Tarsal tunnel syndrome can also be known as posterior tibial neuralgia. Neuralgia is the word described for the symptoms of discomfort contributed from a nerve compression or damage. The tarsal tunnel is a narrow space which is found under the inner ankle bone, multiple blood vessels, tendons and nerves run through it.
The main focus of tarsal tunnel syndrome, is damage or compression of the tibial nerve at the point where it runs through the confined space of the tarsal tunnel. After the tibial nerve runs through the tarsal tunnel, it is responsible for sensory feedback to the majority of the plantar aspect of the feet.
Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve which runs beneath the bone becomes compressed / irritated / damaged.
Anything which may cause compression or damage to the tibial nerve as it runs through the tarsal tunnel.
Certain foot postures, for example a flat foot, may point excessively inwards and cause strain and stretch on the tarsal tunnel.
Injury around the inner ankle such as an ankle sprain, can lead swelling which may compress the nerve, or direct damage to the nerve itself.
Abnormal growth of tissue or a lesion within the space of the tarsal tunnel. This may take up space in the small area of the tarsal tunnel, causing compression on the nerve. Example; bone spur, varicose vein, ganglion cyst, tendon swelling.
Such as arthritis or diabetes can cause swelling around the foot, and subsequent compression of the tibial nerve.
Signs and symptoms of tarsal tunnel syndrome include:
Symptoms are experienced across the path of the tibial nerve once it leaves the tarsal tunnel; this could be anywhere on the inner ankle, plantar aspect of the foot, heel, or toes. It may happen in one or both feet.
If you have tarsal tunnel syndrome, Liverpool Podiatry can help you. Following podiatry input, the following benefits may be achieved:
A visit to Liverpool Podiatry would firstly involve a thorough assessment, starting with obtaining the medical history and full account of the problem. A full examination of the ankle and foot to assess the quality and range of motion, and tests will be carried out to try and recreate symptoms associated with tarsal tunnel syndrome to aid the diagnoses.
If the podiatrist has made a diagnosis of tarsal tunnel syndrome the following treatment options may be discussed:
If you have a problem with your foot or lower limb, and you are unsure whether or not podiatry can help you, then why not contact us. If you have any questions or would like to book an appointment then please email us at firstname.lastname@example.org or call us on 0151 558 0099.
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