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Conservative Treatment (nonsurgical)[edit]

There are multiple ways that tarsal tunnel can be treated and the pain can be reduced. The initial treatment, whether it be conservative or surgical, depends on the severity of the tarsal tunnel and how much pain the patient is in. There was a study done that treated patients diagnosed with tarsal tunnel syndrome with a conservative approach. Meaning that the program these patients were participated in consisted of physiotherapy exercises and orthopedic shoe inserts in addition to that program. There were fourteen patients that had supplementary tibial nerve mobilization exercises. They were instructed to sit on the edge of a table in a slumped position, have their ankle taken into dorsiflexion and ankle eversion then the knee was extended and flexed to obtain the optimal tibial nerve mobilization. Patients in both groups showed positive progress from both programs.^[1] The medial calcaneal, medial plantar and lateral plantar nerve areas all had a reduction in pain after successful nonoperative or conservative treatment.^[2] There is also the option of localized steroid or cortisone injection that may reduce the inflammation in the area, therefore relieving pain. Or just a simple reduction in the patient’s weight to reduce the pressure in the area. ^[3]

^ Kavlak Y1, Uygur F.(2011) J Manipulative Physiol Ther. Effects of nerve mobilization exercise as an adjunct to the conservative treatment for patients with tarsal tunnel syndrome. 34(7):441-8
^ Gondring WH1, Trepman E, Shields B.(2008). Tarsal tunnel syndrome: assessment of treatment outcome with an anatomic pain intensity scale. Foot Ankle Surg. 15(3):133-8
^ William G. Edwards, MD; C. Robert Lincoln, MD; Frank H. Bassett III, MD; J. Leonard Goldner, MD (1969). The Tarsal Tunnel Syndrome Diagnosis and Treatment, JAMA. 207(4):716-720

[1] Kavlak Y1, Uygur F.(2011) J Manipulative Physiol Ther. Effects of nerve mobilization exercise as an adjunct to the conservative treatment for patients with tarsal tunnel syndrome. 34(7):441-8

[2] Gondring WH1, Trepman E, Shields B.(2008). Tarsal tunnel syndrome: assessment of treatment outcome with an anatomic pain intensity scale. Foot Ankle Surg. 15(3):133-8

[3] William G. Edwards, MD; C. Robert Lincoln, MD; Frank H. Bassett III, MD; J. Leonard Goldner, MD (1969). The Tarsal Tunnel Syndrome Diagnosis and Treatment, JAMA. 207(4):716-720

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