مقاله تخصصی
tarsal tunnel syndrome; Causes, symptoms and treatment
3 months ago
369 بازدید
Dr. Mohammad Hossein Delshad
تهرانpain companions
**Tarsal Tunnel Syndrome** (TTS) occurs when the tibial nerve is damaged.. Symptoms of this condition include pain, burning and tingling in the toes and soles of the feet..Non-surgical solutions that are considered for patients usually help to reduce the symptoms.
If you have such symptoms, you should see a pain specialist, if necessary, the doctor will consider non-surgical solutions for the patient.
What is tarsal tunnel syndrome?
This condition occurs when the tibial nerve is damaged or compressed. The tibial nerve is a nerve in the wrist. This nerve passes through the tarsal tunnel. People with this syndrome experience symptoms such as pain, tingling, weakness, and numbness in the legs.
Usually, people suffer from this condition due to excessive use of their feet and ankles....for example, it may occur after repeated and intense sports activities....People who have flat floors are more susceptible to this disease.
Getting to know the symptoms of tarsal tunnel syndrome
This syndrome causes symptoms of nerve pain... such symptoms lead to pain on the inside of the ankle or leg.... In addition, you may experience the following:
- burning sensation
- numbness
- tingles
- Feeling of weakness in leg muscles
In most cases, symptoms worsen during or after physical activity... If you have had the disease for a long time, you will always feel the symptoms.
risk factors
Some factors play a role in increasing the probability of contracting this disease as follows:
- Diabetes
- Hypothyroidism
- Mucopolysaccharidosis
- Gout
- hyperlipidemia
- Smooth sole
- Arthritis
- ankle injury
- bone thorn
- varicose veins
- ganglion cyst
- nervous disease
The cause of tarsal tunnel syndrome
This disease occurs when a factor leads to damage to the tibial nerve.. Among the causes of damage to the tibial nerve, the following can be mentioned:
- Smooth sole
- high foot arch
- injuries such as sprains or broken ankles
- Growth disorders such as ganglion cysts, varicose veins and bone spurs
- Presence of masses such as tumor near the tibial nerve or lipoma
- Conditions including hypothyroidism, diabetes or arthritis
People with this disease usually have a history of ankle sprains.
How is this disease diagnosed?
When you see a pain specialist, you will first be asked questions about your symptoms, followed by a physical exam... To confirm a diagnosis, you may sometimes need to do the following:
### Tinel test
In this diagnostic method, the tibial nerve is gently tapped.. If you feel pain or tingling, it is a sign of tarsal tunnel syndrome.
### Electroviogram
An electrical impulse is used to measure the nerve and muscle.
### MRI
In this method, detailed images of the tissue and bones inside the body will be visible... By doing this imaging, damage or pressure on the tibial nerve is checked.
How is tarsal tunnel syndrome treated?
Many people can relieve the symptoms of tarsal tunnel syndrome with home remedies:
- **leg rest**; You should not be active for a few days or weeks to allow for healing and prevent further damage.
- **ice compress**; Use an ice compress several times a day for 20 minutes each time.
Using ice reduces swelling and pain.
- **Closing the leg and placing it in height**; You can use a brace and, if possible, keep your leg above the level of the heart to reduce inflammation.
- **non-steroidal anti-inflammatory drugs**; Taking these drugs as prescribed by the doctor reduces pain and inflammation.
Non-surgical solutions include the following:
- Brace, plaster or splint
- custom shoes (orthotics)
- Physiotherapy
- steroid drug injection
Is surgery needed to treat tarsal tunnel syndrome?
If a patient continues to experience severe symptoms following this condition after non-surgical solutions, surgery is ultimately recommended... If a mass is pressing on a nerve, the surgeon will usually remove it.
How can tarsal tunnel syndrome be prevented?
There is no sure way to prevent this disease, however, some tips can help prevent it:
- To avoid overuse injuries, you should rest between your exercises.
- Warm up your body before exercising.
- Wear suitable shoes
- You should constantly stretch your legs.
Read more: Compartment syndrome
