Tarsal tunnel syndrome is one of the more common of the less common causes of heel pain. The posterior tibial nerve is the main nerve to the bottom of the foot, its fibers taking origin from nerve roots L5 and S1. The posterior tibial nerve travels through a canal along the inside of the ankle on its way to the sole of the foot. It is most likely to become squeezed or entrapped in that canal, the canal also being known as the tarsal tunnel.
If you’re struggling with tarsal tunnel syndrome symptoms, you may feel significant amounts of pain and difficulty walking. This can get in the way of even the simplest of your daily tasks, becoming frustrating and reducing your overall quality of life. Dr. Ed Davis and his team at South Texas Podiatry specialize in treating tarsal tunnel syndrome and other conditions of the foot. He is committed to finding the least invasive solution possible to help you find relief.
You deserve the best care possible for your foot, whether it’s affected by tarsal tunnel syndrome or another podiatric concern. If you’re ready to receive top-quality treatment from the best podiatrist San Antonio has to offer, schedule your first appointment with Dr. Davis at South Texas Podiatry today.
The posterior tibial nerve has two main branches that give sensation to the bottom of the foot, the medial plantar nerve and the lateral plantar nerve. There are some small branches given off from the posterior tibial nerve before it splits into its main two branches known as the medial calcaneal nerves. Uncommonly, the medial calcaneal nerves themselves can become entrapped causing pain right on the bottom of the heel.
The first branch that comes off the lateral plantar nerve is sometimes called "Baxter's nerve" and can become entrapped by itself, causing pain at the base of the heel. This is termed "Baxter's neuritis" and its existence is somewhat controversial and unproven.
Pressure or entrapment of the posterior tibial nerve (tarsal tunnel syndrome) can be caused by scar tissue or by "growths" pressing up against the nerve. It has been estimated that as many as 30% of such growths include varicose veins in the tarsal tunnel. Other "growths" may include ganglions (fluid filled cysts) or other tumors, but rarely malignancies.
A tarsal tunnel syndrome test often includes an NCV, nerve conduction velocity test. If tarsal tunnel syndrome is found, an MRI may be ordered to look for the existence of a growth which may be pressing up against the nerve.
Not always. Dr. Davis is passionate about providing the least invasive treatment possible and will explore other avenues before recommending surgery. Should surgery be required, South Texas Podiatry is fully equipped to help as the top foot surgeon near you.
Absolutely. Dr. Davis specializes in the treatment of tarsal tunnel syndrome, and he offers comprehensive testing and treatment options to help you find relief in the most conservative, most long-term effective manner possible. Dr. Davis will work closely alongside you to develop a treatment plan with which you are comfortable and motivated
If you are looking for the best podiatrist in San Antonio, Texas, you’ve come to the right place. Tarsal tunnel syndrome and other foot and ankle ailments shouldn’t put you on the sidelines. If you or a loved one are in need of a foot doctor, visit our office at , or call us at to get more information.