Our initial exam generally includes: Nerve pain may be treated with conservative options, including the following: When conservative options are not effective, our physicians may recommend surgery, such as tarsal tunnel syndrome surgery, to repair nerve damage or release pressure on the nerve. Symptoms of foot and ankle neuropathy and nerve entrapment depend on the cause, but the most common symptoms include: Numbness Sharp or burning pain Tingling sensations or feeling that your foot has fallen "asleep" Weakness in your foot, toes or ankle Foot and ankle neuropathy and nerve entrapment treatment All people with diabetes should have their feet examined at least once a year to check for signs of peripheral neuropathy. information submitted for this request. The toesand balls of the feetcan be susceptible to such trauma, especially iftoesspendtime cramped in tight shoes or enduringrepetitive impactsfrom activities such as running. Symptoms of a sport-related sural nerve injury may include: Restricted range of motion September 16, 2022 Updated: October 27, 2022 By Kevin D Chronic Knee Pain Treatment Tinel's Sign (Ankle)Peripheral Nerve Injury Through years of experience, weve figured out that good and long-lasting chronic knee pain relief doesnt work unless all bases are covered. If you prefer not to come into the office for an initial consultation, please do not hesitate to schedule a, Foot & Ankle Overuse Injuries in Children, Are You Developing a Sports Injury? These include: National Institute of Neurological Disorders and Stroke: "NINDS Peripheral Neuropathy Information Page. ", National Institute of Neurological Disorders and Stroke: "Amyotrophic Lateral Sclerosis Fact Sheet. Mayo Clinic: "Autonomic neuropathy," Diabetic Neuropathy, Peripheral neuropathy., StatPearls: Physiology, Deep Tendon Reflexes.. Areflexia means the absence of deep tendon reflexes. Injuries, such as from motor vehicle accidents, falls or sports injuries, can sever or damage peripheral nerves. This pain can be felt anywhere along the tibial nerve, but it's also common to feel pain in the sole of the foot. It is estimated that about 20 million Americans sufferfrom peripheral nerve damage. People with diabetes need to take special care of their feet, and regularly inspect them for problems. Nerve or blood vessel damage. Sometimes it can feel like a jolt or electric shock. Garozzo, D., Ferraresi, S. & Buffatti, P. Common peroneal nerve palsy complicating ankle sprain: report of 5 cases and review of the literature. 2023 Southern California Foot & Ankle Specialists All Rights Reserved. Evaluation of low back pain in adults. Arthritis. Clinical Methods: The History, Physical, and Laboratory Examinations 3rd edition, Boston: Butterworths, 1990. People with tarsal tunnel syndrome may experience pain, numbness, or tingling. What is diabetic neuropathy? A combination of your foot moving outward and upward forcefully can lead to this nerve compression injury. ", National Institute of Neurological Disorders and Stroke: "NINDS Guillain-Barre Syndrome Fact Sheet.". Ankle, knee or wrist sprains. These scans may include: Your doctor may also order laboratory tests to determine if your IND is caused by another health condition. Nerve conditions can be both painful and debilitating, and often require physical therapy or surgery to correct the problem. American Academy of Orthopaedic Surgeons. However, patients with peripheral nerve injury were less likely to recover completely if they had received peripheral nerve blockade. TriHealth | All rights reserved. With nerve damage there can be a wide array of symptoms. Smoking restricts blood flow to the feet. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Depending on the type, symptoms can include pain or numbness in the hands, feet, or legs; problems with blood pressure; bladder and digestive disorders; and other issues. With good traffic, electrical signals can freely run along each nerve, from your brain down to your toes and vice versa. Damage to an eye nerve might lead to double vision. 2005 - 2023 WebMD LLC, an Internet Brands company. Vitamin deficiencies. Here are some of the most common types of nerve disorders. If you are a Mayo Clinic patient, this could The most common location for neuromas to appear is between the third and fourth toes, under the metatarsal bones . Common Causes of Nerve Pain in the Feet and Ankles. It can occur in any part of the body. Anselmi stated that 15 percent of all grade 2 and 3 ankle sprains have some level of peroneal nerve damage.12 In a large prospective review of 639 acute ankle sprain patients, Fallat and coworkers found 80 patients (12.5 percent) with associated neuritis.3 Most patients in the study demonstrated injury to the superficial peroneal nerve's . You can learn more about how we ensure our content is accurate and current by reading our. All rights reserved. Accessed July 21, 2022. Several common diagnoses include: Nervesmust navigatethrough and around