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Suggest treatment for tarsal tunnel syndrome

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Posted on Sat, 30 Jul 2016
Question: hi
I am on my feet all the time for work. usually walking round in a small are or standing in one spot. today I worked for 6 hours then a couple hours break then another 4 hours. by the last few hours my leg muscles were very achey .. from my tights and calfs and down to my ankles. the weird thing was my right ankle started to feel this odd shocks of pain. just would last a few seconds or be sporadic. it's on the side my big toe is on and the pain is localised to the area indicated on photograph. I've had a burning sensation at my feet before maybe once or twice.. I think at my heel. but never this .. It feels almost like little electric shocks.. is it nerve related? is it related to too much standing on the feet?
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Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Could be tarsal tunnel syndrome

Detailed Answer:
Hi there.

Thanks for the query.

Do you have pain while walking?

Is the pain radiating across your foot from the region pointed in the photo?

Do you have low back pain that radiates to the lower limb?

It is possible you have XXXXXXX tunnel syndrome. This could be due to compression of the nerve in the region pointed out in the photo. This can cause shock like sensation and tingling or numbness.

Avoid wearing constricting or tight footwear. Wear hard sole shoes with medial wedge raise. Get tested for Diabetes because that can also cause similar symptoms. Take Tablet Ibuprofen 400mg twice a day for 5 days after meals and Tablet Ranitidine 150mg twice a day for 5 days before meals. Take Tablet Pregabalin 75mg at night for a month for the shock like sensation.

Do get an Xray of the foot with ultrasound of the tarsal tunnel and upload the reports for my review.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Aashish Raghu (4 hours later)
I've had the pain either if I'm standing or sitting and maybe while walking too but can't recall. it doesn't really radiate but I also did get on my right side of lower back a bit of pain too but that went away and not sure of it was related but didn't notice any radiation of pain. Maybe it's quite mild at this moment and only has happened occasionly. should I wait and see if it goes away on its own?
doctor
Answered by Dr. Aashish Raghu (28 hours later)
Brief Answer:
Do follow up

Detailed Answer:

If you wish you can see if it goes away on its own, otherwise do try the medication and precautions mentioned and let me know.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5439 Questions

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Suggest treatment for tarsal tunnel syndrome

Brief Answer: Could be tarsal tunnel syndrome Detailed Answer: Hi there. Thanks for the query. Do you have pain while walking? Is the pain radiating across your foot from the region pointed in the photo? Do you have low back pain that radiates to the lower limb? It is possible you have XXXXXXX tunnel syndrome. This could be due to compression of the nerve in the region pointed out in the photo. This can cause shock like sensation and tingling or numbness. Avoid wearing constricting or tight footwear. Wear hard sole shoes with medial wedge raise. Get tested for Diabetes because that can also cause similar symptoms. Take Tablet Ibuprofen 400mg twice a day for 5 days after meals and Tablet Ranitidine 150mg twice a day for 5 days before meals. Take Tablet Pregabalin 75mg at night for a month for the shock like sensation. Do get an Xray of the foot with ultrasound of the tarsal tunnel and upload the reports for my review. I hope I have answered your query. I will be available to answer your follow up queries. Regards, Dr. Aashish Raghu