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Tarsal
Tunnel Syndrome:
Carpal Tunnel Syndrome of the Ankle
Tarsal tunnel syndrome
occurs in the narrow tunnel located on the inside of the ankle that
runs up the side of the ankle bone that protects the posterior tibial
nerve. Tarsal tunnel syndrome is similar to carpal tunnel syndrome
because both result from pressure being placed on the nerve due
to swollen and inflamed tendons surrounding the tunnel. The causes
of tarsal tunnel syndrome vary, depending upon the individual case.
However, most cases are the result of an injury to the ankle area,
a swollen varicose vein, a cyst or tumor in the affected area, as
a result of diabetes, or due to an abnormality in the foot.
Some of the symptoms of tarsal tunnel syndrome are:
- Pain along the back of the ankle
- Burning, tingling sensation along the back
of the ankle that can extend all the way to the toes
- Weakness or numbness of the foot
- Pain is worse when standing or walking
- The ankle may be sensitive to the touch
Tarsal Tunnel Syndrome Treatments:
The first step in treating tarsal tunnel syndrome is rest. You must
rest and elevate the affected ankle and treat it with hot and cold
compresses. You can also take non-steroidal anti-inflammatory medications
(NSAIDs), such as ibuprofen to alleviate the pain.
If you are experiencing the pain associated with tarsal tunnel syndrome
as a result of a foot abnormality, such as fallen arches, you may
need to use orthotic devices to help heal the ankle. You may need
arch supports or custom made orthotic devices, depending on the
individual case and the severity of the tarsal tunnel syndrome.
In the most extreme cases, when all other forms of treatment have
failed, it may be necessary to have surgery in order to alleviate
the pressure of tarsal tunnel syndrome. The goal of surgical intervention
in the case of tarsal syndrome is to make an incision in the ligament
that will open up the tunnel enough to ease the pressure off of
the posterior tibial nerve.
If you feel that you may be suffering from tarsal tunnel syndrome,
and you are unable to stop the pain on your own you should contact
your physician.
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