musculoskeletal and connective tissue disorders
Tarsal Tunnel Syndrome
Treatment of Tarsal Tunnel Syndrome
Foot inversion with braces or orthoses, corticosteroid injections, surgery, or a combination In patients with tarsal tunnel syndrome, strapping the foot in a neutral or slightly inverted position and elevating the heel or wearing a brace or orthotic that keeps the foot inverted reduces nerve tension. Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used initially and may relieve some symptoms. Local infiltration of an insoluble corticosteroid/anesthetic mixture may be effective if the cause is inflammation or fibrosis (see Considerations for Using Corticosteroid Injections ). Surgical decompression may be necessary to relieve suspected fibro-osseus compression with recalcitrant symptoms. 