Tarsal Tunnel Syndrome Treatment & Diagnosis
ฝัง
- เผยแพร่เมื่อ 5 ก.ค. 2024
- Tarsal tunnel syndrome can cause pain or a funny sensation on the inside or your ankle as well as under your foot. It can easily be confused with other conditions such as plantar fasciitis. In this video, Maryke explains what tarsal tunnel syndrome feels like, how it is diagnosed, and what treatments can be useful.
🌟Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: www.sports-injury-physio.com/
Chapters:
00:00:00 Introduction
00:00:56 What is tarsal tunnel syndrome?
00:03:25 Causes
00:04:53 Diagnosis
00:10:53 Treatment
00:15:37 How we can help
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We need to give you a standing ovation for all the information you have given us.
I'm really lost for words. This is like getting an expert appointment I could never otherwise afford. I have the tarsal tunnel syndrome due to suddenly excessive weighted deep squatting, and I really hope you realise you've helped someone halfway around the world out with this video. Thanks a lot.
When it first started, it eventually gave me a massive sprain that hurt so much I couldn't walk for a few days. Eventually the inflammation stopped, but it still hurts a bit randomly or when I squat.
I just hope I overcome this and am able to continue lifting to the best of my potential
How the TTS going ?
@@MrProphetius It has healed now! I think it's because of the lack of activity during the lockdown that my ankle got a chance to heal. For the past 2-3 months I haven't had any pain at all thankfully
@@jaybansal2377 Awesome!glad to hear that. hope i can say same in some weeks/months.
@@MrProphetius Wish you a quick recovery!
This video may have just saved my life. For 2 months I have had nerve pain on the bottom of my foot, The last month of that I've been bed bound, taking gabapentin and meloxicam prescribed by a podiatrist that basically just told me "Oh you have plantar fasciitis and nerve damage due to inflammation.. and we need to get the nerves to calm down before we do anything." So short-sighted. This video opened up every possible fact about what could have happened with me and allowed me to realize what did happened and is happening! THANK YOU FOR THE VIDEO!! If I was in the UK you would be my doc hands down. With all your tests basically I was able to narrow down that in the beginning of my injury I likely had tunnel tarsal syndrome from a flat foot and when I became bed bound is when it got the worst but then as it started to get better by my being bed bound I started to do errands, made possible by sticking socks in my shoes underneath my arches so I was only walking on my arches.. HELLO! way to irritate the nerves guy.. So then that sent me back again. And now here's the real kicker.. I was using my mom's walker that has a seat, to scoot around on. It has a backrest that is just a bar so when sitting on that thing for hours a day I'm leaning my L4/L5 against that bar! Strike number three is my favorite mode of transportation I've been wearing my construction knee pads to shuffle around the house, tensing my butt like crazy and hamstrings. The thing that was so messed up is I thought I was doing all the right things yet I was just getting worse and worse. And the dog had nothing to say about it.. The meds made me so anxious I had chills and seriously was wondering about having to commit suicide if it got any freaking worse. Wow. I will say that after this video I got online and started researching like hell all the nerves all the possible dysfunctions in that brought so much light into my world of terrifying unknowns. Physiopedia was pretty amazing at laying more stuff out. DO YOUR OWN RESEARCH PEOPLE!! DONT TAKE ONE OPINION OR EVEN TWO UNTIL YOU HAVE RESEARCHED AND UNDERSTAND AS THOROUGHLY AS POSSIBLY IMAGINABLE
Same here but for 2 years, including same medications that I decided not to take anymore because I felt it was not helping.
Thank you so much for making this video! I have tarsal tunnel symptoms every now and I also have problems with L5. This video is most useful!
Second video I've seen, I love this lady omg
She and her videos are amazing bless this healing angel 😇
Wow. Thanks! I had previously been diagnosed with Posterior Tibial Tendonitis, got new orthotics, rest and rehab, no problems for 8 years. 3 years later, I started to have pain in my calf muscle, then low back pain and was diagnosed with L5-S1 facet arthritis and spondolisthesis, grade 1. Lots of PT, injections, etc. Just learned to live with it, but still able to hike and x-c ski moderate distances - 6+ miles. The ankle pain started up again, sharply while x-c skiing. But I also have very tight calf and hamstrings on that side, and the chronic low back pain. So now I know to go back for more treatment on the low back issues.
