What is the best treatment for tarsal tunnel syndrome?
Sometimes surgery is the best option for treating tarsal tunnel syndrome. The foot and ankle surgeon will determine if surgery is necessary and will select the appropriate procedure or procedures based on the cause of the condition.
Is there a surgery for tarsal tunnel?
When non-operative treatment fails to relieve your symptoms, surgical release of the tarsal tunnel may be recommended. This surgery requires an incision behind your ankle extending down to the arch of your foot. The ligament over the tibial nerve in the region of the tarsal tunnel is released.
How is tarsal tunnel surgery done?
The surgery is performed with general anesthesia. The tibial nerve is identified by releasing the ligament that forms the roof of the tarsal tunnel. Each of the three main branches of the tibial nerve then divide into their own separate tunnels that must then be released.
How successful is tarsal tunnel surgery?
According to the authors, the success rate of tarsal tunnel surgery with open or endoscopic decompression ranges from 44% to 96% [17, 19]. The variation in the results is primarily due to patient selection, clinical course duration, and surgical technique.
How long is recovery from tarsal tunnel surgery?
You will get back to most of your activities by 3 months. Swelling often remains for 6-12 months. You are expected to experience a FULL recovery (no pain, no swelling, ability to walk, etc.) in 9-12 months.
What kind of doctor performs tarsal tunnel surgery?
If nonsurgical treatments do not provide adequate relief from tarsal tunnel syndrome, your podiatrist can perform tarsal tunnel release surgery, as prolonged compression of the nerve can cause damage to it.
Who performs tarsal tunnel surgery?
Surgery for treating tarsal tunnel syndrome involves the decompression of the tarsal tunnel. This is performed under general anesthesia in an operating room by a certified foot and ankle surgeon, hopefully one with advanced training in peripheral nerve surgery – which our podiatrists have.
How long does tarsal tunnel surgery last?
Tarsal tunnel release is generally a 1-hour procedure that can be performed under general anesthesia.
How long is recovery after tarsal tunnel surgery?
When can I walk after tarsal tunnel surgery?
One week after surgery, patients may take off their bandages and get the incision wet. At this point, full walking activity is permitted. Six weeks after surgery, patients may resume running. With mild and/or intermittent symptoms, relief of numbness, tingling, and pain is often immediate.
Can you walk after tarsal tunnel surgery?
Is tarsal tunnel surgery risky?
Endoscopic tarsal tunnel decompression is a safe procedure with a low rate of recurrence or failure and allows for near-immediate ambulation.
How is the tarsal tunnel syndrome release surgical procedure performed?
How is the Tarsal Tunnel Syndrome Release surgical procedure Performed? 1 Immediately before starting the Tarsal Tunnel Syndrome Release surgery,… 2 Next, an incision is made along the nerve in the back of the ankle. 3 Next, the surgeon closes the wound with sutures and applies a bandage.
What is the tarsal tunnel in the ankle?
It passes through a narrow passage, called the tarsal tunnel, made of tarsal ligaments and surrounding bone and tissue in the ankle The tibial nerve may get compressed in the event of an injury to the ankle due to swelling of the ligaments, or for any other reason, which leads to pain and numbness in the ankle.
What are the signs and symptoms of tarsal tunnel syndrome?
The symptom triad of pain, paresthesias, and numbness was the most common clinical presentation. All had a positive Tinel’s sign and nerve compression test (NCT) at the tarsal tunnel. Electrodiagnostic studies were abnormal in 38 feet (81%). Two-point discrimination was diminished significantly by an average of 6.7 mm.
