You description of the symptoms is better than most. I would consider a diagnosis of Tarsal Tunnel syndrome. In order to confirm my susoicion I would inject a small amount of local anesthetic in the area of the posterior tibial nerve. If the pain is relieved relatively quickly, then I have a better idea. Then I would inject a steroid such as Celesxtone Soluspan and go from there. As far as the Nerve conduction test showing this, sometimes it dpes not show the sensory component.
Posted By Vivian Abrams DPM on June 21, 2003 at 19:25:03: