Tarsal tunnel syndrome is a lesser-known yet painful condition that can significantly impact your daily life. It occurs when the tibial nerve, which runs through a narrow passage inside your ankle called the tarsal tunnel, becomes compressed or irritated. As your Osteopath, I’m here to explain what tarsal tunnel syndrome is, how it can be managed, and how osteopathy may offer relief and help you regain your mobility.
Image: https://www.bergenfootgroup.com/blogs/item/279-the-definition-of-tarsal-tunnel-syndrome
What is Tarsal Tunnel Syndrome?
Tarsal tunnel syndrome is similar to carpal tunnel syndrome in the wrist but occurs in the ankle. The tarsal tunnel is located on the inside of your ankle and is covered by a thick ligament that protects the tibial nerve and tendons as they pass into the foot. When this nerve is compressed, it can lead to pain, tingling, numbness, or a burning sensation in the foot, ankle, or even up into the calf.
Who can get it?
Tarsal tunnel syndrome can affect individuals of all ages, but it is more common in adults, particularly those who are overweight or have flat feet, as these conditions can put extra pressure on the tibial nerve. Athletes, especially runners, are also at higher risk due to the repetitive stress placed on the ankle. Additionally, people with conditions such as arthritis or diabetes may be more prone to developing this syndrome due to inflammation or nerve damage.
What are the symptoms and how do you diagnose it?
Image: https://healthjade.net/tarsal-tunnel-syndrome/
The symptoms of tarsal tunnel syndrome can vary but often include:
- Pain and burning sensations in the foot or ankle
- Tingling or numbness along the sole of the foot
- Swelling around the ankle
- Pain that worsens with prolonged standing or walking
Diagnosis typically involves a physical examination, during which I assess the foot and ankle for signs of tenderness, swelling, and nerve compression. Imaging tests like MRI or ultrasound may also be used to confirm the diagnosis.
How can Osteopathy help?
As an osteopath, I approach tarsal tunnel syndrome with a focus on the whole body. Here’s how osteopathy can help:
- Pain Relief and Nerve Decompression: Through gentle manipulation and soft tissue techniques, I can help relieve pressure on the tibial nerve, reducing pain and improving nerve function.
- Improving Foot Mechanics: By addressing misalignments in the foot, ankle, and lower leg, osteopathy can help restore proper movement patterns, reducing strain on the tarsal tunnel.
- Supporting Recovery: I often incorporate exercises to strengthen the muscles around the ankle and improve flexibility, which is crucial for long-term recovery and preventing recurrence.
What are the management strategies?
Managing tarsal tunnel syndrome involves a combination of osteopathic treatment and lifestyle adjustments. Here are some strategies I recommend:
- Rest and Activity Modification: Reducing activities that exacerbate symptoms, such as prolonged standing or high-impact sports, is essential for recovery.
- Orthotic Support: Custom orthotic inserts can help alleviate pressure on the tibial nerve by supporting the arch and improving foot alignment.
- Cold Therapy: Applying ice packs to the affected area can help reduce pain and swelling.
- Stretching and Strengthening Exercises: Regular exercises that target the muscles in the foot and lower leg can help improve flexibility and support healing.
- Laser therapy and Shockwave Therapy: Both of these machines we cutting edge in the treatment of acute and chronic musculoskeletal conditions. Depending on the condition, these treatment modalities can decrease swelling, pain and inflammation.
Final Takeaway
Living with tarsal tunnel syndrome can be challenging, but with the right treatment plan, you can find relief and regain your mobility. As your osteopath, I’m committed to providing personalized care tailored to your unique needs. Together, we can develop a comprehensive treatment strategy that addresses your symptoms and helps you get back to your normal activities.
If you’re experiencing symptoms of tarsal tunnel syndrome, please reach out to schedule a consultation at Pakenham osteopathy. Let’s work together to find relief and enhance your well-being.
If you have any questions about tarsal tunnel syndrome, please feel free to email me directly: ammar@pakenhamosteopathy.com.au
