Tarsal Tunnel Syndrome: How to Stop the Pain

Tarsal Tunnel syndrome (or Posterior Tibial Nerve Entrapment) could basically be described as Carpal Tunnel Syndrome in the foot. This syndrome results from compression of the tibial nerve (an extension of the sciatic nerve which runs down the back of the thigh). When the end part of the tibial nerve is compressed in the tarsal tunnel near the Achilles Tendon, it causes discomfort.

Symptoms vary per individual and can develop suddenly or gradually. It can manifest itself as a sharp, shooting pain along the tibial nerve. Others experience tingling or burning, or “pins and needles.” The discomfort can affect one spot, such as the inside of the ankle, heel, or foot. In more rare instances, the pain may radiate up from the ankle to the calf.

Tarsal Tunnel Syndrome can result from a traumatic event, improper footwear, excessive training, flat feet, muscle weakness, or poor balance. Regardless of the cause, physiotherapy is the first line of treatment to alleviate discomfort. It’s the proven method to begin healing and reduce the risk of reinjury.

Success from physiotherapy is largely dependent on how well a patient complies with the plan laid out by their therapist. Also, s/he should avoid activities that cause pain until symptoms are gone.

Treatment can include electrotherapy, bracing the affected area, use of crutches, ice and/or heat treatment, biomechanical correction, and exercises to regain balance, strength, and flexibility. Once the symptoms subside, the patient can begin a gradual return to normal activity.

The notion of “no pain, no gain” and ignoring Tarsal Tunnel Syndrome can cause greater injury and chronic discomfort. Contact PARC of Ontario today to find out how we can help. Call us at (905) 579-9938.