Tarsal Tunnel Syndrome (TTS) is a condition that often goes undiagnosed, yet it can significantly impact one’s quality of life. The tarsal tunnel, situated along the inner side of the ankle, is a narrow space that houses various nerves, arteries, and tendons. Like carpal tunnel syndrome in the wrist, Tarsal Tunnel Syndrome involves compression of the tibial nerve within this confined space, leading to a range of symptoms and discomfort.

Causes of Tarsal Tunnel Syndrome

Several factors can contribute to the development of Tarsal Tunnel Syndrome. Understanding these causes is crucial for both prevention and early intervention:

Flat Feet or Overpronation

Individuals with flat feet or those who overpronate (roll their feet inward excessively) are more susceptible to Tarsal Tunnel Syndrome. The altered foot mechanics can lead to increased pressure on the tibial nerve.

Injuries or Trauma

An injury to the ankle or surrounding structures can result in inflammation and swelling, putting pressure on the tibial nerve within the tarsal tunnel.

Systemic Conditions

Certain systemic conditions, such as arthritis or diabetes, can contribute to the development of Tarsal Tunnel Syndrome. These conditions may cause inflammation, leading to compression of the tibial nerve.

Enlarged Veins or Cysts

Any condition that causes an enlargement of veins or the development of cysts within the tarsal tunnel can compress the tibial nerve and contribute to Tarsal Tunnel Syndrome.

Symptoms of Tarsal Tunnel Syndrome

Identifying the symptoms of Tarsal Tunnel Syndrome is crucial for seeking timely medical attention. Common signs include:

Pain and Numbness

Individuals with TTS often experience aching, burning pain, and numbness along the inner side of the ankle and the bottom of the foot.

Tingling Sensations

Many people with Tarsal Tunnel Syndrome report tingling sensations, like the feeling of “pins and needles.”


Muscle weakness in the affected foot is another symptom, making it challenging to perform activities that require strength and stability.

Radiating Pain

The pain associated with Tarsal Tunnel Syndrome may radiate to the arch of the foot, the toes, and even the calf.

Diagnosis and Treatment

If you suspect you may be experiencing symptoms of Tarsal Tunnel Syndrome, it’s crucial to seek professional medical advice. A podiatrist or foot specialist can perform a thorough examination, which may include imaging studies like X-rays or MRI to confirm the diagnosis.

Conservative Treatments

In many cases, conservative treatments are effective in managing Tarsal Tunnel Syndrome. These may include:

Rest and Elevation

Giving the foot adequate rest and elevating it can help reduce swelling.

Orthotic Devices

Custom orthotic devices can provide support and correct foot mechanics, reducing pressure on the tibial nerve.

Physical Therapy

Specific exercises can help strengthen the muscles and improve foot posture.


Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to alleviate pain and reduce inflammation associated with Tarsal Tunnel Syndrome.

Surgical Intervention

In severe cases or when conservative measures fail, surgical intervention may be recommended. The goal of surgery is to release the pressure on the tibial nerve within the tarsal tunnel.

Prevention and Lifestyle Modifications

While Tarsal Tunnel Syndrome may not always be preventable, certain lifestyle modifications can reduce the risk of developing this condition:

Wearing Proper Footwear

Choose shoes that provide adequate support, especially if you have flat feet or overpronation.

Maintaining a Healthy Weight

Excess weight can contribute to foot and ankle problems, so maintaining a healthy weight is beneficial.

Regular Exercise

Engage in regular foot-strengthening exercises and activities that promote good foot posture.

A Call to Action for Foot Health

Tarsal Tunnel Syndrome is a condition that requires attention and care. If you are experiencing any symptoms, it’s crucial not to ignore them. Seeking prompt medical attention can make a significant difference in managing the condition and preventing it from progressing.

Bayshore Podiatry is here to support you in your journey to foot health. If you suspect Tarsal Tunnel Syndrome or are experiencing any related symptoms, don’t hesitate to contact us at 813-877-6636 for a proper diagnosis. By properly managing your symptoms and taking the necessary steps to prevent future issues, you can continue to live an active and pain-free lifestyle.

Remember, your feet are the foundation of your mobility, and taking care of them is an investment in your overall well-being. Don’t let foot pain or discomfort limit your joy and activities, especially during the holiday season. Bayshore Podiatry is committed to helping you put your best foot forward!

Achilles Tendon
Ankle Pain
Ankle Sprains
Athlete's Foot
Arthritic Foot Pain
Diabetic Foot Treatment
Diabetic Shoes
Flat Feet
Foot and Ankle Fracture
Foot and Ankle Surgery
Foot Orthotics
Foot Pain
Fungal Toenails
Geriatric Foot Care
Hammer Toes
Heel Spurs
Heel Pain
Ingrown Toenails
Keryflex™ Nail Restoration System
Lapiplasty® 3D Bunion Correction
Leneva Injections
MLS Laser Therapy
Pediatric Foot And Ankle Care
Plantar Fasciitis
Plantar Warts
Sports Medicine
What is Podiartist
Wound Care Treatment