Tarsal Tunnel Syndrome Treatments at SWFAC

Sometimes referred to as posterior tibial neuralgia, tarsal tunnel syndrome is a highly painful foot condition caused by the squeezing of the posterior tibial nerve. A variety of causes can lead to the condition, including arthritis, varicose veins, fallen arches, flat feet, and ankle sprains. Tarsal tunnel syndrome treatments are typically non-invasive, although surgery is sometimes necessary for those who do not respond to standard treatments.

Non-Invasive Treatments

A variety of non-invasive treatment options are available to those diagnosed with tarsal tunnel syndrome. Many patients are encouraged to use orthopedic foot inserts or walker boots. Strengthening exercises for the peroneus, tibialis posterior, and tibialis anterior can also prove helpful. Additionally, many patients use soluble steroids, local anesthetics, or anti-inflammatory medications to ease the pain associated with the condition. In some cases, weight loss can significantly reduce the pressure on the foot, thereby making symptoms far easier to manage.

Tarsal Tunnel Release Surgery

Surgery may be necessary for those who do not respond to the aforementioned non-invasive treatments. Tarsal tunnel release surgery involves an incision behind the ankle bone, which is followed by the release of the posterior tibial nerve and the removal of any cysts that may have contributed to the condition. Additionally, surgery may involve the removal of scar tissue via neurolysis.

The recovery period can vary significantly from one patient to the next, with potential complications including bleeding and infection. Patients may also experience hot or cold sensations. Most are asked to use crutches so as to reduce pressure and minimize swelling. Success rates are high for those who have all medial ankle tunnels released, especially if they use a walker the day after the surgery.

If you would like to learn more about tarsal tunnel syndrome treatments, do not hesitate to contact us at 972-318-2738 in Lewisville, in Plano at 972-805-9985, or in Irving by calling 972-318-2655.