An Unwanted Running Injury
The worst news for a runner is to be sidelined with injury. Running injuries are common due to the repeated striking of the feet, causing wear and tear. Tarsal tunnel syndrome is an often overlooked injury that, if left untreated, could limit movement. For severe cases, tarsal tunnel release surgery is the best way to treat this condition. While surgery can sound daunting, the right recovery routine can quickly have runners back in action.

Understanding your tarsal tunnel syndrome
Most people have heard of carpal tunnel syndrome that happens in the hands. But what is tarsal tunnel syndrome? Each foot contains the tarsal tunnel near the inner ankle. The tibial nerve passes through the tunnel, providing sensation to the bottom of the foot and toes. Inflammation of the tarsal tunnel causes compression of the tibial nerve. Pain, numbness, and tingling in the toes and bottom of the foot are common symptoms. Untreated tarsal tunnel syndrome can lead to weakness, repeat injuries, and reduced movement.
A much-needed release
Runners are at risk of developing tarsal tunnel syndrome due to repeated trauma or previous injuries. People with diabetes or arthritis are also at risk. Over time, the nerve can reduce feeling and even blood supply due to scarring. Conservative treatment options like rest, bracing, and pain medication can help, but chronic cases require surgery. With tarsal tunnel release, a surgeon makes incisions near the inner ankle. An endoscope goes into one cut to view the inflamed tissue. Other surgical tools enter the second incision. The surgeon can then remove some of the tarsal tunnel to give the tibial nerve more breathing room.
It’s time for recovery
Tarsal tunnel release is an outpatient surgery, meaning the patient can leave the same day. After surgery, the patient starts the recovery process almost immediately. Recovery first starts with minimizing pain and caring for the incision. Minimally invasive surgery reduces the recovery time significantly. Doctors even allow light walking after 1 week. After that, however, the patient will need physical therapy to return to normal activities like running.
Ready to run?
Physical therapy helps strengthen the surrounding muscles and ligaments. The patient should perform the prescribed exercises both at home and with a physical therapist. On average, patients can resume full running after 4-6 weeks, depending on fitness levels. Even at the 6-week mark, doctors recommend patients move only short distances while closely monitoring pain. Over several months, running becomes less painful. Full, pain-free recovery takes about 6-12 months.
Don’t ignore your feet
Tarsal tunnel syndrome can cause limited movement if left untreated. For chronic conditions, surgery is the most effective option. Most athletes, runners, and weekend warriors with the condition are eager to move again. The surgery requires patience and physical therapy for a full recovery. In just a few short weeks, runners should be cleared to move short distances. Follow the instructions of both doctor and physical therapist to avoid any delays in recovery.
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“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
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“Everyone was friendly and the place was very clean.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“Dr. Best…is the best!”
“Everyone was concerned with my comfort.”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
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