
Tarsal tunnel syndrome is a nerve condition that develops when the posterior tibial nerve becomes compressed as it travels through a narrow passage near the inside of the ankle. This tunnel is located between the ankle bone and the surrounding soft tissues, with the nerve continuing into the foot. When pressure affects the nerve, symptoms can develop along the inner ankle, heel, and bottom of the foot. People may experience tingling, numbness, or shooting pain.
Several factors can contribute to tarsal tunnel syndrome. An ankle injury or swelling may increase pressure around the nerve. Flat feet can also change foot alignment and place additional strain on the nerve whle walking. Other risk factors include repetitive activity, arthritis, and abnormal foot mechanics. Some people describe a burning sensation that travels from the inside of the ankle toward the sole of the foot. In more advanced cases, numbness or weakness may affect normal foot function.
A podiatrist can evaluate symptoms and determine whether tarsal tunnel syndrome is causing the discomfort. The examination may include reviewing medical history, checking sensation, and observing walking mechanics. The podiatrist may also perform specific nerve assessments and recommend imaging or nerve testing when appropriate. Treatment depends on the underlying cause and may include activity modification, supportive footwear, or measures to reduce swelling and pressure surrounding the nerve. Treating an underlying foot or ankle problem can also help reduce nerve irritation.
Early evaluation may help prevent consistent nerve compression from interfering with walking and daily activities. Persistent tingling or burning should not be dismissed as ordinary foot fatigue, particularly when symptoms repeatedly occur in the same area. A personalized treatment plan can address both the nerve irritation and the mechanical factors contributing to symptoms. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Jennifer Swan, DPM of Right Step Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.
Common Cause of Tarsal Tunnel Syndrome
- Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
- Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
- At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.
The Effects of Tarsal Tunnel Syndrome
- Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
- The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
- If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.
A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.
If you have any questions please contact our office located in Westerville, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.



