What is Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve, which runs through a narrow space (the tarsal tunnel) near the inside of the ankle, becomes compressed. This compression can lead to pain, numbness, and tingling in the foot and ankle.

Causes of Tarsal Tunnel Syndrome

  • Injury: Trauma to the ankle or foot can lead to swelling and pressure on the nerve.

  • Overuse: Repetitive activities, especially those that involve prolonged standing or high-impact sports, can contribute to nerve compression.

  • Foot Deformities: Conditions like flat feet or swollen tissue can narrow the tarsal tunnel and irritate the nerve.

  • Medical Conditions: Conditions such as diabetes or arthritis can increase the risk of tarsal tunnel syndrome.

Common Symptoms

  • Pain, burning, or tingling sensations in the sole of the foot

  • Numbness that may radiate to the toes

  • Weakness in the foot muscles

  • Increased sensitivity to touch

How a Podiatrist Can Help

Podiatrists specialize in diagnosing and treating tarsal tunnel syndrome. Here’s how they can assist:

  1. Diagnosis: A thorough examination of the foot and ankle, including tests to assess nerve function, and imaging studies like X-rays or MRIs to evaluate the tarsal tunnel.

  2. Non-Surgical Treatments:

    • Rest: Reducing activities that aggravate symptoms to allow the nerve to heal.

    • Physical Therapy: Exercises to improve flexibility and strengthen the muscles around the ankle.

    • Ice and Compression: To reduce swelling and relieve pain.

    • Orthotics: Custom shoe inserts to provide support and alleviate pressure on the nerve.

  3. Minimally Invasive Treatments: Corticosteroid injections may be used to reduce inflammation and relieve pain.

  4. Surgical Options: If conservative treatments do not provide relief, surgery may be recommended to relieve pressure on the nerve by decompressing the tarsal tunnel.

Why Seek Help?

If you are experiencing pain, tingling, or numbness in your foot or ankle, consulting a podiatrist can help you get a proper diagnosis and effective treatment. Early intervention is key to managing tarsal tunnel syndrome and preventing further complications, allowing you to return to your daily activities with comfort