Tarsal tunnel syndrome (TTS) is a condition that causes pain and other symptoms in your feet. Navigating the complexities of this condition and finding comprehensive tarsal tunnel syndrome treatments in Texas can be challenging, but you are not alone.
At The Podiatry Group of South Texas, we are here to help. Our experts specialize in innovative, patient-centered approaches to diagnose and treat this painful condition. Read on to learn more.
What is Tarsal Tunnel Syndrome?
Tarsal tunnel syndrome causes pain, burning, or tingling in your feet. The condition primarily affects the sole of the foot and toes or the inside of the ankle. TTS happens when the tibial nerve in your foot gets squeezed. The tibial nerve runs down your leg and into your foot. It travels through the tarsal tunnel – a passage of bones and ligaments in your ankle. When the nerve becomes damaged or compressed, it causes symptoms of TTS.
What are the Symptoms of TTS?
If you have TTS, you might experience a range of symptoms in the inside of your ankle or the bottom of your foot, including:
- Pain
- Burning sensation
- Numbness
- Pins-and-needles (tingling) sensation
- Weakness in the foot muscles
In many cases, symptoms tend to get worse during or after physical activity. However, severe TTS may cause symptoms most or all of the time.
Causes of TTS
The feelings associated with TTS happen when something is pressing on or has caused damage to your tibial nerve. According to The Cleveland Clinic, tarsal tunnel syndrome is often related to an overuse injury. More than 2 in 5 people who develop TTS have a history of injuries such as ankle sprains.
TTS can be caused by:
- Swelling of a nearby tendon or blood vessel
- Ankle injuries, such as a fracture or sprain
- Medical conditions, such as diabetes, arthritis, or hypothyroidism
- Flat feet or high arches
- Abnormal growths or masses near the tibial nerve, such as bone spurs, ganglion cysts, or tumors
It is worth noting that other conditions like plantar fasciitis and posterior tibial tendonitis can feel a lot like TTS, so it is important to get a proper diagnosis.
How is TTS Diagnosed and Treated?
Diagnosing TTS requires a comprehensive evaluation by a healthcare professional to find out what’s causing your nerve to be squeezed. The process typically begins with a detailed medical history and a physical examination of your foot and ankle. Special tests, like nerve conduction velocity (NCV) tests and electromyograms (EMGs) may also be used to measure nerve and muscle function. Accurate diagnosis is essential for developing an effective treatment plan tailored to your specific needs.
Once the cause of TTS is established, your provider can work with you to develop a personalized treatment plan to manage your symptoms effectively. TTS can often be treated successfully at home with rest and over-the-counter nonsteroidal anti-inflammatory medicines (NSAIDs) such as ibuprofen (Advil®) to reduce swelling.
Self-Care Tips for TTS
- Rest your foot and avoid activities that cause pain
- Use ice packs to reduce swelling
- Wear supportive shoes with arch support
- Stretch your foot gently every day
Innovative Treatments for TTS
In some cases, your healthcare provider may recommend other tarsal tunnel syndrome treatments, including:
- Custom orthotics: Custom-made shoe inserts help provide arch support and improve your foot position to help reduce nerve compression.
- Shockwave therapy: This is a non-surgical treatment that delivers impulses of energy to targeted areas of damaged tissue. It prompts the body to respond naturally by increasing blood circulation to the affected area.
- Casts, braces, or splints: These devices keep your foot in place to encourage nerve healing. A brace can also help to reduce pressure on your foot.
- Steroid injections: Your healthcare provider may prescribe steroid injections to reduce swelling and pain.
- Physical therapy: A physical therapist can recommend exercises and stretches to improve function and reduce pain.
When is Surgery Necessary?
If you’re experiencing severe TTS symptoms that have not been helped by conservative treatments, your provider may recommend surgery. John Hopkins Medicine states that the main surgical option for TTS is tarsal tunnel release. In this procedure, the surgeon makes an incision behind the ankle, extending it down to the arch of the foot. They then carefully separate the ligament to stop it pressing against the tibial nerve.
Why Consider The Podiatry Group of South Texas?
At The Podiatry Group of South Texas, our doctors use the latest methods to diagnose and treat all kinds of foot and ankle problems to help you feel better. We offer a range of minor surgical procedures and other innovative treatments for TTS, including:
- Shockwave therapy for chronic foot pain
- Custom orthotics to support your feet
- Foot and ankle surgery to relieve compressed nerves
Our dedicated team of professionals is committed to offering the highest standard of care, utilizing the latest technologies and treatment protocols to help you find relief and improve your quality of life. Whether you are experiencing early symptoms or have been struggling with chronic pain, we are here to guide you every step of the way.
Why Choose Us?
We are not just experienced. We also care about getting to know you. This helps us give you the best care possible. Our doctors will work with you to find out what’s wrong and how to fix it. We offer many in-office treatments to make it easy for you. We are proud to offer:
- Personalized care
- Advanced treatments
- Friendly and knowledgeable staff
Why Early Diagnosis and Treatment Are Important
If you think you have TTS, don’t wait. Early diagnosis and treatment can prevent more serious problems. The sooner you start treatment, the sooner you can feel better.
Tarsal Tunnel Syndrome Treatments in Texas
Do you want to start feeling better? Schedule a consultation with The Podiatry Group of South Texas. We have 14 offices across San Antonio and southern Texas. Our doctors have decades of experience and offer comprehensive care for all types of foot and ankle conditions.
To learn more about tarsal tunnel syndrome treatments in Texas or to book a consultation, call our location nearest you today to schedule your visit. Remember, taking care of your feet now can save you from more pain later. Don’t wait; contact The Podiatry Group of South Texas. We are here to help you heal from heel to toe!