![]() When your stitches are removed, you'll begin doing exercises to help strengthen the muscles that support the ankle and arch. Our Physical Therapist may use ice packs, soft-tissue massage, and hands-on stretching to help with the range of motion in your ankle. You will also be encouraged you to move your ankle and toes occasionally during the day. Your Physical Therapist in East Brunswick will advise you to take time during the day to support your leg with the ankle and foot elevated above the level of your heart to promote the decrease of swelling. Your stitches will usually be removed 10 days after surgery, at which time you will switch to a supportive walking boot. You will be advised to keep the dressing on your foot until you return to your doctor for follow up, and to avoid getting the stitches wet. To help you begin your recovery, the Physical Therapists at Endurance Rehabilitation and Wellness Center, PC in can teach you how to properly use crutches to keep from placing weight on your foot while you stand or walk. Your ankle will be supported in a plaster splint for about 10 days after surgery. Pain and symptoms generally begin to improve with surgery, but you may have tenderness in the area of the incision for several months after the procedure. If your symptoms fail to respond to nonsurgical treatments, surgery to relieve the pressure on the tibial nerve may be suggested. Orthotics worn inside your shoe can help support the arch and take tension off the tibial nerve. If your tarsal tunnel syndrome is being aggravated by an abnormal position of the foot such as pronation, our Physical Therapist may recommend orthotics to relieve the problem. When this happens, the tibial nerve within the tarsal tunnel can become stretched. ![]() Pronation is a common condition in which the inside edge of the foot rolls in, causing the arch to flatten. People who have problems of pronation (flattened arches) may need specialized inserts, called orthotics, for their shoes. Once the swelling and inflammation have improved, our Physical Therapist can design a program of stretching exercises to improve flexibility in the calf muscles and to encourage the tibial nerve to glide within the tarsal tunnel. Physical Therapy sessions sometimes include iontophoresis, which uses a mild electrical current to push anti-inflammatory medicine, prescribed by your doctor, into the sore area. Our Physical Therapist can direct treatments to the painful area that help to control pain and swelling, such as ultrasound, moist heat, and soft-tissue massage. Treatment for this condition depends on what is contributing to the pressure on the nerve. ![]() Pain is sometimes felt near the area where the nerve is squeezed or pinched. In the case of a nerve, the area of skin supplied by the nerve usually feels numb, and the muscles controlled by the nerve may become weak. This causes problems in the nerve that may lead to symptoms of tarsal tunnel syndrome. This can occur from swollen varicose veins, a tumor (noncancerous) on the tibial nerve, and swelling caused by other conditions, such as diabetes.Īs pressure increases in the tarsal tunnel, the nerve is the most sensitive to the pressure and is squeezed against the flexor retinaculum. Inflammation in the tissues around the tibial nerve may contribute to the problem by causing swelling in the tissues and pressure on the nerve.Īnything that takes up space in the tarsal tunnel can increase pressure in the area because the flexor retinaculum cannot stretch very much. In many cases, doctors aren't sure what causes tarsal tunnel syndrome.
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