All About Tarsal Tunnel Syndrome

Foot pain is something most of us have experienced at some point in our lives, though we often brush it off as a result of a long day or wearing the wrong shoes. However, for some, this pain can be a sign of a more concerning condition known as tarsal tunnel syndrome. 

With an unwavering commitment to foot health, the team at Precision Foot & Ankle Center, led by foot and ankle specialist Dr. Angela Jacob, DPM, D.ABFAS, FACFAS, seeks to shed light on this ailment. The goal is to ensure patients are well informed and on the right path to recovery. Dr. Jacob provides a full range of podiatry services to help patients keep their feet and ankles healthy, including offering treatment options for tarsal tunnel syndrome. 

What is tarsal tunnel syndrome?

Tarsal tunnel syndrome is a compression neuropathy, meaning it develops when there's pressure on a nerve. In this case, the posterior tibial nerve, which runs through the tarsal tunnel — a narrow passage inside your ankle bound by bone and soft tissue. 

When this nerve is squeezed or compressed, it can result in pain, tingling, or numbness in the foot. Understanding its causes and symptoms is the first step to addressing the discomfort it brings.

Causes and risk factors

Various factors can lead to tarsal tunnel syndrome. Swelling from an ankle sprain can compress the nerve, as can any masses like cysts, varicose veins, or tumors within the tunnel. Additionally, conditions such as arthritis, diabetes, or flat feet can alter the foot's dynamics, increasing the risk of nerve compression. 

At Precision Foot & Ankle Center, we emphasize the importance of identifying these risk factors early on, which makes treatment more effective and swift.

Symptoms to watch for

The primary symptom of tarsal tunnel syndrome is pain and tingling, often described as a pins-and-needles sensation. This can be felt anywhere along the nerve, from the ankle down to the arch of the foot and sometimes the toes. 

It's common for symptoms to manifest during extended periods of standing, walking, or even at night. These symptoms can be intermittent at first but can become more constant if the condition goes untreated.

Diagnosis and testing

When you visit us at Precision Foot & Ankle Center, a comprehensive examination of your foot will be performed. This can involve testing the sensation of your foot, assessing your foot's posture and mechanics, and sometimes even ordering imaging tests like X-rays or MRIs. 

Electromyography (EMG) might also be used to measure the nerve's electrical activity, confirming the diagnosis.

Treatment options

Treatment largely depends on the cause of the compression. Nonsurgical treatments include wearing shoe inserts, using custom-made orthotics, or wearing a brace to restrict movement causing nerve compression. 

Anti-inflammatory medications can help reduce swelling, and in some cases, corticosteroid injections may be given. If conservative methods don't provide relief, surgery to release the nerve might be considered. At Precision Foot & Ankle Center, we're dedicated to finding the best solution tailored to each patient's unique needs.

Get help for tarsal tunnel syndrome now

Your foot health should never be overlooked. If you're experiencing persistent pain, tingling, or any discomfort, don't hesitate to reach out. The skilled team at Precision Foot and Ankle Center is here to guide you every step of the way. Call our West Bloomfield, Michigan office to schedule your consultation today and take the first stride towards a pain-free life.