Tarsal tunnel Syndrome

Causes

  • Tight flexor retinaculum (covering of the tunnel)
  • Flat foot
  • History of ankle sprains
  • Weak ankle musculator ( tibialis anterior, tibialis posterior, peronei and short flexors of toe)
  • Space occupying lesions such as ganglion cyst, lipomas, varicosities and proliferative synovitis
  • Bony architecture- a talocalcaneal coalition, non-union of sustentaculum tali fracture









Treatment options

Get a proper diagnosis by a physiotherapist or an orthopedic

  • Conservative treatment
  • Injection therapy – Local anesthetic or corticosteroids
  • Surgery (in severe cases)

Conservative treatment

  • Rest- may be by immobilization (cast)
  • Icing in case of inflammation
  • Strengthening of ankle and foot muscles( tibialis anterior, tibialis posterior, peronei and short flexors of toe)
  • Ankle joint mobilization
  • Soft tissue mobilization
  • Orthotics to support foot arch and reduce compression of the nerve
  • Supportive footwear
  • Taping

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