Tarsal tunnel syndrome treatment includes:
- Physical therapy
Rest entails immobilization of the ankle in a brace, boot or a cast. In certain conditions aggravated by an excessive flat foot or pronation of the foot, an orthotic arch support is helpful. Sedative medications that decrease the electrical activity of the nerve are frequently prescribed.
If these treatments do not relieve symptoms, surgery (Tarsal Tunnel Release) may be performed. An incision is made behind the ankle and a ligament that compresses the nerve is released. This decreases the pressure on the nerve by the overlying ligament. Following surgery a removable boot is worn for several weeks. Physical therapy will decrease the swelling and scarring over the nerve.