Tarsal tunnel syndrome is a nerve compression condition that affects the posterior tibial nerve as it travels through a narrow space on the inside of the ankle. This tunnel is formed by bone and soft tissue, and when pressure builds within this area, the nerve becomes irritated. This condition is often compared to carpal tunnel syndrome in the wrist, but it affects the foot and ankle. Because symptoms can resemble other foot conditions, an accurate diagnosis is essential for effective treatment and long term relief.

Common symptoms include tingling, numbness, and sharp or shooting pain along the inside of the ankle or the bottom of the foot. These sensations may worsen with prolonged standing or walking. Many patients report that symptoms feel similar to plantar fasciitis, especially when heel pain is present. Others may confuse it with diabetic neuropathy due to the presence of nerve related discomfort, such as numbness or tingling. This overlap can delay proper care if not carefully evaluated.

Several causes and risk factors contribute to the development of tarsal tunnel syndrome. These include flat feet, ankle injuries, and space occupying masses such as cysts. Individuals with biomechanical imbalances or chronic conditions that affect circulation or nerve health may also be at increased risk. Repetitive stress and prolonged weight bearing activities can further aggravate the nerve and worsen symptoms over time.

Early evaluation and proper diagnosis is vital in managing this condition effectively. A podiatrist can differentiate between similar conditions and recommend appropriate treatment options to relieve pressure on the nerve. Addressing the underlying cause can help prevent progression and improve daily function. If you have symptoms related to tarsal tunnel syndrome, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Genine Befumo, DPM of University Foot and Ankle Center, L.L.C. 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 Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.