Tarsal Tunnel Syndrome
Tarsal tunnel syndrome (TTS) is a neuropathy (nerve condition) caused by compression of the posterior tibial nerve and its branches. The posterior tibial nerve is the main nerve that supplies motor and sensory function to the entire bottom of the foot. This nerve passes through a tunnel made of fascia and connective tissue from the back of the ankle into the bottom of the foot. This is much like the carpal tunnel in the wrist.
Like carpal tunnel, tarsal tunnel syndrome is often a result of trauma caused by repetitive motion or overuse of the ankle. It can also happen in conjunction with an ankle sprain, ankle fracture, cyst or flat feet. You might also have to seek tarsal tunnel treatment in relation to obesity, diabetes, ankle arthritis, pregnancy or hypothyroidism.
If you’re experiencing severe ankle tingling or numbness, it’s important that you see an orthopedic physician.
How is tarsal tunnel syndrome diagnosed?
First you should determine if you have any combination of the following symptoms:
- Tingling
- Burning
- A pins-and-needle sensation
- Numbness
- Stiffness
The most common sites are the soles of the feet and the toes.
Since tarsal tunnel syndrome can be related to other conditions such as neuropathy, your Midwest Orthopedic and Musculoskeletal Alliance doctor might need an electrodiagnostic evaluation to assess nerve activity and pinpoint the diagnosis.
Tarsal Tunnel Syndrome Treatment Options
As with many orthopedic conditions, Midwest Orthopedic and Musculoskeletal Alliance offers both surgical and non-surgical treatments for tarsal tunnel syndrome.
Your physician will make a decision based on the level of impairment, discomfort and your activity level. However, most experts agree that tarsal tunnel syndrome surgery should be carefully considered. Usually, tarsal tunnel surgery to “release” the nerve is a last resort after more conservative treatments have failed.
Conservative treatments can include getting a custom orthotic made, as well as resting the ankle. Your doctor might administer a steroid injection, but most commonly, non-steroid anti-inflammatory medication such as ibuprofen is prescribed.
Schedule Your Tarsal Tunnel Syndrome Consultation
If you are experiencing tingling, burning, or numbness in your foot, contact Midwest Orthopedic and Musculoskeletal Alliance today at 414-384-6700. Our orthopedic specialists in Southeastern Wisconsin will evaluate your condition and recommend the most appropriate treatment.