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Doctor insights on: Tarsal Tunnel Release For Posterior Tibial Nerve Decompression

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I have varicose veins wrapped around my tibial nerve with all of pain. Should they be removed. Have had a tarsal tunnel release 10 weeks ago.

I have varicose veins wrapped around my tibial nerve with all of pain. Should they be removed. Have had a tarsal tunnel release 10 weeks ago.

Tibial nerve veins: The TT release is in the area of the tarsal tunnel behind the medial ankle bone. In this area, varicosities may be in communication with the posterior tibial vein which is a deep vein. Sclerotherapy injection could inadvertently cause a deep vein thrombosis. I recommend seeing a board certified vein specialist to evaluate this condition. ...Read more

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Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


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Had tarsal tunnel release 10 mo. Ago, all of a sudden having ankle pain which is leading to some heal pain. Could this be a reocurrance?

Had tarsal tunnel release 10 mo. Ago, all of a sudden having ankle pain which is leading to some heal pain. Could this be a reocurrance?

Tough to say: Without an exam. It certainly could be, but an EMG, which I suspect you had in the past with your history, would be able to be compared with the previous and your answer would be forthcoming. ...Read more

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Recovery from tarsal tunnel release takes about how long?

Recovery from tarsal tunnel release takes about how long?

Upto a year: Tarsal tunnel syndrome is a compression neuropathy in which the tibial nerve is compressed as it travels through the tarsal tunnel. Patients complain of numbness in the foot radiating to the big toe and the first three toes, pain, burning, shooting sensations, and tingling over the base of the foot and the heel. Long standing problem takes longer to recover even up to a year. ...Read more

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I was put in a boot a week ago after tarsal tunnel release. New bruising on side and under arch now that I'm walking. Is this normal?

I was put in a boot a week ago after tarsal tunnel release. New bruising on side and under arch now that I'm walking. Is this normal?

Varies: Some degree is swelling/ bruising tracking into the foot is common after tarsal tunnel release, I would make sure your surgeon is aware and that you have a follow up appointment to be checked. ...Read more

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Have overpronation/flat feet & wear orthotic Do orthotic stop pressure on tibial nerve & tarsal tunnel (tarsal tunnel syn) 100% or orth shoes recomend?

Have overpronation/flat feet & wear orthotic Do orthotic stop pressure on tibial nerve & tarsal tunnel (tarsal tunnel syn) 100% or orth shoes recomend?

Tarsal tunnel: Orthotics will help with tarsal tunnel, but can't necessarily alleviate all the pressure. Sometimes the fibrosis/scarring can only be relieved by surgery. Consult your podiatrist for assistance. ...Read more

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What is the difference between posterior tibial tendon and tarsal tunnel?

What is the difference between posterior tibial tendon and tarsal tunnel?

Different things: A tendon is the end of a muscle that connects the muscle to bone. The posterior tibial tendon attaches the tibialis posterior muscle to certain bones of the foot. The tarsal tunnel is an area by your heel where the posterior tibial tendon along with 2 other tendons, a major artery, vein and nerve, pass. Its a tight area bordered by bone and thick soft tissue. ...Read more

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Anterior Tarsal Tunnel Release and excision of exostosis surgery recovery takes how long? Can you walk after? How much pain is there? Where's the cut?

Anterior Tarsal Tunnel Release and excision of exostosis surgery recovery takes how long? Can you walk after? How much pain is there? Where's the cut?

?: There is not an area referred to as the Anterior Tarsal Tunnel. These are questions you should speak with your surgeon about. ...Read more

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My posterior tibial nerve is pulsing of both leg, I can see pulsing on both leg and I am not feeling any pain and symptom, is it normal?

My posterior tibial nerve is pulsing of both leg, I can see pulsing on both leg and I am not feeling any pain and symptom, is it normal?

Pulse: If you see something pulsating around posterior tibia, it is not a nerve, it is most likely an artery which a normal behavior for arteries. ...Read more

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What is the difference between posterier tibial tendon dysfunction and tarsal tunnel syndrome?

Flat feet: Here is the simple answer....Posterior tibial tendon dysfunction or pttd is a flat foot deformity. It could be rigid or flexible and present with pain at the arch or heel area. Tarsal tunnel syndrome or tts is a compression syndrome (such as carpal tunnel syndrome in the hand) of the posterior tibial nerve. Pttd can cause tts. Therapy can vary significantly. Treatments include orthotics to surg. ...Read more

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Recomendations to treat tarsal tunnel and nerve damage in my left foot?

Recomendations to treat tarsal tunnel and nerve damage in my left foot?

Several things...: Tarsal tunnel syndrome can be treated conservatively with injections around the problem area, physical therapy to strengthen and improve the function of the ankle, and splinting to hold the ankle off the nerve that is getting pinched. If these things do no work quickly, though, an orthopedic surgeon may need to do surgery to relieve the compression on the nerve. ...Read more

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How to know if tarsal tunnel syndrome caused complete nerve damage? Would your feet feel numb?

Please repost: And explain what you mean by "complete." Do you mean nerve function is completely abolished? No motor or sensory function AT ALL? Or something else? ...Read more

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Nerve block shot on foot where doc suspects tarsal tunnel. Local anesth lasting 2 weeks in part of foot. Doc says it can happen. What could be reason?

Nerve block shot on foot where doc suspects tarsal tunnel. Local anesth lasting 2 weeks in part of foot. Doc says it can happen. What could be reason?

Need more details: It isn't clear the historical aspects of a presumed diagnosis of tarsal tunnel syndrome, and the expectations regarding a block. It might be beneficial to discuss with another physician (ie second opinion) if you have questions regarding the therapy and you've already discussed it with the treating physician. ...Read more

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What kind of a doctor do I need to remove varicose veins wrapped around the tibal nerve in the tarsal tunnel?

What kind of a doctor do I need to remove varicose veins wrapped around the tibal nerve in the tarsal tunnel?

Varicose: Veins can be surgically remediated. My first approach would be arch supports for the tarsal tunnel syndrome. This can take the traction off the nerve in many cases. ...Read more

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Tarsal tunnel & gastrocneius surgery 2 weeks ago. Dr said nerve was completly wrapped around tendon & won't know what's permanent until 6mo my chances?

Be patient: If this has been a long standing issue, full recovery to the nerve can take quite a while! Be patient and give the postop course time. Stay compliant with your followup care. Good luck! ...Read more

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Podiatrist suspects I have tarsal tunnel and suggests I get a nerve conduction test to diagnose. How likely will the nerve test confirm tarsal tunnel?

Tarsal tunnel: This is very uncommon, but the clinical history and EMG/NCV can be helpful in determining a distal tibial neuropathy associated with tarsal tunnel syndrome. There are technical challenges at times evaluating this, but typically those occur in older individuals. ...Read more

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I received a cortisone shot 4 days ago in my nervE sprained my ankle and he said tarsal tunnel is it normal to have my foot up to my knee to be cold?

I received a cortisone shot 4 days ago in my nervE sprained my ankle and he said tarsal tunnel is it normal to have my foot up to my knee to be cold?

Can you specify: Where you received the cortisone shot? .....was that given by the ankle? In the region of the tarsal tunnel? The coldness you are feeling up to your knee may possibly be neuropathy caused by a radiculopathy. I would suggest an Emg/NCV study to rule out a "double crush syndrome" it's possible you have both a tarsal tunnel and a radiculopathy. I don't think your coldness is related to shot. ...Read more

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Decompression (Definition)

Decompression (surgery), a procedure used to treat spinal stenosis (in spinal decompression), carotid artery stenosis or any condition where a ...Read more