Tarsal Tunnel Syndrome (TTS)

Tarsal Tunnel Syndrome (TTS) Treatment in Dubai at Emirates Hospitals Group. e are committed to providing exceptional care for patients with tarsal tunnel syndrome. Our team of the best foot and ankle surgeons in Dubai is dedicated to delivering comprehensive and effective treatment for this condition. Tarsal tunnel syndrome, which involves compression of the tibial nerve in the foot, can cause significant discomfort and affect daily activities. With our advanced diagnostic capabilities and personalized treatment plans, we strive to help patients find relief and regain their quality of life.

About Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition characterized by compression of the tibial nerve as it travels through the tarsal tunnel, a narrow passageway located on the inside of the ankle. The tibial nerve provides sensation to the foot and controls the muscles that move the toes. When this nerve is compressed, it can lead to pain, numbness, and tingling in the foot. The condition is often compared to carpal tunnel syndrome, which affects the wrist.

Causes & Symptoms

Causes of Tarsal Tunnel Syndrome:

1. Injury or Trauma: Direct injury to the ankle or foot, such as fractures or sprains, can lead to swelling and compression of the tibial nerve.
2. Repetitive Stress: Activities that involve repetitive stress or pressure on the ankle, such as running or jumping, can contribute to the development of tarsal tunnel syndrome.
3. Ankle Abnormalities: Structural abnormalities of the foot or ankle, such as flat feet or an abnormal arch, can increase the risk of nerve compression in the tarsal tunnel.
4. Swelling or Inflammation: Conditions that cause inflammation or swelling around the ankle, such as arthritis or infections, can lead to pressure on the tibial nerve.
5. Tumors or Cysts: Benign tumors or cysts within the tarsal tunnel can exert pressure on the nerve, leading to symptoms of tarsal tunnel syndrome.

Symptoms of Tarsal Tunnel Syndrome:

1. Pain: Patients often experience a burning or shooting pain along the inside of the ankle and into the foot. The pain may worsen with activity and improve with rest.
2. Numbness and Tingling: Numbness or tingling sensations in the sole of the foot and toes are common symptoms. These sensations can be intermittent or constant.
3. Weakness: Some individuals may experience weakness in the foot or toes, making it difficult to perform activities that require foot strength.
4. Swelling: Swelling around the ankle and foot can occur, which may exacerbate the compression of the tibial nerve and worsen symptoms.
5. Increased Sensitivity: The affected area may become more sensitive to touch, with even light pressure causing discomfort.

Treatment

Non-Surgical Treatments:

1. Rest and Activity Modification:
   • Reducing activities that put stress on the ankle, such as high-impact exercises, can help alleviate symptoms. Resting the affected foot can reduce inflammation and prevent further nerve compression.
2. Orthotic Devices:
   • Custom orthotic insoles can provide additional support and cushioning to the foot, helping to relieve pressure on the tibial nerve and correct abnormal foot mechanics.
3. Medications:
   • Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. In some cases, corticosteroid injections may be used to provide temporary relief from symptoms.
4. Physical Therapy:
   • Physical therapy can help strengthen the muscles around the ankle, improve flexibility, and correct gait abnormalities. Therapy may include exercises, stretches, and modalities to reduce pain.
5. Ice Therapy:
   • Applying ice to the affected area can help reduce swelling and numb pain. Ice therapy is most effective when used in conjunction with other treatments.

Surgical Treatments:

1. Nerve Decompression Surgery:
   • If non-surgical treatments are not effective, surgical intervention may be necessary. Nerve decompression surgery involves releasing the pressure on the tibial nerve by removing the source of compression, such as a tumor or thickened tissue.
2. Tarsal Tunnel Release:
   • This procedure involves making an incision to release the ligament that forms the roof of the tarsal tunnel, thereby relieving pressure on the nerve.