I searched and searched for an answer. THANK YOU!!! This was an excellent video - super thorough.
Glad it was helpful!
Thank you so much for this thorough and clear explanation. I’m a long-distance hiker and started off thinking I had Plantar Fasciitis after completing a multi-week trek with poor-fitting shoes. Researching my symptoms I decided it sounded more like TTS but couldn’t understand why calf stretches seemed to make the numbness worse sometimes…your video has explained this. I now understand I have a combination of PF and TTS (due to over-pronation). I’ve invested in bespoke orthotics, a massage ball and new boots and I’ll now start a regime of gentle strengthening and stretching exercises, starting from the lower back and gluts downwards. I’m very grateful to you for making and sharing this video…it was my sunshine on a rainy day :-)
Oh how grateful I am for you! Your explanation is excellent! My jaw dropped when you described L4 and L5… again, thank you!!! Now I have a place to start.
Glad it was helpful!
Thank you tremendously for sharing your knowledge. I have TTS and PF. Your explanation really clarified a lot of areas. Many many thanks
Same here. PF is gone after 1,5months. Now TTS is come after PF.
Have you treated the TTS?
thank you for having really good captions, super helpful
You're welcome 😊
Wow! You have just described my symptoms perfectly. Thought I had peripheral neuropathy. Have been receiving treatment from acupuncturist who said I had plantar fasciitis, but I have no pain, no walking issue just numbness and tight muscles. Never heard of this .. but it fits. Thank you. thank you. thank you.
You have a talent for conveying this condition that makes it very clear. Thank you!
I appreciate that!
There is so much useful general information and tips regarding rehab in your videos, I have to stop the videos and take notes. They are loaded with info much of which is applicable to any injury. Whilst many other practitioner's videos advocate going directly into stretches and loading etc, your videos specifically warn against doing this too early. I have tried both methods, your Method/Approach Works!! Thank you for sharing your knowledge and experience with us.
I'm so glad to hear that you find them useful!
thank you for sharing your knowledge, this video was informative.
Thank you so much for the information
You are welcome!
First person I've see discuss in detail how different people can have different nerve structures. Explains why my "electric shock" pain is a different than expected by my chiropractor.
How are you treating it, I just started felling an electrick shock feeling as well.
Perfect info. THANK YOU!
Extremely informative. I am really so grateful to receive such expertise. This new knowledge has eliminated a lot of stress for me. Thank you.
Wonderful!
I’m 71 and worked as an RN for 40 yrs. Now I have flat feet , from size 7 to size 8.5 and pronate. Use arch support shoes helps a bit but can’t walk for long periods as the pain is too much Used to do lunges and squats but had to stop. I think I have tarsal tunnel Thank you for enlightening me
Hello! I was told by my regular dr that I had plantar fasciitis and after doing physical therapy without it getting better I was sent to the foot dr. She told me she thought maybe it was tarsal tunnel. I like to learn about medical issues I may have so I found your video while looking for information. You saying that's it's often misdiagnosed as plantar fasciitis made me feel like we are finally on the right track. Thank you for explaining things in a way that someone without the education of a dr can understand!
Thank you so much this has been so helpful. I now understand that the problem in my foot is coming from my back! Very much appreciated.
Happy to help!
One of the most informative videos I’ve ever seen on any topic! Certainly more informative than the doctor I saw about my foot issues. Thank you!
So glad!
I never Google illnesses or injuries as I get some pretty random diagnosis, from growing a new head to having the spine of a jellyfish.
Thank goodness I saw this. You've explained so much. I have long running lumbar injury, piriformis and now TTS it would seem.
heel hulpvolle info zoals de connectie ts problemen lager rug en voetpijn die in beide richtingen tegelijk kan werken. Dank u Maryke
You're welcome x
Even doctors” couldnt descriped this problems better ever! Thank sooo much
Happy to help!
