Taping technique for Tarsal Tunnel Syndrome

[@sonlady]

I want to thank you so much. I'm a 20 year Lic. Massage Therapist in the US & am dealing with Tarsal Tunnel Syndrome. I've taken a course in Kinesiotaping but there's so many applications that I'm surely no pro at it. My knowledge of anatomy though proved very helpful. I ordered Rock Tape yesterday through Amazon & got it today. I now have it on following exactly how you showed here & it's working wonderfully so far!

[@DrOzanAmir]

This is so good to hear. I hope the taping continues to help and you become pain free.

[@loreleir.5334]

I am trying this technique today, modified for sports tape (DYNAMIc TapE, beige), so I only used one, 10-inch strip of the first two, and 6-inch strips for the last two. Within 10 minutes, most of my foot pain was gone, and it’s been about an hour. So far, so good. Other taping methods have simply chased the pain around my foot.

[@DrOzanAmir]

I hope you continue to get improvement.

[@CapricornQueen0108]

After the taping can you walk in it and for how long

[@DrOzanAmir]

Yes you can walk with taping. After 1-2 days the taping looses it's strength and needs to be reapplied.

[@pctechnic01]

I regret to say that kinesio tapes do not provide any useless support, because there is a serious epidermis in the middle. It serves no purpose other than visuality. decided by experience.

[@DrOzanAmir]

Can replace with sports tape

[@erinmeow8966]

If someone has tarsal tunnel syndrome, does it make sense that when they lie down and rest the back of the ankle or the side of the ankle on their bed...that the numbness and stinging would increase in the foot and toes? I sprained both of my ankles playing sports when I was a kid and probably never let them heal properly, but haven't had any problems all these years until I did two stupid thing.....I wore shoes that had absolutely no support for about 4 months straight and then one-day I got the bright idea to jog up and down my stairs as exercise...and numbness and burning set in after I did that for about a week. I'm suspecting that I woke up those two old injuries and now somehow developed tarsal tunnel. Advil strangely makes it worse. I've been suffering nonstop for about 8 months and don't know what to do. When the podiatrist pushed between my metatarsal bones the nerves were very tender in-between the first three....and the first three toes are also numb....it all seems to stem from the back of my ankles into my feet. Sorry to ramble on, I was just wondering if any of this seems to line up with tarsal tunnel because my podiatrist didn't check me for it.

[@DrOzanAmir]

Hi Erin, if you are experiencing this nerve pain in both feet, then have your practitioner rule out any nerve impingement from your lower back down to the feet. The nerve problem maybe occuring higher up than the metatarsal level or even higher than the tarsal tunnell. You can have this assessed clinically and if needed with a nerve conduction study. If the problem is from the tarsal tunnel, then have an MRI to rule out lesions (such as cysts, tumours, vsricosities etc) that can push on the nerve. It can be difficult to isolate the origin of the nerve issue and will require a few tests. I made another video of a patient with tarsal tunnel, just prior to him having surgery. See if his symptoms fit yours. Hope you find the cause soon. 8 months is a long time to be in pain.

[@DrOzanAmir]

Also yes, when at rest nerve pain can worsen.

[@erinmeow8966]

@@DrOzanAmir Thank you so much for giving me such a thorough explanation of what to look into Doctor. I really appreciate it. It's been more of an explanation than I've gotten at my visits with the podiatrist I saw, she never explained any of that. I did get a script written for an EMG so I guess I will follow through with having that done because this is beyond what I can take at this point. I'm going to watch the other video you mentioned, thanks so much. 😇

[@izachu904]

@@erinmeow8966 Hello Erin, It's been 2 years. How is your TTS progress? I hope you've found some relief. I was interested to learn that we share a similar background prior to developing the syndrome. I also wore flat-base shoes almost daily for a few months at work, where I stood for long hours and often used my feet to support various tasks I'm a crafter. One day, after a particularly hard day's work of 10 hours. I suddenly experienced the entrapment at night sleep, which lasted almost a full month of shooting pain before the pain gradually subsided. Now, since month 2 I'm almost pain-free on my own. However, six months later, it recurred after exercising, causing a week of pain and numbness in the medial nerve of my big toe. It passed away after a week. I suspect the hard work led to some temporary swelling. I also had an EMG test at second month, which confirmed moderate nerve damage. I can still jump and walk most of the time, though I tend to avoid overworking it. My doctor is undecided about the risk/benefits of surgery since I'm mostly pain-free, but I reckon you might have found relief through surgery.

[@7777donik]

Thank you doctor. I have tibialis posterior tendinopathy which caused tarsal syndrome. How can i tape in that situation? Appreciate you

[@tsubasakishi6926]

Can you tape the same way for a sinus tarsi syndrome? Your help would be greatly appreciated!!

[@DrOzanAmir]

Hi Tsubasa, the taping is different for sinus tarsi syndrome. The technique I use is called 'low dye'.

[@tsubasakishi6926]

@@DrOzanAmir Thank you Dr. Ozan for your quick reply!! I’ll def look into a low dye taping technique!! 🙏

[@tsubasakishi6926]

@@DrOzanAmir can you please do a video for Sinus Tarsi syndrome treatment? How to strengthen, what areas to massage, and anything else you’d recommend? I’ve had it for almost at least ten years and I feel like it’s getting worse… I don’t want an injection nor a surgery. I guess orthotics is the only option but if there’s anything else I can do to be pain free, please make a video!!! Thank you in advance!!

[@DrOzanAmir]

@@tsubasakishi6926 you asked so nicely, I'll try and make it for you;)

[@tsubasakishi6926]

@@DrOzanAmir thank you Dr. Ozan!!! Wish you were in Los Angeles!!

[@faisuamju7387]

It is good for preventing numbnes?

[@DrOzanAmir]

Sorry for such a late reply. If the numbness is due to tarsal tunnel syndrome, it may have benefit.

[@allieb7757]

Will it help someone with Double Crush Syndrome?

[@DrOzanAmir]

Allie, no harm trying but I would be surprised if it helps.

[@sharonhoussou6032]

Dr. Amir, what kind of tape do you use? I just had tarsal tunnel release - can I use tape post-surgery?

[@DrOzanAmir]

Hi Sharon, There shouldn't be a need for taping post surgery. However, some patients like the mild compression from the tape. I would check with your surgeon before trying this taping technique. I used kinesio tape (rock tape) and sport tape (5cm width).

[@allieb7757]

Is Amy still having Tarsal Tunnel issues?

[@DrOzanAmir]

This was only a demonstration.

[@titabean6362]

This is probably a dumb question, but why are there different colors of tape? Are you using different kinds? What is best? I have no idea what names he was using for the tape. I have TT and I'm in so much pain and my podiatrist have me expensive orthotics and I can't wear them at all Omg so painful! I love the tape so much I just don't know how I can do it on myself... 🤔 ♥

[@DrOzanAmir]

Hi Tita, I find most patients with TTS get worse with orthotics. My preferred tape is leukoplast sports tape. You can use this only, rather than 2 different types.

[@titabean6362]

@@DrOzanAmir thank you so much for your time. Do you think it's possible to do it *correctly* on your own feet? My pod tapes my feet and has me push my toes back as far as I can while she does it (sooooooo painful with TT-but ends result feels great) do you require the same of your taping?

[@DrOzanAmir]

@@titabean6362 it is much easier to have someone else apply the taping, but you can perform it yourself. It wouldnt be as good as your Podiatrist doing it. Once you have done it a few times, it becomes much easier.

[@allieb7757]

saloon bar music