Understanding Tarsal Tunnel Syndrome

What is Tarsal Tunnel Syndrome?

• Condition involving inflamed and entrapped tibial nerve
• Affects nerve supplying foot muscles and skin
• Often underdiagnosed in clinical settings
• Can cause widespread foot symptoms

Common Symptoms

• Pain throughout foot

• Tingling sensations

• Numbness

• Shooting pains that:

• Radiate up or down leg

• Affect heel and foot bottom

Contributing Factors

• Flat feet conditions
• Fallen arches
• Ankle injuries and swelling
• Arthritic conditions
• Diabetic complications
• Tendon inflammation
• Ganglion cysts
• Bone spurs
• Varicose veins

Diagnosis Process

• Requires thorough clinical examination
• Cannot rely on imaging alone
• X-rays and ultrasounds have limitations
• Professional podiatric assessment crucial

Treatment Options

Non-Surgical Approaches

• Local anaesthetic injections
• Cortisone treatments
• Anti-inflammatory medications
• Custom orthotic devices
• Lignocaine patch application
• Supportive footwear
• Therapeutic taping

Surgical Intervention

• Considered for severe cases
• Used when conservative treatment fails
• Requires podiatric surgeon assessment
• Procedure selection based on individual case