Something’s afoot with tarpal tunnel syndrome

Richard-Owens“I’ve heard of carpal tunnel syndrome, but what is tarpal tunnel?”

I 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 its long lost relative, affecting the feet in a similar fashion by 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 (Surfside Beach) (843) 831-0163, Richard DeFalco, DPT, OCS, CSCS, CWcHP (Myrtle Beach) (843) 839-1300, Brian P. Kinmartin PT, DPT, MTC, STC, OCS, (Pawleys Island) (843) 235-0200, or Kristen Lies PT, DPT (Murrells Inlet) (843)314-3224 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

Solomon's pick-six helps South take it to the house

Solomon's pick-six helps South take it to the houseIn a game full of turnovers, Kenney Solomon had among [more]

Hoops: MB downs Conway; Socastee wins HTC tourney

Hoops: MB downs Conway; Socastee wins HTC tourneyJust 24 hours after a lackluster effort allowed Carolina Forest [more]

All-County Golf: Anderson follows Knaffle's footsteps

All-County Golf: Anderson follows Knaffle's footstepsSelecting the MyHorryNews All-County Girls Golfer of the Year should [more]

Hoops: Panthers flip script on Seahawks in rematch

Hoops: Panthers flip script on Seahawks in rematchA leaky roof at the Myrtle Beach High gymnasium forced [more]

All-County XC: CF's Mohr, NMB's Spickler lead pack

All-County XC: CF's Mohr, NMB's Spickler lead packRunning is more than a hobby for Michael Mohr; it’s [more]

Hoops: Unbeaten Conway secures sweep of Wilson

Hoops: Unbeaten Conway secures sweep of WilsonThe Conway High boys basketball team proved that last month's [more]

Change is name of game for North-South All-Stars

Change is name of game for North-South All-Stars The wholesale changes to the 2018 South Carolina football season [more]

Hoops: Saints fall despite double-double from Green

Hoops: Saints fall despite double-double from GreenThe Christian Academy of Myrtle Beach boys basketball team suffered [more]

Hoops: Tigers, Sharks post big wins over county rivals

Hoops: Tigers, Sharks post big wins over county rivalsThe Conway High boys remained undefeated on the season with [more]

Chants on break for finals week after loss to Terriers

Chants on break for finals week after loss to TerriersSophomore Tre Brown had a career and team-high 24 points, [more]

CAC swimmers post hot times at Snowflake Invite

CAC swimmers post hot times at Snowflake InviteThe Coastal Aquatic Club (CAC) spent the weekend in Rock [more]

Knox's triple-double lifts Seahawks past Panthers

Knox's triple-double lifts Seahawks past Panthers Myrtle Beach High sophomore Emorie Knox hit a major milestone [more]

CAC's Steele captures gold at Winter Junior Nationals

CAC's Steele captures gold at Winter Junior NationalsCarolina Forest senior and Coastal Aquatic Club standout Taylor Steele [more]

SEAHAWKS STORM PAST GREER FOR STATE TITLE

SEAHAWKS STORM PAST GREER FOR STATE TITLE Over the summer, the Myrtle Beach players were gathered inside [more]

Green Sea Floyds captures first state championship

Green Sea Floyds captures first state championshipFacing fourth down and a sneaker, Green Sea Floyds coach [more]

Hoops: Sharks beat buzzer, Warriors on late foul shots

Hoops: Sharks beat buzzer, Warriors on late foul shotsThe St. James High boys basketball team won a thriller [more]

Schools send football team to state with Seahawk Walk

Schools send football team to state with Seahawk WalkThe Myrtle Beach High football team received a hero's send-off [more]

Hoops: Myrtle Beach boys double up rival Socastee

Hoops: Myrtle Beach boys double up rival SocasteeThe Myrtle Beach High boys basketball team doubled up rival [more]

Seahawks' strange season takes a final twist to state

Seahawks' strange season takes a final twist to stateMickey Wilson has led his team to state championship games [more]

Hoops: NMB boys, CF girls fall short in comeback bids

Hoops: NMB boys, CF girls fall short in comeback bidsWhat appeared to be a pair of lopsided affairs turned [more]

MB's shot at state crown moved to Friday afternoon

MB's shot at state crown moved to Friday afternoonGame time has been moved up a day for the [more]

Socastee product Renfrow titled nation's top walk-on

Socastee product Renfrow titled nation's top walk-onThe Burlsworth Foundation announced Monday that wide receiver Hunter Renfrow [more]

Sun Belt puts 5 in bowls after inaugural title game

Sun Belt puts 5 in bowls after inaugural title gameAfter a thrilling 30-19 win by Appalachian State over Louisiana [more]

Gamecocks get close bowl trip to Charlotte vs. Cavs

Gamecocks get close bowl trip to Charlotte vs. CavsSouth Carolina football fans won't have to travel far to [more]

No. 2 Tigers in high Cotton for bowl game against Irish

No. 2 Tigers in high Cotton for bowl game against IrishThe College Football Playoff and the Goodyear Cotton Bowl announced [more]

Solomon's pick-six helps South take it to the house

Solomon's pick-six helps South take it to the houseIn a game full of turnovers, Kenney Solomon had among [more]

Hoops: MB downs Conway; Socastee wins HTC tourney

Hoops: MB downs Conway; Socastee wins HTC tourneyJust 24 hours after a lackluster effort allowed Carolina Forest [more]

Comments are closed.

© 2018 Grand Strand Sports Report · RSS
Myrtle Beach Web Design
Kayaking in Myrtle Beach