Tarsal Tunnel Syndrome

What is tarsal tunnel syndrome?

Tarsal tunnel syndrome occurs when the posterior tibial nerve is compressed as it passes beneath the bony bump on the inner side of the ankle. This compression can cause pain, tingling, numbness, or weakness in the foot. Physiotherapy is an effective treatment to reduce symptoms and restore normal nerve function.

How does tarsal tunnel syndrome happen?

Tarsal tunnel syndrome can develop from any condition that increases pressure on the posterior tibial nerve as it passes under the inner ankle bone. Common causes include:

  • Swelling or adhesions after an ankle sprain
  • Tight or thickened tissues
  • Cysts or ganglions
  • Varicose veins
  • Other structural or inflammatory changes

When the nerve is compressed, it cannot transmit signals effectively, leading to pain, tingling, numbness, or weakness in the foot.

What are the symptoms of tarsal tunnel syndrome?

Tarsal tunnel syndrome typically causes sharp or burning pain along the inside and underside of the foot. Pain often worsens with prolonged standing, walking, or running, and may radiate into the arch, heel, or toes. You may also experience tingling, pins and needles, or numbness in the sole of the foot. Other possible symptoms include:

  • Weakness in the foot or ankle
  • Reduced range of motion
  • Balance problems
  • Altered gait or walking difficulties

What should I do if I have tarsal tunnel syndrome?

Tarsal tunnel syndrome will not improve unless the cause of the nerve compression is addressed. If you suspect you have this condition:

  • Avoid activities that aggravate your pain
  • Book an assessment with a physiotherapist as soon as possible to identify the cause and start treatment

What shouldn’t I do if I have tarsal tunnel syndrome?

If you suspect you have tarsal tunnel syndrome, do not ignore your symptoms. Delaying treatment can allow the condition to worsen and prolong your recovery. Early intervention is key to preventing long-term nerve damage.

Physiotherapy treatment for tarsal tunnel syndrome

Physiotherapy plays a central role in treating tarsal tunnel syndrome. A physiotherapist will first confirm the diagnosis and assess the severity of your condition. Based on this assessment, they will recommend the most appropriate treatment plan.

While surgery is an option to relieve tarsal tunnel symptoms, it is usually considered only after physiotherapy has been attempted due to the risks associated with surgical intervention. Physiotherapy treatments may include:

  • Range of movement exercises to maintain and improve ankle flexibility
  • Electrotherapy to reduce pain and inflammation
  • Hydrotherapy for gentle strengthening in a low-impact environment
  • Soft tissue treatments to reduce tension and improve tissue mobility

If symptoms do not improve with physiotherapy, your physiotherapist can guide you regarding surgical options, provide information about surgeons, and liaise with your surgical team regarding your treatment progress.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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