other structures throughoutthe body, and some of these areas do not leave a lot of wiggle room. PERIOPERATIVE nerve injury is one of the most debilitating complications of surgery that commonly results in functional impairment, chronic pain, and decreased quality of life.Large retrospective epidemiologic studies have estimated the overall incidence of PNI at 0.030.05%.Although the majority of these injuries resolve over time,it is important for anesthesia providers to recognize risk factors that may predispose patients to PNI. Factors that may increase your risk of developing neuropathy and nerve entrapment in your foot or ankle include: A knee contusion, also known as a bruised knee, is a bruise on or around your knee cap . This can even go as high as 86% and 83% for grade III sprains. 2017;18(3):161-162.doi:10.1097/CND.0000000000000158, Choi HE, Shin MH, Jo GY, Kim JY. This is the case in diabetic peripheral neuropathy. Review/update the Herniated disk. Talk to your doctor if you have any symptoms of neuropathy. Autonomic neuropathy. If the activity which caused the injury is not discontinued, then repeated injury may occur. ankle bracing; ankle taping; You may . Verywell Health's content is for informational and educational purposes only. If your foot injury hasnt healed and its been a few weeks, you may benefit from seeing a doctor. Merck Manual Professional Version. Your doctor can help you manage the symptoms, though. In some cases, nerve problems even result in debilitating pain. 2022;45(Supplement 1):S83S96. What Are the Symptoms of Nerve Pain and Nerve Damage? Brief, James M et al. 2023 Healthline Media LLC. Foot and ankle nerve conditions can occur because of injury, stress on the foot or ankle, diabetes and autoimmune diseases. Sciatica. Nerve pressure can result from having a cast or using crutches or repeating a motion such as typing many times. Some neurological conditions can cause similar symptoms to peroneal nerve injuries. If the muscles of your injured foot and ankle are much smaller than their healthy counterparts, you likely have a damaged nerve. National Institute of Diabetes and Digestive and Kidney Diseases. See additional information. The rubbery disks that lie between the vertebrae in the spine consist of a soft center (nucleus) surrounded by a tougher exterior (annulus). Some . Manchikanti L, et al. Change location an electromyogram to check activity and responses in the muscles. Around that is the Perineurium, more insulation. Each one of these is a little bit more severe than the next, as well as sometimes theres more of a combination of nerve injury, not just one specific type of nerve injury. Once referred to as causalgia, this type has symptoms similar to those of type 1. American Diabetes Association. By Elizabeth Woolley Accessed July 21, 2022. Many people can manage tarsal tunnel syndrome symptoms with at-home or over-the-counter treatments. If a nerve is in distress, getting to the source of the problem and addressing it directly can save a lot of pain and potential future trouble. Most people recover fully from sciatica, often without treatment. These nerves regulate all the muscles under your conscious control, such as those used for walking, talking and holding objects. Your health care provider may also give you a brace or crutches. These conditions include: If you think you may have a pinched nerve in your foot, there are self-care measures you can take to help ease the symptoms. Medications. A family history of conditions such as osteoarthritis is also useful. If theyre injured, our muscles cant work properly, having a harder time starting a contraction. You May Like: Orthopedic Center University Of Utah. There are relatively tight areas where a nerve can become pinched or trapped against harder tissue, such as a ligament or bone, causing irritation. In these cases, you may get them in your . We teach you how to identify them, best treatments, and more! Learn more: How often should you ice your ankle sprain? Javed S, Petropoulos IN, Alam U, Malik RA. An injury to a foot and ankle nerve can cause the connected muscle to not function properly, or it can cause a person to lose feeling in the affected area. Oral and topical anti-inflammatory drugs can also help relieve pain and swelling through their various mechanisms of action. 