Your Total Foot Care

Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome (TTS), often referred to as the “carpal tunnel of the foot,” is a condition that affects the tibial nerve as it passes through a narrow space behind the inner ankle bone. This tunnel is formed by bones and tissues, creating a pathway for various structures including nerves, veins, and tendons. TTS can be mysterious due to its similarity in symptoms to other foot conditions like plantar fasciitis or neuropathy.


The symptoms of Tarsal Tunnel Syndrome can be puzzling, as they often overlap with those of other foot disorders. Common signs include:

  • Pain and Burning Sensation: Individuals with TTS frequently experience a burning or tingling sensation along the inner ankle and sole of the foot.
  • Numbness: Numbness in the sole of the foot and toes can indicate nerve compression within the tarsal tunnel.
  • Radiating Pain: Pain may radiate upward into the calf and even the arch of the foot, resembling the discomfort of plantar fasciitis.
  • Weakness: Muscular weakness in the affected foot might be noticeable, hindering one’s ability to perform everyday activities.


Several factors can contribute to the development of Tarsal Tunnel Syndrome:

Anatomical Factors: 

The anatomy of the tarsal tunnel can play a role in the development of the syndrome. Some individuals may naturally have a narrower tunnel, which can increase the risk of nerve compression.

Flat Feet or Overpronation: 

People with flat feet or excessive pronation (inward rolling of the foot) can experience increased pressure on the tibial nerve as it passes through the tarsal tunnel.

Injuries or Trauma: 

Ankle injuries, fractures, or direct trauma to the tarsal tunnel area can lead to inflammation and swelling, potentially compressing the tibial nerve.

Swelling or Fluid Retention: 

Conditions such as edema (fluid retention) due to pregnancy, obesity, or certain medical conditions can cause increased pressure within the tarsal tunnel and result in nerve compression.

Systemic Diseases: 

Certain systemic conditions like diabetes, which can lead to nerve damage (neuropathy), may increase the susceptibility to nerve compression in the tarsal tunnel.

Tumors or Masses: 

Abnormal growths, tumors, or cysts in the tarsal tunnel area can put pressure on the tibial nerve, leading to symptoms of Tarsal Tunnel Syndrome.

Arthritis or Inflammatory Conditions:

 Inflammatory conditions such as rheumatoid arthritis can cause swelling and inflammation in the tarsal tunnel, contributing to nerve compression.

Repetitive Stress: 

Activities that involve repetitive motions or prolonged standing can cause irritation and inflammation in the tarsal tunnel, leading to compression of the tibial nerve.


Wearing tight or ill-fitting footwear can contribute to compression of the tibial nerve and increase the risk of Tarsal Tunnel Syndrome.


Overuse of the foot and ankle, especially without proper rest and recovery, can lead to inflammation and pressure on the tibial nerve within the tarsal tunnel.

It’s important to note that Tarsal Tunnel Syndrome can have multiple contributing factors, and a combination of these factors may lead to its development. If you suspect you have Tarsal Tunnel Syndrome or are experiencing symptoms such as pain, numbness, or tingling in the foot and ankle, it’s advisable to seek medical attention for an accurate diagnosis and appropriate treatment.


Diagnosing TTS is complex, often involving a combination of medical history, physical examination, EMG (Electromyography), and sometimes imaging tests like MRI or nerve conduction studies. 

Consulting a podiatrists is essential to obtain an accurate diagnosis. You can book an appointment to your podiatrist for diagnosis.

Treatment Options:

The good news is that Tarsal Tunnel Syndrome is treatable. The path to relief might involve a blend of conservative and medical interventions:

  • Rest and Ice: Like any overuse injury, rest and ice can help alleviate symptoms by reducing inflammation.
  • Orthotic Devices: Customized shoe inserts can help support the foot’s arch, reducing pressure on the tibial nerve.
  • Physical Therapy: Targeted exercises and stretches can improve foot strength and flexibility, relieving compression on the nerve.
  • Medications: Anti-inflammatory medications and pain relievers might provide temporary relief.
  • Corticosteroid Injections: In severe cases, a corticosteroid injection into the tarsal tunnel can provide relief from inflammation and pain.
  • Surgery: In rare cases when other treatments fail, surgical decompression of the tarsal tunnel might be recommended.

