Tarsal tunnel syndrome is caused by compression of the tibial nerve as it travels through a narrow space on the inside of the ankle. This area, known as the tarsal tunnel, contains tendons, blood vessels, and the nerve that supplies sensation to the bottom of the foot. When the tibial nerve becomes irritated or compressed, it can lead to a range of uncomfortable symptoms. This condition is considered an unusual form of peripheral neuropathy because it affects nerve function and sensation in the foot.

Common symptoms include pain, numbness, tingling, and a burning sensation along the bottom of the foot or around the ankle. Some individuals may also experience muscle weakness or damage in the foot if the condition progresses. The discomfort may worsen with prolonged standing or walking and improve with rest. These symptoms can interfere with daily activities and reduce overall mobility if not addressed early.

Several causes and risk factors contribute to the development of tarsal tunnel syndrome. Swelling from an injury, such as an ankle sprain, can place pressure on the tibial nerve. Other causes include flat feet, varicose veins, or inflammation from chronic conditions. Risk factors include repetitive stress, wearing improper footwear, and occupations that require long periods of standing. Structural abnormalities in the foot can also increase the likelihood of nerve compression.

Early recognition and proper management can help prevent long-term complications. Treatment often focuses on reducing pressure on the nerve and improving foot alignment. Wearing supportive footwear, rest, and targeted exercises may help relieve symptoms. Addressing the underlying cause is essential for long-term relief and improved function. 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 Massimo Pietrantoni, DPM of Rochester Podiatry, LLP. 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 one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.