The tarsal tunnel is a narrow space that lies on the inside of the ankle next to the ankle bones.
The tunnel is covered with a thick ligament (flexor retinaculum) that protects and maintains the arteries, veins, tendons, and nerves inside the tunnel.
One of these structures is the posterior tibial nerve, which is the focus of tarsal tunnel syndrome. It is an unusual form of peripheral neuropathy.
The tibial nerve supplies movement and sensation to the calf and foot muscles.
Tarsal tunnel syndrome is dysfuctioning of the posterior tibial nerve that produces symptoms anywhere along the path of the nerve running from the inside of the ankle into the foot.
Tarsal tunnel syndrome is similar to carpal tunnel syndrome, which occurs in the wrist.
Tarsal tunnel syndrome can occur in both men and women. All age group people are equally affected except infants.
Individuals of any race can be affected.
• A person with flat feet is at risk because the outward tilting of the heel produce strain and compression on the nerve.
• Varicose vein, ganglion cyst, swollen tendon, and arthritic bone spur can compress the nerve.
• An injury, such as an ankle sprain, may produce inflammation and swelling in or near the tunnel, resulting in compression of the nerve.
• Systemic diseases such as diabetes or arthritis can cause swelling, thus compressing the nerve.
Pain and tingling in and around ankles and sometimes the toes
• Swelling of the feet
• Painful burning, tingling, or numb sensations in the lower legs. Pain worsens and spreads after standing for long periods; pain is worse with activity and is relieved by rest.
• Hot and cold sensations in the foot
• “Pins and needles” type feeling and increased sensation on the feet
• Tinel’s sign. It is a tingling electric shock sensation that occurs when you tap over an affected nerve. The sensation usually travels into the foot but can also travel up the inner leg.
• Patients’ pain history.
• Ultrasound, nerve biopsy or nerve conduction test
Nerve conduction study
Diagnosing by tap on inside of ankle along course of posterior tibial nerve .
• Deformity of the foot
• Movement loss in the toes (partial or complete)
• Sensation loss in the toes or foot (partial or complete)
Every branch of science has its own scope and limitations, so does Homeopathy. Although Homeopathy has a lot of very good remedies for curing & controlling auto-immune disorders, male & female disorders, children and elderly people.
In cases of any emergency situation such as poisoning, serious abdominal complaints (such as acute appendicitis and pancreatitis), fractures, injury, and accidents should be first taken to emergency. However a patient can consult his homeopathic physician after recovering from his initial phase. Please note Homeopathy plays no role in treating any nutritional disorders.
The scope of Homeopathy is limited; it is the sole responsibility of the physician to decide upon the cure – by looking into the complete nature of the disease, onset and stage of the disease and then act accordingly.
Physical therapy exercises may help some people maintain muscle strength.
• Keeping the joint elevated. Wearing a tight bandage also prevents swelling and also helps in supporting the ankle joint.
• Turmeric is considered to have strong anti-inflammatory properties. Add on teaspoon of turmeric to a glass of milk and consume it twice a day.
• Homeopathic drugs like Ruta, Rhus Tox and Arnica Montanaare considered beneficial in reducing swelling and pain around the ankle joint.
• Rest is important to reduce ankle pain.
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