Tarsal Tunnel Syndrome: The Diagnosis Millions Have and Nobody Catches
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Burning, aching foot pain that never fully goes away, even when you are off your feet. You have followed every protocol your doctor gave you and nothing works. There is a reason for that. It is probably the wrong diagnosis.
After 28 years in practice and more than 10,000 patients treated, the single most consistent pattern I see is this. Nobody looked at the nerve first.
In this episode, I'm going to break down what tarsal tunnel syndrome actually is, why it gets mistaken for plantar fasciitis or neuropathy, and give you a self check you can bring straight to your next doctor's appointment.
⏱️ TIMESTAMPS
0:00 Tarsal Tunnel Syndrome: The Diagnosis Millions Have and Nobody Catches
0:38 The five points we're covering today
1:17 What tarsal tunnel syndrome actually is
2:16 Why doctors mix it up with plantar fasciitis
3:31 What idiopathic neuropathy really means
3:57 Five symptoms your doctor should check but probably won't
7:00 Four question self check for misdiagnosis
9:00 Why this diagnosis stays hidden for years
12:34 Why delaying treatment makes recovery harder
14:08 Four steps to do before your next appointment
❓ QUESTIONS ANSWERED
What is the difference between tarsal tunnel syndrome and plantar fasciitis?
Plantar fasciitis pain is usually worse first thing in the morning, stays localized to the bottom of the heel, and is sharp rather than burning. Tarsal tunnel syndrome tends to worsen by the end of the day, can wake you up at night, and produces burning, tingling, or numbness that radiates from the inner ankle toward the toes.
How do I know if I have tarsal tunnel syndrome instead of neuropathy?
If your foot symptoms include burning or tingling that gets worse at rest or at night, and no one has ever tested for nerve compression with a physical exam or diagnostic ultrasound, you may have an undiagnosed nerve compression rather than general neuropathy. A positive Tinel's sign, where tapping the inner ankle produces tingling toward the toes, is a strong indicator worth raising with your doctor.
What is the success rate of tarsal tunnel release surgery?
Surgical release of the tibial nerve in tarsal tunnel syndrome has a success rate averaging around 85 to 87 percent. Earlier diagnosis and treatment generally lead to faster recovery and better outcomes.
📱 RESOURCES
Website: www.bregmanfance.com
Instagram: https://www.instagram.com/bregman_fance/
Facebook: https://www.facebook.com/BregmanFootandNerve
YouTube: https://www.youtube.com/@DrPeterBregmanDPMfootguru
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ABOUT DR. PETER BREGMAN, DPM
Dr. Peter Bregman is a Board Certified Foot and Ankle Surgeon and former President of the Association of Extremity Nerve Surgeons. With nearly three decades of practice and tens of thousands of patients treated at the Bregman Foot-Ankle & Nerve Center in Las Vegas, Nevada, Dr. Bregman specializes in nerve conditions, complex foot and ankle reconstruction, and advanced regenerative treatments including Wharton's Jelly allografts and peptide therapy. His approach addresses root causes, not just symptoms.
#FootPain #HeelPain #PlantarFasciitis #FootSurgeon #ChronicPain