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Barb, One must first find out which of many possible underlying problems could be creating the pain in the nerve of the tarsal tunnel. Clinical signs are usually typical. Verification is via EMG with nerve conduction study showing delayed nerve conduction values thru the tarsal tunnel. MRI would give one a better idea if a space occupying lesion or accumulation of fluid may be applying pressure or compression to the nerve in the tarsal tummel . A Tight ligment , varicose vein, tendonitis , aneurism, neuroma , ganglion ,calcaneal fracture ,limb length discrepency , sciatica flat foot position or other functional problems can create tarsal tunnel syndrome pain. Tailored treatments used for different causes adapted to different people is the art of treatment. Seek advice from a podiartic board certified physican with treatment experience and good results. |
