Tarsal Tunnel Syndrome at DRHC Dubai Foot and Ankle Clinic

Overview of Nerve Entrapment in the Ankle

Tarsal Tunnel Syndrome (TTS) is a painful condition caused by the compression of the posterior tibial nerve as it passes through the tarsal tunnel—a narrow space located on the inner side of the ankle, bordered by bones and a thick ligament. This nerve entrapment can result in discomfort, numbness, tingling, and even burning sensations, radiating along the sole of the foot and into the toes. Similar to carpal tunnel syndrome in the wrist, TTS affects the nerves responsible for movement and sensation, but here, it targets the ankle and foot.

Causes and Symptoms

The tarsal tunnel provides a passage for tendons, nerves, and blood vessels, but when this space becomes compressed, it exerts pressure on the posterior tibial nerve. Some common causes of this nerve entrapment include:

• Flat feet or fallen arches increase pressure inside the tunnel.
• Ankle injuries, such as sprains or fractures, can lead to inflammation.
• Cysts, bone spurs, or varicose veins are pressing on the nerve.
• Overuse from activities like running or standing for long periods.
• Medical conditions such as diabetes can damage nerves and worsen symptoms.

Common symptoms of TTS include:

• Tingling, numbness, or a burning sensation in the foot or toes.
• Sharp or shooting pain that worsens with activity and improves with rest.
• A "pins and needles" sensation in the arch or heel.
• Swelling or tenderness along the inside of the ankle.

Diagnosis of Tarsal Tunnel Syndrome

Diagnosing TTS requires a thorough clinical examination. A foot and ankle specialist at DRHC Dubai will assess your symptoms and may conduct:

• Tinel’s Sign Test: Light tapping over the nerve to detect tingling sensations.
• Electromyography (EMG) or Nerve Conduction Studies to measure the function of the nerve.
• Ultrasound or MRI to identify underlying conditions like cysts or soft tissue abnormalities contributing to the compression.

Treatment Options for Tarsal Tunnel Syndrome

At DRHC Dubai, our goal is to offer personalized care that alleviates pain and restores function. Treatment options for TTS range from conservative management to surgical intervention.

Non-Surgical Treatments

• Rest and Ice Therapy: Reduces swelling and inflammation.
• Orthotic Devices: Custom insoles can support the arch and relieve pressure on the nerve.
• Physical Therapy: Stretching and strengthening exercises improve mobility and stability.
• Anti-Inflammatory Medications: Reduce pain and swelling.
• Corticosteroid Injections: Provide temporary relief by reducing inflammation around the nerve.

Surgical Decompression for Tarsal Tunnel Syndrome

If non-surgical treatments are ineffective, surgical decompression may be recommended. This procedure involves relieving pressure on the posterior tibial nerve by cutting or releasing the flexor retinaculum, the ligament that forms the roof of the tarsal tunnel. The surgery aims to create more space within the tunnel, preventing further nerve entrapment.

• Minimally Invasive Techniques: Depending on the case, a minimally invasive approach may be used to promote faster recovery.
• Post-Surgery Care: Physical therapy is essential after surgery to restore ankle function and prevent recurrence. Full recovery may take several weeks, with gradual improvement in symptoms.

Why Choose DRHC Dubai for TTS Treatment?

At DRHC Dubai, our team of orthopedic and foot specialists offers cutting-edge treatment for Tarsal Tunnel Syndrome. We provide:

• Accurate diagnosis using advanced imaging techniques.
• Tailored treatment plans to suit your condition and lifestyle.
• Expertise in minimally invasive surgical procedures to ensure quick recovery and minimal discomfort.
• Comprehensive post-operative care to help you get back on your feet with confidence.

By offering a comprehensive range of treatment options, we ensure personalized care for each patient, addressing their unique needs and preferences. Experience compassionate and expert care for Tarsal Tunnel Syndrome at DRHC Dubai, where your foot health is our priority. Call +97142798200 to book your appointment now.