Thank you, you have just explained what my symptoms are after a l4 / l5 back injury and not having any feeling in leg and foot leading to tingling, numbness, and tightness in my ankle. Wish we had someone like you in the UK.
Spent money and so much time searching for answers.
Hello, just wondering, did you ever get that figured out? My wife just had an epidural and now she can’t feel both feet from ankle down. Only tingling and burning/stinging sensation on her feet
Thank you so much for this video. I'm facing tarsal tunnel surgery, and this video was very helpful.
Glad you found it helpful!
Thank you very much! Very helpful!
You do communicate a great sincerity.
I suppose most on here should make a professional appointment with you in a blink.
Utterly amazing video! thank you
You're very welcome!
Very good explanation .
Fantastic explanation and some really good points thanks
Very welcome
Thanks for this thorough video. For some time I have been fearing peripheral neuropathy but as the pain and burning sensation is more at the ankle and bottom of the heel rather than at nerve extremities, maybe it it is Tarsal - I shall have a drink tonight and speak to the doc tomorrow. Very helpful and explanatory. Thanks again
Glad you found it useful! xm
Amazing advice ❤
Great explanation, thank you.
You are welcome!
Amazing information every time
Wow best explain. Better than GPS xx thank you very much
Great video as usual, thanks a lot! I'm pretty suspicious that I may actually have this syndrome and your guidance offers quite a lot of useful information to bear in mind. All the best from Turkey
Glad you found it useful! xm
Wonderful. First person I have heard taking a whole body response. Wish you were in Sydney
God Bless You, Thank You Very Much!
Thanks.for sharing this information as I have a similar problem on my both ankles
You are welcome!
Great video. Thank you
Great video doctor. I have those exact symptoms..but also the centre of my foot has a burning sensation too..I am talking about inside where the foot joins the shin bone..Your video is well explained and presented..Thank you doctor..
Best of luck!
There u go. Mam what more then to hav a wonderful doc expert n a genuine pro like u. Impact was tremendous d way u explain. u r n expert. Luv u mam 🙏🏻🙏🏻👌👌
So nice of you
I am so glad I found this video. I have had tarsal tunnel syndrome for 2-3 years. I have gotten custom orthotics that have not helped enough. I had to retire from hairdressing because the neuropathy in my feet got to be debilitating. I have been convinced that some of the symptoms come from my back because the numbness and unbearable pins and needles are much worse when I sit. My primary doctor is skeptical because I don’t have back pain per say. He did finally order an MRI but my insurance declined it because it wasn’t warranted by their criteria, apparently. The podiatrist gave me exercises but some made it worse, as you said could happen. Thank you for showing me that issues with the lower back can,in fact, be a factor.
Any update on your situation? I'm having a similar issue
Update please please
Great info! I've never heard of this syndrome. Always good to know.
Glad you found it useful Michele xm
This is so informative and helpful thankyou so much
Glad it was helpful!
Amazing, thanks so much for sharing your knowledge. Very useful!
Glad you found it useful Robyn. xm
Amazing information. Thank you so much
Our pleasure!
I had a crush injury 21 years ago to my FEET/ANKLES and was diagnosed with CRPS. I came across a peripheral nerve surgeon from Henderson NV on You Tube who had success operating on patients to DECOMPRESS NERVES! I flew out Sept. 1, and he gave me the correct diagnosis of Tarsal Tunnel. He operated on Right ankle, but it's only been 6 weeks and I'm still on my pain meds. I've heard it can take 6-8 weeks for nerves to heal. He's NOT a Foot and Ankle surgeon, and after watching your excellent video, I am now terrified I may have done more harm! I'm leaving in 3 days to have the LEFT one done. Should I cancel??? WHERE ARE YOU LOCATED AND DO YOU TAKE MEDICARE ? I LIVE 45 MIN FROM O'HARE AIRPORT. PLEASE ADVISE ASAP!! I WISH I HAD FOUND YOU FIRST!!!!
