sensation along the inside of the ankle and the bottom of the foot. It's often described as being similar to carpal tunnel syndrome, but in the foot.
The compression of the tibial nerve can be caused by a variety of factors that reduce the space within the tarsal tunnel. Common causes include:
- Flat feet or fallen arches: This can cause the heel to tilt outward, stretching the nerve.
- Swelling from an ankle injury: A sprain or fracture can lead to inflammation that compresses the nerve.
- Systemic diseases: Conditions like arthritis or diabetes can cause swelling and contribute to nerve compression.
- Varicose veins, ganglion cysts, or bone spurs: These growths can take up space within the tarsal tunnel and put pressure on the nerve.
- Overuse: Repetitive stress from activities like standing for long periods, walking, or running can cause inflammation.
In some instances, the cause is idiopathic, meaning it cannot be identified.
Because of the nerve compression, individuals with tarsal tunnel syndrome may experience a range of symptoms, including:
- Pain: Often described as sharp, shooting, or burning.
- Tingling and Numbness: A "pins and needles" sensation is common along the nerve's path.
- Weakness: Difficulty moving the toes or a feeling of weakness in the foot muscles.
- Symptoms that worsen with activity: Pain and other symptoms may increase after standing or walking for a long time and improve with rest.
Foot & Ankle Specialists at BOS
Meet the podiatric foot and ankle surgeons who diagnose and treat tarsal tunnel syndrome, from conservative care to nerve release surgery, for patients across the Barrington Orthopedic Specialists network.
Frequently Asked Questions
What Causes Tarsal Tunnel Syndrome?+
Tarsal tunnel syndrome may be caused by:
- An injury such as a fracture, ankle sprain, or contusion
- Arthritis
- Diabetes
- Masses pressing on the nerve
- Strenuous athletic activity
- Varicose veins that press on the nerve
- Abnormally large nerves that result in compression against the ligament covering the tarsal tunnel
- Continuous, multiple traumas that stretch the nerve
- Compensating for other leg or foot problems such as short leg syndrome, hip and knee abnormalities, or heel pain
What Are The Symptoms of Tarsal Tunnel Syndrome?+
Patients with tarsal tunnel syndrome experience one or more of the following symptoms:
- Tingling, burning, or a sensation similar to an electrical shock
- Numbness
- Pain, including shooting pain
What Are The Treatment Options For Tarsal Tunnel Syndrome?+
Fortunately, most cases of tarsal tunnel syndrome generally heal by themselves with rest and elimination of the inciting activity. Soft and supportive shoes, orthotics, rest, and anti-inflammatory medications may provide relief. Physical therapy and stretching exercises can also help alleviate symptoms and improve flexibility in the foot and ankle.
In severe cases, surgery may be necessary to release the pressure on the nerve. During this procedure, a small incision is made to open up the tarsal tunnel and relieve any compression on the nerve. This surgery is typically effective in relieving symptoms, and patients can expect to return to normal activities possibly within four weeks after surgery.