Sinus tarsi syndrome
Sinus tarsi syndrome is a pain condition that hurts the ankle joint between the heel bone and the talus. This area is called the sinus tarsi. Up to 80% of these occur due to so-called inversion of the ankle - the reason for this is that the ligaments in the area can be damaged by such trauma. It is otherwise believed that the remaining 20% is due to pinching of local soft tissue in the sinus tarsi due to severe overpronation in the foot.
Exercises and Training for Sinus Tarsi Syndrome
Scroll below to see two great exercise videos with exercises that can help relieve sinus tarsi syndrome.
VIDEO: 5 Exercises against Pain in the Footsteps
Sinus tarsi syndrome is a possible cause of ankle pain. These five exercises in this exercise program are specifically designed to relieve the ankle and ankle. Regular exercise will result in improved ankle strength, increased local blood circulation and reduced pain.
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VIDEO: 10 Strength Exercises for Your Hips
A good hip function provides a better foot and ankle function. This is because your hips are powerful shock absorbers that can relieve your feet and ankles from overload. Here are ten exercises that will give you stronger hips and improved shock absorption.
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Symptoms and clinical signs of Sinus Tarsi Syndrome
Symptoms of sinus tarsi involve prolonged pain on the outside of the foot between the heel bone and the talus. This area will also be pressurized. One will also experience instability in the ankle, as well as problems with full weight load on the foot. The pain is exacerbated by movement of the foot in inversion or eversion.
Obvious instability may be a characteristic sign of this torment. As mentioned, the problem can often occur after overtraining - but can also occur after a fracture / fracture in the foot.
Diagnosis and Imaging of Sinus Tarsi Syndrome
A clinician working daily with muscle and skeleton should evaluate the problem. By this we mean physical therapist, manual therapist or chiropractor. Physicians, manual therapists and chiropractors all have the right to refer imaging and in case of suspected sinus tarsi syndrome, it is often x-ray, diagnostic ultrasound and possible subsequent MRI examination which is most relevant.
An MRI can look closely at both bone and soft tissue, and thus can see if there are any scar changes, swelling or signal changes in the sinus tarsi area. It can also see if there is damage to the ligaments in the ankle or foot.
Conservative treatment of Sinus Tarsi Syndrome
Conservative treatment is often effective in treating sinus tarsi syndrome, as long as it is performed by an updated clinician. Due to instability, it is important that the patient gets custom strengthening exercises, balance exercises (for example with a balance board or balance pad) and are referred to sole adaptation - which can result in less physical strain on the area, this gives the area a chance to repair itself / recover. In the worst periods, it may be relevant to relieve with a footbed, sports taping or stable shoes.
Other conservative treatment can consist of joint mobilization / joint manipulation of the joints around the sinus tarsi, trigger point treatment / needle treatment for compensatory ailments in the calf, thigh, seat, pelvis and lower back - because you can get a wrong load further in the musculoskeletal system if you do not have proper use of foot and ankle. It is also important for a clinician to ensure that the knees, hips and pelvis function optimally - to avoid increased pressure on the sinus tarsi.
RELATED PRODUCT / SELF-HELP: - Compression sock
Anyone with foot pain and problems may benefit from compression support. Compression socks can contribute to increased blood circulation and healing in those affected by reduced function in the legs and feet.
Recommended products for pain relief
Biofreeze (Cold / cryotherapy)
- Also read: Effective exercises to strengthen the arch of the foot
Invasive treatment of Sinus Tarsi
By invasive treatment is meant treatment that naturally has a higher risk of adverse side effects. Of the invasive methods of invasion, we have pain injection (such as cortisone and steroid treatment) and surgery. In a study published in 1993, it was found that 15 of 41 patients still had pain after the operation (Brunner et al, 1993) - the study thought this was positive, as it meant that around 60% had a very successful operation). In the worst cases, where other more conservative treatment and exercise has been tried, it can be an effective last resort to a pain-free everyday life for affected patients.
Arthroscopy or open surgery are the methods used in surgery. They often point to good results, but, as I said, conservative treatment and training should be adequately tested before proceeding to this step due to surgery risk.
A recent study published in 2008 (Lee et al, 2008) in the recognized 'Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association' showed that arthroscopy was a good way to identify and treat severe cases of sinus tarsi syndrome - in 33 operated cases 48% had very good results, 39% had good results and 12% had approved results (see abstract from the study here ).
- Also read: Sore foot and ankle? Here you will find possible diagnoses and causes.
Sources:
Brunner R., Gächter A. [Sinus tarsi syndrome. Results of surgical treatment]. Accident surgeon. 1993 Oct;96(10):534-7.
Helgeson K. Examination and intervention for sinus tarsi syndrome. N Am J Sports Phys Ther. 2009 Feb;4(1):29-37.
Lee KB1, Bai LB, Song EK, Jung ST, Kong IK. Subtalar arthroscopy for sinus Tarsi syndrome: arthroscopic findings and clinical outcomes of 33 consecutive cases. Arthroscopy. 2008 Oct; 24 (10): 1130-4. doi: 10.1016 / j.arthro.2008.05.007. Epub 2008 Jun 16.
Also read: 4 Clothes Exercises Against Stiff Neck
Also read: - 8 good advice and measures against sciatica and sciatica
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