The type and length of treatment required for Tarsal Tunnel Syndrome depends on the cause and severity of symptoms. Some of the treatment options available are listed below.
Rest. Minimising the weight bearing activity on the ankle and foot can help reduce the load and therefore compression onto the ankle.
Ice. Using a cold compress or ice pack onto the inside of the ankle for 20 minutes several times a day can help with reducing any inflammation in and around the tarsal tunnel. Make sure to wrap the ice pack in a thin towel to protect the skin surface.
Medication. Non-steroidal anti-inflammatory medication (NSAIDs) such as ibuprofen may be recommended to help with reducing inflammation in the ankle. It is recommended to speak to your GP before taking any new medication. When NSAIDs are prescribed by your doctor they may also prescribe you with another medication that will help protect your stomach lining. This is because prolonged NSAID usage can upset the lining of your stomach.
Physical Therapy. Hands on physical therapy and exercise prescription can be used to help with reducing the symptoms of tarsal tunnel syndrome and improve the strength of the ankle and foot. This is particularly important when the symptoms are caused by flat feet.
Corticosteroid Injection. In some cases corticosteroid injection may be prescribed by your doctor to help with reducing the inflammation within the ankle.
Shoe orthotics. In cases where the cause of tarsal tunnel syndrome is due to flat feet. Your physical therapist may suggest custom orthotics to help correct and maintain the inside arch of the foot. This will help reduce the pressure on the inside of the ankle.
In cases where symptoms have not improved with conservative management, surgical decompression surgery may be suggested. During this surgery a incision is made from the back of the ankle down to the arch of the foot. This releases the tension within the flexor retinaculum helping to relieve the pressure on the posterior tibial nerve.
In cases where surgical intervention is necessary your orthopedic surgeon will discuss the best type of surgery needed and will answer any questions you may have about the surgery.