
Tarsal tunnel syndrome develops when the tibial nerve becomes compressed as it passes through the tarsal tunnel on the inside of the ankle. This narrow space is formed by bone and soft tissue, and it protects important nerves and tendons that supply the foot. When the tibial nerve is irritated or damaged, it can disrupt normal sensation and movement. Tarsal tunnel syndrome is similar to other nerve compression disorders and can significantly affect daily activities if left untreated.
Symptoms of tarsal tunnel syndrome often include pain in the ankle, the bottom of the foot, and the toes. This pain may feel sharp, burning, or tingling and can worsen with prolonged standing or walking. Some individuals experience numbness or a pins and needles sensation that radiates along the sole. Weakness in the foot muscles may also develop, which can affect balance and stability. Symptoms may come and go at first but often become more persistent.
Several causes can lead to compression of the tibial nerve. Injury to the ankle, such as a sprain or fracture, may create swelling that places pressure on the nerve. Flat feet can increase strain by causing the foot to roll inward, which tightens structures around the tunnel. Other causes include cysts, varicose veins, or inflammation that reduces the available space for the nerve. Any condition that alters the anatomy of the ankle can increase the risk of nerve compression.
Risk factors for tarsal tunnel syndrome include repetitive stress on the foot, poor biomechanics, and underlying health conditions that affect nerve function. Individuals with diabetes or arthritis may be more susceptible due to inflammation or nerve sensitivity. Wearing unsupportive footwear and engaging in high-impact activities can also contribute to the problem. If you have symptoms of 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 one of our podiatrists of North Penn Podiatry. Our doctors 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 offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.



