Tarsal Tunnel Syndrome (TTS) is much the same as Carpal Tunnel Syndrome…except the Tarsal Tunnel is in your ankle.
Here’s a recent email I received from Tom:
“I came across your group on Facebook, about Carpal Tunnel Syndrome Relief. I have the leg version of this complaint, Tarsal Tunnel Syndrome and am about to have an operation to rectify it. Do you have any information on Tarsal Tunnel? I ask because I’ve not managed to find much about it other than the operation doesn’t have a very high success rate. I’m clinging to the hope that my op DOES work.”
Here’s my response to Tom:
“My best resource is ‘Myofascial Pain and Dysfunction, The Trigger Point Manual, Vol. 2, The Lower Extremeties‘ by Travell & Simons, MD’s. These 2 volumes may be (and should be) on your surgeon’s or physician’s bookshelf. Here is my translation of what they have to say about TTS in a nutshell.
Regarding surgery:
The doctors said that surgery to release the tibial nerve and the medial and lateral plantar nerves as they passed through and deep to (behind; more inside) the abductor hallucis muscle was successful in 9 of 10 TTS release surgeries. That means 90% were successful. Sometimes, part of the abductor hallucis is removed.
The doctors said: “The possible (likely) role of myofascial TrPs in the abductor hallucis was apparently not considered in these patients with heel pain.” What does that mean? The doctors Travell & Simons were aware that muscles and soft tissues (not bony tissue) cause a huge amount of our pain and other symptoms. It means that if Travell or Simons were your doctor, they would be looking for trigger points as the cause of your pain before they considered surgery. (TrPs = trigger points.)
What causes tarsal tunnel syndrome?
Running, jumping and shoes that are too tight–not wide enough–can be a cause. Also, in 2 cases, the abductor hallucis muscle was 3 times larger than normal, and in one case, had an additional muscle belly. In those 3 cases, the extra-large muscle pressed on the nerves.
What are trigger points?
If you go to Carpal Tunnel Pain Relief, and scroll down to ‘Categories’ and scroll to “Triggers and Triggers Points” you will find articles describing trigger points and their causes. Basically, they are extremely irritable spots in soft tissue or muscle that “fire” or cause pain elsewhere, sometimes at a very far distance from the trigger point.
Like everything else, trigger points are Continue reading “Tarsal Tunnel Syndrome: Pain In Your Foot”