Tarsal tunnel is to the feet as carpal tunnel is to hands

col-RichardOwensI get this response frequently from my patients.  Almost everyone is familiar with their carpal tunnel as it seems either they or someone in their family suffers from or has had surgery to correct that all too familiar condition that has exploded directly proportional to the use of computers and the transition to a “paperless” society.   Tarsal tunnel is it’s long lost relative, affecting the feet in a similar fashion, causing numbness, burning, and shooting pain along the inside and bottom of the foot.

The tarsal tunnel refers to the canal formed between the medial malleolus (bump on the inside of the ankle) and the flexor retinaculum (a ligamentous band that stretches across the inside of the foot). The nerves, arteries, and tendons that provide movement and flexibility to the foot course through this tunnel. The tibial nerve travels through this tunnel and provides sensation to the bottom of the foot. When tibial nerve is compressed, the resulting condition is called tarsal tunnel syndrome or posterior tibial neuralgia.

Strain or compression on the tibial nerve caused by injury, disease, or due to the natural shaping of the foot can lead to tarsal tunnel symptoms.  Acute injury such as swelling caused by an ankle sprain, or chronic/repetitive issues such as having flat feet or fallen arches can lead to compression over time.  Diseases such as arthritis, diabetes, or even lymphedema, which can cause swelling, can result in nerve compression.

Although symptoms may suggest tarsal tunnel syndrome, proper diagnosis may indicate specialized testing such as EMG or nerve conduction study, and/or imaging such as X-rays, CT, or MRI scans to confirm.  Proper diagnosis is necessary to determine the severity of the condition, so the appropriate treatment plan, including both surgical and nonsurgical options, may be considered.

Possible treatment options may include physical therapy to help decrease inflammation using anti-inflammatory modalities such as phonophoresis or iontophoresis, in which an anti-inflammatory medication is delivered into the nerves in the tarsal tunnel.  This may help to relieve pressure and swelling.  Orthosis (e.g., braces, taping, splints, orthotic devices) may be recommended to reduce pressure on the foot and limit movement that could cause compression on the nerve.  Depending on the mechanical nature or cause of the issue, manipulation, soft tissue mobilization, stretching or strengthening activities may be prescribed to assist with improving biomechanics to limit excessive loading with daily activities.

If the condition is severe, your doctor may give you a steroid injections or may suggest surgical options if deemed appropriate or if conservative measures have been unsuccessful.  Tarsal tunnel release procedures are common and provide significant relief in some cases.  Your health care providers will be there to discuss your diagnosis and treatment so that you can make an informed decision on the direction of your treatment.

At Professional Rehabilitation Services we pride ourselves in distinction and are continuously in pursuit of specialty training to provide our patients with a higher level of care. One of our Board Certified Orthopedic Physical Therapists will pursue an individualized treatment approach to your needs. Less than 5% of physical therapists in South Carolina are board certified in orthopedics.

If you or someone you know lives with a similar problem and would like to know more, then you can contact Richard A. Owens, PT, MS, OCS, Cert.SMT, Cert. DN, CWcHP (Surfside Beach) (843) 831-0163, Richard DeFalco, DPT, OCS, CSCS, Cert. DN, CWcHP (Myrtle Beach) (843) 839-1300, Brian P. Kinmartin PT, DPT, MTC, STC, OCS, Cert. DN (Pawleys Island) (843) 235-0200, Kristen Lies PT, DPT (Murrells Inlet) (843)314-3224, or Jill Phelan DPT (Conway) (843) 733-3031 for a free 15 minute consultation to determine whether physical therapy is an option for you.  You can also visit our website www.prsrehabservices.com where you can learn more about the company and even print a referral for your physician to fill out.

