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

Lancaster seventh Chant to earn Sun Belt weekly honor

Lancaster seventh Chant to earn Sun Belt weekly honorCoastal senior Seth Lancaster was named Sun Belt Conference Community [more]

Gilmore, seven Chants top All-Sun Belt baseball team

Gilmore, seven Chants top All-Sun Belt baseball teamAfter leading Coastal Carolina to conference’s regular-season title, Chanticleer head [more]

CAC swimmers race rivals, storms at Palmetto Invite

CAC swimmers race rivals, storms at Palmetto InviteWhile most of South Carolina was under rain showers this [more]

North edges South as rain keeps teams on their toes

North edges South as rain keeps teams on their toesThe Class 4A North-South All-Star Boys Tennis showcase managed to [more]

CCU takes series from ASU in de facto tripleheader day

CCU takes series from ASU in de facto tripleheader day Coastal Carolina played 22 innings on Saturday (completing game 1 [more]

NMB's Smith picked to kick at Ray Guy prospect camp

NMB's Smith picked to kick at Ray Guy prospect campNorth Myrtle Beach High's Zane Smith received the Ray Guy [more]

Rain plagues CCU's series with Appalachian State

Rain plagues CCU's series with Appalachian StateGame one of the weekend series between #16 Coastal Carolina [more]

Girls Soccer: McCoy, Hall top all-region for Panthers

Girls Soccer: McCoy, Hall top all-region for PanthersThe Carolina Forest girls soccer team cleaned up on the [more]

Strong finish lands Chants in top 10 but no NCAA bid

Strong finish lands Chants in top 10 but no NCAA bidThe Coastal Carolina men’s golf team shot a final-round, 7-under [more]

Boys Golf: Seahawks earn repeat as state runner-up

Boys Golf: Seahawks earn repeat as state runner-upThe Myrtle Beach High School varsity boys golf team finished [more]

Lone Panther Fortenberry ties for third in Class 5A

Lone Panther Fortenberry ties for third in Class 5A Carolina Forest's Chris Fortenberry finished tied for third individually at [more]

Coastal ace Bilous claims Sun Belt Pitcher of Week

Coastal ace Bilous claims Sun Belt Pitcher of WeekCoastal Carolina junior Jason Bilous was voted the Sun Belt [more]

MB's Cahill, Wallen make deep runs at state singles

MB's Cahill, Wallen make deep runs at state singlesThe Myrtle Beach High boys tennis team sent a pair [more]

Chants climb leaderboard in second round of NCAA

Chants climb leaderboard in second round of NCAAThe Coastal Carolina men’s golf team shot an even-par round [more]

Soccer: SJ's Williams joins MB trio on all-state squad

Soccer: SJ's Williams joins MB trio on all-state squadThree Myrtle Beach High soccer players and one St. James [more]

SJ's Bray, MB's Edwards at top of All-Region 7-4A list

SJ's Bray, MB's Edwards at top of All-Region 7-4A listFollowing a near-miss bid to the Class 4A state championship [more]

Locals top all-region team; MB's Bodge earns all-state

Locals top all-region team; MB's Bodge earns all-stateGrand Strand area teams dominated the All-Region 7-4A team, and [more]

MB's Grigg, NMB duo put teams in hunt for 4A title

MB's Grigg, NMB duo put teams in hunt for 4A titleDefending state runner-up Myrtle Beach is in a familiar position, [more]

Confidence Cougars beat Manzer Academy for title

Confidence Cougars beat Manzer Academy for titleThe Confidence Cougars, an AAU team made up of players [more]

CCU struggles on first day of NCAAs but still in hunt

CCU struggles on first day of NCAAs but still in huntThe Coastal Carolina men’s golf team shot a 2-over par, [more]

Chants sweep Trojans, nab top seed, Sun Belt East title

Chants sweep Trojans, nab top seed, Sun Belt East titleFor the second time this weekend, Coastal Carolina shutout Little [more]

Former Chant Henderson 'truly blessed' after crash

Former Chant Henderson 'truly blessed' after crashFormer Coastal Carolina All-American and Denver Broncos running back De'Angelo [more]

Track & Field: Strand trio strikes silver at state meet

Track & Field: Strand trio strikes silver at state meetNo gold medals made their way from Saturday's SCHSL Class [more]

CA loses double-overtime heartbreaker in state final

CA loses double-overtime heartbreaker in state finalThe Christian Academy of Myrtle Beach girls soccer team suffered [more]

CCU celebrates Senior Day by making magic number 1

CCU celebrates Senior Day by making magic number 1On Coastal Carolina’s Senior Day, CCU senior Kevin Woodall accounted [more]

Lancaster seventh Chant to earn Sun Belt weekly honor

Lancaster seventh Chant to earn Sun Belt weekly honorCoastal senior Seth Lancaster was named Sun Belt Conference Community [more]

Gilmore, seven Chants top All-Sun Belt baseball team

Gilmore, seven Chants top All-Sun Belt baseball teamAfter leading Coastal Carolina to conference’s regular-season title, Chanticleer head [more]

Comments are closed.

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