This was such a helpful video, thank you so much for putting this video out. I have had some sensations of heat in my lower right leg and now it hurts pretty badly in the arch and just above on the top portion of the foot above the arch. I had to stop running because of this and have had to turn to using a stationary bike to continue cardio in my daily exercise routine. Even walking through a store for too long can cause pain for hours after. I’ve had a plantar fasciitis diagnosis previously, so I knew this was not the same. My pain is significantly better after resting. The weird heat sensation I periodically get led me to believe this was nerve related. Thank you for this information about a syndrome I had no prior knowledge about. Now I know some questions to ask when I can finally get to the sports medicine doctor. I have become a fan of yours after seeing a few of your very well presented videos here lately!
Glad you found it useful, Hillary. xm
Ask your doctor about tarsal tunnel release surgery hopefully that helps!
thanks a lot for a very interesting n informative videos.God bless you always.
So nice of you
From L.a I love your content.
Thank you very informative ❤
You are welcome!
Thank you doc it helped me am suffering with pain Dont know how to treat it
Brilliant. Thanks
Thanks so much for valuable info do every podiatrist have that shock wave theory in their clinic? I can ask my podiatrist
Wow. So informative! I have had all of these symptoms for over a year as well as a partial tear in my peroneus brevis. At my recheck I brought this up to my doctor and he completely blew me off and wants a new MRI to recheck the tear. I am at a loss now of how to proceed and so frustrated!
It is sometimes useful to seek a second opinion. If your symptoms are over the inside of the foot then the peroneus tear won't really have anything to do with it because that tendon runs on the outer side of the ankle/foot.
Exactly 💯 i been suffering with this pain and is very anoying
Thank you so much for this information! Never heard of double crush but noted that every time the TTS flares up I have nerve pain deep in the bottock muscle as well, almost like it was causing the pain somehow. I was baffled as to how these two pains would always flare up simultaneously! I'll be sure to have my doctor inspect the entire leg, buttocks and lower back. I finally feel I understand my condition! Thank you again!
You're welcome!
You are the best, so perfect. I hope to see videos on foot massaging especially for the middle of the sole and the toes, as a working women I have some problems with them. Thanks again :):):)
I'm glad you found it useful! This video may be a good start for foot massage th-cam.com/video/ME5Bt4RNaiA/w-d-xo.html
Hello. Enjoyed your vid. Have been experiencing symptoms for 3 weeks now. Odd thing is I was feeling ok with sort of normal aches and pains (66 years old). I did regular things one day, laundry, 2 mile walk, made dinner, etc. Felt fine. Sat down on couch for 2 hours to watch TV, when I got up I could hardly walk. I suppose that makes a case against being a couch potato, ha. Now I can't do my walks or stand for extended time or walk down steps except 1 at a time. Can TT come on that quickly? I did sprain this ankle fairly badly twice in my lifetime, but last time was about 30 years ago. Thank you for caring.
Brilliant video. It appears you clarified my issue exactly. Thank you so much as two doctors were clueless. I now have an understanding of how this occurred and what to do about it!
Glad it was helpful!
Podiatrist are literally the worst in my recent experiences
⭐⭐⭐⭐⭐ 100/ useful your information.
Finally some days what I've been complaining about. After my L5-S1 surgery my feet have been hurting like crazy. I can only walk about 1000 feet and the pain is so bad it makes me cry. Pain management Drs haven been able to help. PT doesn't help. And they don't want to do surgery again. 😫
Thanks for an interesting video.
You're welcome Graham xm
Thanks for this great overview. I hope I can get some help with my tarsal tunnel syndrome. It’s quite obviously due snowboarding and the boots that really clamp down on my heel. I am hoping to get a cortisone shot really soon. If that fixes it then I plan on seeing a boot fitter. I just wonder if the shot works, if I have to get some kind of protective cover over that area. I have a positive Tinel’s sign, and the way I figured out what a Tinel’s test was is because there was an obvious abrasion there from the boots. I really hope I can keep that winter activity up.
Hello, I feel so lucky that I found this video and I am newbie for running then I get hurt firstly at tarsal tunnel and now astragalus it would be better if you could give any suggestion to relieve this painful for me. thank you
How to differentiate tarsal tunnel syndrome and posterior tibialis tendonitis? Thank you!
