Hi, I have been dx with tarsal tunnel symdrome. I have had tarsal tunnel release a week ago. I am still not sure that I have a nerve compresssion problem or not. Too early to tell about the surgery. If this surgery does not help then I must be having a different peripheral neroprothy issue. If so what is a good all in one supplement/vitamin and what tests should I get my nero to do? My symptoms are burning, numbness, pain, cold feet. Any help would be appreciated.....

Welcome to NeuroTalk:

Well, first thing I'd do since you have recently had surgery is take 1000mg of Vit c a day. There are several studies in UK about preventing RSD (a form of neuropathy) that occurs after surgery or trauma to the foot or wrist. This has to be for 2 months.
It will speed the healing as well.

All in one products are not really a good idea. They rarely have useful doses for everyone, and some even have useless things mixed with one or two useful ones.

I suggest you look at the information in our subforum to get an idea of what to do.
http://neurotalk.psychcentral.com/forum119.html

Do you know what is causing your compression? Is it diabetes?
Or a thyroid problem?

Thanks.... At this point I am not sure what is causing the problem. I am not diabetic. My left foot started hurting about 14 months ago and has progressively gotten worse. Now my right foot is showing some of the symptoms as well. So is it a coincidence to get it in both feet or is it a systemic problem? What tests should I ask for?

Also, I had my b-12 checked back in Dec. and it was 357. Is that about normal?

Sorry... not normal. I'd start now on 5mg methylcobalamin each morning on an empty stomach. Do this for 3 months, and have a retest.... you should be over 1000 by then.

I'd hold off on the other foot for now. RSD which is a terrible chronic pain condition that is not understood well, seems to come to feet and wrists that have had trauma/surgery. It affects the sympathetic nerves, and creates terrible pain. RSD spreads, and will mirror to the other side of the body. So if you have left foot issue, it might show up on the right.

I'd really do the Vit C also...
http://www.ncbi.nlm.nih.gov/pubmed/19840748
This is just one paper, on PubMed on this subject. Work has been done in UK on this since early 2000's.

EsterC is easier to tolerate, a bit more expensive, but worth it I think. So I think you should immediately start methylcobalamin and Vit C as beginning interventions.

Here is my B12 thread:
http://neurotalk.psychcentral.com/thread85103.html

Since the early 2000's the new lowest normal has become 400 in the US for B12 serum tests. Not all doctors are aware of this.
the link :
http://www.aafp.org/afp/2003/0301/p979.html
This link is in that thread, and also another by Dr. Snow MD at post #70... both were done for doctors Continuing Education, but laymen can understand them too.

It is best to start slowly with supplements at a level that your own history shows a weakness and need. You can always later add in things if you desire. B12 can be very effective for those with low levels in testing.

Methylcobalamin is the active form of B12...it is not commonly found in stores. But iherb.com , Swanson's and Puritan's pride all have it very reasonably priced. I tested out Puritan's last spring with great success, so now I use their brand. It is pennies a day. Can't beat that price!