Tarsal tunnel syndrome is a condition characterized by compression of the tibial nerve as it passes through the tarsal tunnel, a narrow space on the inside of the ankle. It typically affects individuals who engage in activities that involve repetitive ankle motion or those with foot deformities such as flat feet. Symptoms may include pain, burning, tingling, or numbness along the inner ankle and the sole of the foot. Left untreated, tarsal tunnel syndrome can lead to complications like muscle weakness or atrophy in the foot. Conservative management often fails as it usually involves rest, which doesn't change the size of the tunnel.  Orthotics frequently can diagnose the problem because they usually make it worse.  A person who has increased burning and a painful numbness after wearing an orthotic, frequently has a nerve entrapment.  The orthotic presses on an already inflamed nerve and causes the increase in pain.  Anti-inflammatories usually are ineffective with nerve pathology and so the patients are frustrated because the pain is not alleviated with traditional medication.  Many times people think they have tarsal tunnel if they have ankle pain and this is false.  Ankle pain is usually not associated with tarsal tunnel and nerve pathology.  There are many facets to diagnosing nerve problems and it turns out most are ignored or overlooked by most practitioners.  This is why if you think you have a nerve injury you should schedule an appointment with Dr. DiNucci who can diagnose tarsal tunnel syndrome and provide appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In most cases, surgery is required to open the tunnel and restore sensation and flow to the damaged nerve.

If you have any questions please feel free to contact our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.