Sinus Tarsi Syndrome: Causes, Diagnosis and Treatment

One time while I was still giving piano lessons at a local high school, one of my students complained about having a sprained foot. It was later discovered that he had sinus tarsi syndrome or STS.  I just remembered that student now because one of my friends cancelled our appointment because of the same reason. That stirred my curiosity about this syndrome.

STS is a condition that causes persistent tenderness and pain in the sinus tarsi region due to inflammation. The sinus tarsi region is a small cavity located outside the hind foot, in between the heel bone and the talus. If treated immediately, quick recovery can be expected; otherwise, it can lead to severe and chronic pain.

There are several factors that can cause STS. One common factor is when a person experiences a sprained ankle or strain from regular walking or running on flat foot. Sprain causes instability and excessive movement of the sinus tarsi area leading to inflammation and formation of scar tissue. STS can develop after a single sprain or repeated sprains. Additionally, people with flat feet or over-pronated feet are also prone to STS. That is because these abnormal foot biometrics cause more pressure in the sinus tarsi area. Ballet and sitting down with tucked feet underneath are also among the reasons why a person may develop STS.

The best way to diagnose STS is through an MRI scan. Some doctors may also inject corticosteroids and local anesthetic in the sinus tarsi region. If the symptoms cease, it indicates that a person has STS. The temporary relief from the injection is normally short-lived and further treatment is needed. However, if the symptoms remain after the injection, it indicates another problem and is not STS.

If there is a positive diagnosis for STS at an early stage, full recovery can be accomplished in just a couple of weeks. But if the problem is not treated early on, the pain could linger for many months.

Here are some ways on how to care and treat STS:

  • Rest – rest is essential for STS patients. Any activities that involve leg movement might trigger the pain and must be avoided. You may also have to use an ankle brace or crutches for a short time. Most patients normally experience prolonged pain because they are unable to rest and avoid aggravating activities.
  • NSAIDs – your doctor may also prescribe NSADs to reduce inflammation and pain.
  • Ice – You can temporarily alleviate the pain by massaging ice on the affected area for several minutes.
  • Others – other treatments include physiotherapy, joint mobilizations, exercises that can strengthen the sinus tarsi, and wearing of supportive footwear.  In rare instances, surgery might also be necessary if the symptoms still persist despite trying all other procedures and treatment.  Surgery may involve the removal of chronic synovitis or inflammation as well as the scar tissues. The ligaments in the subtalar joint may also need to be reconstructed.

STS may bring discomfort and too much pain on a patient. In some instances, it can prevent the person from doing his normal activities. But by early detection and treatment, this condition will settle down in less than a month.

Getting to Know More about INFJ Personality

Over the years in my teaching career, I have the opportunity to be around students possessing different types of personalities. I have personally encountered students who are sensitive and shy while others are bashful, loud, assertive, and are natural leaders. I know that there are many other types of personalities. In fact, I have read about the 16 personality types as classified by the Myers-Briggs Type Indicator (MBTI) personality inventory.

One of the personality types that have caught my attention is that of INFJ which stands for introverted, intuitive, feeling and judging. It is said that these qualities are the personalities of a counselor. It is one of the types of personality that I look up to.

The INFJ personality has both strengths and weaknesses. Generally, they are warm, caring and affirming people who are sensitive to the needs and feelings of others. They are dedicated to invest their time and effort to make INFJ relationships a lifelong and ultimate success. Most of them also have good communication skills and are good listeners. They are also perfectionists and more often set a high expectation for themselves and other people. This attitude, however, can also be their weakness in certain circumstances.

On the other hand, people with an INFJ personality may have difficulty in managing finances and dealing with practical daily life. They also have the potential to hold back themselves and show what they really feel especially if doing so may hurt other people. Additionally, they are extremely against criticisms and conflicts.

Both the strengths and weaknesses of INFJs play an important role in their relationship with their family, friends and partners. As a friend, they are valued for being caring, warm and good listeners. They also care for the health of their friendship, so they tend to invest much on their friendship to create and maintain a positive relationship.

As lovers, INFJs are expressive of their love and affection and in return may also expect affirmation. They are warm and considerate to their mates and always strive to make them happy. They believe in a perfect relationship and always aim to develop it. Sometimes, because of this goal they can also become very demanding to their mates, causing them to back-off in the relationship. There are also instances where they tend to jump from one relationship to another to find that perfect mate.

Although any personality type can have a successful and healthy relationship, ideal partners for INFJ based on MBTI are those with ENTP (extraverted, intuitive, thinking and perceiving) and ENFP (extraverted, intuitive, feeling and perception). This rule may not be true at all times and it is just based on the principle that opposites attract. As INFJs are introverted, they are best matched with extroverted personalities.

The INFJ personality has both good and bad sides which can also impact their relationship with other people especially those close to them. Understanding more about their personality can help you deal with them and develop a strong relationship with them even if you do not have an ENTP or ENFP personality.