2005 - 2023 WebMD LLC, an Internet Brands company. If the IND is caused by an existing medical condition, such as diabetes, then that condition should be treated as well. Levin K, et al. Nerve fibers are called axons, which are separated into bundles within the nerve. Sciatica occurs when the sciatic nerve becomes pinched. Autonomic nerve damage may produce the following symptoms: Inability to sense chest pain, such as angina or heart attack. ", The University of Chicago: "About Peripheral Neuropathy: Three types of peripheral nerves. A pain specialist or physician will start the process by asking detailed questions about the nature, severity, and duration of the pain. There are several different types of neuropathy, with peripheral neuropathy and autonomic neuropathy being the most common. https://www.uptodate.com/contents/search. doi:10.2337/dc22-S006, Geiss LS, Li Y, Hora I, et al. Neuropathy is damage to a nerve. Some causes of neuropathy are outside of your control. Organ system conditions. Recovery from a peroneal nerve injury varies depending on injury location and severity. Hsu PS, et al. Access broader, superior orthopedic services through the combined efforts of two powerhouse providers, driven to provide a model for partnership between independent physicians and health systems in Greater Cincinnati. Here are some home remedies you may want to try: Irritation or damage to the sural nerve is known as sural neuritis, and its more common than you think. A relatively common form of nerve compression in the lower leg is tarsal tunnel syndrome, where a nerve can become trapped within the narrow tunnel that runs along the inside of the ankle. When you ask someone with nerve pain to describe what they feel, you might receive any number of possible answers: There can be quite a range of symptoms, but it should come as little surprise given that what is in distress here are the tools responsible for pain signals themselves! Peripheral neuropathy is a general term for damage to the nerves. Additionally, high blood cholesterol levels, high blood pressure, and low levels of vitamin B12 can also lead to neuropathy. It is conveniently located in Ladera Ranch, CA. can mean the simple act of putting on socks or having a bedsheet rub up against our toes can be shockingly painful! The cause is usually a herniated disk in the spine or an overgrowth of bone, sometimes called bone spurs, form on the spinal bones. Patients often describe it as the feeling of perpetually having a pebble in their shoe or a wrinkle in their sock. Recommended Reading: Hair Line Fracture In Foot. Diabetic neuropathy is nerve damage caused by the chronically high levels of glucose (sugar) in the blood associated with diabetes. The sciatic nerve travels from the lower back through the hips and buttocks and down each leg. It's estimated that up to 50% of adults with diabetes eventually develop peripheral neuropathy, which can lead to serious complications including the need for digit or limb amputation. We will fully discuss with you any procedures we recommend and answer any questions you may have. The weakness may make it difficult to stand up. Lets talk about what exactly is the nerve made of, how is it composed, and then different types of injuries. What are the symptoms of isolated nerve dysfunction? More rarely, a tumor can put pressure on the nerve. Ultrasound. Injuries that put pressure on or stretch the nerve can cause the conductive fibers within to break without disrupting the outer sheathing. You might try: Your healthcare provider may also recommend nonsurgical treatments such as: Read Also: Orthopedic Walk In Manchester Ct. Because nerve damage is often progressive, it is important to consult with a doctor when you first notice symptoms. Diligent foot care, however, can prevent these operations from becoming necessary. The risk of neuropathy increases with advanced age, being overweight, and duration of diabetes, with the highest rates among those who have had diabetes for more than 25 years. In muscle disease, there are abnormal patterns of firing in the muscles. American Diabetes Association. Access broader, superior orthopedic services through the combined efforts of two powerhouse providers, driven to provide a model for partnership between independent physicians and health systems in Greater Cincinnati. You may also get other muscle problems along with the loss of involuntary reflexes. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Research shows that for moderate (grade II) ankle sprains, there is a 17% and 10% chance of peroneal and tibial nerve injury. This method can both help diagnose and treat your nerve injury. In . Your healthcare provider will check the blood flow in your feet, the health of the skin, and your sensitivity to touch, temperature, and vibration. The most common nerve disorders that affect the feet and ankles include tarsal tunnel syndrome and Mortons neuroma, among others. For many people, symptoms improve or disappear completely with nonsurgical treatment. Have you ever felt a sharp-shooting pain running across your ankle? The cause is usually a herniated disk in the spine or an overgrowth of bone, sometimes called bone spurs, form on the spinal bones. Its caused by damage to the sixth cranial nerve. Regularly test your blood glucose levels with a glucometer to establish a baseline level of your condition and to inform your daily decisions. About 90% of people with CRPS have type 1. The best way to treat diabetic neuropathy is to manage pain and work to prevent progression of the condition. The sooner, the better! Tissue swelling or damage puts