Great video !
Thanks!
congratulations for the channel, I just signed up, who had TTS once, if it deflates the nerve, can it be cured forever? what's your opinion please?
Thank you. Lots of good information. I will go see my podiatrist so he can help me determine what I actually have and how to best treat it. 👣😊 my goal is to have happy feet again. Maybe that will help my legs feels happier too. 🤞🏼
Almost impossible to find a PT like this woman.
This is exactly what is happening to me!! My foot doctor is treating me for PF but now this burning pain along the back tendon and swollen medial foot/ankle and a heel bursitis. Sometimes when I take a step on the bad foot I feel a sharp pain in my scapula of the same side.
Experiencing same … how r u doing now
I suddenly got this after my si joint surgery a month ago. Hurts like hell.
Thank you!! My Aunt’s been having foot problems. I googled a picture of the bones in the foot. Few googles later and were here 😂 Awesome video and it is appreciated!!
Glad I could help!
Hello! Thank you for this video!!! You mentioned stretches for the lower back to help with TTS. Which stretches do you recommend?
There aren't any I recommend as a one-size-fits-all - it depends on what your back needs. A physio can asses it for you and recommend what is needed and right for your case. Doing the wrong things can make it worse.
Thanks very much - I have just had a cortisone and nerve-splaying injection that was amazing but unfortunately not fixed the problem. The top of my foot is no longer numb and I can now move my toes. I am booked to have another injection 6 weeks post. My physio iwhos fabbo has now recommended that it may also be the Baxter nerve that is also trapped. I have heel pain as well when I am on my feel for a long time. ihave had plantar F so I know what that pain is like and I think it is different as I can walk in the morning. I broke my anke coming up 3 years ago in Feb and it has been no stop treatment and pain and two ops already. Now the surgeon is saying maybe the suregery for the entrapment, what is the recovery like for this? Thanks for you video it is a great help.
Thank you ~🙌
I went through a horrible deal w tarsal tunnel …2 years of my pain (IN BOTH FEET) getting worse and worse I was diagnosed with neuropathy even though my feet never went numb.. plantar fasciitis.. discs in my back.. I had shots in my heels.. epidurals in my back… physical therapy… nerve tests .. mri… wore inserts.. etc etc etc and my pain kept getting progressively worse it was terrible… it was 24 seven and it consumed my life… I finally went to mayo clinic they did all kinds of tests on me but it was when I met the orthopedic surgeon that I knew what I had… it was tarsal tunnel syndrome and my nerves were being crushed for over two years straight… I had to have surgery on both of my feet.. one at a time…the pain got worse before it got better but I still have nerve damage that causes pain and sensitivity from them being crushed for so long.. it was a horrible ordeal… but you are right about all the testing..it could’ve been several things…it seems hard to truly get a diagnosis or at least for me it was until I met the right orthopedic surgeon… he had me diagnosed within five minutes of talking to him describing my pain… my pain started in my heels and overtime it went all the way up the bottom of my foot around the top of my toes…up the top of my foot and then in the back of my knees.. thank God now Cymbalta keeps the nerve damage pain under control but what an ordeal it was!! :(
Thanks for great information you provide. Quick question, if I got TTS from sprained ankle, would it go away once sprained ankle was healed up?
Yes, it usually does.
Thanks.
thank you for the explanation.. Even a touch it hurts
You're welcome
Thank you!
Welcome!
Hands down the best video I've seen on this topic on TH-cam. Thank you for explaining in a manner that was easy to understand. I have been suffering for 10 months and have received conflicting diagnoses (one ortho dr said I have PF and not TTS, and an ortho PT said the opposite). I am seeing a podiatrist soon who I hope can help me with a correct diagnosis. It's possible I have a combination of both. Question: Do you advise against walking barefoot (esp. on hardwood floors) for either/both conditions? I've heard that said about PF but how about TTS? Thank you!
Yes, avoid walking barefoot on hard surfaces with TTS.
