Tarsal Tunnel Syndrome

Restore Comfort in Your Feet With Specialized Tarsal Tunnel Treatment

Tarsal Tunnel Syndrome occurs when the tibial nerve is compressed as it travels through the tarsal tunnel—a narrow passageway on the inside of the ankle. This compression can cause burning, tingling, numbness, or sharp pain in the foot and toes. Just like Carpal Tunnel Syndrome affects the wrist, Tarsal Tunnel Syndrome affects the nerve pathways of the ankle and foot. At iMsk & Spine Group, we understand how frustrating and limiting these symptoms can be. Our team provides warm, patient-centered care focused on relieving nerve pressure, restoring comfort, and helping you return to pain-free movement.

What Is Tarsal Tunnel Syndrome?

The tarsal tunnel is a tight space made up of bone and ligament structures. When swelling, inflammation, or structural changes reduce the available room in this tunnel, the tibial nerve becomes compressed. This pressure interferes with normal nerve function and can progressively worsen if untreated.

Many cases develop gradually, while others follow ankle injuries, swelling, or repetitive strain. Because symptoms are often mistaken for plantar fasciitis or neuropathy, proper diagnosis is essential.

Common Causes

Tarsal Tunnel Syndrome may be triggered by:

  • Flat feet or fallen arches
  • Ankle sprains or injuries
  • Arthritis or joint inflammation
  • Tendonitis
  • Varicose veins pressing on the nerve
  • Diabetes-related nerve sensitivity
  • Posture or gait abnormalities
  • Repetitive standing or walking

At iMsk & Spine Group, we evaluate the root cause to build the most effective treatment plan.

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Symptoms of Tarsal Tunnel Syndrome

Symptoms often mirror those of carpal tunnel but occur in the ankle and foot:

Sensory Symptoms

  • Burning sensations in the foot or arch
  • Tingling or “pins and needles”
  • Numbness in the sole, heel, or toes
  • Electric-shock sensations

Pain Symptoms

  • Sharp or shooting pain in the ankle or bottom of the foot
  • Pain that worsens with standing, walking, or activity
  • Symptoms that may worsen at night

Motor Symptoms

  • Weakness in foot muscles (in advanced cases)
  • Difficulty pushing off the foot during walking

How We Treat Tarsal Tunnel Syndrome

We provide comprehensive, non-surgical treatment options focused on relieving nerve pressure and reducing inflammation.

Conservative Treatments

  • Ice or heat therapy
  • Anti-inflammatory medications
  • Ultrasound therapy or manual therapy techniques

Anti-Inflammatory Measures

  • Targeted Injections: Reduce inflammation and relieve pressure on the median nerve.
  • Ultrasound-Guided Treatments: For precise, effective relief.

Interventional Treatments

  • Targeted nerve or corticosteroid injections to reduce swelling and relieve pressure.
  • Ultrasound-guided procedures for enhanced precision.

Advanced Care Options

If symptoms persist or nerve damage progresses, we coordinate further evaluation for advanced interventions. Our team supports you through every step of the healing process.

Tarsal Tunnel Syndrome FAQ

Is Tarsal Tunnel Syndrome similar to Carpal Tunnel Syndrome?

Yes. Both conditions involve nerve compression, but Tarsal Tunnel affects the tibial nerve in the ankle rather than the median nerve in the wrist.

Can Tarsal Tunnel Syndrome heal without surgery?

Many patients improve with conservative treatments such as orthotics, physical therapy, and targeted injections. Surgery is only considered when conservative care does not provide relief.

How do I know if my foot pain is from Tarsal Tunnel Syndrome or something else?

Because symptoms overlap with plantar fasciitis, neuropathy, and tendonitis, a detailed exam and possibly nerve testing are needed for an accurate diagnosis.

What makes symptoms worse?

Standing for long periods, walking uphill, wearing unsupportive shoes, swelling from injuries, or repetitive ankle strain may worsen nerve compression.

Is Tarsal Tunnel Syndrome more common in people with flat feet?

Yes — flat feet can increase pressure on the tibial nerve, making the condition more likely.

How long does recovery take?

Many patients notice improvement within weeks to months depending on severity, adherence to therapy, and lifestyle changes.
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