Skip to content 
Tarsal Tunnel Syndrome Treatment
A burning, tingling, or shooting pain along the inner ankle or sole of the foot may be more than just overuse—it could be a sign of tarsal tunnel syndrome. At Integrity Foot and Ankle, we diagnose and treat this nerve compression condition with personalized care aimed at relieving discomfort and preventing long-term nerve damage. Tarsal tunnel syndrome occurs when the posterior tibial nerve becomes compressed within the tarsal tunnel, a narrow space on the inside of the ankle.
Symptoms often resemble those of other foot and ankle issues, which makes proper evaluation critical. If left untreated, nerve compression can worsen over time, leading to chronic pain, numbness, or muscle weakness. We provide a full range of treatments—from conservative care to surgical decompression—based on the severity of your condition and your unique lifestyle needs.
Benefits of Tarsal Tunnel Syndrome Treatment:
- Relieves tingling, burning, and sharp pain along the ankle and foot
- Reduces inflammation and pressure on the posterior tibial nerve
- Improves mobility, stability, and daily walking comfort
- Prevents long-term nerve damage or muscle atrophy
- Offers early intervention options to avoid surgical procedures
- Customized bracing and orthotics to reduce strain on the nerve
- Surgical decompression available for advanced or chronic cases
- Enhances quality of life with targeted, non-invasive therapies
- Accurate diagnosis through clinical testing and imaging
- Ongoing care plans designed for symptom management and prevention
Treatment Options for Tarsal Tunnel Syndrome
Non-Surgical Approaches
Rest, Ice, and Activity Modification
Reducing strain on the foot and ankle helps minimize inflammation and allows the nerve to recover. Ice therapy and avoiding aggravating activities can provide short-term symptom relief.
Anti-Inflammatory Medications and Injections
NSAIDs or corticosteroid injections help reduce swelling around the nerve and relieve pain. These treatments are particularly helpful in early or moderate stages of the condition.
Custom Orthotics and Ankle Bracing
Orthotics support the arch and stabilize the foot, taking pressure off the tarsal tunnel. Braces may also be used to limit motion and reduce nerve irritation during daily activities.
Surgical Options
Tarsal Tunnel Release Surgery
When conservative care no longer provides relief, surgical decompression may be necessary. This procedure involves releasing the ligament that covers the tarsal tunnel to relieve pressure on the nerve and restore proper function.
Post-Surgical Recovery
Recovery typically involves limited weight-bearing for a short period, followed by physical therapy. Our team provides a detailed post-op plan to help you regain strength and mobility safely.
What to Expect Before and After Treatment
Before Treatment
- Detailed physical exam and medical history review
- Nerve conduction studies or imaging to confirm compression
- Discussion of symptoms, activity levels, and footwear habits
- Development of a tailored treatment plan with realistic expectations
After Treatment
- If non-surgical: gradual return to activity, symptom monitoring, and lifestyle adjustments
- If surgical: wound care instructions, temporary rest period, and structured rehabilitation
- Follow-up visits to track nerve function, healing, and long-term outcomes
- Preventive strategies to avoid recurrence or worsening of symptoms
FAQ
What causes tarsal tunnel syndrome to develop?
Tarsal tunnel syndrome is caused by compression or irritation of the posterior tibial nerve, often due to flat feet, trauma, inflammation, or systemic conditions like arthritis or diabetes.
What are the main symptoms of tarsal tunnel syndrome?
Symptoms typically include burning, tingling, numbness, or shooting pain along the inside of the ankle and bottom of the foot. Pain may worsen with prolonged standing or physical activity.
Can tarsal tunnel syndrome be treated without surgery?
Most cases respond well to conservative treatments such as rest, orthotics, anti-inflammatories, and bracing. Surgery is considered when symptoms persist or worsen despite non-invasive care.
How long does recovery take after tarsal tunnel release surgery?
Initial recovery takes several weeks, with most patients returning to regular activity in 6–8 weeks. Full nerve healing may continue for several months, depending on the severity of compression.
How is tarsal tunnel syndrome diagnosed?
Diagnosis is based on a physical exam, symptom history, and tests like nerve conduction studies or imaging to confirm compression and rule out other conditions.
