What Is Tarsal Tunnel Syndrome?
The tarsal tunnel is a small space on the inner side of the ankle that includes veins, arteries, tendons, and nerves. In tarsal tunnel syndrome, the posterior tibial nerve located within the tarsal tunnel is the main area affected. The condition occurs when the nerve is compressed, similar to carpal tunnel syndrome, and can be caused by a number of factors, such as strain from flat feet, inflammation from an injury, and swelling from a disease. Symptoms of the condition typically include:
- Tingling or burning sensation
- Numbness
- Pain
These symptoms may be sudden or develop with time. They are most commonly felt on the inside of the ankle or on the bottom of the foot.
Treatment for Tarsal Tunnel Syndrome
Early treatment is important for preventing permanent nerve damage from tarsal tunnel syndrome. A physical exam will be performed to assess the area and determine if there is any numbness. Once the cause and severity of the syndrome have been established, the most appropriate treatment options will be discussed with you. Non-surgical treatment can often improve tarsal tunnel syndrome, and may include the following options:
- Immobilizing the ankle with a cast to encourage healing
- Physical therapy to improve symptoms
- Injections for pain relief and to reduce inflammation
- Orthotic devices or supportive shoes
- Wearing a brace to reduce pressure
Depending on the cause of your tarsal tunnel syndrome, surgery may be recommended for long-term relief. More details about your personalized treatment plan will be discussed during your consultation.
