Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a painful condition that occurs when the posterior tibial nerve is compressed in the tarsal tunnel – a narrow space on the inside of the ankle. This pressure disrupts normal nerve and muscle function, leading to ongoing foot and ankle pain.

Much like carpal tunnel syndrome in the wrist, this form of tunnel syndrome arises from nerve compression in a confined space. If left untreated, it may cause severe symptoms or even permanent nerve damage.

At Advance Foot Clinic Podiatry, we provide tarsal tunnel syndrome treatment, combining proven techniques with professional care to relieve symptoms and restore mobility.

Tarsal

Tarsal tunnel syndrome symptoms

Common tarsal tunnel syndrome symptoms include:

  • Tingling sensation or burning in the inner ankle or sole.
  • Electrical shock numbness pain in the heel, arch, toes, or calf.
  • Shooting pain symptoms that worsen with activity.
  • Persistent foot pain or ankle pain.

Ignoring these signs may result in tibial nerve dysfunction and long-term nerve damage.

How podiatrists diagnose tunnel syndrome

A correct diagnosis is vital for effective tarsal tunnel syndrome treatment. At Advance Foot Clinic, our podiatrists may use:

  • A physical examination to assess foot and ankle function.
  • Nerve conduction studies or nerve conduction velocity tests.
  • Imaging to check for an abnormal structure.
  • Gait assessment to evaluate muscle function.

Podiatrists can rule out differential diagnoses such as Posterior Tibial Tendon Dysfunction, tendonitis, ligament sprain and arthritis.

What causes tarsal tunnel syndrome?

Tarsal tunnel syndrome can occur for several reasons:

  • Flat feet or fallen arches that stretch and compress the tibial nerve.
  • An enlarged or abnormal structure, such as a ganglion cyst, swollen tendon, arthritic bone spur, or varicose veins.
  • Injury such as an ankle sprain that can produce inflammation and swelling.
  • Systemic diseases such as diabetes or arthritis.
  • Prolonged standing, repetitive strain, or overuse injury.
  • Congenital conditions like tarsal coalition.

Each factor can narrow the tunnel, leading to tarsal tunnel syndrome symptoms that worsen without early intervention.

Who is at risk of developing tarsal tunnel syndrome?

While anyone can be affected, the risk is higher among:

  • Athletes and runners who put repeated stress on foot and ankle function.
  • Workers whose jobs involve prolonged standing.
  • People with flat feet or structural imbalances.
  • Adults with systemic diseases.
  • Those with a history of injury or nerve damage in the ankle.

Tarsal tunnel syndrome treatment options

Effective tarsal tunnel syndrome treatment depends on severity, underlying cause, and response to care.

Treat tarsal tunnel syndrome with self-care

Many mild cases improve with tarsal tunnel syndrome self-care, such as:

  • RICE method – rest, ice, compression, elevation to reduce swelling.
  • Supportive footwear and orthotics to limit excessive motion.
  • Activity modification to reduce aggravating movements.
  • Nonsteroidal anti-inflammatory drugs for short-term relief.

Our podiatrists often combine these tarsal tunnel syndrome self-care measures with professional support to prevent worsening.

Nonsurgical podiatry treatments

If tarsal tunnel syndrome self-care isn’t enough, podiatrists may recommend:

  • Custom orthotics to support biomechanics.
  • Ankle strapping/bracing
  • Moon Boots
  • Physical therapy modalities such as stretching, strengthening, or ultrasound therapy.
  • Soft tissue massage to release tension.
  • Injection therapy, such as steroid injections.
  • Advanced approaches like laser therapy.

Surgical treatment

For persistent or severe symptoms, a foot and ankle surgeon may perform a tarsal tunnel release, surgically relieving pressure on the tibial nerve. Surgery is usually a last resort after other tarsal tunnel syndrome treatment options have failed.

Recovery – how long does it take?

  • Mild cases: weeks with tarsal tunnel syndrome self-care and conservative care.
  • More complex cases: several months, especially if an enlarged or abnormal structure is involved.
  • Surgery: up to several months, followed by physical therapy to restore ankle function.

Acting quickly with early treatment reduces the risk of permanent nerve damage and ensures better long-term results.

Preventing tarsal tunnel syndrome

  • Wear supportive footwear to protect foot and ankle function.
  • Use orthotics if you have flat feet.
  • Stretch and strengthen your foot muscles.
  • Manage underlying systemic diseases.
  • Avoid overuse injury by pacing activity.

When to see a podiatrist or ankle surgeon

Book an appointment if you notice:

  • Persistent tarsal tunnel syndrome symptoms like tingling, burning, or numbness.
  • Ongoing foot pain or ankle pain.
  • Worsening discomfort despite tarsal tunnel syndrome self-care.
  • Concerns about possible nerve damage.

Frequently asked questions about tarsal tunnel syndrome

Mild cases may improve with consistent tarsal tunnel syndrome self-care, but professional input ensures symptoms don’t progress.

Both cause foot pain, but plantar fasciitis typically affects under the heel, rather than the ankle.

No – most people improve with tarsal tunnel syndrome self-care and conservative podiatry options before surgery is considered.

Your trusted partner for foot health

Why choose Advance Foot Clinic Podiatry?

Clinics in Arana Hills, Bellbowrie, Chermside, The Gap, and Mount Isa.

Expertise in diagnosing and providing effective tarsal tunnel syndrome treatment.

Personalised plans that combine tarsal tunnel syndrome self-care with professional therapies.

A friendly, professional team dedicated to reducing pain and restoring mobility.

Book your appointment today

Don’t let tarsal tunnel syndrome limit your lifestyle. If you’re dealing with tarsal tunnel syndrome symptoms, our team can provide tailored tarsal tunnel syndrome treatment and guide you through effective tarsal tunnel syndrome self-care strategies.

Call us today or book online to start your recovery journey.