Dr. Corey Fox
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Long Island Podiatrist serving Massapequa and all of Nassau County

tarsal tunnel syndrome treatmentExperiencing discomfort, pain, or tingling sensations in your feet could indicate tarsal tunnel syndrome. This condition occurs when the tibial nerve becomes compressed or pinched as it travels through the tarsal tunnel on the ankle's inner side. If left untreated, tarsal tunnel syndrome can lead to significant discomfort and reduced mobility. Seeking help from a qualified Long Island podiatrist at Massapequa Podiatry Associates is crucial in managing this condition and improving your quality of life.

What Is Tarsal Tunnel Syndrome?

The tibial nerve is a major nerve that provides sensation to the bottom of the foot and controls some of the muscles in the calf and foot. When this nerve becomes compressed or irritated within the tarsal tunnel, it can lead to various symptoms and discomfort in the affected foot.

Tarsal tunnel syndrome is similar to carpal tunnel syndrome, but it affects the foot instead of the hand.

What Causes Tarsal Tunnel Syndrome?

A number of different factors can cause tarsal tunnel syndrome, and it's important to note that some individuals may have more than one contributing factor. Identifying the underlying cause is essential in determining the most appropriate treatment approach and preventing further nerve damage.

  • Anatomical abnormalities. Some individuals may have naturally narrow tarsal tunnels, which can predispose them to nerve compression. Anatomical variations in the foot or ankle, such as bone spurs or cysts, can also contribute to nerve irritation.
  • Injury. Direct injuries to the foot or ankle, such as sprains, fractures, or contusions, can lead to swelling and inflammation within the tarsal tunnel, putting pressure on the tibial nerve.
  • Repetitive strain. Activities involving excessive or repetitive stress on the foot, such as running, jumping, or prolonged standing, can irritate the tibial nerve and result in tarsal tunnel syndrome.
  • Inflammation. Inflammatory conditions like arthritis or conditions causing localized swelling, such as tendinitis, can compress the tibial nerve within the tarsal tunnel.
  • Flat feet or overpronation. People with flat feet or those who excessively roll their feet inward while walking (overpronation) may experience increased pressure on the tibial nerve due to altered foot mechanics.
  • Systemic conditions. Certain systemic diseases, such as diabetes or peripheral neuropathy, can cause nerve damage and increase the risk of tarsal tunnel syndrome.

What Are the Symptoms of Tarsal Tunnel Syndrome?

The symptoms of tarsal tunnel syndrome may include:

  • Pain. Pain may vary in intensity, ranging from a dull ache to a sharp, shooting sensation. The pain is usually located along the path of the tibial nerve, which runs from the ankle to the sole of the foot.
  • Tingling or numbness. Many individuals with tarsal tunnel syndrome experience tingling sensations (paresthesia) in the foot and toes. It can feel like pins and needles or a sensation of "electric shocks." Numbness in the foot is also common, especially in the sole or toes.
  • Burning sensation. Some people may describe a burning or warm sensation in the affected foot or ankle. This discomfort is often associated with nerve irritation and inflammation.
  • Weakness. In some cases, tarsal tunnel syndrome can lead to weakness in the foot or toes. This can result in difficulty in lifting the foot or toes and may affect one's balance and gait.
  • Worsening symptoms at night. Some individuals may notice that their symptoms worsen at night or during activities that involve prolonged standing or walking.

It's crucial to seek medical attention if you suspect you have tarsal tunnel syndrome. Early diagnosis and treatment can prevent the condition from worsening and improve overall outcomes.

How Can a Long Island Podiatrist Treat Tarsal Tunnel Syndrome?

Treatment for tarsal tunnel syndrome aims to relieve the compression on the tibial nerve within the tarsal tunnel and alleviate the associated symptoms. The approach to treatment will depend on the severity of the condition and your specific needs.

In the early stages, lifestyle changes like wearing proper footwear, maintaining a healthy weight, and avoiding activities that exacerbate symptoms can significantly improve tarsal tunnel syndrome management.

When the condition is more advanced, custom orthotics can provide proper foot support and alleviate pressure on the tibial nerve. Advanced therapies, including platelet-rich plasma therapy and MLS laser therapy, can also be beneficial.

Surgery is generally not needed for tarsal tunnel syndrome unless conservative treatments fail to provide relief. Then surgery may be recommended to decompress the tibial nerve and alleviate pressure within the tarsal tunnel.

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