Your Symptoms Are:

  • Numbness and tingling in the toes, ball of the foot, arch, or the heel.
  • There may also be sharp, stabbing, or eletrical pain.
  • There may be cramping or curling of your toes.
  • The problem can be worse at night.

If you have symptoms in both feet, you may also have a peripheral neuropathy.  We offer painless nerve testing with the Pressure Specified Sensory Device to determine if there is an underlying peripheral neuropathy in addition to the compressed tarsal tunnel.

 

When Should Surgery Be Performed?

Nerves can become permanently damaged if they are compressed too long.  Painless testing with the Pressure-Specified Sensory Device™ can predict if your nerves will recover and get sufficient pain relief.  Any of the following are general considerations on when to proceed with a tarsal tunnel release:

  • When there is pain associated with the numbness.
  • When your feet or toes are numb most of the day.  When your foot or feet disturb your sleep every night. When you have trouble feeling the floor, or the car gas or break pedals.
  • When you begin to lose your balance.
  • When neurosensory testing with the Pressure-Specified Sensory Device™ show that nerves to your big toe or heel are degenerating, but not beyond the capacity to re-generate.

 

About the Tarsal Tunnel Decompression:

Unique to this practice, we were trained by the pioneer of peripheral nerve repair to use a technique that he, A. Lee Dellon, MD, Ph.D, developed over the years during his affiliation with Johns Hopkins Medical Center.  This technique has higher success rates than the standard procedure and also encourages walking after surgery. 

  • The surgery takes about one hour.
  • The surgery is performed as an outpatient.
  • 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.
  • Local anesthesia is also administered, so there will be little pain after the surgery.
  • A large, bulky, soft bandage is applied to the foot and lower leg.  You can walk immediately after surgery.

 

The most important step is to have the nerves assessed to determine if full recovery would be expected after surgery.  This can be dermined with the Pressure-Specified Sensory Device™.  Call today.

 

Non-Surgical Treatment:

Custom Molded Foot Orthotics can help reduce pressure on the nerve.  Our practice is unique because use a computer to analyse the movement of your foot to detect abnormalities and to fabricate a superior orthotic.  We guarantee that you will be satisfied with the custom orthotic or you can return it for a refund (per the agreement/policy signed).

Injections in the tunnel, but not into the nerve, can be very helpful.  This needs to be done under the guidance of an ultrasound.  This is performed in our office routinely.  Relief may last for many years or be only temporary.