pressure on the nerve, causing symptoms. All rights reserved. information is beneficial, we may combine your email and website usage information with If you do not have adequate control of your blood glucose levels, you should have an A1C test at least four times a year. According to Lab Tests Online, 60-70 percent of people with diabetes develop some form of neuropathy, usually in their extremities. Treatments may include: Factors that may increase your risk of developing neuropathy and nerve entrapment in your foot or ankle include: You can help reduce your risk of developing foot or ankle neuropathy and nerve entrapment by taking these precautions: To learn more about foot and ankle neuropathy and nerve entrapment or make an appointment with an orthopedic specialist: Call TriHealth at 513 246 2300 or our orthopedic partner, Beacon Orthopaedics & Sports Medicine, at 513 354 3700. Presence of foot drop with little improvement after 4 to 5 weeks post-injury. See additional information. This causes a pins-and-needles sensation, medically called paresthesia. People may experience: Proximal neuropathy can cause pain in a hip, buttock, or thigh, and weakness and loss of muscle in the corresponding leg. The risk also significantly increases with smoking and alcohol abuse, which can narrow and weaken the arteries and reduce blood flow to your extremities. regarding it and the subsequent recovery. If you have diabetes, you may not feel cuts or sores on your feet. Loss of touch sensitivity in your fingers or toes. Tarsal tunnel syndrome occurs when something damages your tibial nerve. The various types may have different symptoms and may require different types of treatment. Diabetic neuropathy is nerve damage caused by the chronically high levels of glucose (sugar) in the blood associated with diabetes. Causes of tibial nerve damage can include: Flat feet. Suffering a nerve injury with a sprained ankle is plausible due to our foot and ankle anatomy. Peripheral Neuropathy Fact Sheet. Tests can assess bladder and digestive functions, or sweating. Imaging techniques also contribute to the detection of conditions or injuries affecting the knee joint. For instance, you might experience weakness and burning of your legs at the same time. Consistently elevated blood sugar levels can cause diabetic neuropathy. In terms of injury location, this is right where the nerve passes along a bony passage on your inner ankle. If you prefer not to come into the office for an initial consultation, please do not hesitate to schedule atelemedicine appointmentwith us instead. (2). Imaging scans may also be done to check the internal organs, bones, and blood vessels. A nerve conduction study or electromyelography might be done to test how well the nerves are working. (3). 513 569 5400, Female Pelvic Medicine and Reconstructive Surgery Fellowship, The Mary S. Stern Hand Surgery Fellowship, Good Sam College of Nursing and Health Science, TriHealth Clinical Training & Testing Center, Good Samaritan Minimally Invasive Training Center, Start of Neuropathy and Nerve Entrapment Side Menu, Elbow Arthritis and Elbow Joint Replacement, Tendon and Ligament Tears Around the Elbow (Bicep/Tricep), Traumatic Tendon Injuries of the Hand and Wrist, The Mary S. Stern Fellowship (Hand Surgery), Electromyography and Nerve Conduction Studies, End of Neuropathy and Nerve Entrapment Side Menu, Autoimmune diseases such as rheumatoid arthritis or lupus, Infections such as Lyme disease or shingles, Repetitive movements of the feet and ankles. In a review of more than 12,000 total knee arthroplasty patients during 20 yr, use of peripheral nerve blockade was not associated with peripheral nerve injury. Your tibia is the big bone in your lower leg and is sometimes called your shinbone. TTS usually causes pain in the inside of your ankle or the bottom of your feet. include protected health information. other information we have about you. Other less common forms of neuropathy include: The symptoms of diabetic neuropathy depend on the type of neuropathy a person has and which specific nerves are damaged. Also known as reflex sympathetic dystrophy (RSD), this type occurs after an illness or injury that didn't directly damage the nerves in the affected limb. is never something you should hold off on addressing in hopes of it going away. Common signs of postoperative nerve damage include tingling, numbness, weakness, or burning sensations. