Common nerve complaints such as sciatica, piriformis syndrome, tarsal tunnel syndrome and Morton’s neuroma, can be effectively treated through a combination of biomechanical, postural and muscle rehabilitation. Footwear considerations are often necessary. Foot and lower limb neuropathy can be assessed and managed.

Morton’s neuroma

The main symptom of a Morton’s neuroma is a progressively worsening forefoot pain that may be aggravated by tight footwear. It is often described as stabbing or burning or possibly numbness or pins and needles, typically affecting the 3rd and 4th toes. Morton’s neuromas are generally caused by a compression of the medial and lateral plantar nerves as they come together between the metatarsal heads.  Depending on severity a Morton’s neuroma can be successfully managed either conservatively or surgically. 

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is often described as a pain or ache at the inside of the ankle and or leg. The pain often travels along a branch of the medial or lateral calcaneal nerve as it passes under the heel.  Tarsal tunnel syndrome often affects an over pronated foot type that places increased stress on the medial ankle. Reducing the compression on the tibial nerve is the cornerstone of treatment for tarsal tunnel syndrome.

Sciatica

Sciatica is characterised by an ache that starts in the lower back and runs through the buttock and down the outside of the thigh. This condition can also produce localised pain along the path of the sciatic nerve.

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