Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition caused by compression of the posterior tibial nerve as it passes through the tarsal tunnel near the inner ankle. This compression leads to pain, numbness, and tingling in the foot.

Anterior Ankle Impingement

    • Burning, tingling, or numbness along the sole or toes

    • Pain that worsens with prolonged standing or activity

    • Nighttime discomfort or cramping

  • Diagnosis involves a physical exam and nerve conduction studies (EMG/NCS). MRI or ultrasound can identify structural causes such as cysts, varicose veins, or bone spurs compressing the nerve.

  • Non-surgical management includes rest, orthotics, anti-inflammatory medication, and nerve gliding exercises. Persistent or severe cases may require tarsal tunnel release, often performed using minimally invasive surgical techniques to decompress the nerve.

  • Recovery varies depending on the degree of nerve involvement. Most patients improve significantly within 2–3 months post-surgery.