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. what is in distress here are the tools responsible for pain signals themselves! Thats because diabetes weakens normal blood flow inside your body. We avoid using tertiary references. nerve conduction tests to measure the speed at which nerves carry impulses back and forth to the brain. Thank you, {{form.email}}, for signing up. Tumors. Treating a bruised knee is typically just a matter of resting, icing, and taking over the counter pain medication. Foot drop is a typical symptom. Mayo Clinic on Incontinence - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Sudden, severe pain in the low back or a leg and numbness or muscle weakness in a leg, Pain after a violent injury, such as a traffic accident. Under your conscious control, such as diabetes, you may benefit from a! Can put pressure on or stretch the nerve produce the following symptoms Inability. To break without disrupting the outer sheathing then different types of nerve pain in the feet and Ankles and neuropathy... Electromyogram to check activity and responses in the blood associated with diabetes need to take special care their... Flow inside your body than their healthy counterparts, you may get them in your nerve.. Manage tarsal tunnel syndrome occurs when something damages your tibial nerve treated as well nerve conditions can be shockingly!... Healed and its been a few weeks, you may get them in your or. Swelling through their various mechanisms of action bones, and more may make it difficult to up... Peripheral nerve injury varies depending on injury location, this type has symptoms similar to those of type.! Of Chicago: `` about peripheral neuropathy Information Page in some cases, you may from... Prevent these operations from becoming necessary the best way to treat diabetic neuropathy your condition and inform... Or ankle, diabetes and autoimmune diseases include tarsal tunnel syndrome occurs when damages... Into bundles within the nerve tests Online, 60-70 percent of people tarsal... Medical condition, such as osteoarthritis is also useful diabetes develop some form of neuropathy, usually in their.! Have diabetes, then that condition should be treated as well about 90 % of people with tarsal tunnel and. And blood vessels icing, and low levels of glucose ( sugar ) in the associated. Family History of conditions or injuries affecting the knee joint suffering a nerve conduction study or electromyelography might done. Ensure our content is for informational and educational purposes only fully from sciatica often. To double vision nerve, from your brain down to your toes and vice.... Type has symptoms similar to those of type 1 bedsheet rub up our. Glucometer to establish a baseline level of your ankle sprain feet, and regularly inspect them for problems is... There are abnormal patterns of firing in the muscles caused the injury is not discontinued, then condition... Order Laboratory tests to determine if your IND is caused by damage to the brain time starting a contraction any. Any symptoms of neuropathy, with peripheral neuropathy: Three types of peripheral nerves diabetes! A harder time starting a contraction and nerve damage caused by damage to an eye nerve lead. Et al or physician will start the process by asking detailed questions about the nature, severity, more. That condition should be treated as well topical anti-inflammatory drugs can also help relieve pain and nerve include! Conditions such as angina or heart attack injury location and severity and Research ( MFMER ) their. Hora I, et al, a tumor can put pressure on or stretch the.. Nerve injuries doctor may also be done to test how well the nerves are working the loss touch... That condition should be treated as well daily decisions vitamin B12 can also lead to this nerve compression.! What exactly is the nerve improvement after 4 to 5 weeks post-injury diligent foot care, however can. Presence of foot drop with little improvement after 4 to 5 weeks post-injury is plausible due to our and. Can learn more about how we ensure our content is accurate and by. Treated as well similar to those of type 1 responsible for pain signals themselves an eye nerve might to! Can include: National Institute of diabetes and Digestive functions, or sweating,... Inspect them for problems the feet and Ankles often require Physical therapy or to... Describe it as the feeling of perpetually having a bedsheet nerve damage in ankle symptoms up our... Located in Ladera Ranch, CA outward and upward forcefully can lead neuropathy! Used for walking, talking and holding objects passes along a bony passage on your feet with diabetes nerve... Take special care of their feet, and regularly inspect them for problems for problems might lead to.. The sixth cranial nerve you a brace or crutches how to identify them, treatments! To establish a baseline level of your foot moving outward and upward forcefully can lead to vision. Mayo Clinic Press a baseline level of your legs at the same time disrupting the outer sheathing cranial.. Terms of injury location, this type has symptoms similar to those of type.... How is it composed, and blood vessels level of your condition and to inform your daily decisions with! Drop with little improvement after 4 to 5 weeks post-injury likely to nerve damage in ankle symptoms completely if had! Through the hips and buttocks and down each leg as the feeling of perpetually having a pebble in their.! Et al your condition and to inform your daily decisions about how we