Comments

comments

Chants fight Mountaineers to finish but come up shy

Chants fight Mountaineers to finish but come up shyFor the fourth time this season, Coastal Carolina had a [more]

Conway claims region title with special win at Sumter

Conway claims region title with special win at SumterA bizarre special-teams turnaround proved to be very special for [more]

Region 7-4A: Chiefs win, take piece of region title

Region 7-4A: Chiefs win, take piece of region titleThe No. 2-ranked North Myrtle Beach High football team apparently [more]

Football Roundup: Braves, Saints win; Panthers falter

Football Roundup: Braves, Saints win; Panthers falterThe Socastee High offense had another big night to beat [more]

Chants shock No. 2 Terps amid late-season surge

Chants shock No. 2 Terps amid late-season surgeFor the second consecutive match, the Coastal Carolina men’s soccer [more]

Week 10 Previews & Picks: Points aplenty this season

Week 10 Previews & Picks: Points aplenty this seasonYou don't have to be a math major to keep [more]

Volleyball: 4 area teams sweep playoff openers

Volleyball: 4 area teams sweep playoff openersThe North Myrtle Beach High volleyball team opened the Class [more]

Former CCU fan favorite Gray dies in car accident

Former CCU fan favorite Gray dies in car accidentFormer Coastal Carolina University standout basketball player Chad Gray was [more]

Tennis: Saints, Seahawks, Braves win playoff debuts

Tennis: Saints, Seahawks, Braves win playoff debutsThe Christian Academy of Myrtle Beach girls tennis team waltzed [more]

Socastee boys make it seven straight region titles

Socastee boys make it seven straight region titlesThe Socastee High boys cross country team captures its seventh [more]

Lady Sharks capture fifth straight Lower State title

Lady Sharks capture fifth straight Lower State titleThe St. James High girls golf team officially made it [more]

NMB girls, SJ boys run to region XC championships

NMB girls, SJ boys run to region XC championshipsThe North Myrtle Beach girls and St. James boys cross [more]

Carolina Forest, Socastee qualify for state golf finals

Carolina Forest, Socastee qualify for state golf finalsThe Carolina Forest and Socastee High girls golf teams qualified [more]

Washington strikes gold, silver at SCISA state meet

Washington strikes gold, silver at SCISA state meetChristian Academy of Myrtle Beach sent eight qualifiers to the [more]

Trio of Lady Chants sweep weekly conference honors

Trio of Lady Chants sweep weekly conference honorsCoastal Carolina nearly swept the Sun Belt Conference weekly volleyball [more]

CCU shoots under par as team for top-five showing

CCU shoots under par as team for top-five showingFor the ninth time in nine opportunities this season, the [more]

Two local swimmers claim gold medals at state meet

Two local swimmers claim gold medals at state meetCarolina Forest's Taylor Steele and St. James Casey Mitchell were [more]

Keane injured as Coastal routed by Arkansas State

Keane injured as Coastal routed by Arkansas StateArkansas State quarterback Justice Hansen threw five touchdowns to lead [more]

Melchor's hat trick helps Chants upend Monarchs

Melchor's hat trick helps Chants upend MonarchsMartin Melchor scored a career-high three goals in leading Coastal [more]

Seahawks blast Bulldogs for second straight rout

Seahawks blast Bulldogs for second straight routDoug Shaw Memorial Stadium recently underwent major renovations. Perhaps they [more]

Chiefs capture first-place showdown with Wilson

Chiefs capture first-place showdown with WilsonThe North Myrtle Beach High football team placed itself firmly [more]

Football: Tigers rip Bruins; Panthers falter at Sumter

Football: Tigers rip Bruins; Panthers falter at SumterThe Conway High Tigers made a homecoming statement Friday night, [more]

Syracuse stuns Clemson, damages title repeat plan

Syracuse stuns Clemson, damages title repeat planNo. 2 Clemson suffered its first loss of the season [more]

Seahawks outduel Chiefs for region championship

Seahawks outduel Chiefs for region championshipThe top two ranked volleyball teams in Class 4A played [more]

Golf: Sharks, Seahawks cap season with victories

Golf: Sharks, Seahawks cap season with victoriesThe St. James High girls golf team paid tribute to [more]

Chants fight Mountaineers to finish but come up shy

Chants fight Mountaineers to finish but come up shyFor the fourth time this season, Coastal Carolina had a [more]

Conway claims region title with special win at Sumter

Conway claims region title with special win at SumterA bizarre special-teams turnaround proved to be very special for [more]

Comments are closed.

© 2017 Grand Strand Sports Report · RSS
Myrtle Beach Web Design
Kayaking in Myrtle Beach