plantar fascitis & tarsal tunnel syndrome

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Posted - 01/29/2007 :  09:06:29  Show Profile  Reply with Quote
Our user asked: "I had surgery in june 2006 for plantar fasciitis. I have generalized foot pain that my doc feels is due to carpal tunnel syndrome. I did not have those symptoms before the surgery. what exercises would benefit this condition. He has tried ultasoound and antiinflamatory meds. The meds help but I only take them when it is extremely painful. massage also helps temporarily as well as ice. I do birkram yoga and the poses that invole standing on my tip toes hurt during the exercise but it feels better for several days after class. thank you for your help."

Ask A PT Response: "I have a feeling you mean tarsal tunnel syndrome as carpal tunnel syndrome is a condition that occurs in the wrist/hand. With tarsal tunnel syndrome the nerve that runs on the inside of the ankle (posterior tibial nerve) is compressed resulting in pain and or numbness/tingling/burning in the region where the nerve runs (ie lower leg, ankle and toes). With this condition alternatives to treatment include stretching, activity modification, strengthening, joint mobs, soft tissue mobilization and modalities. If conservative treatment does not work, surgery (tarsal tunnel release) may be required to assist in decreasing the symptoms. It sounds like you on the road to recovery and are doing the appropriate things in regards to stretching, massaging, icing and taking medications prescribed by your physician. I'd continue with your stretches for treatment of your plantar fascitis. With tarsal tunnel syndrome stretching the structure (flexor retinaculum) that usually compresses the posterior tibial nerve (bringing your foot outwards into eversion and maintaining a stretch- hold 15secs 3-4 x's for 2-3 x's a day) may help some individuals as well. Should symptoms get worse from this stretch discontinue the stretch. It may also be beneficial for you to participate in physical therapy to see if there are other underlying factors which could be contributing to your symptoms. Customized orthotics may help as well. Good luck with everything and definitely follow up with your physician or physical therapist should your condition worsen or you experience other symptoms."