Comparative Analysis

When it comes to foot ailments, we often think of the notorious plantar fasciitis or the relentless neuropathy. But there’s a hidden contender in the world of foot troubles – Tarsal Tunnel Syndrome (TTS). Let’s put it in the spotlight and compare it with its better-known counterparts.

Tarsal Tunnel Syndrome vs. Plantar Fasciitis:

  • TTS: Burning, tingling, and numbness primarily along the inner ankle and sole.
  • Plantar Fasciitis: Sharp heel pain, especially in the morning or after prolonged inactivity.

Tarsal Tunnel Syndrome vs. Neuropathy:

  • TTS: Pain and discomfort focused around the tarsal tunnel area.
  • Neuropathy: Numbness and tingling often experienced in a broader distribution, affecting multiple areas of the foot.

TTS Treatment Arsenal:

  • Conservative approaches, orthotics, physical therapy, medications, injections, and surgery if necessary.
  • Plantar fasciitis and neuropathy treatments may include similar methods, but the targeted area and approach differ.

By understanding these nuances, you can identify whether your foot discomfort aligns with TTS or another condition, aiding your journey towards appropriate treatment.


Q1: What causes Tarsal Tunnel Syndrome? 

A1: TTS can stem from various factors, including flat feet, injuries, cysts, varicose veins, and conditions like diabetes and arthritis that increase nerve vulnerability.

Q2: Can TTS be prevented? 

A2: While prevention isn’t always possible, maintaining healthy foot mechanics, wearing proper footwear, and avoiding excessive strain on the feet can lower the risk.

Q3: Is TTS common? 

A3: Tarsal Tunnel Syndrome is relatively rare compared to conditions like plantar fasciitis. However, it’s crucial to recognize its symptoms early for effective management.

Q4: How long does recovery take? 

A4: Recovery varies depending on the severity of the condition and chosen treatment approach. Conservative methods might take a few weeks to months, while surgery recovery could span a few months.

In conclusion, Tarsal Tunnel Syndrome might be shrouded in mystery, but knowledge is the key to unraveling it. By understanding its symptoms and available treatment options, individuals can navigate their journey towards relief and regain their stride.

Remember, foot health is a vital component of overall well-being. If you suspect Tarsal Tunnel Syndrome, don’t let its enigmatic nature discourage you from seeking help. Your feet, after all, deserve to walk pain-free on the path of life.

Do You Endure the Discomfort of Tarsal Tunnel Syndrome? Find Relief Today!

Living with the relentless discomfort of Tarsal Tunnel Syndrome can cast a shadow over even the brightest of days. The searing pain, unsettling numbness, and persistent tingling sensations can severely limit your daily activities, making every step a challenge. But remember, you’re not alone on this journey. We’re here to guide you towards lasting relief and renewed vitality. Welcome to Your Total Foot Care Specialist, where your foot health is our priority.

Our team of board-certified podiatrists stands as a pillar of expertise and compassion, ready to address your Tarsal Tunnel Syndrome concerns with the utmost care. Our commitment to staying at the forefront of podiatric advancements ensures that you receive the most effective, evidence-based treatments available.

We are offering a comprehensive range of services designed to restore your foot health and overall well-being. From accurate diagnostics to personalized treatment plans, our approach revolves around your unique journey towards comfort.

Our convenient location at Katy, Memorial, Galleria, Cypress, and Copperfield is your gateway to a life free from Tarsal Tunnel Syndrome’s grip. Don’t let discomfort dictate your story – take charge of your foot health and reclaim your mobility. Make an appointment today to schedule your consultation and embark on a path towards lasting relief. Your steps should be filled with confidence and comfort. Book your Appointment now!