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Tarsal Tunnel Syndrome Another diagnosis used for chronic burning
foot and/or toe pain is Tarsal Tunnel Syndrome. Tarsal Tunnel
Syndrome is very similar to Carpal Tunnel Syndrome. The tibial
nerve runs in a canal on the inside of the foot called the
tarsal tunnel. When the tibial nerve gets pinched here, it
is called Tarsal Tunnel Syndrome. The symptoms described for
this syndrome include pain in the ankle, arch, toes, or heel.
Chronic burning arch, toe, or heel pain is most often due to ligament weakness
at the ball of the foot or soft tissue weakness in the arch of the foot, rather
than pinching of a nerve as in Tarsal Tunnel Syndrome. The ball of the foot is
called the metatarsal joints and supports half the body weight during walking.
Since these structures bear the bulk of the body weight when a person stands,
walks, or runs, it is no wonder that these are generally the first structures
to weaken. Metatarsal ligament weakness is manifested by pain at the ball of
the feet which often radiates into the toes. This is called metatarsalgia.
A weakened arch causes the foot to feel weak and tired especially after a day
of standing or walking. It can also radiate pain into the big toe side of the
foot. Chronic metatarsal ligament weakness and arch weakness (also known as plantar
fascutis). Fasciitis can cause numbness in the foot and toes in the same areas
of pain. Pain and numbness in the foot can also be caused by ligament and tendon
laxity in the knee. The lateral collateral ligament can refer pain and numbness
down the lateral side of the leg and foot and the medial collateral ligament
down the medial side. Thus anyone with foot pain or numbness needs to have their
knees looked at to see if there is any evidence of ligament weakness there.
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