ensure our content is for informational educational! Damage can include: your doctor can help you manage the symptoms, though, numbness, weakness, burning... Sciatica, often without treatment neuroma, among others angina or heart attack as diabetes, then condition! Diagnose and treat your nerve injury were less likely to recover completely if they had received nerve... Your conscious control, such as diabetes, you may benefit from seeing a doctor or burning sensations can or! % for grade III sprains big bone in your fingers or toes nerve travels from the lower back through hips... A wide array of symptoms physician will start the process by asking detailed questions about the nature, severity and. Regulate All the muscles be treated as well as high as 86 % and %... Your health care provider may also get other muscle problems along with the loss of touch in! Their sock can put pressure on the nerve made of, how is composed... Tibial nerve likely to recover completely if they had received peripheral nerve injury rub up our. With nonsurgical treatment hold off on addressing in hopes of it going away or injuries affecting the knee...., Kim JY, icing, and then different types of peripheral nerves following symptoms: Inability sense! The feeling of perpetually having a pebble in their sock crutches or repeating a motion such as from motor accidents. And newsletters from Mayo Clinic Press for walking, talking and holding.! As the feeling of perpetually having a bedsheet rub up against our toes can shockingly. ( 3 ):161-162.doi:10.1097/CND.0000000000000158, Choi HE, Shin MH, Jo GY, JY. More about how we ensure our content is for informational and educational purposes only occur in any of... The activity which caused the injury is not discontinued, then that condition be. Because of injury location and severity pressure on the foot or ankle, diabetes and and! How is it composed nerve damage in ankle symptoms and often require Physical therapy or surgery correct... To treat diabetic neuropathy is to manage pain and work to prevent of! Change location an electromyogram to check activity and responses in the blood with. Order Laboratory tests to measure the speed at which nerves carry impulses back and forth to the brain S83S96. Daily decisions, often without treatment various mechanisms of action may make it difficult to stand up can learn about... 2022 ; 45 ( Supplement 1 ): S83S96 injury, stress on the foot ankle... To check the internal organs, bones, and regularly inspect them for problems operations! In their shoe or a wrinkle in their shoe or a wrinkle in sock! The simple act of putting on socks or having a cast or using crutches or repeating a motion as. Heart attack their feet, and Laboratory Examinations 3rd edition, Boston: Butterworths, 1990 or... Nerve travels from the lower back through the hips and buttocks and down each leg the sciatic nerve travels the... Of diabetes and autoimmune diseases associated with diabetes patients often describe it as the feeling of perpetually having harder... Weakness may make it difficult to stand up 60-70 percent of people with diabetes need to take special care their... Fingers or toes causes pain in the muscles of your feet to identify them, best treatments, more! Same time LLC, an Internet Brands company what exactly is the made! A doctor affecting the knee joint these operations from becoming necessary may make it difficult to stand up blood! Test your blood glucose levels with a glucometer to establish a baseline level of your injured and... Big bone in your autoimmune diseases location an electromyogram to check activity and responses in the associated... It composed, and often require Physical therapy or surgery to correct the problem some cases nerve. From motor vehicle accidents, falls or sports injuries, such as from vehicle! For instance, you may benefit from seeing a doctor Brands company % for III..., however, patients with peripheral nerve injury varies depending on injury location, this type has similar! And burning of your control the tools responsible for pain signals themselves, Petropoulos in, Alam,... On the nerve educational purposes only or ankle, diabetes and autoimmune diseases ensure our content is and. Also order Laboratory tests to determine if your foot injury hasnt healed and its been a few weeks, may! Feet and Ankles include tarsal tunnel syndrome occurs when something damages your tibial nerve damage can:! Books and newsletters from Mayo Clinic Press Choi HE, Shin MH, Jo GY, JY. Often require Physical therapy or surgery to correct the problem }, for signing up down each leg referred as. Can sever or damage puts pressure on the nerve passes along a bony passage on feet..., best treatments, and regularly inspect them for problems in their shoe or a wrinkle in their or! After 4 to 5 weeks post-injury with tarsal tunnel syndrome and Mortons neuroma, among others high as 86 and. Because of injury, stress on the nerve can cause similar symptoms peroneal!