Tarsal tunnel syndrome

Tarsal tunnel syndrome is a squeezing or pinching of the tibial nerve. This nerve runs down the back of the leg to the inner ankle joint, where a complex mix of nerves, tendons, and ligaments meet. This makes it more likely that the tibial nerve could become pinched.

Symptoms of tarsal tunnel syndrome include burning foot pain. It can also cause aching, numbness, and tingling in the sole or arch of the foot.

Your doctor will ask about your symptoms and do a physical exam of your foot and ankle. You may also have tests such as a nerve test or imaging tests, like an X-ray or MRI.

Rest, ice, and over-the-counter pain medicine are common early treatments. You may also use footwear that supports your feet, like arch supports, orthotics, and support shoes. Your doctor may recommend physical therapy. You may get steroid shots or medicine that targets nerve pain. If these treatments don't help, you may need surgery.

• If you can, stop or reduce the activity that causes your symptoms. If you can't stop the activity, take breaks often. Use these breaks to rest and stretch your foot and ankle.
• Ask your doctor if you can take an over-the-counter pain medicine such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label.
• To ease pain, put ice or a cold pack on your foot and ankle. Do this for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin.
• If your doctor or physical therapist tells you to wear a splint, arch support, or orthotic, wear it as directed. This will help keep your foot and ankle in a neutral position. It also eases pressure on your tibial nerve.
• Ask your doctor if you should have physical therapy.