Tarsal Tunnel Syndrome Specialist

What is tarsal tunnel syndrome?

Tarsal tunnel syndrome is a condition in which your tibial nerve is compressed inside the tarsal tunnel located in your inner ankle. 

Similar to carpal tunnel syndrome, tarsal tunnel syndrome involves pinching or squeezing of your tibial nerve which supplies sensation to your inner ankle and foot. When your tibial nerve is compressed, it causes:

• Tingling or burning in the ankle or foot
• Numbness in the ankle or foot
• Pain in the ankle or foot

Depending on where in your ankle your tibial nerve is compressed, you can experience symptoms in a single area or along the length of the nerve. Based on your symptoms, the team determines where the nerve is compressed and what solutions are best for your particular case.

What causes tarsal tunnel syndrome?

Tarsal tunnel syndrome is caused by any condition that puts pressure on your tarsal tunnel and tibial nerve. Possible causes are:

• Flat feet, which can overstretch the bones in your feet and put pressure on your nerve
• A cyst, varicose vein, or bone spur near your tarsal tunnel
• Injuries to the ankle, like a sprain
• Systemic diseases that cause swelling, like diabetes and arthritis

If the condition isn’t treated, it can become progressive and cause permanent damage to your tibial nerve, which may lead to chronic pain and discomfort.

How is tarsal tunnel syndrome diagnosed?

To diagnose tarsal tunnel syndrome, your podiatrist begins by examining your ankle and applying pressure to different areas to try to trigger symptoms. 

If necessary, your podiatrist may take X-rays or perform nerve testing like electromyography (EMG) or a nerve conduction velocity (NCV) test.

Based on the results of your exam, your podiatrist explains the cause of your symptoms and outlines treatment options.

How is tarsal tunnel syndrome treated?

Many cases of tarsal tunnel syndrome can improve with nonsurgical treatments like:

• Rest
• Ice
• Non-steroidal anti-inflammatory medications
• Immobilization through casting or bracing
• Physical therapy
• Corticosteroid injections
• Custom orthotics
• Change in footwear

For some cases of tarsal tunnel syndrome, surgery is recommended. Discuss your options with the team to determine which treatment plan is best for your symptoms and lifestyle.

Find out if your ankle or foot pain is caused by tarsal tunnel syndrome by calling the office or scheduling a visit online now.