@@SportsInjuryPhysio Could you please comment on exercises we should avoid with PF and TTS, esp. TTS? I now avoid high-impact, but my nerve issue gets worse when I do some low-impact workouts on TH-cam. I can’t tell which exercise(s) are causing this because it gets worse after I’m done with the workout. I do know I feel the nerve when I kick my leg out straight in front of me for an ab move. But are there other moves we should not be doing like back lunges, squats or something else…? Thanks!
Hi thank you thoroughly enjoyed your video I have pain as you describe sometimes in my left foot& also have planter fascia sometimes too with a thickened area in my Achilles heel too am going to talk to my GP but any advice would be great thank you.
Glad it was helpful!
I was bucked off a horse and landed on my back breaking two flipper bones, the ones on the side of our spine. Based on your information, this could contribute to pain around my ankle area an at times up my leg.
Good afternoon from Greece. Thank you for all that you do.
My question is can this syndrome cause Foot Drop or do you have another video I missed on that and how to treat it. Thank you again. God bless you
Foot drop is usually related to injuries to the Tibialis Posterior tendon (which often accompany tarsal tunnel syndrome). The only videos we have on Tib Post tendon injuries are related to tendonitis or tendinopathy but foot drop is often related to a tear. Here's the playlist about Tib Post tendinopathy: th-cam.com/play/PLkRW4ITRa6bAQFz8Ll1O0YjqDPFXYbmeq.html
I was misdiagnosed with plantar facisits for years before finding this was my problem. Thank you for the informative video
i realize Im quite off topic but do anyone know a good website to stream new series online ?
@Konnor Jay i would suggest Flixzone. You can find it on google =)
What was the fix to help remedie your symptoms?
@@ddemier I had extreme pain, throbbing and burning in my foot. Currently in recovery from having my tarsal released. A week after surgery no burning sensation and feeling extremely hopeful.
Thanks madam
You're welcome!
Wow your the best!
Love this video, all the science really well explained thank you! Can tarsal tunnel syndrome ever manifest similar to Achilles tendonitis? I’ve been having pain whenever I run or stretch the ankle/calf a lot, the pain is in the insertional Achilles but radiates under my heel sometimes. Then since I’ve ramped up my calf raises, I’ve started having this funny feeling in my little toes. Please help!
It sounds as if you may have irritated the sural nerve - it runs along the Achilles and to the outside of the foot. And doing stretches or calf raises can often irritate it further. This article explains it - I know it talks about tingling but sometimes it just causes pain and numbness - it is also possible that it can occur together with Achilles injuries: www.treatmyachilles.com/post/tingling-around-your-heel-and-achilles-tendon-causes-and-treatments
What about Ncs&Emg for the diagnosis of tarsal tunnel syndrome
You just said it. The lower back and sciatic nerve. But i feel it in my feet and back does not not hurt
I have pain in the same area when I specifically press on or stand for a long time
Can this be caused by chronic swelling from venous stasis or lymphedema and the continual use of Unna boots? My pain is electrical and burning in nature and in various places in my foot and shin.
What are your thoughts on the blood plasma injections in the area with pain. Thank you for this info.
It can work for tendinopathy (if the tendons are the source of pain) but not really for tarsal tunnel. If your doctor is suggesting it ask them how it is meant to work - that should provide you with a better idea of what they will target.
i have constant nerve pains particularly under one heel and inside edge..but they sometimes starts off random nerve pains through out my body. I also have plantar fasciitis..and achilles tendonitis and my foot rolls in. I also have L5 deterioration. Which therapist do you suggest i see?
Thanks so much, I thought this was plantar fasciitis but now I’m thinking it isn’t? My left inside ankle and very back and bottom of the left heel hurts on standing. (Like a bad bruise) I’ve been lazy about wearing correct shoes with orthotics lately and this came on after a long day on my feet without support. Even my low back hurts occasionally along with weird nerve shocks under my right buttock. My left hip is probably telling me it’s time for a hip replacement? Right one’s had a resurfacing already. Doctors scare me, seems like all they ever offer us is surgery…