
Tarsal tunnel syndrome develops when a nerve on the inside of the ankle becomes squeezed or irritated as it passes through a narrow space called the tarsal tunnel. This is similar to wrist pain caused by carpal tunnel syndrome. The tunnel is formed by bone and strong bands of tissue that protect the nerve. When pressure builds inside this area, pain and other symptoms occur. Patients frequently notice burning, tingling, or numbness that starts near the inside of the ankle and travels into the heel or the bottom of the foot. Some people also feel sharp pain while walking or standing for long periods of time. Eventually, discomfort can continue even while resting. Tarsal tunnel syndrome can result from swelling, a cyst, arthritis, or changes in foot structure that place extra pressure on the nerve.
A podiatrist begins by asking about symptoms and examining the foot and ankle. Gentle pressure over the affected nerve can reproduce tingling or pain that travels into the foot. The podiatrist also checks strength, feeling, and movement to look for signs of nerve irritation. Imaging tests, like an MRI scan, can reveal swelling, cysts, or other problems pressing on the nerve. Nerve tests can measure how well signals travel through the affected area. An accurate diagnosis is important because tarsal tunnel syndrome can resemble other conditions, including plantar fasciitis, and each problem requires a different treatment plan.
Treatment focuses on relieving pressure on the affected nerve and correcting the cause whenever possible. A podiatrist can recommend custom orthotics that improve foot alignment or prescribe a brace that reduces stress on the nerve. Treatment also includes injections when inflammation is present. Early care can help prevent lasting nerve damage and improve comfort while walking and standing. If you have inner ankle pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendinitis
- Achilles tendon rupture
- Stress fractures
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.



