Subsequently, he or she looks for signs such as numbness or loss of feeling in the ankle or foot before performing a simple test known as “Tinsel’s test. Your doctor starts the diagnosis by asking you about your medical history and then physically examining the affected foot or ankle. This could affect the motion or functioning of the foot and make performing normal activities difficult. If left untreated, the condition can progress to an advanced stage leading to severe pain in the foot and/or ankle, and eventually result in permanent nerve damage. If the condition is long-standing, you may experience pain or tingling (feeling of an electric shock) at night or even when you are resting. Numbness or tingling over the base of the foot and heel.Sharp and burning pain in the foot or inside the ankle.Pain in the ankle or foot after prolonged walking or standing.The condition generally presents in the form of one or more of the below: However, they may be isolated in some people and occur in just one spot, or may extend to the heel, arch, toes and even the calf in others. The signs and symptoms of tarsal tunnel syndrome are usually felt on the inside of the ankle and/or on the bottom of the foot. Swelling within the tunnel due to disorders like diabetes.Muscle impingement within the tarsal tunnel.Varicose veins surrounding the tibial nerve or swollen tendon.Prolonged and overuse of the foot and ankle.Trauma such as fracture or injuries like an ankle sprain.Tumor or ganglion cyst development within the tunnel.Bony growths or arthritic bone spurs within the tunnel.Severely flat feet or severe foot deformities.This can happen due to any of the following: Tarsal tunnel syndrome typically occurs when the posterior tibial nerve gets compressed, pinched and damaged within the confined space of the tunnel because of repeated pressure on the nerve. Tarsal tunnel syndrome, also known as ‘posterior tibial neuralgia’, is the inflammation of the posterior tibial nerve caused by a compression or squeezing pressure on the nerve. Within the tarsal tunnel lies and runs a nerve called ‘posterior tibial nerve’. The tunnel holds very limited space as it is formed between bones and overlying fibrous tissues. It encloses arteries, veins, tendons and nerves that supply the foot. The tarsal tunnel is a narrow passageway that lies on the inside of your ankle and runs into the foot.
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