Broadway Burrard ChiropraticBack pain is present in around 18% of the general population and is highly preventable in most cases. You are at more risk of developing back pain, especially lower back pain, if you are: female, getting older, obese, have a lower...
Tarsal tunnel syndrome is an unusual condition, where the main nerve in the foot becomes inflamed and entrapped between the structures in the foot. The tibial nerve supplies the skin and the muscles in the bottom of the foot and thus when it becomes entrapped it can cause pain in various locations on the foot. The pain (tingling, numbness or shooting pain) often radiates/moves up or down the leg and bottom of the heel and foot.
Tarsal tunnel syndrome can occur due to numerous factors including but not limited to: flat feet or fallen arches, ankle sprain/ankle swelling, arthritis, diabetes, swollen tendons, ganglion cyst, bone spurs and varicose veins. Diagnosis of this condition, requires thorough clinical testing of all structures of your foot by a Podiatrist. Imaging, including x-rays and ultrasounds do not show nerve entrapment, thus thorough clinical testing is even more important.
Some conservative or non-surgical treatment includes:
1. Injection therapy with local anesthesia for pain relief and also for diagnosis
2. Cortisone injection can also be beneficial if there is an inflammatory component associated with the entrapment.
3. Oral anti-inflammatory medications
4. Orthotic devices to assist with your foot shape and biomechanics to reduce/prevent the entrapment of the nerve between the different structures in your foot.
5. Lignocaine patches
6. Supportive footwear
When is surgery required? Surgery is required if the pain is severe and all other conservative treatment options have failed. A Podiatric surgeon will we able to determine if surgery is necessary and what procedure would be most appropriate for your condition.
For some of us, our orthotics have become a part of our daily lives. They provide great relief from the aches, cramps and twinges we experience during our daily activities, typically as a result of our faulty foot biomechanics or external strain/forces. Yet, after...
Photo credit: Academy of Chiropractic Orthopedists If your child is developing pain on the outside of their foot then this could indicate inflammation of the growth plate of their 5th metatarsal. This is called Iselin’s disease. During development, the bones grow from...