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Tarsal Tunnel

Tarsal Tunnel Syndrome - Ankle Pain

Back of ankle pain occurs due to entrapment of the posterior tibial nerve within the tarsal tunnel. The tarsal tunnel is a narrow space that lies on the inside of your ankle. This is similar to a familiar wrist syndrome, called carpal tunnel syndrome.

Symptoms affected the inside of the ankle or the bottom of the foot and present as;

  • Numbness/tingling
  • Weakness
  • Aggravated by activity, relieved by rest

This occurs as we have a thin tissue, called the flexor retinaculum, which holds muscles, nerves and ligaments in place. These structures that pass through the flexor retinaculum include; posterior tibialis muscle, flexor digitorum longus muscle, tibial artery, tibial vein, tibial nerve and the flexor hallucis longus muscle. When there is pressure or tension in the area, it causes the tibial nerve to become compressed. This is why the numbness, tingling and weakness occurs.

This can occur from injury, repetitive use injury, compression, callus formation, inflamed or enlarged tendon sheath or be associated with osteoarthritis, rheumatoid arthritis or post trauma ankle deformities.

These symptoms are exacerbated during weight bearing activities and relieved with rest. Patients can report nocturnal symptoms, which can be eliminated with elevation of the foot.

Depending on which of the 6 structures are affected, you can have numerous problems. The flexor digitorum longus muscle is responsible for bending of the toes. Flexor hallucis longus flexes your big toe. Tibialis posterior and flexor hallucis longus perform pointing of the foot. Digitorum longus muscle helps to twist the foot. Therefore, if you are having any difficulties with this movements, let one of our chiropractors know!

Here at lakeside chiropractic we are able to assist with many injuries. Treatments provided involve manipulation of the ankle joint, mobilisation techniques, dry needling, strapping, exercises and cold laser therapy.

At Lakeside Laser we can assist you in managing your ankle pain with our multi modal approach. Lakeside Laser is located centrally to Perth Northern suburbs; in Joondalup. We have visitors from various northern suburbs including; Hilary’s, Kinross, Mindarie, Wembley Downs, Iluka, Beldon, Currambine, Kingsley, Pearsall, Hocking and Wanneroo. HICAPS Facilities available on site for major private health insurers (NIB, HCF, HBF, AHM, HCI, and HIF) and also a part of the Medibank preferred practitioner and BUPA Members first network. If you would like to discuss any concerns, have any enquiries or wish to book an appointment; feel free to contact one of our friendly staff on 9300 0095 or visit our website at We look forward to hearing from you shortly.

October 29, 2019