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What is Tarsal Tunnel Syndrome 

Tarsal Tunnel Syndrome is a condition in which the main nerve entering the foot at the ankle level is impinged upon or irritated usually by physical activity, a biomechanical issue, or an obstruction of the nerve.

As the posterior tibial nerve enters the foot at the ankle level, it can be mechanically obstructed by a tight ligament structure (similar to Carpal Tunnel), a cyst or other such soft tissue mass, or scar tissue from a previous surgery or injury. Certain metabolic diseases can also cause irritation to the nerve, such as diabetes.

The symptoms include numbness, burning, tingling, and pain throughout the bottom of the foot and into the toes. Treatment options include conservative care such as changing shoe gear, orthotics, and anti-inflammatory medications. Surgical intervention is sometimes necessary to release the nerve and/or remove any obstruction. Diagnosis is usually made by clinical exam and often an EMG/Nerve conduction study is obtained.

Dr. Scott M. Reich, DPM

Foot Care Group, P.A.

Wilmington, DE