Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a painful foot condition caused by compression of the posterior tibial nerve as it passes through the ankle's narrow tarsal tunnel.

Symptoms

• Numbness, burning, or tingling in the sole of the foot
• Sharp shooting pains in the heel or toes

Causes & Risk Factors

Compression typically results from anatomical variations or mechanical stress. Risk factors include flat feet, ankle swelling from arthritis or injury, and prolonged standing or high-impact athletic activities.

Diagnosis

Premier Orthopaedics specialists diagnose this condition through a physical foot examination, nerve sensitivity testing (Tinel's sign), and specialized electrodiagnostic studies like an EMG or nerve conduction study.

Treatment

Initial care focuses on reducing pressure using custom orthotics, anti-inflammatory medications, physical therapy, or corticosteroid injections. If conservative methods fail, surgical release of the compressed nerve may be recommended to restore normal function.