Tarsal Tunnel Syndrome, in technical terms, is when the posterior tibial nerve gets compressed. This is the largest nerve that enters the foot and it is inside the tarsal tunnel, a thick ligament located just below the ankle bone that protects veins, arteries and nerves contained within it. Tarsal Tunnel Syndrome is similar to a more familiar condition, carpal tunnel syndrome, which occurs in the wrist.

Symptoms

Patients who come to Foot& Ankle Specialists, PC who have Tarsal Tunnel Syndrome usually feel pain, a tingling or burning sensation or numbness on the area inside of the ankle or on the bottom of the foot. The symptoms can also go into the heel, arch, calf or toes as well, making Tarsal Tunnel Syndrome challenging to diagnose. The discomfort may come on gradually or all of the sudden.

Diagnosis and Treatment

Tarsal Tunnel Syndrome is a progressive disorder and if not treated can result in nerve damage that is permanent. To properly diagnose Tarsal Tunnel Syndrome, our foot and ankle doctors, Dr. Scott E. Hughes, Dr. Greg P. Vogt, Dr. Christine I. Tumele, and Dr. Matthew W.E. Lewin will perform a physical exam of the foot and attempt to reproduce the symptoms  you have been experiencing. Advance imaging studies as well as nerve tests, such as nerve conduction velocity and electromyography may also be ordered.

There are a large number of non-surgical treatment options available for this condition. The podiatrist may try to reduce pain or other symptoms with oral medications such as ibuprofen or injections of an anesthetic or corticosteroid. Most likely you will need to stay off the affected foot for a period of time and the foot doctor may even recommend immobilization to allow the nerve to heal fully. Physical therapy, orthotic devices and changes in footwear can help position the foot properly and prevent future nerve compression. In some cases, when these therapies are not successful, surgery may be necessary.

As with most podiatric disorders, the earlier the problem is diagnosed, the less invasive and more successful the treatment is. If you are experiencing any of the above symptoms, make an appointment at either our Monroe or Lambertville office at your soonest convenience by calling 734-241-0200 or 734-856-8900.