tarsal tunnel-baxters nerve entrapment
by Roxanne
I have endured over 2 years of pain in my left foot/ankle. The pain occured after a gastro recession surgery for a torn peronial longus tendon. The surgery resolved that problem, but this much more painful nerve problem appeared. I do not have any swelling in the ankle or foot area. The biggest symptom I have is pain in the ankly/heal area. I can only walk about 10 minutes and have to sit down. I have seen many Dr.'s in the Seattle area who say their is nothing I can do, just live with the pain. I am only 43 and use to be very active. This whole problem started with a bad sprain, that was not cared for properly. I guess my question is...Do you have to visually see a cyst or scar tissue on the mri for the tarsal release surgery to be effective (that is what I am being told by some of the best Dr.'s at the UW hospital). I do not have tingling or numbness, mostly just burning pain. (it is also in the other foot, although not as bad) I have had an emg-which confirms baxters nerve and a PSSD which was negative. Any thoughts? Thanks, Roxanne Hi Roxanne, I am a little confused by your description as it would seem to me your original incision really should not have been as close to the tarsal canal as you describe. A torn peroneal longus tendon rupture would have an incision on the outside of the foot, whereas the tarsal tunnel is on the inside of your foot What I will say is that if you have a tarsal tunnel condition, the MRI does not have to show a cyst or scar in order for you to have surgery. Has anyone tried injecting the tarsal tunnel or addressing the way your foot functions in gait, like excess pronation? Addressing these issues, even if it only gives you short term relief would certainly substantiate a diagnosis of tarsal tunnel and then ultimately surgery. Marc Mitnick DPM
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