What Is Tarsal Tunnel Syndrome?
TTS occurs when the tibial nerve, which provides sensation and motor function to parts of the foot, becomes compressed or irritated within the tarsal tunnel—a narrow space formed by bone and ligament on the inside of the ankle. This tunnel contains nerves, arteries, and tendons that control movement and feeling in the foot.
Compression in this tunnel leads to symptoms along the sole of the foot and toes, affecting balance and walking. The syndrome is somewhat similar to carpal tunnel syndrome in the wrist but occurs in the foot. While not as commonly diagnosed, TTS can cause significant discomfort and mobility issues if left untreated [1].
We take a structured, multi-layered approach to Tarsal Tunnel Syndrome treatment by combining advanced diagnostics, lifestyle modifications, and progressive therapies to support your mobility and well-being.
Customized Treatment Plans
At Compass Pain and Wellness, we create personalized treatment plans, combining advanced therapies with lifestyle strategies to promote health. Our approach focuses on long-term relief, integrating treatments that fit seamlessly into your daily life. From targeted interventions to posture guidance and ergonomic support, we offer strategies to help improve mobility and reduce the risk of future issues.
Minimally Invasive Procedures
We prioritize non-invasive treatments and may incorporate advanced, minimally invasive techniques designed to ease discomfort and support the body’s natural healing process. These approaches can offer relief with minimal downtime, helping you return to daily activities more comfortably. Throughout your care, we provide ongoing guidance and support to promote positive outcomes.
Comprehensive Care
We take a comprehensive approach to all conditions—going beyond pain relief to support overall function. By combining advanced medical treatments with complementary therapies such as physical therapy, chiropractic care, and mindfulness techniques, we create personalized care plans tailored to your individual needs.
Lasting Relief
Our goal is to support not just immediate relief, but long-term health and sustainable symptom management. By addressing contributing factors behind your condition, we aim to improve function, reduce the risk of future flare-ups, and promote lasting mobility and well-being.
Understanding Tarsal Tunnel Syndrome: Signs And Symptoms
Common symptoms include:
- Burning, tingling, or numbness on the sole of the foot and toes.
- Sharp, shooting pain that may radiate up the ankle or leg.
- A sensation of “pins and needles” or electric shocks in the foot.
- Increased discomfort after prolonged standing, walking, or exercise.
- Weakness in foot muscles leading to difficulty with balance or toe movement.
Symptoms often worsen throughout the day and may improve with rest. The discomfort is typically localized to the inside of the ankle and sole of the foot, although the exact pattern can vary. Patients may confuse TTS with plantar fasciitis or neuropathy, making accurate diagnosis important [1].
What Causes Tarsal Tunnel Syndrome?
TTS can be caused by anything that puts pressure on or irritates the tibial nerve within the tarsal tunnel, including:
- Trauma or injury to the ankle (sprains, fractures).
- Swelling from arthritis or tendinitis.
- Flat feet or abnormal foot mechanics increasing pressure.
- Cysts, varicose veins, or bone spurs within the tunnel.
- Systemic conditions such as diabetes or inflammatory diseases [1].
In many cases, repetitive strain or biomechanical issues are the main contributors.
What Happens If Tarsal Tunnel Syndrome Is Left Untreated?
- Persistent or worsening foot pain and numbness.
- Progressive weakness of foot muscles.
- Difficulty walking or maintaining balance.
- Development of chronic nerve damage.
- Potential loss of foot function affecting daily activities.
Our Approach To Treating Tarsal Tunnel Syndrome
At Compass Pain and Wellness, the first treatment step will always be a detailed evaluation with your doctor to give you the answers you need. Next, our team will build a plan of care tailored to your specific pathology. This may involve advanced medical treatments as well as supportive therapies to address all aspects of your symptoms.
How We Diagnose Tarsal Tunnel Syndrome
Diagnosis begins with a detailed evaluation of your symptoms and medical history. We perform a physical exam focused on the foot and ankle, including Tinel’s test (tapping over the nerve to reproduce symptoms).
Imaging such as MRI or ultrasound can identify structural causes like cysts or inflammation compressing the nerve. Nerve conduction studies help confirm nerve dysfunction and localize the site of compression. Early diagnosis is essential for effective treatment [1].
Conservative Treatment Approaches
Physical Therapy
Physical therapy improves strength, flexibility, and mobility while addressing pain from injury or chronic conditions.
Acupuncture
Acupuncture stimulates targeted points on the body to reduce pain, support healing, and restore energy balance.
Massage
Massage therapy eases muscle tension and improves circulation to support pain relief and overall well-being.
Chiropractic Care
Chiropractic care improves spinal alignment and joint function to reduce pain and enhance physical mobility.
Shockwave Therapy
Shockwave therapy to stimulate tissue repair and reduce inflammation.
TECAR Therapy
TECAR therapy to enhance circulation and reduce swelling.
Orthotic Devices
Orthotic devices to support the arch and relieve nerve compression.
Advanced Treatment Approaches
Targeted Corticosteroid Injections
Targeted corticosteroid injections to reduce nerve inflammation.
Platelet-rich Plasma (PRP) Injections
Platelet-rich plasma (PRP) injections to promote healing of the nerve and surrounding tissues.
Ultrasound-guided Nerve Hydrodissection
Ultrasound-guided nerve hydrodissection to free the nerve from adhesions.
Surgical Decompression
Surgical decompression to relieve nerve entrapment when conservative measures fail [1].
References
- Takakura, Y., et al. (2017). Tarsal Tunnel Syndrome: Clinical Features and Surgical Treatment. Journal of Foot and Ankle Surgery, 56(5), 1013-1017.
Our Providers
Meet our experienced and compassionate team of doctors who specialize in helping you manage your condition. With a patient-centered approach, our doctors work to understand your unique needs and provide compassionate, personalized care. Trust our providers to guide you on your journey to better health and improved well-being.
