In Tarsal Tunnel Syndrome, the posterior tibial nerve or one of its branches is inflamed or compressed at or about the ankle. This usually occurs in an active adult, possibly following trauma, a severe flat foot posture, or with a systemic condition, like rheumatoid arthritis. The tibial nerve courses down the back of the leg and curves into the foot at the inside of the ankle. Symptoms of this compression are usually pain, burning, or a tingling sensation into the sole of the foot.
Physical Therapy Treatment Plan: After careful evaluation by the physical therapist, the first step in treating this condition is to reduce pain and inflammation. Treatments may include massage, electrical stimulation, heat/cold therapy, iontophoresis, phonophoresis and orthotic/arch support. In physical therapy, gentle stretching and strengthening and mobility exercises will be added as you are able.
After your initial prescription for physical therapy is completed, your physician and physical therapist will decide if you need to continue physical therapy or if you will be discharged to a home exercise program.
This information is provided as a learning resource for the benefit of our patients. It is NOT INTENDED to replace personal consultation with your medical professionals.
