Tarsal Tunnel Syndrome Treatment in Mona Vale
Tarsal tunnel syndrome is caused by irritation or compression of the tibial nerve as it passes through the tarsal tunnel on the inside of the ankle. It can cause pain, burning, tingling or numbness that may spread into the heel, arch or toes.
At Helix Recovery, we'll determine whether your symptoms are consistent with tarsal tunnel syndrome or another condition before developing a personalised treatment plan to help reduce pain and restore function.
What is Tarsal Tunnel Syndrome ?
The tarsal tunnel is a narrow passageway on the inside of the ankle through which the tibial nerve, blood vessels and tendons travel into the foot.
When the tibial nerve becomes irritated or compressed within this tunnel, it can produce pain and altered sensation throughout the foot. Symptoms may develop gradually or follow an ankle injury, changes in foot mechanics or repetitive loading.
Because several conditions can produce similar symptoms, an accurate assessment is important before beginning treatment.
Common Symptoms
Pain along the inside of the ankle or foot
Burning, tingling or numbness in the heel, arch or toes
Symptoms that worsen with prolonged standing or walking
Pain during or after exercise
Sensitivity around the inside of the ankle
Occasionally, weakness of the foot muscles in more persistent cases
How We Assess Tarsal Tunnel Syndrome
Pain, tingling or numbness in the foot can arise from several different structures, including the tibial nerve, plantar fascia, Achilles tendon or even the lower back.
Your assessment may include examining the location and behaviour of your symptoms, foot and ankle movement, nerve sensitivity, muscle strength, walking mechanics and any factors contributing to irritation of the tibial nerve.
This allows us to identify the likely source of your symptoms and determine the most appropriate treatment approach.
How We Treat Tarsal Tunnel Syndrome
Treatment depends on how long symptoms have been present, their severity and the activities you want to return to.
Treatment may include:
Osteopathic manual therapy
Shockwave therapy
Progressive exercise rehabilitation
Activity modification and load management
Nerve mobility exercises where appropriate
Foot and ankle strengthening
Advice regarding footwear and orthotics where indicated
Gradual return to work, walking and sport
Shockwave Therapy for Tarsal Tunnel Syndrome
Shockwave therapy may be incorporated into your treatment plan where appropriate. While it is not directed at the nerve itself, it may be used to address surrounding muscles and soft tissues that contribute to increased tension or compression around the tarsal tunnel.
Combined with osteopathic manual therapy, exercise rehabilitation and load management, shockwave therapy may help reduce pain and improve your ability to return to normal activities.
Common Questions
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Yes. Both involve irritation of a nerve within a narrow anatomical tunnel. Carpal tunnel syndrome affects the median nerve at the wrist, whereas tarsal tunnel syndrome affects the tibial nerve at the inside of the ankle.
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Yes. Tingling, burning and numbness in the heel, arch or toes are common symptoms because the tibial nerve provides sensation to much of the foot.
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Most people are initially managed with conservative treatment. Surgery is generally only considered when symptoms persist despite appropriate management or when there is significant nerve compression.
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Recovery varies depending on the underlying cause, symptom severity and how long the nerve has been irritated. Early diagnosis and appropriate management generally lead to better outcomes.
Ready to Get Back on Your Feet?
Pain, tingling or numbness in the foot isn't always caused by the plantar fascia or Achilles tendon. We'll identify the source of your symptoms and develop a treatment plan tailored to your goals.