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Tarsal Tunnel Syndrome Physiotherapy
Tarsal tunnel syndrome (TTS) is the compression to the back of our tibial nerve, causing symptoms along the entire path of the nerve from the affected level.
The tarsal tunnel, like its sister tunnel in the hand known as the carpal tunnel (common condition is carpal tunnel syndrome), is a very tight
and narrow space inside of our ankles. The tarsal
tunnel is covered with a thick ligament (image a wire cover) that protects and maintain the structures in the tunnel (one of these
structures is the posterior tibial nerve).
Tarsal tunnel syndrome is caused by anything that produces compression on the posterior tibial nerve, including
- flat feet
- enlarged or abnormal structure eg. varicose vein,
- swelling or inflammation
- systemic diseases
Tarsal Tunnel Syndrome symptoms
Most of the time, tarsal tunnel syndrome symptoms are typically experienced on the inside
and/or on the bottom of our foot. However, in some patients, symptoms can be
isolated and even can happen on one specific spot.
In some patients, this pain may travel to other locations such as the toes, heel and even the arch.
Some of the common tarsal tunnel syndrome symptoms include:
- feelings of pain, including shooting, stabbing pain in-and-around the ankles and sometimes to/around the toes
- altered sensations such as tingling, burning, numbness or electricity-like experiences
- numbness in and around the ankles and toes
- swelling of the feet and or toes
some patients, the symptoms can just suddenly happen without warning. For some others, the symptoms is triggered by specific actions or activities such as overuse of the
foot, such as in standing, walking, jogging, running, exercising etc.
Tarsal Tunnel Syndrome Physiotherapy
Our senior specialist physiotherapists will first conduct an indepth assessment to examine and understand your
foot to diagnose your foot condition.
are a variety of treatments that the physiotherapist will prescribe
upon determining the causes and core problem, and use these treatments
in combination to treat your foot.
the "locking" or restriction of the foot and ankle mainly by taping is
sometime required to protect the nerve and area and assist the tarsal
tunnel and its structure to protect and allow natural healing to take place
- Exercise and specific nerve gliding techniques: this is to enhance the nutrient supply to the affected structures as well as remove stiffness, improve mobility and motion; and reduce tarsal tunnel syndrome symptoms
- Orthotic devices:
our senior physiotherapists may prescribe our inhouse podiatrist to help or prescibe you
directly with corrective insoles that are either customized insoles or
off the shelves
- Shoes: we will also advise you on which shoes are the best fit for your foot for better foot health and recovery
If left untreated, tarsal tunnel syndrome will progress and may
result in permanent irreversible nerve damage. Also, because the
tarsal tunnel syndrome can be similar/overlap with other conditions, we recommend proper
evaluation by a senior physiotherapist is essential so that a correct diagnosis can be made and
appropriate treatment initiated.
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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