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Tarsal Tunnel Syndrome

What is tarsal tunnel syndrome?
Tarsal tunnel syndrome is a painful disorder of the tibial nerve in the tarsal tunnel that can be found below the ankle on the inner side of the foot. If it is put under pressure or becomes damaged then it may stop working properly which can lead to pain.

Cause
It is caused by pressure on the tibial nerve in the tunnel between a sheet of connective tissue and the Achilles tendon. The most well-known cause is a sprained ankle. Thyroid disease, gout and diabetes may also cause this condition. Sudden occurrence of tarsal tunnel syndrome is sometimes seen in marathon runners and is also known as jogger's foot.

Signs and symptoms
In tarsal tunnel syndrome there is burning pain and altered sensation on the underside of the forefoot, in the toes and in the heel. The symptoms are brought on by walking.

Do I need additional examinations?

  • EMG.
  • A diagnostic test block of this nerve can confirm the diagnosis.
  • What are my treatment possibilities?

  • Multidisciplinary Treatment
  • Non-physical Treatments
  • Physical Treatments
  • Medication

  • Neuropathic pain medication
  • Interventional Pain Treatments

  • Local infiltration of the nerve
  • PRF treatment of the nerve
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